Community-based nutrition education and counselling provided during pregnancy: effects on knowledge and attitude towards iron-folic acid supplementation.

IF 2.4 Q3 NUTRITION & DIETETICS
Journal of Nutritional Science Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI:10.1017/jns.2024.59
Mensur Reshid, Anchamo Anato
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引用次数: 0

Abstract

Maternal malnutrition is pervasive throughout the world, notably in sub-Saharan Africa, including Ethiopia. This study examined the effect of community-based iron-folic acid supplementation (IFAS) nutrition education on IFAS knowledge and attitude among pregnant women in urban settings in South Ethiopia. A community-based quasi-experimental study was conducted among 198 randomly selected pregnant women attending antenatal care (ANC) (99 intervention and 99 control). We used a multistage sampling technique followed by systematic sampling to select the pregnant women. Pregnant women who participated in the intervention arm received six nutrition education sessions and counselling using a health belief model (HBM), while the control group received only routine ANC services. Baseline and endline data were collected during the ANC and compared. The data was analysed using statistical package for social sciences. Analyses of the effect of the intervention were done using difference-in-difference and generalised estimation equation to allow correlation of repeated observations over time. The results indicated a significant effect of intervention on maternal knowledge towards IFAS; with intervention, group levels increased by 35 percentage points (P < 0.001). The odds of being knowledgeable at the endpoint in the intervention group were 2.6 times higher than baseline (OR = 2.67, 95% CI 1.88-3.80). There was a significant (P = 0.001) change in proportion with a favourable attitude towards IFAS between the two time points. The community-based nutrition education intervention approach has significantly improved maternal knowledge and a favourable attitude towards IFAS among pregnant women. The HBM is effective in improving knowledge and attitude among pregnant women.

孕期社区营养教育和咨询:对叶酸铁补充剂知识和态度的影响。
孕产妇营养不良现象在全世界都很普遍,尤其是在撒哈拉以南非洲地区,包括埃塞俄比亚。本研究探讨了基于社区的叶酸铁补充剂(IFAS)营养教育对埃塞俄比亚南部城市孕妇叶酸铁补充剂知识和态度的影响。我们在 198 名随机抽取的产前检查(ANC)孕妇(99 名干预组和 99 名对照组)中开展了一项基于社区的准实验研究。我们采用了多阶段抽样技术,然后通过系统抽样来选择孕妇。参与干预组的孕妇接受了六次营养教育课程和使用健康信念模式(HBM)的咨询,而对照组只接受常规产前检查服务。在产前检查期间收集基线和终点数据并进行比较。数据使用社会科学统计软件包进行分析。对干预效果的分析采用了差分法和广义估计方程,以便对一段时间内的重复观察结果进行相关分析。结果表明,干预对孕产妇对 IFAS 的了解程度有明显影响;干预后,群体水平提高了 35 个百分点(P < 0.001)。干预组在终点时了解知识的几率是基线时的 2.6 倍(OR = 2.67,95% CI 1.88-3.80)。在两个时间点之间,对 IFAS 持赞成态度的比例发生了重大变化(P = 0.001)。以社区为基础的营养教育干预方法大大提高了孕产妇对 IFAS 的认识和态度。HBM 能有效提高孕妇的知识水平和态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Nutritional Science
Journal of Nutritional Science NUTRITION & DIETETICS-
CiteScore
3.00
自引率
0.00%
发文量
91
审稿时长
7 weeks
期刊介绍: Journal of Nutritional Science is an international, peer-reviewed, online only, open access journal that welcomes high-quality research articles in all aspects of nutrition. The underlying aim of all work should be, as far as possible, to develop nutritional concepts. JNS encompasses the full spectrum of nutritional science including public health nutrition, epidemiology, dietary surveys, nutritional requirements, metabolic studies, body composition, energetics, appetite, obesity, ageing, endocrinology, immunology, neuroscience, microbiology, genetics, molecular and cellular biology and nutrigenomics. JNS welcomes Primary Research Papers, Brief Reports, Review Articles, Systematic Reviews, Workshop Reports, Letters to the Editor and Obituaries.
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