Wondimye Ashenafi (PhD)Bezayit Terefe2023-12-122023-12-122022-06-20http://etd.aau.edu.et/handle/123456789/722Background: - Food insecurity is defined as lack of access to sufficient, safe, and nutritious food that meets individuals’ dietary needs and preferences for an active and healthy life. It results an overall disruption of food intake or eating patterns which might lead to problem of under nutrition. The nutritional status of a mother is important, both as an indicator of her overall health and as a predictor of adverse birth outcomes for both the mother and child. Objective: - To examine the prevalence of adverse birth outcomes and its association with household food insecurity among women delivered in selected public health centers in Kolfe Keraniyo sub city of Addis Ababa, Ethiopia. Method: - health facility based cross sectional study design was conducted among pregnant women from April, 15 up to May 15, 2022 in Kolfe Keraniyo sub city of Addis Ababa, Ethiopia. A total of 284 eligible women was participated. Data was collected using closed ended questionnaire. Pretest was done in 5% of the sample size. Ratio and 95% Confidence Interval was calculated for each independent variable with the dependent variables and p-value <0.05 considered as statistically significant. Result :- In this study the prevalence of adverse birth outcome and HHFIS was 21% and 40% respectively and adverse birth outcome and HHFIS was a significant positive correlation function and the determinant factor for adverse birth outcome had not antenatal care follow up (AOR=11.4, 95%CI=2.59, 50.73) and participant whose pregnancy of unplanned (AOR=3.4, 95%CI=2.94, 12.41) and participant who were a history of abortion (AOR=2.8, 95%CI=1.18, 6.42) and participant who had in secured household food level ( AOR=3.8, 95%CI=1.51, 9.77) than its compartment. Conclusion and recommendation: -The prevalence of adverse birth outcome was significantly high. for the recommendation goes to better to use family planning and reduced a planned pregnancy and also reduced abortion, assured the food security of the community by create work condition and assured women empowerment in the economic policy for the non-governmental organization specially whose vision of child birth outcome had better to work in pregnant mother food security to maintain or reduced or avoid adverse birth outcome and improve the child healthenpregnant women, adverse birth outcome, house old food insecurityThesis