“…However, the prevalence was higher than studies in rural Ethiopia, 8.7% (Seyoum et al , 2019), Bahir Dar City, 11.1% (Mengistu et al , 2019), Nepal, 14.74% (Budhathoki et al , 2021) and lower than studies conducted in three districts of Ethiopia, 29% (Gebreyesus et al , 2019), eastern Ethiopia, 32% (Teji et al , 2016), southwest Ethiopia, 26.7% (Fentie et al , 2020), west Ethiopia, 39% (Tura et al , 2020), Oromia Ethiopia, 27% (Regasa and Haidar, 2019), Kenya, 26.5% (Nelima, 2015), Pakistan, 47.9% (Habib et al , 2020), India, range from 48.63% to 87% (Ahankari et al , 2017; Chandrakumari et al , 2019; Chapparbandi and Nigudgi, 2016; Arya et al , 2017; Kamble et al , 2021; Subramanian et al , 2022) and Indonesia, 44% (Agustina et al , 2021). The variation might be differences in sociodemographic status, educational status, health service accessibility, household food security, awareness of dietary diversity, dietary intake, study periods, study settings, sample size and target population.…”