ArticleBMC pregnancy and childbirth2013
Health and nutrition knowledge, attitudes and practices of pregnant women attending and not-attending ANC clinics in Western Kenya: a cross-sectional analysis.
Article in BMC pregnancy and childbirth, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Prevalence and associated factors of optimal dietary practices during pregnancy in Ethiopia: a systematic review and meta-analysis.BMJ open · 2026Pooled it
- Dietary knowledge, attitude, practice, and associated factors among pregnant mothers in Ethiopia: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Undernutrition and associated factors among pregnant women in Ethiopia. A systematic review and meta-analysis.Frontiers in nutrition · 2024Pooled it
- Body size preferences for women and adolescent girls living in Africa: a mixed-methods systematic review.Public health nutrition · 2022Pooled it
- Enhancing nutrition knowledge and dietary diversity among rural pregnant women in Malawi: a randomized controlled trial.BMC pregnancy and childbirth · 2021Trial
- Trial
- Promotion of Orange-Fleshed Sweet Potato Increased Vitamin A Intakes and Reduced the Odds of Low Retinol-Binding Protein among Postpartum Kenyan Women.The Journal of nutrition · 2017Trial
- Effects of Education Based on Health Belief Model on Dietary Behaviors of Iranian Pregnant Women.Global journal of health science · 2015Trial
- Dietary Practices and Associated Factors Among Lactating Mothers in Sodo Zuriya District, Southern Ethiopia: A Community-Based Cross-Sectional Study.Journal of nutrition and metabolism · 2026Article
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- Vitamin D Knowledge, Attitudes, Practices and Serum Concentration Among Pregnant Women Attending a Malaysian Tertiary Hospital.Food science & nutrition · 2025Article
- Zero vegetable or fruit consumption and its associated factors among children aged 6 to 23 months in Kenya: a multilevel analysis of a large population-based survey.European journal of pediatrics · 2025Article
- The prevalence of undernutrition and associated risk factors in people with tuberculosis in Lao People's Democratic Republic.PloS one · 2025Article
- Nutrition-sensitive agricultural interventions and maternal and child nutrition outcomes in arid and semi-arid lands of Kenya.Frontiers in nutrition · 2025Article
- Multilevel modelling of factors associated with eight or more antenatal care contacts in low and middle-income countries: findings from national representative data.Annals of medicine and surgery (2012) · 2024Article
- Determinants of early antenatal care visits among women of reproductive age in Ghana: evidence from the recent Maternal Health Survey.BMC pregnancy and childbirth · 2024Article
- Article
- Inadequate dietary diversity practices and associated factors among pregnant adolescents in the West Arsi Zone, Central Ethiopia: a community-based cross-sectional study.Scientific reports · 2024Article
- Dietary diversity and associated factors among women attending antenatal clinics in the coast region of Tanzania.BMC nutrition · 2024Article
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Authors and funding
10 authors at 6 institutions in 4 countries.
Funding
Abstract
backgroundAntenatal care (ANC) is a key strategy to decreasing maternal mortality in low-resource settings. ANC clinics provide resources to improve nutrition and health knowledge and promote preventive health practices. We sought to compare the knowledge, attitude and practices (KAP) among women seeking and not-seeking ANC in rural Kenya.
methodsData from a community-based cross-sectional survey conducted in Western Province, Kenya were used. Nutrition knowledge (NKS), health knowledge (HKS), attitude score (AS), and dietary diversity score (DDS) were constructed indices. χ2 test and Student's t-test were used to compare proportions and means, respectively, to assess the difference in KAP among pregnant women attending and not-attending ANC clinics. Multiple regression analyses were used to assess the impact of the number of ANC visits (none, <4, ≥4) on knowledge and practice scores, adjusting for maternal socio-demographic confounders, such as age, gestational age, education level and household wealth index.
resultsAmong the 979 pregnant women in the survey, 59% had attended ANC clinics while 39% had not. The mean (±SD) NKS was 4.6 (1.9) out of 11, HKS was 6.2 (1.7) out of 12, DDS was 4.9 (1.4) out of 12, and AS was 7.4 (2.2) out of 10. Nutrition knowledge, attitudes, and DDS were not significantly different between ANC clinic attending and non-attending women. Among women who attended ANC clinics, 82.6% received malaria and/or antihelmintic treatment, compared to 29.6% of ANC clinic non-attendees. Higher number of ANC clinic visits and higher maternal education level were significantly positively associated with maternal health knowledge.
conclusionsSubstantial opportunities exist for antenatal KAP improvement among women in Western Kenya, some of which could occur with greater ANC attendance. Further research is needed to understand multi-level factors that may affect maternal knowledge and practices.
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