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Published in: BMC Pregnancy and Childbirth 1/2024

Open Access 01-12-2024 | Nutrition | Research

The practice of key essential nutrition actions among pregnant women in southwest Ethiopia: implications for optimal pregnancy outcomes

Authors: Shamil Mudasir, Ebrahim Muktar, Abdu Oumer

Published in: BMC Pregnancy and Childbirth | Issue 1/2024

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Abstract

Background

Nutrition during pregnancy is a major determinant of human health and child development, and the role of promoting essential nutrition actions (ENA) is of a paramount importance for the health of the mother and newborn. However, the practice of ENA could be hampered by many factors, which need to be understood for tailored actions. This study assessed the practice of key ENAs and associated factors among pregnant mothers in southwest Ethiopia.

Method

A community-based cross-sectional study was employed among 373 pregnant mothers. A simple random sampling method was used to select the study participants. The data was entered into EpiData Manager and exported to SPSS version 21 for analysis. A bivariable logistic regression was conducted to explore the association between independent variables and the outcome variable. Variables with p-values less than 0.25 during bivariable analysis were entered into a multivariable logistic regression model. Level of statistical significance was declared at a p-value below 0.05. The crude and adjusted odds ratios, along with the 95% CI, were estimated to measure the strength of the association between the dependent variables and independent variables.

Result

In this study, 373 pregnant mothers have participated, with a response rate of 97%. A total of 275 (73.7%; 95% CI: 68.9–78.0) women practiced key essential nutrition actions at optimal level. Monthly household income of 2500 ETB (AOR = 0.45, 95% CI: 0.23, 0.89), rural residence (AOR = 2.31, 95% CI: 1.25, 4.4), and poor knowledge of key ENA messages (AOR = 3.36, 95% CI: 1.81, 6.26) were factors that were significantly associated with poor practice of key ENA messages.

Conclusions

The practice of key ENA messages was poor and closely linked to household income, residence, and knowledge of pregnant women’s on ENA key messages. Therefore, nutritional intervention with a focus on intensified nutritional counseling is needed for better adoption of key ENA practices.
Literature
2.
go back to reference Meija L, Rezeberga D. Proper maternal nutrition during pregnancy planning and pregnancy:a healthy start in life. In. Edited by WHO. Geneva, Swizerland: WHO; 2017: 4–25. Meija L, Rezeberga D. Proper maternal nutrition during pregnancy planning and pregnancy:a healthy start in life. In. Edited by WHO. Geneva, Swizerland: WHO; 2017: 4–25.
3.
go back to reference Black A, Bhutta, Caulfield O. Ezzati, Mothers & Revera: maternal and child under Nutrition: Global and Regional exposures and Health Consequence. Lancet; 2008. pp. 243–60. Black A, Bhutta, Caulfield O. Ezzati, Mothers & Revera: maternal and child under Nutrition: Global and Regional exposures and Health Consequence. Lancet; 2008. pp. 243–60.
4.
go back to reference Stewart Cp IL. Dewey Kg, Michaelsen Kf & Onyango aw. Contextualising Complementary; 2013. Stewart Cp IL. Dewey Kg, Michaelsen Kf & Onyango aw. Contextualising Complementary; 2013.
5.
go back to reference KM. M: Women’s Nutrition through the life cycle. Women in the Third World, vol. 165; 2014. KM. M: Women’s Nutrition through the life cycle. Women in the Third World, vol. 165; 2014.
6.
go back to reference Nomajoni N. Maryanne Stone-Jimenez, Jay Ross & Martin.: guidelines on maternal Nutrition during pregnancy and lactation within the context of Hiv and Aids Republic of South. Africa Department Of Health Directorate Of Nutrition; 2005. Nomajoni N. Maryanne Stone-Jimenez, Jay Ross & Martin.: guidelines on maternal Nutrition during pregnancy and lactation within the context of Hiv and Aids Republic of South. Africa Department Of Health Directorate Of Nutrition; 2005.
8.
go back to reference Saskia Osendarp JKA, Robert E, Black D, Headey M, Ruel N, Scott M, Shekar N, Walker A, Flory . Lawrence Haddad,David Laborde, Angela Stegmuller, Milan Thomas and Rebecca Heidkamp: The COVID-19 crisis will exacerbate maternal and child undernutrition and child mortality in low- and middle-income countries. 2021, 2:476–484 https://doi.org/410.1038/s43016-43021-00319-43014. Saskia Osendarp JKA, Robert E, Black D, Headey M, Ruel N, Scott M, Shekar N, Walker A, Flory . Lawrence Haddad,David Laborde, Angela Stegmuller, Milan Thomas and Rebecca Heidkamp: The COVID-19 crisis will exacerbate maternal and child undernutrition and child mortality in low- and middle-income countries. 2021, 2:476–484 https://​doi.​org/​410.​1038/​s43016-43021-00319-43014.​
10.
go back to reference World Health organization. : 2022 Newborn Mortality [Globally 2.4 million children died in the first month of life in 2020. There are approximately 6700 newborn deaths every day, amounting to 47% of all child deaths under the age of 5 years, up from 40% in ] January 25 2024. World Health organization. : 2022 Newborn Mortality [Globally 2.4 million children died in the first month of life in 2020. There are approximately 6700 newborn deaths every day, amounting to 47% of all child deaths under the age of 5 years, up from 40% in ] January 25 2024.
11.
go back to reference Ruel MT, Alderman H. Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? Lancet. 2013;382(9891):536–51.CrossRefPubMed Ruel MT, Alderman H. Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? Lancet. 2013;382(9891):536–51.CrossRefPubMed
15.
go back to reference Deyganto Gergito Gelebo MAG, Gistane Ayele Asale and Dessalegn Ajema Berbada. : Prevalence of undernutrition and its associated factors among pregnant women in Konso district, southern Ethiopia: a community-based cross-sectional study. BMC Nutr 2021, 7(32). https://doi.org/10.1186/s40795-021-00437-z/. Deyganto Gergito Gelebo MAG, Gistane Ayele Asale and Dessalegn Ajema Berbada. : Prevalence of undernutrition and its associated factors among pregnant women in Konso district, southern Ethiopia: a community-based cross-sectional study. BMC Nutr 2021, 7(32). https://​doi.​org/​10.​1186/​s40795-021-00437-z/​.
16.
go back to reference Central Statistical Agency (CSA). EPHIEaFMoHF: Ethiopia Mini Demographic and Health Survey 2019; Key Indicators. 2019. Central Statistical Agency (CSA). EPHIEaFMoHF: Ethiopia Mini Demographic and Health Survey 2019; Key Indicators. 2019.
17.
go back to reference USAID. : Understanding The Essential Nutrition Actions (ENA) Framework. 2014. USAID. : Understanding The Essential Nutrition Actions (ENA) Framework. 2014.
18.
go back to reference IFRC. Nutrition guidelines: saving lives, changing minds. Geneva: Switzerland; 2013. IFRC. Nutrition guidelines: saving lives, changing minds. Geneva: Switzerland; 2013.
19.
go back to reference World Health organization. : ESSENTIAL NUTRITION ACTIONS Mainstreaming nutrition through the life-course. 2019. World Health organization. : ESSENTIAL NUTRITION ACTIONS Mainstreaming nutrition through the life-course. 2019.
20.
go back to reference Guyon AQV, Nielsen J, Stone-Jimenez M. Essential nutrition actions and essential hygiene actions reference manual: health workers and nutrition managers. 2015. Guyon AQV, Nielsen J, Stone-Jimenez M. Essential nutrition actions and essential hygiene actions reference manual: health workers and nutrition managers. 2015.
21.
go back to reference Nupita. Technical Capacity Assessment: Essential Nutrition Actions Framework Within The Health System. 2011. Nupita. Technical Capacity Assessment: Essential Nutrition Actions Framework Within The Health System. 2011.
22.
go back to reference Joan Jennings MBH. Review of incorporation of essential Nutrition actions. into Public Health Programs in Ethiopia; 2008. Joan Jennings MBH. Review of incorporation of essential Nutrition actions. into Public Health Programs in Ethiopia; 2008.
23.
go back to reference Osrin V, Shrestha, Baniya, Manandhar, Adhikari. Effects of Antenatal multiple micronutrient supplementation on Birthweight and Gestational Duration in Nepal: Double-Blind, Randomised Controlled Trial. Lancet. 2005;365:955–362.CrossRefPubMed Osrin V, Shrestha, Baniya, Manandhar, Adhikari. Effects of Antenatal multiple micronutrient supplementation on Birthweight and Gestational Duration in Nepal: Double-Blind, Randomised Controlled Trial. Lancet. 2005;365:955–362.CrossRefPubMed
24.
go back to reference Bendix I, Miller SLWE. Causes and consequences of intrauterine growth restriction. Front Endocrinol. 2020;15(11):205.CrossRef Bendix I, Miller SLWE. Causes and consequences of intrauterine growth restriction. Front Endocrinol. 2020;15(11):205.CrossRef
26.
go back to reference Abel Yalew WTS, Anchamo Anato and Anteneh Fikrie. : Food aversion during pregnancy and its association with nutritional status of pregnant women in Boricha Woreda, Sidama Regional State, Southern Ethiopia, 2019. A community based mixed crossectional study design. 2021, 18(208):https://doi.org/10.1186/s12978-12021-01258-w. Abel Yalew WTS, Anchamo Anato and Anteneh Fikrie. : Food aversion during pregnancy and its association with nutritional status of pregnant women in Boricha Woreda, Sidama Regional State, Southern Ethiopia, 2019. A community based mixed crossectional study design. 2021, 18(208):https://​doi.​org/​10.​1186/​s12978-12021-01258-w.
27.
go back to reference Abebe M. Essential Nutrition Action Practices and Associated Factors among pregnant women in Ambo District, West Shoa Zone, Ethiopia. Biomedical 2016, 22(4). Abebe M. Essential Nutrition Action Practices and Associated Factors among pregnant women in Ambo District, West Shoa Zone, Ethiopia. Biomedical 2016, 22(4).
28.
go back to reference Bereket Gebremichael BBAaTT. Mothers had inadequate knowledge towards key essential nutrition action messages in mainly rural Northeast Ethiopia. J Nutritional Sci. 2021;10(19):1–7. Bereket Gebremichael BBAaTT. Mothers had inadequate knowledge towards key essential nutrition action messages in mainly rural Northeast Ethiopia. J Nutritional Sci. 2021;10(19):1–7.
29.
go back to reference Bitew ZW, Alemu A, Ayele EG, Worku T. Dietary diversity and practice of pregnant and lactating women in Ethiopia: a systematic review and meta-analysis. Food Sci Nutr. 2021;9(2021):2686–702.CrossRefPubMedPubMedCentral Bitew ZW, Alemu A, Ayele EG, Worku T. Dietary diversity and practice of pregnant and lactating women in Ethiopia: a systematic review and meta-analysis. Food Sci Nutr. 2021;9(2021):2686–702.CrossRefPubMedPubMedCentral
30.
go back to reference Desalegn k. Psdm: dietary practice and associated factors among pregnant women in wondogenet district. Ethiopia: SNNPR; 2015. Desalegn k. Psdm: dietary practice and associated factors among pregnant women in wondogenet district. Ethiopia: SNNPR; 2015.
31.
go back to reference de Diego-Cordero RR-GE, Diaz-Jimenez D, Lucchetti G, Badanta B. The role of cultural beliefs on eating patterns and food practices among pregnant women: a systematic review. Nutrition reviews. J Anthropol. 2021;79(9):945–63. de Diego-Cordero RR-GE, Diaz-Jimenez D, Lucchetti G, Badanta B. The role of cultural beliefs on eating patterns and food practices among pregnant women: a systematic review. Nutrition reviews. J Anthropol. 2021;79(9):945–63.
34.
go back to reference Worabe Town Health Bureau: Worabe Town Health Bureau annual report. In. Edited by Health, vol. 2022. Worabe, Ethiopia; 2022. Worabe Town Health Bureau: Worabe Town Health Bureau annual report. In. Edited by Health, vol. 2022. Worabe, Ethiopia; 2022.
37.
go back to reference World Health organization: Keats EC, Das JK, Salam RA, Lassi ZS, Imdad A, Black RE, Bhutta ZA. Effective interventions to address maternal and child malnutrition: an update of the evidence. The Lancet Child & Adolescent Health. May 1;5(5):367 – 84. 2021. World Health organization: Keats EC, Das JK, Salam RA, Lassi ZS, Imdad A, Black RE, Bhutta ZA. Effective interventions to address maternal and child malnutrition: an update of the evidence. The Lancet Child & Adolescent Health. May 1;5(5):367 – 84. 2021.
38.
go back to reference Biruk Beletew BG, Tewodros Tesfaye, Ayelign Mengesha and Mesfin Wudu. The practice of key essential nutrition action messages and associated factors among mothers of children from birth up to 2 years old in Wereilu Wereda, south Wollo Zone, Amhara, Northeast Ethiopia: a community based cross-sectional study. BMC Pediatr. 2019;19(459):1–11. Biruk Beletew BG, Tewodros Tesfaye, Ayelign Mengesha and Mesfin Wudu. The practice of key essential nutrition action messages and associated factors among mothers of children from birth up to 2 years old in Wereilu Wereda, south Wollo Zone, Amhara, Northeast Ethiopia: a community based cross-sectional study. BMC Pediatr. 2019;19(459):1–11.
39.
go back to reference FAO and FHI 360. : Minimum Dietary Diversity for Women; A Guide to Measurement. 2016. FAO and FHI 360. : Minimum Dietary Diversity for Women; A Guide to Measurement. 2016.
40.
go back to reference Marshall NE, Abrams B, Barbour LA, Catalano P, Christian P, Friedman JE, Hay WW Jr, Hernandez TL, Krebs NF, Oken E. The importance of nutrition in pregnancy and lactation: lifelong consequences. Am J Obstet Gynecol. 2022;226(5):607–32.CrossRefPubMed Marshall NE, Abrams B, Barbour LA, Catalano P, Christian P, Friedman JE, Hay WW Jr, Hernandez TL, Krebs NF, Oken E. The importance of nutrition in pregnancy and lactation: lifelong consequences. Am J Obstet Gynecol. 2022;226(5):607–32.CrossRefPubMed
41.
go back to reference Baye K, Mekonnen D, Choufani J, Yimam S, Bryan E, Griffiths JK, Ringler C. Seasonal variation in maternal dietary diversity is reduced by small-scale irrigation practices: a longitudinal study. Matern Child Nutr. 2022;18(2):e13297.CrossRefPubMed Baye K, Mekonnen D, Choufani J, Yimam S, Bryan E, Griffiths JK, Ringler C. Seasonal variation in maternal dietary diversity is reduced by small-scale irrigation practices: a longitudinal study. Matern Child Nutr. 2022;18(2):e13297.CrossRefPubMed
42.
go back to reference Saville NM, Cortina-Borja M, De Stavola BL, Pomeroy E, Marphatia A, Reid A, Manandhar DS, Wells JC. Comprehensive analysis of the association of seasonal variability with maternal and neonatal nutrition in lowland Nepal. Public Health Nutr. 2022;25(7):1877–92.CrossRef Saville NM, Cortina-Borja M, De Stavola BL, Pomeroy E, Marphatia A, Reid A, Manandhar DS, Wells JC. Comprehensive analysis of the association of seasonal variability with maternal and neonatal nutrition in lowland Nepal. Public Health Nutr. 2022;25(7):1877–92.CrossRef
43.
go back to reference Demir G, Yardimcı H, Özçelik AÖ, Çakıroğlu FP. Compliance of mothers’ breastfeeding and complementary feeding practices with WHO recommendations in Turkey. Nutr Res Pract. 2020;14(6):654–66.CrossRefPubMedPubMedCentral Demir G, Yardimcı H, Özçelik AÖ, Çakıroğlu FP. Compliance of mothers’ breastfeeding and complementary feeding practices with WHO recommendations in Turkey. Nutr Res Pract. 2020;14(6):654–66.CrossRefPubMedPubMedCentral
44.
go back to reference Hadley C, Stevenson EGJ, Tadesse Y, Belachew T. Rapidly rising food prices and the experience of food insecurity in urban Ethiopia: impacts on health and well-being. Soc Sci Med. 2012;75(12):2412–9.CrossRefPubMed Hadley C, Stevenson EGJ, Tadesse Y, Belachew T. Rapidly rising food prices and the experience of food insecurity in urban Ethiopia: impacts on health and well-being. Soc Sci Med. 2012;75(12):2412–9.CrossRefPubMed
45.
go back to reference Shehab L. Nutritional awareness of women during pregnancy. J Am Sci 2012, 8(7). Shehab L. Nutritional awareness of women during pregnancy. J Am Sci 2012, 8(7).
46.
go back to reference Daba B. Fekadu & Garoma: Assessment of knowledge of pregnant mothers on maternal Nutrition and Associated factors in Guto Gida Woreda, East Wollega Zone, Ethiopia. J Nutr Food Sci 2013, 6. Daba B. Fekadu & Garoma: Assessment of knowledge of pregnant mothers on maternal Nutrition and Associated factors in Guto Gida Woreda, East Wollega Zone, Ethiopia. J Nutr Food Sci 2013, 6.
47.
go back to reference Sisay K, Girma M. Food and nutrition security status in Southwest region of Ethiopia: evidence from Kaffa Zone. J Agric Food Res. 2023;14:100717. Sisay K, Girma M. Food and nutrition security status in Southwest region of Ethiopia: evidence from Kaffa Zone. J Agric Food Res. 2023;14:100717.
Metadata
Title
The practice of key essential nutrition actions among pregnant women in southwest Ethiopia: implications for optimal pregnancy outcomes
Authors
Shamil Mudasir
Ebrahim Muktar
Abdu Oumer
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Nutrition
Published in
BMC Pregnancy and Childbirth / Issue 1/2024
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-024-06354-w

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