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Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors.
- Source :
- Maternal & Child Nutrition; Oct2019, Vol. 15 Issue 4, pN.PAG-N.PAG, 1p
- Publication Year :
- 2019
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- CALCIUM
COMMUNITY health services
CONFIDENCE intervals
DIETARY supplements
FOLIC acid
HEALTH behavior
IRON
MATERNAL health services
HEALTH policy
MOTHERS
NUTRITION
NUTRITIONAL requirements
POISSON distribution
PREGNANT women
RACE
REGRESSION analysis
RISK assessment
STATISTICAL sampling
SCALE analysis (Psychology)
SOCIAL norms
STATISTICS
WOMEN'S health
GOVERNMENT programs
FAMILY relations
MULTIPLE regression analysis
SOCIAL support
HEALTH literacy
DATA analysis software
HEALTH & social status
DESCRIPTIVE statistics
ODDS ratio
CLUSTER sampling
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 15
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 139114097
- Full Text :
- https://doi.org/10.1111/mcn.12839