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Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia

Received: 28 May 2022    Accepted: 28 June 2022    Published: 20 July 2022
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Abstract

Introduction: Maternal nutrition is essential for fetal development and growth, as well as the health of offspring throughout their lives. A nutritious prenatal diet improves fetal development and may aid in the prevention of congenital defects, premature birth, and low birth weight. Despite the fact that pregnant women are generally aware of the importance of a well-balanced diet during their pregnancy, their nutritional intake remains unsatisfactory. Lower socioeconomic women, in particular, follow dietary requirements less frequently and have poorer pregnancy and child health outcomes than higher socioeconomic women. Objective: To determine the level of adherence to WHO dietary recommendations and associated factors among pregnant mothers following antenatal care in Mettu Karl’s comprehensive specialized hospital. Method: An institution-based cross-sectional study was carried out among 401 randomly selected pregnant women from July 25-September 28/2021. Socio-demographic, obstetrics, and adherence to the dietary recommendation data were collected using a structured questionnaire. Data were entered into Epi data 3.1 and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regression models were fitted. An adjusted odds ratio with a 95% Confidence level was used to assess the association between independent and dependent variables. The statistical significance was declared at P-values of < 0.05. Results: A total of 401 pregnant women were included in the study with a response rate of 94.5%. More than half (56.3%) of the participants met the recommendations for cereals, 22.4% for dairy, 10.4% for fruit, 29.1 for meat, and less than 10% for vegetables. In the multivariable logistic regression analysis, the factors significantly associated with overall adherence to the dietary recommendations were distance from Health facility (< 40 minutes’ walk) (AOR=2.26, 95% (CI) (1.97, 7.63), educational status (secondary and above) (AOR=2.31, 95% (CI) (1.57, 3.42), wealth status (in better off) AOR =7.89, 95% (CI) (9.57, 8.42) and early registration for ANC (<4 months) (AOR=2.99, 95% CI (1.99, 3.21)). Conclusions: A significant proportion of pregnant women do not consume the recommended daily servings from the five food groups. Intervention strategies are warranted, particularly those that increase women’s ability to evaluate their diet and also encourage positive dietary changes.

Published in American Journal of Nursing and Health Sciences (Volume 3, Issue 3)
DOI 10.11648/j.ajnhs.20220303.12
Page(s) 54-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Dietary Recommendations, Adherence, Associated Factor, Metu Karl Compressive Specialized Hospital, Pregnancy

References
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    Daniel Desta, Efrem Negash, Abdi Geda. (2022). Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia. American Journal of Nursing and Health Sciences, 3(3), 54-61. https://doi.org/10.11648/j.ajnhs.20220303.12

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    Daniel Desta; Efrem Negash; Abdi Geda. Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia. Am. J. Nurs. Health Sci. 2022, 3(3), 54-61. doi: 10.11648/j.ajnhs.20220303.12

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    AMA Style

    Daniel Desta, Efrem Negash, Abdi Geda. Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia. Am J Nurs Health Sci. 2022;3(3):54-61. doi: 10.11648/j.ajnhs.20220303.12

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  • @article{10.11648/j.ajnhs.20220303.12,
      author = {Daniel Desta and Efrem Negash and Abdi Geda},
      title = {Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {3},
      number = {3},
      pages = {54-61},
      doi = {10.11648/j.ajnhs.20220303.12},
      url = {https://doi.org/10.11648/j.ajnhs.20220303.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20220303.12},
      abstract = {Introduction: Maternal nutrition is essential for fetal development and growth, as well as the health of offspring throughout their lives. A nutritious prenatal diet improves fetal development and may aid in the prevention of congenital defects, premature birth, and low birth weight. Despite the fact that pregnant women are generally aware of the importance of a well-balanced diet during their pregnancy, their nutritional intake remains unsatisfactory. Lower socioeconomic women, in particular, follow dietary requirements less frequently and have poorer pregnancy and child health outcomes than higher socioeconomic women. Objective: To determine the level of adherence to WHO dietary recommendations and associated factors among pregnant mothers following antenatal care in Mettu Karl’s comprehensive specialized hospital. Method: An institution-based cross-sectional study was carried out among 401 randomly selected pregnant women from July 25-September 28/2021. Socio-demographic, obstetrics, and adherence to the dietary recommendation data were collected using a structured questionnaire. Data were entered into Epi data 3.1 and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regression models were fitted. An adjusted odds ratio with a 95% Confidence level was used to assess the association between independent and dependent variables. The statistical significance was declared at P-values of Results: A total of 401 pregnant women were included in the study with a response rate of 94.5%. More than half (56.3%) of the participants met the recommendations for cereals, 22.4% for dairy, 10.4% for fruit, 29.1 for meat, and less than 10% for vegetables. In the multivariable logistic regression analysis, the factors significantly associated with overall adherence to the dietary recommendations were distance from Health facility (Conclusions: A significant proportion of pregnant women do not consume the recommended daily servings from the five food groups. Intervention strategies are warranted, particularly those that increase women’s ability to evaluate their diet and also encourage positive dietary changes.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Adherence to WHO Dietary Recommendations and Its Associated Factors Among Pregnant Women Attending ANC at MKCSH, Southwest Ethiopia
    AU  - Daniel Desta
    AU  - Efrem Negash
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    DO  - 10.11648/j.ajnhs.20220303.12
    T2  - American Journal of Nursing and Health Sciences
    JF  - American Journal of Nursing and Health Sciences
    JO  - American Journal of Nursing and Health Sciences
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    EP  - 61
    PB  - Science Publishing Group
    SN  - 2994-7227
    UR  - https://doi.org/10.11648/j.ajnhs.20220303.12
    AB  - Introduction: Maternal nutrition is essential for fetal development and growth, as well as the health of offspring throughout their lives. A nutritious prenatal diet improves fetal development and may aid in the prevention of congenital defects, premature birth, and low birth weight. Despite the fact that pregnant women are generally aware of the importance of a well-balanced diet during their pregnancy, their nutritional intake remains unsatisfactory. Lower socioeconomic women, in particular, follow dietary requirements less frequently and have poorer pregnancy and child health outcomes than higher socioeconomic women. Objective: To determine the level of adherence to WHO dietary recommendations and associated factors among pregnant mothers following antenatal care in Mettu Karl’s comprehensive specialized hospital. Method: An institution-based cross-sectional study was carried out among 401 randomly selected pregnant women from July 25-September 28/2021. Socio-demographic, obstetrics, and adherence to the dietary recommendation data were collected using a structured questionnaire. Data were entered into Epi data 3.1 and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regression models were fitted. An adjusted odds ratio with a 95% Confidence level was used to assess the association between independent and dependent variables. The statistical significance was declared at P-values of Results: A total of 401 pregnant women were included in the study with a response rate of 94.5%. More than half (56.3%) of the participants met the recommendations for cereals, 22.4% for dairy, 10.4% for fruit, 29.1 for meat, and less than 10% for vegetables. In the multivariable logistic regression analysis, the factors significantly associated with overall adherence to the dietary recommendations were distance from Health facility (Conclusions: A significant proportion of pregnant women do not consume the recommended daily servings from the five food groups. Intervention strategies are warranted, particularly those that increase women’s ability to evaluate their diet and also encourage positive dietary changes.
    VL  - 3
    IS  - 3
    ER  - 

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Author Information
  • Department of Public Health, College of Health Science, Mettu University, Mettu, Ethiopia

  • Department of Public Health, College of Health Science, Mettu University, Mettu, Ethiopia

  • Department of Public Health, College of Health Science, Mettu University, Mettu, Ethiopia

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