Policies and Program Implementation Experience to Improve Maternal Nutrition in Ethiopia

Saldanha, Lisa; Buback, Laura; White, Jessica M.; Mulugeta, Afework; Mariam, Solomon G; Roba, Alemzewed; Abebe, Hiwot; Mason, John

doi:10.1177/15648265120332s103

Cited by 27 publications

(63 citation statements)

References 9 publications

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“…Data from 16 studies indicate that some women have knowledge of which foods are “healthy” for consumption during pregnancy and lactation. In addition, four studies reported an understanding of the need for greater food consumption during certain life stages, relaying that women “should eat more” or “need extra food” during pregnancy or lactation (Girard, Dzingina, Akogun, Mason, & McFarland, ; Hartini, Padmawati, Lindholm, Surjono, & Winkvist, ; Levay, Mumtaz, Rashid, & Willows, ; Saldanha et al, ).…”

Section: Resultsmentioning

confidence: 99%

Addressing barriers to maternal nutrition in low‐ and middle‐income countries: A review of the evidence and programme implications

Kavle

Landry

2017

Maternal & Child Nutrition

129

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Adequate maternal nutrition during the “first 1,000 days” window is critical from conception through the first 6 months of life to improve nutritional status and reduce the risk of poor birth outcomes, such as low birthweight and preterm birth. Unfortunately, many programmes have targeted implementation and monitoring of nutrition interventions to infants and young children, rather than to women during pregnancy or post‐partum. A literature review was conducted to identify barriers to food choice and consumption during pregnancy and lactation and to examine how low‐ and middle‐income countries have addressed maternal nutrition in programmes. A literature review of peer‐reviewed and grey literature was conducted, and titles and abstracts reviewed by authors. Twenty‐three studies were included in this review. Barriers to adequate nutrition during pregnancy included cultural beliefs related to knowledge of quantity of food to eat during pregnancy, amount of weight to gain during pregnancy, and “eating down” during pregnancy for fear of delivering a large baby. Foods considered inappropriate for consumption during pregnancy or lactation contributed to food restriction. Drivers of food choice were influenced by food aversions, economic constraints, and household food availability. Counselling on maternal diet and weight gain during pregnancy was seldom carried out. Programming to support healthy maternal diet and gestational weight gain during pregnancy is scant. Tailored, culturally resonant nutrition education and counselling on diet during pregnancy and lactation and weight gain during pregnancy, as well as monitoring of progress in maternal nutrition, are areas of needed attention.

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Section: Resultsmentioning

confidence: 99%

Addressing barriers to maternal nutrition in low‐ and middle‐income countries: A review of the evidence and programme implications

Kavle

Landry

2017

Maternal & Child Nutrition

129

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“…The hemoglobin color scale is simple to use, well accepted, cheap and gives immediate results 23 . In Ethiopia Physical screening methods for anemia include pallor of fingernails, eyelids, or palms; low blood pressure; headaches; low midarm upper circumference (MUAC) and weight loss 24 . Table 1 shows the public health significance of anemia 24 and table 2 shows the classification of anemia by degree of severity.…”

Section: Anemia In Pregnancymentioning

confidence: 99%

“…In Ethiopia Physical screening methods for anemia include pallor of fingernails, eyelids, or palms; low blood pressure; headaches; low midarm upper circumference (MUAC) and weight loss 24 . Table 1 shows the public health significance of anemia 24 and table 2 shows the classification of anemia by degree of severity. Anemia was a severe public health problem in the pastoral regions of Afar and Somali: 35% of women and 75% of children in Afar and 44% of women and 69% of children in Somali.…”

Section: Anemia In Pregnancymentioning

confidence: 99%

“…However, anemia prevalence among Ethiopian women decreased from 27% to 17% from 2005 to 2011, but this obscures important regional differences. The reduction in anemia is more likely due to malaria prevention and control and improved hygiene and sanitation 24 .…”

Section: Anemia In Pregnancymentioning

confidence: 99%

“…In 2005 (the most recent national data available), coverage of iron supplements was very low: only 10 percent of mothers received any iron supplements during pregnancy, and less than one percent of mothers received the 180 tablets recommended by national policy. Consumption of dietary iron and vitamin-A rich was low, and iron-fortified foods were not widely available or consumed 24 .…”

Section: Management Of Anemia In Pregnancy Weekly Iron and Folic Acidmentioning

confidence: 99%

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Prevalence of Anemia Among Pregnant Women in Ethiopia and Its Management: A Review

Tsegaye¹,

Tesfaye²

2014

Int. Res. J. Pharm.

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Anemia is a major global health problem, especially in developing countries and is a common and serious problem in pregnancy. It has serious short-and long-term consequences during pregnancy and beyond. This fundamental health issue has not still been solved but continues to exist affecting the health, quality of life and working capacity in billions of people all over the world. The anemic condition is often worsened by the presence of other chronic diseases such as malaria, tuberculosis, HIV, and diabetes. Untreated anemia also leads to increased morbidity and mortality from these chronic conditions as well. Current knowledge indicates that iron deficiency anemia in pregnancy is a risk factor for preterm delivery and subsequent low birth weight, and possibly for inferior neonatal health. Even for women who enter pregnancy with reasonable iron stores, iron supplements improve iron status during pregnancy and for a considerable length of time postpartum, thus providing some protection against iron deficiency in the subsequent pregnancy. This literature review focuses on the prevalence and major causes of anemia seen on a global & Ethiopian scale. Most cases of anemia are due to iron deficiency, which often work in combination with folate deficiency and/or vitamin B12 deficiency as well as with infections. More efforts should be dedicated to tackle this massive problem-we have the tools and we know the ways. Iron fortification of appropriate food items combined with iron supplements in specific population groups has proved to be efficient. Initially, the efforts should be centered on the specific risk groups for iron deficiency anemia, i.e. pregnant women.

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Effect and Challenges of an Integrated Nutrition-Intervention Package Utilization among Pregnant Women and Lactating Mothers in Rwanda: An Exploratory Qualitative Study

Habtu¹,

Agena²,

Umugwaneza³

et al. 2023

Current Developments in Nutrition

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Policies and Program Implementation Experience to Improve Maternal Nutrition in Ethiopia

Cited by 27 publications

References 9 publications

Addressing barriers to maternal nutrition in low‐ and middle‐income countries: A review of the evidence and programme implications

Addressing barriers to maternal nutrition in low‐ and middle‐income countries: A review of the evidence and programme implications

Prevalence of Anemia Among Pregnant Women in Ethiopia and Its Management: A Review

Effect and Challenges of an Integrated Nutrition-Intervention Package Utilization among Pregnant Women and Lactating Mothers in Rwanda: An Exploratory Qualitative Study

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