Knowledge and practice of essential nutrition actions among pregnant women in Ibadan, South-western Nigeria

Tobi O. Olukemitan; Toluwalope E. Eyinla; Folake O. Samuel

doi:10.18203/2394-6040.ijcmph20242161

Authors

Tobi O. Olukemitan Department of Human Nutrition and Dietetics, University of Ibadan, Ibadan, Nigeria
Toluwalope E. Eyinla Department of Human Nutrition and Dietetics, University of Ibadan, Ibadan, Nigeria
Folake O. Samuel Department of Human Nutrition and Dietetics, University of Ibadan, Ibadan, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20242161

Keywords:

Knowledge, Attitude, Practice, Maternal nutrition, Antenatal care

Abstract

Background: Maternal nutrition during the first 1,000 days has important influences on children’s nutrition and pregnancy outcomes. This study therefore assessed the knowledge, attitude and practice of essential nutrition actions among pregnant women utilizing antenatal care services in Ibadan municipality, South-western Nigeria.

Methods: A descriptive cross-sectional study was conducted among pregnant women (15-49 years) receiving antenatal care (ANC) services across selected private and public health facilities. A semi-structured questionnaire was used to collect data on optimal dietary intake, prevention and control of anaemia and promotion of supportive lifestyle and care, according to the essential nutrition actions framework.

Results: The mean age of respondents was 29.85±4.89 years while the mean gestational age of pregnancy at respondents’ ANC booking was 18.33±6.12 weeks. About one-third (33.60%) of the respondents had poor knowledge scores (mean knowledge score 5.70±1.50 out of 10), with no significant difference across type of health facility. Mean attitude score was 13.76±2.44 out of 20, while practice was generally poor (mean practice score 4.80±1.34 out of 10). Respondents attending larger tertiary hospitals for ANC had higher knowledge and practice compared to those who attended smaller primary health care centers/mission homes. Additionally, the time of booking, parity, and type of antenatal care center were statistically significant to knowledge and practice (p<0.05).

Conclusions: Antenatal care is still a valid platform for delivering maternal knowledge and encouraging practice of essential nutritional actions. It is recommended that expertise in tertiary hospitals be diffused to lower cadre of health care facilities to further strengthen ANC service delivery.

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References

Meija L, Rezeberga D. Guidelines: proper maternal nutrition during pregnancy planning and pregnancy: a healthy start in life. Recommendations for health care specialists. World Health Organization. 2017;1-31. Available at: https://www.who.int/europe/ publications/m/item/proper-maternal-nutrition-during-pregnancy-planning-and-pregnancy--a-healthy-start-in-life-(2017). Accessed on 23 August 2023.

Koletzko B, Brands B, Poston L, Godfrey K, Demmelmair H. Early nutrition programming of long-term health. Proc Nutr Soc. 2012;71(3):371-8.

World Health Organization. WHO Recommendations on Ante natal care for s positive pregnancy experience: Summary, Geneva, Switzerland: WHO. 2012. Available at: https://www. who.int/publications/i/item/9789241549912. Accessed on 15 May 2023.

Ramakrishnan U, Grant F, Goldenberg T, Zongrone A, Martorell R. Effect of women's nutrition before and during early pregnancy on maternal and infant outcomes: a systematic review. Paediatr Perinat Epidemiol. 2012;26(1):285-301.

Shankar H, Kumar N, Sandhir R, Singh MP, Mittal S, Adhikari T, et al. Association of dietary intake below recommendations and micronutrient deficiencies during pregnancy and low birthweight. J Perinat Med. 2019;47(7):724-31.

Ivanova N, Gugleva V, Dobreva M, Pehlivanov I, Stefanov S, Andonova V. Silver Nanoparticles as Multifunctional Drug Delivery Systems. Nanomedicines, Intech Open London. 2018;71-91.

FAO, IFAD, UNICEF. The State of Food Security and Nutrition in the World 2021: transforming food systems for food security, improved nutrition and affordable healthy diets for all. Rome: FAO. 2021.

Bhutta Z, Ahmed T, Black R, Cousens S, Dewey K, Giugliani E. what works? Intervention for maternal and child undernutrition and survival. The Lancet Series. 2008;371:471-40.

USAID Multi-sectoral nutrition strategy technical guidance brief: maternal nutrition for girls women. Washington, DC: USAID. 2014;1-10. Available at: https://2017-2020.usaid.gov/global-health/health-areas/nutrition/technical-areas/maternal-nutrition-girls-and-women. Accessed on 02 February 2023.

Sangwan K, Kshirsagar V, Parande M, Salunke N, Solanki K, Tambe M, et al. Knowledge, attitude and practices regarding nutrition among pregnant females visiting the antenatal care outpatient department of a tertiary care hospital, Pune. Int J Community Med Public Health. 2022;9:902-7.

Lee A, Newton M, Radcliffe J, Belski R. Pregnancy nutrition knowledge and experiences of pregnant women and antenatal care clinicians: a mixed methods approach. Women Birth. 2018;31:269-77.

Guggino A, Barbero S, Ponzo V, Viora E, Durazzo M, Bo S. Myths about nutrition in pregnancy. J Obstet Gynaecol. 2016;36:964-5.

Mudor H, Bunyarit F. A prospective of nutrition intake for pregnant women in Pattani, Thailand. Procedia: Soc Behav Sci. 2013;91:179-84.

Zelalem T, Erdaw A, Tachbele E. Nutritional knowledge, attitude and practices among pregnant women who attend antenatal care at public hospitals of Addis Ababa, Ethiopia. Int J Nurs Midwifery. 2018;10(7):81-9.

Bolka H, Abajobir A. The practice of essential nutrition actions in healthcare deliveries of Shebedino District, South Ethiopia. Adv in Repro Sci. 2014;2(1):8-15.

World Health Organization. Essential nutrition actions: improving maternal, newborn, infant and young child health and nutrition. Geneva. 2013.

Imdad A, Bhutta Z. Effect of balanced protein energy supplementation during pregnancy on birth outcomes. BMC Public Health. 2011;11(3):S17.

Black R, Victora C, Walker S, Bhutta Z, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51.

Rosliza A, Muhamad J. Knowledge, attitude and practice on antenatal care among Orang Asli women in Jempol, Negeri Sembilan. MJPHM. 2011;11(2):13-21.

Mirsanjari M, Muda WA, Ahmad A, Othman MS, Mosavat M, Mirsanjari MM. Relationship between nutritional knowledge and healthy attitude and practice during pregnancy. Borneo Sci. 2016;31:104-12.

Perumal N, Cole DC, Ouédraogo HZ, Sindi K, Loechl C, Low J, et al. Health and nutrition knowledge, attitudes and practices of pregnant women attending and not-attending ANC clinics in Western Kenya: a cross-sectional analysis. BMC Pregnancy Childbirth. 2013;13:1-2.

Gezimu W, Bekele F, Habte G. Pregnant mothers’ knowledge, attitude, practice and its predictors towards nutrition in public hospitals of Southern Ethiopia: a multicenter cross-sectional study. SAGE Open Med. 2022;10:1-10.

World Health organization WHO Primary Health care and health emergencies: Summary, Kazakhstan: WHO. 2018.

Gebremichael M, Lema T. Prevalence and Predictors of Knowledge and Attitude on Optimal Nutrition and Health Among Pregnant Women in Their First Trimester of Pregnancy. Int J Women Health. 2023;15:1383-95.

Perumal N, Cole D, Ouédraogo H, Sindi K, Leochl C, Low J, et al. Health and nutrition knowledge, attitudes and practices of pregnant women attending and not-attending ANC clinics in Western Kenya: a cross-sectional analysis. BMC Pregnancy Childbirth. 2013;13(146):1.

Masuku S, Lan S. Nutritional knowledge, attitude, and practices among pregnant and lactating women living with HIV in the Manzini Region of Swaziland. J Health Popul Nutr. 2014;32(2):261-9.

Ghosh-Jerath S, Devasenapathy N, Singh A, Shankar A, Sodpey S. Ante natal care (ANC) utilization, dietary practices and nutritional outcomes in pregnant and recently delivered women in urban slums of Delhi, India: an exploratory cross-sectional study. Reprod Health. 2015;12(20).

Mitra M, Wan A, Manan W, Affizal A, Mohd S. Dietary Knowledge and Behaviors in a Sample of Malay Pregnant Women; UMT 11th International Annual Symposium on Sustainability Science and Management 09th –11th July 2012, Terengganu, Malaysia; 2012.

Dana H, Haidar A, Younes M, Elie B. Knowledge, Attitude and Practices Toward Nutrition and Diet During Pregnancy Among Recently Delivered Women of Syrian Refugees. 2018;1(2):32-7.

Tenaw Z and Tachbele E. Nutritional knowledge, attitude and practices among pregnant women who attend antenatal care at public hospitals of Addis Ababa, Ethiopia. Int J Nurs Midwifery. 2018;10(7):81-9.

Wong J, Zhe Xin L, Ying Lim P, Keng S. Knowledge of nutrition during pregnancy and associated factors among Antenatal mothers. Int J Public Health Clin Sci. 2018;5(1):1-51.

Latifa M, Manal H and Nihal S. Nutritional awareness of women during pregnancy. J Am Sci. 2012;8(7):494-502.

Appiah P, Naa Korklu A, Bonchel D, Fenu G, Yankey F. Nutritional knowledge and dietary intake habits among pregnant adolescents attending antenatal care clinics in urban community in Ghana. J Nutr Metab. 2021;2021:8835704.