Determinants of low birth weight among newborns: maternal and health-related factors at China Uganda Friendship Hospital, Naguru. A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i9.1932Keywords:
Low Birth Weight, Newborns, Maternal, China-Uganda Friendship Hospital, NaguruAbstract
Background:
In Uganda, the prevalence of LBW is estimated at 33.5% suggesting that approximately 4 in 10 infants are born with a low birth weight. The purpose of this study was to assess the determinants of low birth weight among newborns, focusing on maternal and health-related factors at China-Uganda Friendship Hospital, Naguru, Kampala District.
Methodology:
A descriptive cross-sectional study design employing a quantitative method was used. In three days, 32 mothers were sampled using a simple random sampling technique and a structured questionnaire. The data were then analyzed using the Office (2010) programs and presented in the form of tables, graphs, and pie charts.
Results:
Out of the 32 respondents, nearly half (46.9%) were aged 20 to 34 years, and more than half (56.3%) had attained secondary school education. Concerning maternal-related factors, the majority (71.9%) visited antenatal care fewer than four times, and (62.5%) used drug substances during pregnancy. More than half (56.3%) found care to be a bit expensive at the health facilities, (62.5%) said the facility was very far and tiresome to reach, and most (71.9%) started ANC between 4 and 6 months. Additionally, more than half (56.3%) of participants reported that health workers were sometimes kind.
Conclusion:
Several maternal factors, including experience of illnesses during pregnancy, inadequate ANC attendance, substance use, and prolonged standing while pregnant, were associated with the occurrence of low birth weight.
Recommendation:
There is a need to strengthen community sensitization and health education campaigns on the importance of early and regular antenatal care, proper nutrition, and family planning to prevent unplanned pregnancies and reduce maternal complications associated with low birth weight.
References
Akseer, N., Keats, E. C., Thurairajah, P., Cousens, S., Bétran, A. P., Oaks, B. M., Osrin, D., Piwoz, E., Gomo, E., & Ahmed, F. (2022). Characteristics and birth outcomes of pregnant adolescents compared to older women: An analysis of individual-level data from 140,000 mothers from 20 RCTs. EClinicalMedicine, 45. https://doi.org/10.1016/j.eclinm.2022.101309
Appiah, P. K., Bukari, M., Yiri-Erong, S. N., Owusu, K., Atanga, G. B., Nimirkpen, S., Kuubabongnaa, B. B., & Adjuik, M. (2020). Antenatal care attendance and factors influenced the birth weight of babies born between June 2017 and May 2018 in the Wa East District, Ghana. International Journal of Reproductive Medicine, 2020(1), 1653076. https://doi.org/10.1155/2020/1653076
Daniel, E. O., Olawale, O. O., Bello, A. M., Avwerhota, M., Tomori, M. O., Popoola, I. O., Adetutu, A. A., Salami, A. O., Alewi, O. O., & Popoola, T. A. (2024). The Risk Factors of Low Birth Weight in Primary Health Care Centres: A Comparative Study in Selected Rural and Urban Settings in a Southwestern State of Nigeria. Journal of Family Medicine and Health Care, 10(2), 31-39. https://doi.org/10.11648/j.jfmhc.20241002.13
Desyibelew, H. D., & Dadi, A. F. (2019). Burden and determinants of malnutrition among pregnant women in Africa: A systematic review and meta-analysis. PloS One, 14(9), e0221712. https://doi.org/10.1371/journal.pone.0221712
Di, H.-K., Gan, Y., Lu, K., Wang, C., Zhu, Y., Meng, X., Xia, W.-Q., Xu, M.-Z., Feng, J., & Tian, Q.-F. (2022). Maternal smoking status during pregnancy and low birth weight in offspring: systematic review and meta-analysis of 55 cohort studies published from 1986 to 2020. World Journal of Pediatrics, 18(3), 176-185. https://doi.org/10.1007/s12519-021-00501-5
Dotse-Gborgbortsi, W., Nilsen, K., Ofosu, A., Matthews, Z., Tejedor-Garavito, N., Wright, J., & Tatem, A. J. (2022). Distance is "a big problem": a geographic analysis of reported and modelled proximity to maternal health services in Ghana. BMC Pregnancy and Childbirth, 22(1), 672. https://doi.org/10.1186/s12884-022-04998-0
Ghur, A., Randhawa, S., Shahid, N., Ali, W., Ali, B., Rashid, S., Khan, A., Babri, A. A., Masood, K., & Shuja, S. (2025). A Bottleneck Analysis of Iron and Folic Acid Supplementation Program in Pakistan. Maternal & Child Nutrition, e13797. https://doi.org/10.1111/mcn.13797
Godah, M. W., Beydoun, Z., Abdul-Khalek, R. A., Safieddine, B., Khamis, A. M., & Abdulrahim, S. (2021). Maternal education and low birth weight in low-and middle-income countries: systematic review and meta-analysis. Maternal and Child Health Journal, 25(8), 1305-1315. https://doi.org/10.1007/s10995-021-03133-3
Gurmu, L., Wakgari, N., Kolola, T., & Danusa, K. T. (2022). Effect of short inter-pregnancy interval on perinatal outcomes among pregnant women in North-west Ethiopia: A prospective cohort study. Frontiers in Public Health, 10, 953481. https://doi.org/10.3389/fpubh.2022.953481
Hossain, M. M. (2025). A Bayesian quantile regression approach for determining risk factors of low birth weight of children under five in Cambodia. Scientific Reports, 15(1), 12747. https://doi.org/10.1038/s41598-025-98105-w
Jana, A. (2023). Correlates of low birth weight and preterm birth in India. PLoS One, 18(8), e0287919. https://doi.org/10.1371/journal.pone.0287919
Kim, H. Y., Cho, G. J., Ahn, K. H., Hong, S.-C., Oh, M.-J., & Kim, H.-J. (2024). Short-term neonatal and long-term neurodevelopmental outcome of children born at term low birth weight. Scientific Reports, 14(1), 2274. https://doi.org/10.1038/s41598-024-52154-9
Kleinhout, M. Y., Stevens, M. M., Osman, K. A., Adu-Bonsaffoh, K., Groenendaal, F., Zepro, N. B., Rijken, M. J., & Browne, J. L. (2021). Evidence-based interventions to reduce mortality among preterm and low-birthweight neonates in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Global Health, 6(2). https://doi.org/10.1136/bmjgh-2020-003618
Kofi Amegah, A., Ayinemi, R., Sewor, C., Fenta, H. M., Yeboah, K., Mohammed, S. A., Dwomoh, D., Annim, S. K., Stranges, S., & Kandala, N.-B. (2024). Birth weight mediates the association of maternal undernutrition with child undernutrition prevalence in West Africa. European Journal of Clinical Nutrition, 78(9), 772-781. https://doi.org/10.1038/s41430-024-01453-5
Krejcie, R.V., & Morgan, D.W., (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement. https://doi.org/10.1177/001316447003000308
Liu, T., Xu, Y., Gong, Y., Zheng, J., & Chen, Z. (2024). The global burden of disease attributable to preterm birth and low birth weight in 204 countries and territories from 1990 to 2019: An analysis of the Global Burden of Disease Study. Journal of Global Health, 14. https://doi.org/10.7189/jogh.14.04109
Malik, S. I. A., Shahzad, L., Hussain, S., Qurban, S., Durrani, H., & Ashraf, M. N. (2022). How poverty, malnutrition, and other socioeconomic factors affect maternal health: A quantitative study from Lahore, Pakistan. Pakistan Journal of Medical & Health Sciences, 16(09), 230. https://doi.org/10.54393/pjhs.v3i07.193https://doi.org/10.53350/pjmhs22169230
Nsereko, E., Uwase, A., Mukabutera, A., Muvunyi, C. M., Rulisa, S., Ntirushwa, D., Moreland, P., Corwin, E. J., Santos, N., & Nzayirambaho, M. (2020). Maternal genitourinary infections and poor nutritional status increase risk of preterm birth in Gasabo District, Rwanda: a prospective, longitudinal, cohort study. BMC Pregnancy and Childbirth, 20, 1-13. https://doi.org/10.1186/s12884-020-03037-0
Ochieng Arunda, M. (2021). Improving neonatal survival in East Africa: Analysis of maternal service utilization, effectiveness of care, and risk factors for neonatal mortality in Kenya, Uganda, and Tanzania. Lund University, Faculty of Medicine Doctoral Dissertation Series, 2021: 147.
Ohuma, E. O., Moller, A.-B., Bradley, E., Chakwera, S., Hussain-Alkhateeb, L., Lewin, A., Okwaraji, Y. B., Mahanani, W. R., Johansson, E. W., & Lavin, T. (2023). National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis. The Lancet, 402(10409), 1261-1271. https://doi.org/10.1016/S0140-6736(23)00878-4
Omani-Samani, R., Ranjbaran, M., Mohammadi, M., Esmailzadeh, A., Sepidarkish, M., Maroufizadeh, S., & Almasi-Hashiani, A. (2019). Impact of unintended pregnancy on maternal and neonatal outcomes. The Journal of Obstetrics and Gynecology of India, 69, 136-141. https://doi.org/10.1007/s13224-018-1125-5
Ray, E., Maybin, J. A., & Harper, J. C. (2023). Perimenopausal women's voices: How does their period at the end of reproductive life affect wellbeing? Post Reproductive Health, 29(4), 201-221. https://doi.org/10.1177/20533691231216162
Rizkianti, A., Saptarini, I., & Rachmalina, R. (2021). Perceived barriers in accessing health care and the risk of pregnancy complications in Indonesia. International Journal of Women's Health, 761-772. https://doi.org/10.2147/IJWH.S310850
Sejbaek, C. S., Frankel, H. N., Flachs, E. M., Hougaard, K. S., Mehlum, I. S., Toettenborg, S. S., Madsen, I. E. H., Bonde, J. P. E., & Begtrup, L. M. (2025). Physical workload during pregnancy and adverse pregnancy outcomes: results from a Danish nationwide occupational register-based pregnancy cohort (DOC* X-Generation). Occupational and Environmental Medicine, 48-55. https://doi.org/10.1136/oemed-2024-109908
Sharma, P., Halwai, V., Rout, S., & Singh, R. (2023). Antibacterial Activity of Selected Fruit Juices against Multidrug-Resistant Bacterial Pathogens Involved in Urinary Tract and Sexually Transmitted Infections among Tribal Women in Madhya Pradesh, India. Journal of Pharmacopuncture, 26(3), 265. https://doi.org/10.3831/KPI.2023.26.3.265
Wa Kabanga, A. K., & Islam, M. S. (2024). Low Birth Weight Associated with Maternal Age, Number of Deliveries, and Birth Spacing: A Study in the Uvira Town in the Democratic Republic of Congo. European Journal of Applied Sciences-Vol. 12(5). https://doi.org/10.14738/aivp.125.17535
Waiswa, P., Higgins, B. V., Mubiri, P., Kirumbi, L., Butrick, E., Merai, R., Sloan, N. L., Walker, D., & Collaborative, P. B. I. K. & U. I. R. (2020). Pregnancy outcomes in facility deliveries in Kenya and Uganda: a large cross-sectional analysis of maternity registers illuminating opportunities for mortality prevention. Plos One, 15(6), e0233845. https://doi.org/10.1371/journal.pone.0233845
Wanjala, R. (2019). Prevalence and factors associated with preterm births in Uganda: A Case study of Kiryadongo District Referral Hospital.
Wolde, H. F., Tsegaye, A. T., & Sisay, M. M. (2019). Late initiation of antenatal care and associated factors among pregnant women in Addis Zemen Primary Hospital, South Gondar, Ethiopia. Reproductive Health, 16, 1-8. https://doi.org/10.1186/s12978-019-0745-2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Priscillar Mukopuuli K , Hasifa Nansereko, Jane Frank Nalubega, Ms. Immaculate Naggulu Prosperia

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.