Knowledge and Practice of Dietary Diversity among Pregnant Women: Evaluation of a Large Scale Social and Behaviour Change Program in Bangladesh

Authors

  • Abu Ahmed Shamim BRAC James P Grant School of Public Health, BRAC University
  • Saidur Rahman Mashreky Centre for Injury Prevention and Research Bangladesh (CIPRB)
  • Alamgir Kabir Centre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia
  • Tarana Ferdous Department of Public Health Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, USA
  • AKM Fazlur Rahman Centre for Injury Prevention and Research Bangladesh (CIPRB)
  • Shamim Jahan Save the Children, Dhaka, Bangladesh, 6 USAID, India
  • Kathrin Tegenfeldt USAID, India
  • Sumitro Roy FHI Solutions LLC, Alive & Thrive, Jharkhand, India
  • Saydur Rahman Siddiquee Alive & Thrive Bangladesh
  • Kabir Hossen Centre for Injury Prevention and Research Bangladesh (CIPRB)
  • Iftekhar Rashid USAID, Bangladesh
  • Raisul Haque Save the Children, Dhaka, Bangladesh
  • Md Ruhul Amin Institute of Nutrition and Food Science, University of Dhaka, Dhaka-1000
  • Nazma Shaheen Institute of Nutrition and Food Science, University of Dhaka, Dhaka-1000

DOI:

https://doi.org/10.3329/bjnut.v34i1.70002

Keywords:

Dietary diversity, Pregnant women, Maternal undernutrition, Social and behaviour change (SBC), Bangladesh

Abstract

The objective of this study was to evaluate the effectiveness of a U.S. Agency for International Development (USAID) supported large-scale social and behaviour change (SBC) intervention, SHIKHA Project, in improving dietary diversity among pregnant women. Cross-sectional survey was conducted in rural southwest Bangladesh and 509, 515, and 1,275 randomly selected pregnant women were interviewed at baseline, midline, and end-line; 514 and 1016 pregnant women from non-intervention areas were also included. SBC intervention was provided to pregnant women at both individual and group levels by trained community health workers during the antenatal and postnatal period. Dietary diversity scores (DDS) and knowledge scores were calculated by summing the number of food groups (from nine defined food groups) consumed by women during 24 hours and from unprompted responses on how many food groups pregnant women should eat. The mean knowledge score for dietary diversity was 5.04 at baseline and significantly increased by 1.68 units (95% CI: 1.51, 1.85) at the end-line. The mean DDS at baseline was 4.28 and significantly increased by 0.45 units (95% CI: 0.34, 0.57) at the end-line. The SBC intervention was effective in improving the dietary diversity of pregnant women, which may help to meet their additional nutritional requirements and improve pregnancy outcomes.

Bangladesh J. Nutr. Vol. 34, December 2020, P: 65-75

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Published

2021-12-31

How to Cite

Shamim, A. A. ., Mashreky, S. R. ., Kabir, A. ., Ferdous, T. ., Rahman, A. F. ., Jahan, S. ., Tegenfeldt, K. ., Roy, S. ., Siddiquee, S. R. ., Hossen, . K. ., Rashid, I., Haque, R. ., Amin, M. R. ., & Shaheen, N. . (2021). Knowledge and Practice of Dietary Diversity among Pregnant Women: Evaluation of a Large Scale Social and Behaviour Change Program in Bangladesh . Bangladesh Journal of Nutrition, 34(1), 65–75. https://doi.org/10.3329/bjnut.v34i1.70002

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Articles