Maternal age at delivery <20 years (adjusted odds ratio (AOR) = 3; 95 % confidence interval (CI) = 1.65–5.73), monthly income <26 United States Dollarr (USD) (AOR = 3.8; 95 % CI = 1.54–9.41), lack of formal education (AOR = 6; 95 % CI = 1.34–26.90), being merchant (AOR = 0.1; 95 %CI = 0.02–0.52) and residing in rural area (AOR = 2.1; 95 % CI = 1.04–4.33) were socio-economic variables associated with low birth weight. Maternal risk factors like occurrence of health problems during pregnancy (AOR = 6.3; 95 % CI = 2.75–14.48), maternal body mass index <18 kg/m2 (AOR = 6.7; 95 % CI = 1.21–37.14), maternal height <1.5m (AOR = 3.7; 95 % CI = 1.22–11.28), inter-pregnancy interval <2 years (AOR = 3; 95 % CI = 1.58–6.31], absence of antenatal care (OR = 2.9; 95 % CI = 1.23–6.94) and history of khat chewing (AOR = 6.4; 95 % CI = 2.42–17.10) and environmental factors such as using firewood for cooking (AOR = 2.7; 95 % CI = 1.01–7.17), using kerosene for cooking (AOR = 8.9; 95 % CI = 2.54–31.11), wash hands with water only (AOR = 2.2; 95 % CI = 1.30–3.90) and not having separate kitchen room (AOR = 2.6; 95 % CI = 1.36–4.85) were associated with low birth weight.
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