Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Vista sencilla de ítem
dc.creatorNguyen, Phuong Hong
dc.creatorKachwaha, Shivani
dc.creatorAvula, Rasmi
dc.creatorYoung, Melissa
dc.creatorPatil, Sumeet
dc.creatorMenon, Purnima
dc.date2019-05-13
dc.date2024-06-21T09:13:58Z
dc.date2024-06-21T09:13:58Z
dc.date.accessioned2026-06-27T15:35:08Z
dc.descriptionDespite 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.
dc.identifierhttps://hdl.handle.net/10568/147396
dc.identifier.urihttp://hdl.handle.net/123456789/108597
dc.languageen
dc.publisherWiley
dc.rightsOpen Access
dc.sourceNguyen, 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
dc.subjectsupply balance
dc.subjectregression analysis
dc.subjectnutrition
dc.subjectpregnant women
dc.subjectfood consumption
dc.subjectiron
dc.subjectdiversification
dc.subjectmaternal nutrition
dc.subjectfolic acid
dc.subjectdietary diversity
dc.titleMaternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors
dc.typeJournal Article

Archivos

Colecciones

Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)