Skip to main content

SYSTEMATIC REVIEW article

Front. Public Health
Sec. Public Health and Nutrition
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1393764
This article is part of the Research Topic Public Health in Africa: Role of Nutrition and Environment View all 7 articles

Dietary Knowledge, Attitude, Practice, and Associated Factors Among Pregnant Mothers in Ethiopia: A Systematic Review and Meta-Analysis

Provisionally accepted
Ewunetie M. Bayked Ewunetie M. Bayked 1*Ebrahim M. Yimer Ebrahim M. Yimer 2Tiruset Gelaw Tiruset Gelaw 3Abdu S. Mohammed Abdu S. Mohammed 3Nigusie A. Mekonen Nigusie A. Mekonen 3
  • 1 Department of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
  • 2 Department of Pharmacy, College of Medicine and Health Sciences (CMHS), Wollo University, Dessie, Ethiopia
  • 3 School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

The final, formatted version of the article will be published soon.

    Background: Despite global efforts, progress in reducing maternal malnutrition falls short of international goals, which is the same for Ethiopia, provided that studying dietary knowledge, attitude, and practice and their determinants is crucial to developing and implementing effective interventions, which this review tried to investigate in an Ethiopian context. Methods: We searched on Scopus, HINARI, PubMed, and Google Scholar on January 3, 2024. We used the Joanna Briggs Institute's (JBI’s) tools and the "preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 statement" to evaluate bias and frame the review, respectively. The data were analyzed using Stata 17. Certainty was assessed using sensitivity and subgroup analyses and the Luis Furuya-Kanamori (LFK) index. The random effects model was used to determine the effect estimates with a p value less than 0.05 and a 95% CI. Results: The pooled good dietary knowledge, favorable attitude, and good practice were 48.0% (95% CI: 39.0%–57.0%), 47.0% (95% CI: 38.0%–55.0%), and 34.0% (95% CI: 28.0%–40.0%), respectively. Knowledge and attitude had bidirectional relationships and were affected by sociodemographic variables and gynecological issues. The dietary practice was influenced by urban residency (OR = 6.68, 95% CI: 2.49–10.87), food security (OR = 3.51, 95% CI: 1.02–5.99), knowledge (OR = 4.53, 95% CI: 3.22–5.74), nutrition information (OR = 3.07, 95% CI: 1.13-5.02), attitude (OR = 2.32, 95% CI: 1.34–3.30), family support (OR = 2.14, 95% CI: 1.43-2.85), perceived severity of malnutrition (OR = 2.07, 95% CI: 1.82-2.31), and positive perception of dietary benefit (OR = 2.19, 95% CI: 1.56-2.82). Conclusion: The good dietary practice was lower than the knowledge and the favorable attitude towards it. It was influenced by sociodemographic variables, income and wealth, knowledge and information, attitudes and intentions, gynecological and illness experiences, family support and decision-making, and expectations of nutrition outcomes and habits. Sociodemographic and gynecological issues were also found to influence both dietary knowledge and attitude, which were also found to have bidirectional relationships.

    Keywords: Diet, nutrition, knowledge, Attitude, Practice, factor, Pregnancy, Ethiopia

    Received: 29 Feb 2024; Accepted: 31 May 2024.

    Copyright: © 2024 Bayked, Yimer, Gelaw, Mohammed and Mekonen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Ewunetie M. Bayked, Department of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.