Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors
Despite strong policy and program commitment, essential maternal nutrition services are not reaching enough women in many countries. This paper examined multifactorial determinants (personal, family, community, and health services) associated with maternal nutrition practices in Uttar Pradesh, India...
| Autores principales: | , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Wiley
2019
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/147396 |
| _version_ | 1855536398894891008 |
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| author | Nguyen, Phuong Hong Kachwaha, Shivani Avula, Rasmi Young, Melissa Patil, Sumeet Menon, Purnima |
| author_browse | Avula, Rasmi Kachwaha, Shivani Menon, Purnima Nguyen, Phuong Hong Patil, Sumeet Young, Melissa |
| author_facet | Nguyen, Phuong Hong Kachwaha, Shivani Avula, Rasmi Young, Melissa Patil, Sumeet Menon, Purnima |
| author_sort | Nguyen, Phuong Hong |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Despite strong policy and program commitment, essential maternal nutrition services are not reaching enough women in many countries. This paper examined multifactorial determinants (personal, family, community, and health services) associated with maternal nutrition practices in Uttar Pradesh, India. Data were from a household survey of pregnant (n = 667) and recently delivered women (n = 1,835). Multivariable regression analyses were conducted to examine the determinants of four outcomes: consumption of diverse diets, consumption of iron folic acid (IFA) and calcium tablets, and weight monitoring during pregnancy. Population attributable risk analysis was used to estimate how much the outcomes can be improved under optimal program implementation. During pregnancy, women consumed 28 IFA and 8 calcium tablets, 18% consumed diverse diet, and 17% were weighed ≥3 times. Nutrition knowledge was associated with consumption of diverse diet (odds ratio [OR] = 2.2 times), IFA (2.3 times), calcium (11.7 times), and weight monitoring (1.3 times). Beliefs and self‐efficacy were associated with IFA (OR = 2.0) and calcium consumption (OR = 4.6). Family support and adequate health services were also associated with better nutrition practices. Under optimal program implementation, we estimate that 51% of women would have adequate diet diversity, an average consumption of 98 IFA, and 106 calcium tablets, and women would be weighed 4.9 times during pregnancy. Strengthening existing program operations and increasing demand for services has the potential to result in large improvements in maternal nutrition practices from current baseline levels but may not be sufficient to meet World Health Organization‐recommended levels without creating an enabling environment including improvements in education and income levels to support behaviour change. |
| format | Journal Article |
| id | CGSpace147396 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1473962025-04-03T21:29:22Z Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors Nguyen, Phuong Hong Kachwaha, Shivani Avula, Rasmi Young, Melissa Patil, Sumeet Menon, Purnima supply balance regression analysis nutrition pregnant women food consumption iron diversification maternal nutrition folic acid dietary diversity Despite strong policy and program commitment, essential maternal nutrition services are not reaching enough women in many countries. This paper examined multifactorial determinants (personal, family, community, and health services) associated with maternal nutrition practices in Uttar Pradesh, India. Data were from a household survey of pregnant (n = 667) and recently delivered women (n = 1,835). Multivariable regression analyses were conducted to examine the determinants of four outcomes: consumption of diverse diets, consumption of iron folic acid (IFA) and calcium tablets, and weight monitoring during pregnancy. Population attributable risk analysis was used to estimate how much the outcomes can be improved under optimal program implementation. During pregnancy, women consumed 28 IFA and 8 calcium tablets, 18% consumed diverse diet, and 17% were weighed ≥3 times. Nutrition knowledge was associated with consumption of diverse diet (odds ratio [OR] = 2.2 times), IFA (2.3 times), calcium (11.7 times), and weight monitoring (1.3 times). Beliefs and self‐efficacy were associated with IFA (OR = 2.0) and calcium consumption (OR = 4.6). Family support and adequate health services were also associated with better nutrition practices. Under optimal program implementation, we estimate that 51% of women would have adequate diet diversity, an average consumption of 98 IFA, and 106 calcium tablets, and women would be weighed 4.9 times during pregnancy. Strengthening existing program operations and increasing demand for services has the potential to result in large improvements in maternal nutrition practices from current baseline levels but may not be sufficient to meet World Health Organization‐recommended levels without creating an enabling environment including improvements in education and income levels to support behaviour change. 2019-05-13 2024-06-21T09:13:58Z 2024-06-21T09:13:58Z Journal Article https://hdl.handle.net/10568/147396 en Open Access Wiley Nguyen, Phuong Hong; Kachwaha, Shivani; Avula, Rasmi; Young, Melissa; Patil, Sumeet; Menon, Purnima; et al. Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors. Maternal and Child Nutrition 15(4): e12839. https://doi.org/10.1111/mcn.12839 |
| spellingShingle | supply balance regression analysis nutrition pregnant women food consumption iron diversification maternal nutrition folic acid dietary diversity Nguyen, Phuong Hong Kachwaha, Shivani Avula, Rasmi Young, Melissa Patil, Sumeet Menon, Purnima Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors |
| title | Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors |
| title_full | Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors |
| title_fullStr | Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors |
| title_full_unstemmed | Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors |
| title_short | Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors |
| title_sort | maternal nutrition practices in uttar pradesh india role of key influential demand and supply factors |
| topic | supply balance regression analysis nutrition pregnant women food consumption iron diversification maternal nutrition folic acid dietary diversity |
| url | https://hdl.handle.net/10568/147396 |
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