Background
Methods
Study area and data source
Variable measurement, data processing, and analysis
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Poorest: Includes women whose wealth was less than or equal to 20 percentile.
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Poorer: Includes women whose wealth ranged 21 to 40 percentile.
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Middle: Includes women whose wealth ranged 41 to 60 percentile.
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Richer: Includes women whose wealth ranged 61 to 80 percentile.
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Richest: Includes women whose wealth ranged 81 to 100 percentile.
Results
Socio-demographic characteristics of the respondents
Variables | Category | Frequency | Percentage |
---|---|---|---|
Age in years
| 15–19 | 227 | 5.79 |
20–24 | 768 | 19.58 | |
25–29 | 1912 | 30.37 | |
30–34 | 799 | 20.36 | |
35–39 | 590 | 15.04 | |
40–44 | 258 | 6.59 | |
45–49 | 89 | 2.27 | |
Marital status
| Single | 241 | 6.16 |
Married | 3684 | 93.84 | |
Place of residence
| Urban | 1026 | 26.14 |
Rural | 2900 | 73.86 | |
Educational status of a mother
| No education | 2014 | 51.30 |
Primary | 1414 | 36.03 | |
Secondary | 344 | 8.79 | |
Higher | 152 | 3.89 | |
Wealth
| Poorest | 2,843 | 63.34 |
Poorer | 1,646 | 36.66 | |
Middle | 1,924 | 45.35 | |
Richer | 1,710 | 40.29 | |
Richest | 393 | 9.27 | |
Religion
| Orthodox | 1440 | 36.69 |
Muslim | 1339 | 34.12 | |
Protestant | 1082 | 27.57 | |
Others | 63 | 1.62 | |
ANC visit
| No | 1013 | 25.81 |
Yes | 2913 | 74.19 | |
Total numbers of living child
| < 3 | 1583 | 40.33 |
3–5 | 1537 | 39.17 | |
> 5 | 805 | 20.51 | |
Region
| Tigray | 286 | 7.3 |
Afar | 51 | 1.3 | |
Amhara | 839 | 21.38 | |
Oromia | 1519 | 38.69 | |
Somali | 210 | 5.55 | |
Benishangul | 47 | 1.2 | |
SNN | 787 | 20 | |
Gambela | 19 | 0.49 | |
Harari | 11 | 0.28 | |
Addis Ababa | 126 | 3.22 | |
Dire Dewa | 21 | 0.54 | |
Cluster ANC follow up
| Low | 1818 | 46.31 |
High | 2108 | 53.69 | |
Cluster below middle wealth
| Low | 1970 | 50.19 |
High | 1955 | 49.81 | |
Cluster secondary above education
| Low | 2515 | 64.05 |
High | 1411 | 35.95 |
Individual and contextual-level factors associated with iron-folic acid supplement intake (fixed-effects)
Variables | Category | COR (95% CI) | Null model | Model 2 AOR (95% CI) | Model 3 AOR (95% CI) |
---|---|---|---|---|---|
Age of mother in years | 15–19 | 1 | 1 | 1 | |
20–24 | 1.71(3.10,8.46) | 1.41 (0.73, 2.27) | 1.34 (0.69, 2.59) | ||
25–29 | 1.73(1.03,2.91) | 1.30 (0.66, 2.55) | 1.25 (0.64, 2.48) | ||
30–34 | 1.40(0.84,2.33) | 1.18 (0.59, 2.40) | 1.08 (0.54, 2.21) | ||
35–39 | 0.94(0.56,1.58) | 0.80 (0.37, 1.72) | 0.73 (0.34, 1.59) | ||
40–44 | 1.07(0.55,2.08) | 1.28 (0.48, 3.35) | 1.12 (0.43, 2.93) | ||
45–49 | 0.36(0.14,0.90) | 0.37 (0.11, 1.25) | 0.30 (0.09, 1.03) | ||
Religion | Orthodox | 1 | 1 | 1 | |
Muslim | 0.54(0.34,0.84) | 0.64 (0.42, 0.96) | 1.08 (0.61, 1.923) | ||
Protestant | 0.65(0.40,1.02) | 0.48 (0.30, 0.75) | 0.72 (0.42, 1.27) | ||
Other | 0.64(0.4,1.73) | 1.18 (0.50, 2.77) | 1.76 (0.72, 4.35) | ||
ANC visit | No | 1 | 1 | 1 | |
Yes | 27.14(17.25,42.71) | 23.96 (15.32, 3746) |
21.26 (13.56, 33.32)
| ||
Wealth | Poorest | 1 | 1 | 1 | |
Poorer | 1.90(1.33,2.72) | 1.16 (0.75, 1.77) | 1.05 (0.68, 1.63) | ||
Middle | 2.88(1.99,4.15) | 1.66 (1.07, 2.57) | 1.45 (0.93, 2.26) | ||
Richer | 2.84(1.88,4.29) | 1.33 (0.82, 2.16) | 1.10 (0.67, 1.82) | ||
Richest | 6.72(3.89,11.59) | 1.70 (0.94, 3.07) | 1.32 (0.5&, 3.12) | ||
Marital status | Single/not living together | 1 | 1 | 1 | |
Married/living together | 1.36(0.73,2.50) | 0.95 (0.50, 1.81) | 0.95(0.5000–08121). | ||
Number of living children | ≤ 2 | 1 | 1 | 1 | |
3–5 | 0.78(0.59,1.01) | 1.26 (0.85, 1.86) | 1.29 (0.88, 1.92) | ||
> 5 | 0.63(0.47,0.85) | 1.876 (1.15, 3.02) |
2.02 (1.25, 3.27)
| ||
Education status of a mother | No education | 1 | 1 | 1 | |
Primary | 2.17 (1.62, 2.90) | 1.87 (1.26, 2.78) |
1.83 (1.24, 2.74)
| ||
Secondary | 5.12(3.10,8.46 | 2.64 (1.51, 4.61) |
2.75 (1.57, 4.82)
| ||
Higher | 3.48(1.69,7.19) | 1.69 (0.76, 0.38) | 1.78 (0.81, 3.92) | ||
Place of residence | Rural | 1 | 1 | ||
Urban | 0.40(0.26,0.62) | 0.01 (0.40, 1.65) | |||
Region | Dire Dewa | 1 | 1 | ||
Tigray | 2.44(1.35,4.420 | 2.00 (0.91, 4.39) | |||
Afar | 0.40(0.20,0.78) | 1.05 (0.53, 2.0) | |||
Amhara | 1.27(0.69,2.31) | 1.98 (0.89, 4.40) | |||
Oromia | 0.54(0.29,1.00) | 0.91 (0.48, 1.75) | |||
Somali | 0.64(0.30,0.14) |
0.44 (0.22, 0.87)
| |||
Benishangul | 0.61(0.30,1.21) | 0.74 (0.3, 1.46) | |||
SNNP | 0.47(0.26,0.86) | 1.02 (0.46, 2.27) | |||
Gambela | 0.56(0.28,1.11) | 0.53 (0.23, 1.22) | |||
Harari | 0.85(0.46,1.57) | 0.86 (0.47, 1.56) | |||
Addis Ababa | 1.15(0.63,2.10) | 0.49 (0.23, 1.03) | |||
Cluster ANC follow up | Low | 1 | 1 | ||
High | 7.06(5.2,9.6) |
1.72 (1.17, 2.54)
| |||
Cluster below middle wealth | Low | 1 | 1 | ||
High | 0.34(0.24,0.48) | 0.81 (0.51, 1.28) | |||
Cluster above secondary | Low | 1 | 1 | ||
High | 2.84(1.97,4.09) | 0.93 (0.58, 1.49) |
Random effect
Measure of variation | Model 1 (Null model) | Model 2 | Model 3 | |
---|---|---|---|---|
Variance | 1.55 | 0.68 | 0.55 | |
Explained variance (PCV %) | Reference | 56.13 | 64.52 | |
Median odds ratio (MOR) | 3.26 | 2.18 | 2.02 | |
The intra-cluster correlation coefficient (ICC) in % | 32.04 | 17.14 | 14.33 | |
Model fitness
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Likelihood ratio test | 0.0001 | 0.0085 |