ArticleTherapeutic advances in reproductive health
Knowledge of dietary diversity and its determinants among pregnant women attending antenatal care in Zanzibar: A cross-sectional study.
Article in Therapeutic advances in reproductive health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Dietary diversity is a key proxy indicator of micronutrient adequacy among pregnant women, yet remains suboptimal in many low- and middle-income settings. Limited evidence exists on dietary diversity knowledge and its determinants in Zanzibar. Objective: To assess Design: Facility-based analytical cross-sectional study. Methods: Results: Overall, 75.9% of participants had adequate knowledge of dietary diversity. In multivariable analysis, marital status and education were significant predictors. Women who were not married had significantly lower odds of adequate knowledge compared to married women (AOR = 0.28; 95% CI: 0.14-0.56; p < 0.001), while those with secondary or higher education were more likely to have adequate knowledge (AOR = 2.15; 95% CI: 1.18-3.91; p = 0.012). Conclusion: Dietary diversity knowledge was relatively high but unequally distributed. ANC-related factors, particularly visit frequency and nutrition counselling, were key determinants, highlighting the need to strengthen structured nutrition education throughout pregnancy.
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