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

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 5000 ETB had more dietary diversity than income less than 2000 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. Key Words: DDS, Pregnant women, Income, ANC, Education and Nutrition information.

Maternal minimum dietary diversity and associated factors among pregnant women, Southwest Ethiopia, 2021

“…This study was aimed to assess the minimum dietary diversity and associated factors among pregnant women attending ANC at Wacha primary hospital, Southwest Ethiopia. According to this study finding around 51% of pregnant women had met a minimum dietary diversity which is lower than the study finding from Burkina Faso (68.4%) [30], Addis Ababa (60.9%) [40], Hosanna town of Ethiopia (75.8%) [41], and Alamata (61.2%) [2]; and while higher than the national level of Ethiopia (47%) [27], SNNPR region of Ethiopia (28%) [23], East Gojjam Zone of Northwest Ethiopia (45%) [42], Jille Tumuga (31.4%) [32], Bale (44.8%) [33], Dire Daw city (43%) [39] and Shashemene town (25.4%) [43]. The possible explanation for this prevalence discrepancy might be due to study periods differences, geographical differences, socio-cultural differences, and differences in the measurement of dietary diversity which some study uses nine food groups and while other studies used the 14 food groups, and those consumed four or more food groups of the fourteen food groups were classified as minimum dietary diversity which will result in a greater score than this finding.…”

Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis

“…Of all the included studies, nine studies [ 5 , 7 , 14 , 33 – 35 , 38 , 40 , 49 ] were community based cross-sectional (CBCS) and the rest; fourteen studies were institution based cross-sectional (IBCS) studies study design. Out of 23 studies, only 12 studies [ 5 , 7 , 14 , 34 – 36 , 38 , 39 , 42 , 44 , 48 , 49 ] were reported essential associated factors of dietary diversity among pregnant woman in Ethiopia. The sample sizes in each study varies from 104 [ 51 ] to 1393 [ 15 ].…”

“…Women who can read and write were 82% more likely to consumed diversified food than who cannot read and write ( Fig 7 ). Seven studies [ 7 , 34 , 35 , 39 , 44 , 48 , 49 ] were assessed the primary school educated with dietary diversity. Of those seven studies, two studies reported the association between primary school educated women with dietary diversity during pregnancy is insignificant.…”

“…Furthermore, five studies [ 7 , 34 , 35 , 38 , 48 ] assessed the association between dietary diversity food and nutritional information. We found that statistically significant association between nutritional information and dietary diversity practice during pregnancy.…”

“…In four articles [ 7 , 34 , 39 , 48 ], researchers assessed the association of income with dietary diversity practice. Of those studies, two studies were conducted by CBCS.…”