scholarly journals Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health center, Addis Ababa, Ethiopia.

2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on the prevalence of dietary diversity among pregnant women. This study was aimed to assess the dietary diversity practice and associated factors among pregnant women attending antenatal care in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Results: The mean Dietary Diversity Score of pregnant women was 5. 45+-1. 83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women who learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second antenatal care visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times better dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusions: The mean Dietary Diversity Score of pregnant mothers was 5.45. And 60.9% of pregnant women had a good dietary diversity score, whereas 39.1 % of them had a poor diet diversity score. Mothers’ education, monthly income, second and third antenatal care visit and nutrition information had a significantly associated with pregnant mothers’ dietary diversity.

2020 ◽  
Author(s):  
Walelgn Tefera ◽  
Tsegahun Worku Brhanie ◽  
Mamo Dereje

AbstractBackgroundAdequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among pregnant women.ObjectivesThis study was designed to assess the dietary diversity practice and associated factors among pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia, 2018MethodsInstitution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05.ResultThe mean DDS was 5.45± 1.83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26., 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second ANC visit had more dietary diversity than at first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusion and RecommendationThe mean DDS among the pregnant mothers was 5.45. 60.9% of pregnant women had good dietary diversity score and 39.1 % had poor dietary diversity. Mothers education, monthly income, second and third ANC visit and nutrition information had a positive significant with pregnant mothers’ dietary diversity (P<0.05. Early initiation of ANC visit and incorporation of nutrition education in each visit should be practice. Health extension workers should provide nutritional education to every pregnant woman.


2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among pregnant women. Objectives: This study was designed to assess the dietary diversity practice and associated factors among pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Result: The mean DDS was 5.45 +-1.83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second ANC visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusion and Recommendation: The mean DDS among the pregnant mothers was 5.45. 60.9% of pregnant women had a good dietary diversity score and 39.1 % had poor dietary diversity. Mothers’ education, monthly income, second and third ANC visit and nutrition information had a positive significant with pregnant mothers’ dietary diversity (P<0.05. Early initiation of ANC visit and incorporation of nutrition education at each visit should be practiced. Health extension workers should provide nutritional education to every pregnant woman.


2021 ◽  
Author(s):  
Temesgen Gebeyehu Wondmeneh

Abstract Background: Women in low-income countries are frequently malnourished when they become pregnant, and the demands of pregnancy can exacerbate nutritional deficiencies, particularly micronutrient deficiencies, with serious health effects on the fetus. Antenatal nutritional supplements can help to improve birth outcomes and maternal health. As a result, determining the magnitude of dietary diversity and its influencing factors among pregnant women in the pastoral region of Afar, where no study has been conducted, is an essential in order to establish an intervention program in the region. Method: A mixed study comprising 241 pregnant women and six focus group discussions was conducted from October 1 to November 10, 2018. Participants in the quantitative study were selected by a systematic sampling method, whereas those in the focus group discussions were chosen by using purposive sampling method. The data was collected using pretested questionnaires administered via face-to-face interviews. The relationship between dietary diversity practice and its affecting factors was investigated using logistic regression analysis. The strength of the association was determined by odds ratio with a 95 % confidence interval. Thematic framework was used to analyse the qualitative data.Results: Seventy-three percent of pregnant women had poor dietary diversity. Dietary diversity was higher in younger pregnant women who were under the age of 20 years (AOR=5.8; at 95% CI: 1.6-13.5) and aged between 21-25 years (AOR=3.9; at 95 percent CI:1.1-12.2) than in older pregnant women with over the age of 30 years. Those participants with a high average family income (above 4500 birr) had a good dietary diversity when compared to those with family income less than 1500 birr (AOR=0.1:95% 39 CI;0.02-0.7) and between 1500-3000 birr (AOR=0.05:95% CI;0.01-0.2). Pregnant women who had one antenatal care visit practiced less dietary diversity than those who had four or more (AOR=0.18: 95 percent CI; 0.04-0.8). Protein-rich foods (meat and eggs), semisolid foods (porridge and cereal soup), milk, fruit (banana) and vegetable (cabbage) 43 were the most commonly avoided foods by pregnant women. These meals were commonly avoided since they produced large babies and were attached to the fetus's body.Conclusion: The majority of study participants had a poor dietary diversity. Pregnant women with a low family income and only one prenatal care visit were less likely than those with a high family income and four or more antenatal care visits to practice dietary diversity, respectively. Most pregnant women avoided high-protein diets, semi-solid foods, milk, vegetable and fruit. Due to the presumptions of producing large fetus and attached to the fetus's body, these foods were avoided.


2014 ◽  
Vol 11 (2) ◽  
pp. 61
Author(s):  
Hana Shafiyyah Zulaidah ◽  
Istiti Kandarina ◽  
Mohammad Hakimi

Background: Anemia causes fetal growth disorders that affect birth weight. Antenatal care (ANC) coverage and provision of high Fe if not followed by a decrease in the incidence of anemia can result indirectly in the risk of low birth weight. Supplementary feeding is expected to resolve the issue.Objective: To assess the effect of supplementary feeding on the third trimester of pregnancy on birth weight.Method: This was a quantitative study with a study design of quasi-experiment and non-equivalent control group. The given intervention was fish-processed feeding for 30 days. The study population was pregnant women in the third trimester in all health centers in the City of Yogyakarta and the samples were 104 pregnant women in some health centers with convenience sampling technique. The subjects were divided into two, namely the treatment group (PMT) and the comparison group (non-PMT). Birth weight was weighed immediately after the baby was born. Statistical analysis used t-test and logistic regression. Results: The mean birth weight of infants in the treatment group and the comparison group was 3248 g and 2974 g, respectively, so that the difference in the mean birth weight of both groups was 274 g (p=0.0002; 95%C:131-416). Thus, supplementary feeding was shown significantly affect the birth weight. The extraneous variables that significantly influenced birth weight were pregnancy interval. Other extraneous variables were age, mid-upper-arm circumference (MUAC), education, occupation, economic status, parity, protein intake, compliance of Fe tablet intake, antenatal care, gestational age at delivery and anemia status were not proven statistically significant to affect birth weight. Conclusion: Supplementary feeding effect on birth weight.


2021 ◽  
pp. 037957212098250
Author(s):  
Suzanna L. Attia ◽  
Wolf-Peter Schmidt ◽  
Janeth Ceballos Osorio ◽  
Thomas Young ◽  
Aric Schadler ◽  
...  

Background: In middle-income countries, malnutrition concentrates in marginalized populations with a lack of effective preventive strategies. Objective: Identify risk factors for undernutrition in a peri-urban Ecuadorian community of children aged 12 to 59 months. Methods: Data from a cross-sectional survey in 2011 of children 1 to 5 years were analyzed including demographic data, medical history and examination, food frequency questionnaire (FFQ), anthropometric measurements, and blood for complete blood count, C-reactive protein, vitamin A, iron, and zinc levels. Dietary Diversity Score (DDS) was calculated from FFQ. Bivariate and multivariate analysis assessed effects on primary outcome of undernutrition by DDS, vitamin deficiencies, and demographic and nutritional data. Results: N = 67, 52.2% undernourished: 49.3% stunted, 25.4% underweight, and 3% wasted; 74.6% (n = 50) were anemic and 95.1% (n = 39) had low serum zinc. Dietary Diversity Score was universally low (mean 4.91 ± 1.36, max 12). Undernutrition was associated with lower vitamin A levels (20 306, IQR: 16605.25-23973.75 vs 23665, IQR: 19292-26474 ng/mL, P = .04); underweight was associated with less parental report of illness (43.8%, n = 7 vs 80% n = 40, P = .005) and higher white blood count (13.7, IQR: 11.95-15.8 vs 10.9, IQR: 7.8-14.23 × 109/L, P = .02). In multiple regression, risk of undernutrition decreased by 4% for every $10 monthly income increase (95 CI%: 0.5%-7.4%, P = .02, n = 23); risk of underweight decreased by 0.06 for every increased DDS point (adjusted odds ratio: 0.06; 95 CI%: 0.004-0.91, P = .04, n = 23). Conclusions: In this peri-urban limited resource, mostly Indigenous Ecuadorian community, stunting exceeds national prevalence, lower monthly income is the strongest predictor of undernutrition, lower DDS can predict some forms of undernutrition, and vitamin deficiencies are associated with but not predictive of undernutrition.


2019 ◽  
Vol 4 (1) ◽  

The theme of women’s menopausal experience remains to be a focus of scientific inquiry in the western and Asian nations. However, the issue has not been studied in the African (mainly Ethiopia) context. This research endeavored to explore this issue (menopausal age, awareness, attitude, and symptoms) among women in Addis Ababa. A total of 212 women were sampled from heterogeneous settings (health centers, schools, and business centers) to fill in the structured questionnaire. Findings indicated that the mean age at menopause was lower (45.34 years) compared to those reported in other nations and this age was unrelated to age at first menstruation. Participants were with moderate level of awareness as well as attitude about menopause but had experienced fewer menopausal symptoms. The correlation analysis yielded that while menopausal awareness was positively related with attitudes, experience of menopausal symptoms was, however, related neither to awareness nor to attitudes. ANOVA test yielded significant differences among educational, marital, and menopausal groups in menopausal experiences. However, the direction of impact was found varied group-wise for the different kinds of menopausal experiences. A number of inconsistencies were found between findings of the present study and those documented in previous research and this could be because of cultural differences.


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