Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Dunneram, Yashvee; Jeewon, Rajesh

doi:10.15171/hpp.2015.014

Cited by 40 publications

(41 citation statements)

References 50 publications

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“…They are also at risk for poor dietary practice and poor behavioral modi cation in terms of eating habit and dietary diversi cation. Even they may not have enough monthly income for good food diversity and [69]. This gure is in line with systematic review done in Africa and studies done in Pakistan and Bangladesh [17,61,66].…”

Section: Discussionsupporting

confidence: 80%

Predictors of Malnutrition among Pregnant Women in Ethiopia: Systematic Review and Meta-Analysis

Getaneh

Negesse

2020

Preprint

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Background Women of reproductive age are especially vulnerable to protein energy deficiency and under nutrition. Malnutrition is the underlying cause of significant maternal morbidity and mortality. In addition, malnutrition among women is a major risk factor for adverse birth outcomes. Its extent and consequences is highly prevalent in developing countries. This major burden can be reduced through effective nutritional interventions. So, up to date meager evidences were warranted. Therefore, this systematic review and meta-analysis was aimed to estimate the overall pooled prevalence of malnutrition and its predictors among pregnant women in Ethiopia. Methods Articles were systematically searched using PubMed, EMBASE, Google Scholar, World Health Organization’s (WHO) Hinari portal data bases and institutional repositories. Newcastle‒Ottawa quality assessment scale adapted for observational studies was applied. We used Stata version 14 for data analysis. Heterogeneity and publication bias were checked using I2 statistic, funnel plot asymmetry and Egger’s test. Random effect model was applied to estimate the pooled prevalence of malnutrition and its predictors. Odds Ratio (OR) with 95% Confidence Interval (CI) was also considered to identify factors. Result 24 eligible articles were included for final analysis. The average pooled prevalence of malnutrition among pregnant women in Ethiopia was 29.07% (95% CI: 24.84, 33.30). Maternal education (OR = 1.60, 95% CI: 1.01, 2.53), income (OR = 3.07, 95% CI: 1.36, 6.92), pregnancy intention (OR = 1.33, 95% CI: 1.01, 1.37), number of meal (OR = 4.63, 95% CI: 3.00, 7.15), dietary diversity (OR = 2.89, 95% CI: 1.28, 6.53), antenatal care (OR = 2.53, 95% CI: 1.18, 5.42) and iron supplementation (OR = 0.63, 95% CI: 0.45, 0.88) were predictors of the pooled prevalence of malnutrition among pregnant women in Ethiopia. Conclusion Generally, significant number of pregnant women in Ethiopia were suffered from malnutrition. Maternal education, income, pregnancy intention, number of meal, dietary diversity, antenatal care and iron supplementation were significant predictors of malnutrition. Strategies targeting advocating women education, standard antenatal care, family planning utilization, and encouraging pregnant women to have good dietary diversity and frequent meal should be undertaken by Ministry of Health and its stake holders to handle this signficant budren of malnutrition among pregnant women.

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Section: Discussionsupporting

confidence: 80%

Predictors of Malnutrition among Pregnant Women in Ethiopia: Systematic Review and Meta-Analysis

Getaneh

Negesse

2020

Preprint

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“…Integration of these different options based on specific target groups could improve nutritional outcomes. 71,72 Surveillance and immunization studies were limited but significantly effective where implemented. Thus, previous reviews have highlighted the importance of research in both areas in humanitarian settings.…”

Section: Health Intervention Effectivenessmentioning

confidence: 99%

Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview

Ekezie

Adaji

Murray

2020

Health Promot Perspect

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Background: Conflict and violent crises have resulted in over 40 million of internally displaced persons (IDPs). Most affected regions lack access to basic health resources and generally rely on humanitarian support. The objective of this review was to appraise primary health service interventions among conflict-induced internally displaced populations in low and middle income countries between 2000 and 2019. Methods: A systematic review of literature in the following databases: Embase, MEDLINE, PsyArticles, PsycINFO, Scopus, Web of Science, LILAC and CAB Articles, was performed to identify interventions implemented in conflict IDP settings. Results: Initial searches yielded 4578 papers and 30 studies met the inclusion criteria. Descriptivesynthesis analysis was used, and the final selections were assessed using a customized CriticalAppraisal Skills Programme (CASP) checklist. Included papers were from Sub-Saharan Africa, South Asia and the Middle East regions. Most studies were on prevention interventions, especially water treatment and maternal health. Treatment interventions mostly focused on onmalaria and mental health. Only one food and nutrition study with outcome data was identified, indicating limitations in IDP health-related intervention publications. Reported interventions were conducted between one week to five years, and the study qualities were moderate. The most effective interventions were integrated programmes and common challenges were weakstudy methodology and data reporting. Conclusion: Regardless of the intervention types and durations, the services offered were beneficial to the IDPs. More intervention evidence are, however required as shown in gaps around food and nutrition, health education and disease surveillance.

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“…Such differences could have many implications in designing nutrition intervention programs among others. For instance, it has been suggested that nutrition interventions are more successful when women are the target as they influence household diets (Dunneram & Jeewon, ; IFPRI, ; Robinson, ). However, according to this study, familiarity greatly influences food choices of Malawian women compared to men.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing food choices of Malawian consumers: A food choice questionnaire approach

Gama

Adhikari

Hoisington³

2018

Journal of Sensory Studies

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A consumer survey was conducted to identify the factors that influence food choices in Malawi. Consumer segments were also identified and characterized based on the determined food choice motives and the consumers' demographic and socioeconomic data. Using a Food Choice Questionnaire (FCQ) it was determined that mood, health, price and preparation convenience, sensory appeal, and familiarity were the main factors influencing food choices of Malawian consumers. However, other factors are also influencing food choices in Malawi that were not revealed by the FCQ. Unlike in most affluent societies, the sensory appeal of food was not the most dominant food choice motive in Malawi. In general, the factor structure and factor ranking were different from those found in developing countries as hypothesized. Four consumer clusters emerged, comprising 33%, 30%, 24%, and 13% of the sample and the consumers' demographic and socioeconomic profiles had a significant effect (p < .05) on the cluster composition. Practical applications Given the importance of identifying food choice determinants when developing new food products and designing nutrition interventions programs, among others, this study is useful in many ways. A consideration of the different consumer segments and their characteristics will be helpful in designing effective nutrition interventions, health nudges, food marketing strategies, and new food products, among others. Furthermore, the study provides useful insights on how to modify the FCQ for developing nations like Malawi.

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Healthy Diet and Nutrition Education Program among Women of Reproductive Age: a Necessity of Multilevel Strategies or Community Responsibility

Cited by 40 publications

References 50 publications

Predictors of Malnutrition among Pregnant Women in Ethiopia: Systematic Review and Meta-Analysis

Predictors of Malnutrition among Pregnant Women in Ethiopia: Systematic Review and Meta-Analysis

Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview

Factors influencing food choices of Malawian consumers: A food choice questionnaire approach

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