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article · International Journal of Nursing and Midwifery

Nutritional knowledge, attitude and practices among pregnant women who attend antenatal care at public hospitals of Addis Ababa, Ethiopia

201888 citationsOpen accessDebre Berhan University

In plain language

A cross-sectional study assessed nutritional knowledge, attitudes, and practices among 322 pregnant women attending antenatal care services at public hospitals in Addis Ababa, Ethiopia. Overall, maternal nutrition knowledge, attitudes, and practices were low among the women surveyed. Only 27 percent of participants demonstrated adequate nutritional knowledge, 48.4 percent held favourable attitudes, and 34.5 percent reported good dietary practices. Statistical analysis revealed that higher maternal education, family income, positive attitudes, and a greater number of pregnancies were significantly associated with better nutritional knowledge. In addition, good nutritional practices were positively linked to maternal knowledge, household income, husband education, and husband occupation. These findings demonstrate notable gaps in maternal nutrition during pregnancy and show that household socioeconomic status and partner characteristics play an influential role in maternal health behaviours.

Key takeaways

  • Only 27 percent of surveyed pregnant women had nutritional knowledge, 48.4 percent held favourable attitudes, and 34.5 percent followed good nutritional practices.
  • Higher maternal education, family income, positive attitudes, and higher pregnancy numbers were positively associated with maternal nutritional knowledge.
  • Good nutritional practices were significantly linked to nutritional knowledge, family income, husband education, and husband occupation.
  • Overall nutritional knowledge, attitudes, and practices among pregnant women receiving antenatal care were low.

Why it matters

Maternal nutrition during pregnancy directly affects the health and development of both mother and child. Understanding that dietary knowledge and habits remain low among pregnant women, and are strongly tied to household income and partner education, helps healthcare providers and public health organisations design better antenatal education programmes that address socioeconomic barriers and engage families directly.

Commercialisation angle

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Abstract

During pregnancy, maternal nutrition requires considerable attention; however, pregnant women’s nutritional knowledge, attitudes, and practices are less understood. The objective of this study was to assess nutritional knowledge, attitude, and practices among pregnant women who attend antenatal care at public hospitals of Addis Ababa, Ethiopia. An institution based cross-sectional study was conducted to collect relevant data of 322 pregnant women, who attended antenatal care service in selected public hospitals in Addis Ababa, Ethiopia from April to May, 2015. Simple random sampling procedure was used to select the public hospitals and systematic sampling techniques were used to select pregnant mothers by using hospitals’ registration lists. Data were coded and entered to computer using Epi data version 3.1 and exported to statistical package for social sciences (SPSS) program version 21.0 for further analysis. Multivariable logistic regression analyses were used to identify independent predictors of knowledge, attitude, and practices of pregnant women regarding nutrition. The study revealed that of the 322 pregnant women surveyed, 87(27%), 156(48.4%), and 111(34.5%) of them had knowledge, favorable attitude, and good practices of nutrition during pregnancy, respectively. There was a positive significant association between educational status of women (AOR=3.047, 95%CI (1.046 to 8.873)), family income (AOR=3.093, 95%CI (1.076 to 8.890)), attitude (AOR=4.4, 95%CI (2.315 to 8.299)), number of pregnancies (AOR=2.175, 95%CI (1.034 to 4.573)) and nutrition knowledge during pregnancy. Whereas knowledge, family income, husband education and occupation had a positive association with good practices of nutrition during pregnancy. Knowledge, attitude and practices of pregnant mothers regarding nutrition during pregnancy were low in the study area.   Key words: Knowledge, attitude, practice, nutrition; malnutrition, pregnancy, Ethiopia.

Research topics

  • Child Nutrition and Water Access
  • Global Maternal and Child Health
  • Food Security and Health in Diverse Populations

Sustainable Development Goals

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DOI: 10.5897/ijnm2017.0289

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