Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age

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cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationWageningen University & Researchen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.donorFood and Agriculture Organization of the United Nationsen
cg.contributor.donorCGIAR Trust Funden
cg.contributor.initiativeSustainable Healthy Diets
cg.coverage.countryEthiopia
cg.coverage.iso3166-alpha2ET
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.coverage.regionSub-Saharan Africa
cg.creator.identifierNamukolo Covic: 0000-0001-6566-9803
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1017/jns.2022.120en
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Unit
cg.identifier.projectIFPRI - Systems Transformation - Food and Nutrition Policy
cg.identifier.publicationRankNot ranked
cg.isijournalISI Journalen
cg.issn2048-6790en
cg.journalJournal of Nutritional Scienceen
cg.reviewStatusPeer Reviewen
cg.subject.actionAreaSystems Transformation
cg.subject.impactAreaNutrition, health and food security
cg.volume12en
dc.contributor.authorBekele, Tesfaye Hailuen
dc.contributor.authorVries, Jeanne deen
dc.contributor.authorFeskens, Edith J.en
dc.contributor.authorWeijer, Anneloes deen
dc.contributor.authorBrouwer, Inge D.en
dc.contributor.authorCovic, Namukolo M.en
dc.contributor.authorTrijsburg, Lauraen
dc.date.accessioned2023-08-30T20:39:55Zen
dc.date.available2023-08-30T20:39:55Zen
dc.identifier.urihttps://hdl.handle.net/10568/131691
dc.titleDevelopment of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive ageen
dcterms.abstractEthiopia announced its first food-based dietary guidelines (FBDGs) on 15 March 2022. The present study aims to develop and evaluate the Ethiopian Healthy Eating Index (Et-HEI) based on the FBDG. Data were collected from 494 Ethiopian women of reproductive age sampled from households in five different regions. The Et-HEI consists of eleven components, and each component was scored between 0 and 10 points, the total score ranging from 0 to 110, with maximum adherence to the FBDG. The Et-HEI score was evaluated against the Minimum Dietary Diversity for Women (MDD-W) and the probability of nutrient adequacy. The average Et-HEI score for women of reproductive age was 49 out of 110. Adherence to the recommendations for grains, vegetables, legumes, fat and oils, salt, sugar and alcohol contributed the most to this score. Most women had low scores for fruits, nuts and seeds, and animal-sourced foods, indicating low intake. The Cronbach's alpha coefficient, indicating the reliability of the Et-HEI to assess its diet quality, was 0⋅53. The low mean Et-HEI score agreed with a low mean score of the MDD-W (3⋅5 out of 10). Also, low nutrient adequacies confirmed poor adherence to nutrient-dense components of the FBDG. The Et-HEI was not associated with the intake of vitamin B12, vitamin C and calcium in this study population. Women who completed secondary school and above had relatively lower Et-HEI scores. The newly developed Et-HEI is able to estimate nutrient adequacy while also assessing adherence to the Ethiopian FBDG though there is room for improvement.en
dcterms.accessRightsOpen Access
dcterms.audienceCGIARen
dcterms.available2023-01-23
dcterms.bibliographicCitationBekele, Tesfaye Hailu; de Vries, Jeanne; Feskens, Edith J.; de Weijer, Anneloes; Brouwer, Inge D.; Covic, Namukolo; and Trijsburg, Laura. 2023. Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age. Journal of Nutritional Science 12: e9. https://doi.org/10.1017/jns.2022.120en
dcterms.issued2023
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherCambridge University Pressen
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/8578en
dcterms.subjectdietary guidelinesen
dcterms.subjectfooden
dcterms.subjectnutritionen
dcterms.subjecthouseholdsen
dcterms.subjectdietary diversityen
dcterms.subjectvitaminsen
dcterms.subjecteducationen
dcterms.typeJournal Article

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