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

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cg.authorship.typesCGIAR single centreen_US
cg.authorship.typesCGIAR and developing country instituteen_US
cg.contributor.crpAgriculture for Nutrition and Healthen_US
cg.contributor.donorBill & Melinda Gates Foundationen_US
cg.coverage.countryIndiaen_US
cg.coverage.iso3166-alpha2INen_US
cg.coverage.regionSouthern Asiaen_US
cg.coverage.regionAsiaen_US
cg.creator.identifierPhuong H Nguyen: 0000-0003-3418-1674en_US
cg.creator.identifierRasmi Avula: 0000-0003-0066-6964en_US
cg.creator.identifierPurnima Menon: 0000-0001-5988-2894en_US
cg.creator.identifierShivani Kachwaha: 0000-0002-6893-6839en_US
cg.identifier.doihttps://doi.org/10.1111/mcn.12839en_US
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Divisionen_US
cg.identifier.publicationRankAen_US
cg.isijournalISI Journalen_US
cg.issn1740-8695en_US
cg.issue4en_US
cg.journalMaternal and Child Nutritionen_US
cg.reviewStatusPeer Reviewen_US
cg.volume15en_US
dc.contributor.authorNguyen, Phuongen_US
dc.contributor.authorKachwaha, Shivanien_US
dc.contributor.authorAvula, Rasmien_US
dc.contributor.authorYoung, Melissaen_US
dc.contributor.authorPatil, Sumeeten_US
dc.contributor.authorMenon, Purnimaen_US
dc.date.accessioned2024-06-21T09:13:58Zen_US
dc.date.available2024-06-21T09:13:58Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/147396en_US
dc.titleMaternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factorsen_US
dcterms.abstractDespite 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.en_US
dcterms.accessRightsOpen Accessen_US
dcterms.bibliographicCitationNguyen, 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.12839en_US
dcterms.issued2019-05-13en_US
dcterms.languageenen_US
dcterms.licenseCC-BY-4.0en_US
dcterms.publisherWileyen_US
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/6659en_US
dcterms.subjectsupply balanceen_US
dcterms.subjectregression analysisen_US
dcterms.subjectnutritionen_US
dcterms.subjectpregnant womenen_US
dcterms.subjectfood consumptionen_US
dcterms.subjectironen_US
dcterms.subjectdiversificationen_US
dcterms.subjectmaternal nutritionen_US
dcterms.subjectfolic aciden_US
dcterms.subjectdietary diversityen_US
dcterms.typeJournal Articleen_US

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