scholarly journals Maternal Dietary Diversity and Infant Outcome of Pregnant Women in Northern Ghana

2012 ◽  
Author(s):  
Saaka
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Northern Ghana ◽  
Infant Outcome

scholarly journals Income Level but Not Nutrition Knowledge Is Associated with Dietary Diversity of Rural Pregnant Women from Northern Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Emmanuel Amoako Agyei ◽  
Stephen Kofi Afrifa ◽  
Adam Munkaila ◽  
Patience Kanyiri Gaa ◽  
Eugene Dogkotenge Kuugbee ◽  
...  
Keyword(s):  
Vitamin A ◽  
Pregnant Women ◽  
Low Birthweight ◽  
Dietary Diversity ◽  
Nutrition Knowledge ◽  
Rural District ◽  
Leafy Vegetables ◽  
Northern Ghana ◽  
Food Groups ◽  
Essential Nutrients

Essential nutrients are necessary for reducing the risk of maternal mortality, prenatal mortality, and low-birthweight infants. Dietary diversity can play an important role in supplying essential nutrients to both the mother and the foetus. We evaluated nutrition knowledge, attitudes, and dietary diversity of pregnant women. In addition, we investigated the sociodemographic determinants of dietary diversity among pregnant women from a rural district in Ghana. Participants were pregnant women receiving antenatal care from a rural district hospital in Ghana. Dietary diversity was measured using a 24-hour dietary recall questionnaire. Multiple linear regression was used to determine the sociodemographic characteristics of dietary diversity. About 85% of the pregnant women knew that they should eat more in comparison to nonpregnant women, and only 16.9% knew the importance of folic acid supplementation during pregnancy. Mean (SD) dietary diversity score of the participants was 5.27 (1.35), 85.4% did not consume any fruits, and 82.3% did not take milk and milk products. Almost all participants took at least one food item in the starchy staples and green leafy vegetables food groups. Moreover, 53% consumed vitamin A-rich fruits, vegetables, and tubers; 7.7% organ meats; and 30.8% eggs. Those who earned a monthly income of ≥GHC 500 or US$ 87 (B = 1.82; 0.90–2.73; p < 0.001 ) significantly had higher dietary diversity scores compared to those who earned less. Dietary diversity of the pregnant women was suboptimal. The consumption of vitamin A- and iron-rich foods was inadequate. Income was an important determinant of the dietary diversity of pregnant women from Northern rural Ghana.

scholarly journals Determinants of dietary diversity and its relationship with the nutritional status of pregnant women

2021 ◽  
Vol 10 ◽  
Author(s):  
Mahama Saaka ◽  
Sofo Mutaru ◽  
Shaibu Mohammed Osman
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Household Wealth ◽  
Northern Region ◽  
Urban Setting ◽  
Northern Ghana ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract There is little information regarding factors that determine dietary diversity among pregnant women in Ghana. The present study, therefore, sought to assess the independent predictors of dietary diversity and its relationship with nutritional status of pregnant women in the Northern Region of Ghana. The present study was an analytical cross-sectional survey involving 423 pregnant women in different stages of gestation. The 24-h dietary recall method was used to assess minimum dietary diversity for women (MDD-W), and nutritional status was assessed using mid-upper arm circumference (MUAC) measurements. Binary logistic regression was performed to assess the association between maternal dietary diversity and maternal thinness and a P value of <0⋅05 was considered statistically significant. Of the 423 women, 79⋅9 % (95 % CI 76⋅1, 83⋅7) met the MDD-W and the prevalence of undernutrition among the pregnant women was 26⋅0 %. The analysis showed that women of low household wealth index were 48 % less likely (AOR 0⋅52, CI 0⋅31, 0⋅88) of meeting the MDD-W, whereas women from households of poor food insecurity were 88 % less likely (AOR 0⋅12, CI 0⋅05, 0⋅27) of achieving the MDD-W. Women of low household size were three times more likely of meeting the MDD-W (AOR 3⋅07, CI 1⋅13, 8⋅39). MDD-W was not associated with maternal underweight during pregnancy. In conclusion, the results of the present study showed that food insecurity and not low MDD-W, associated with mothers’ thinness (underweight) during pregnancy in peri-urban setting of Northern Ghana.

scholarly journals Dr. Adequacy of nutrient intakes among pregnant Women in Northern Ghana

2020 ◽  
Vol 11 (1) ◽  
pp. 145-164
Author(s):  
Mahama Saaka
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Average Energy ◽  
Cross Sectional Study ◽  
Northern Ghana ◽  
Food Groups ◽  
Nutrient Intakes ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Nutrient Adequacy

Introduction: Adequate nutrition during pregnancy is a pre-requisite for good pregnancy outcomes as well as future wellbeing, development and quality of life of the unborn child. This analytical cross-sectional study evaluated the adequacy of nutrient intakes of pregnant women resident in northern Ghana. Methods: A total of 400 pregnant women in 25 communities in the Northern, Upper East and Upper West regions of Ghana were interviewed at the household level. The nutrient intakes were assessed using a structured 24-hour dietary recall questionnaire. A dietary diversity score (DDS) was measured as a count of food groups. A nutrient adequacy ratio (NAR) of 14 nutrients as well as mean adequacy ratio (MAR) were calculated based on the 24-hour dietary recall. Results: The average energy, protein and fat intakes were 2,770.8 ± 1,127.5 Kcal/day, 59.2 ±27.5 g/day, and 105.25±58.0 g/day, respectively. The proportion of women meeting the recommended dietary allowance (RDA) of these macro-nutrients were 58.8%, 27.0% and 50.3% respectively. The average MAR of 14 nutrients was calculated to be 68% as the overall measure of nutrient adequacy. MAR correlated positively with DDS (r = 0.24 P < 0.001). Over 50% pregnant women obtained less than 66% of the RDA for iron, calcium, riboflavin, folic acid and vitamin B12. Conclusion: Diets of the majority of these pregnant women were deficient in several nutrients. Dietary diversity scores served as a useful proxy indicator of nutrient adequacy in this sample. In order to meet the requirements for essential nutrients, more effort should be made to promote dietary diversity among pregnant women in northern Ghana.

scholarly journals Determinants of anemia among pregnant women in northern Ghana

2019 ◽  
Author(s):  
Martin N. Adokiya ◽  
Richmond Aryeetey ◽  
Monica Yost ◽  
Andrew D. Jones ◽  
Mark L. Wilson
Keyword(s):  
Logistic Regression ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Northern Ghana ◽  
Public Health Issue ◽  
Severe Anemia ◽  
Global Public Health ◽  
Food Groups ◽  
Cross Sectional ◽  
Mild Anemia

ABSTRACTAnemia is a global public health issue affecting half of all pregnant women in developing countries. In 2014, 42% of Ghanaian pregnant women aged 15-49 years were anemic (<11.0g/dl) but information on the determinants of anemia, particularly dietary diversity during the critical third trimester of pregnancy is limited. We assessed the association between determinants and anemia among pregnant women in northern Ghana.We employed a cross-sectional design involving 624 pregnant women (≥20 weeks of gestation) attending four antenatal care (ANC) health facilities ~25 kilometres north of Tamale, Ghana between July and August 2017. Hemoglobin concentration (measured using Hemocue HB 301) was classified as severe, moderate, or mild. Other data included socio-demographic characteristics, malaria prevention, deworming, and iron/folate tablet use. The FAO Minimum Dietary Diversity (MDD-W) metric was used to categorize women into “inadequate” (MDD-W <5 food groups) and “adequate” (MDD-W ≥5). Logistic regression models were used to determine the association between moderate/severe anemia (Hb<9.0g/dl) and mild anemia (9.0-10.9g/dl), or with ‘no anemia’ (≥11.0g/dl) using STATA 14 software.Of 624 women sampled, hemoglobin data were available for 601. The mean age was 27.81±0.25 years, gestational age was 31.93±0.13 weeks, ANC attendance was 3.89±0.07; Hb concentration was 9.73g/dl±0.07, and MDD-W index for ten food groups was 5.33±0.04. Anemia (Hb<11.0g/dl) was observed in 74.8% of women (moderate/severe anemia=33.4% and mild anemia=41.4%). Using adjusted logistic regression, women who received deworming medication had lesser odds of being moderate/severe anemic (aOR=0.51, P=0.021). While women who were engaged in other occupation (herdsmen) and no previous parity had higher odds of being moderate/severe anemic (aOR=2.90, P=0.042) and (aOR=2.13, P=0.004) respectively. Moderate/severe anemia was not statistically associated with MDD-W, nor with socioeconomic status/wealth index. Conclusion, anemia in pregnancy was nearly twice that of Ghana as a whole. Deworming medication was found to be protective intervention for anemia during pregnancy.

scholarly journals Dietary Diversity Is Not Associated with Haematological Status of Pregnant Women Resident in Rural Areas of Northern Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Mahama Saaka ◽  
Jeremiah Oladele ◽  
Asamoah Larbi ◽  
Irmgard Hoeschle-Zeledon
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Haemoglobin Concentration ◽  
Northern Ghana ◽  
Food Groups ◽  
Cross Sectional ◽  
The Mean ◽  
Minimum Dietary Diversity

Background. Information regarding how dietary diversity is related to haematological status of the pregnant women in rural areas of Northern Ghana is limited. This study therefore evaluated maternal dietary intake and how it relates to the nutritional status of pregnant women belonging to different socioeconomic conditions in Northern Ghana.Methods. This study was cross-sectional in design involving 400 pregnant women. Midupper arm circumference (MUAC) and anaemia status were used to assess the nutritional status of pregnant women.Results. The mean dietary diversity score (DDS) of the study population from ten food groups was4.2±1.5(95% CI: 4.08 to 4.37). Of the 400 women, 46.1% (95% CI: 40.0 to 52.2) met the new minimum dietary diversity for women (MDD-W). The mean haemoglobin concentration among the pregnant women studied was 10.1 g/dl ± 1.40 (95% CI: 9.8 to 10.3). The independent predictors of haemoglobin concentration were maternal educational attainment, gestational age, frequency of antenatal care (ANC) attendance, number of under-five children in the household, size of MUAC, and maternal height.Conclusions. Irrespective of the socioeconomic status, women minimum dietary diversity (MDD-W) was not associated with anaemia among pregnant women resident in the rural areas of Northern Ghana.

scholarly journals Assessing Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A Cross-Sectional Study, Zambia

2020 ◽  
Vol 11 (07) ◽  
pp. 912-925
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Bwembya Phoebe ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

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
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Health Centers ◽  
Nutrition Information ◽  
Monthly Income ◽  
Dietary Diversity Score ◽  
Care Visit ◽  
The Mean

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.

scholarly journals Birth preparedness and complication readiness among pregnant women in resource-limited setting in rural Northern Ghana

2021 ◽  
Vol 6 ◽  
Author(s):  
Alex Bapula Kassim ◽  
Sam Kofi Newton ◽  
William Dormechele ◽  
Beatrice Baah Rahinatu ◽  
Easmon Otupiri
Keyword(s):  
Pregnant Women ◽  
Resource Limited Setting ◽  
Northern Ghana ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Resource Limited ◽  
Limited Setting
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