“…A dietary method of nutritional assessment is used for screening individuals who are at risk of developing malnutrition and provides evidence about the necessity of appropriate nutritional interventions. The current study area, the East Belessa rural district, is one of 47 food-insecure and seriously drought-affected mountainous areas in the region [ 30 ]. Therefore, we hypothesized that pregnant women residing in this area may are at greater risk of not achieving their minimum dietary diversity and that their diet quality is influenced by women's decision-making autonomy.…”