Effectiveness of Nutrition Education on Nutrient Intake and Pregnancy Outcomes in Migori County, Western Kenya
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Date
2022
Authors
Odiwuor, FA
Kimiywe, J
Waudo, J
Journal Title
Journal ISSN
Volume Title
Publisher
ajfand
Abstract
Maternal nutrition is critical as it lays fundamental foundation for the successful
outcome of pregnancy. Kenya’s high rates of under nutrition among women of
reproductive age are due to sub-optimal feeding practices, inadequate nutrient intake
and insufficient knowledge on nutritionally adequate diets leading to poor pregnancy
outcomes. This study assessed nutrient intakes and pregnancy outcomes among
pregnant women of about 22 weeks gestation exposed to a psycho-educational nutrition
initiative in Migori County. A prospective cohort study design and simple random
sampling was used to obtain a sample of 150 pregnant women who were enrolled into
the Intervention Study. Data was collected using 24-hour dietary recall, anthropometric
measurements and health records and was analysed by Nutri-Survey and SPSS and
tested using t-tests and regression model. The mean of macronutrient intakes at
baseline were 1613±439 kcal for energy, protein 62.6±24.6 g, carbohydrates 245±7 g,
fat 41±2 g and after the intervention, mean energy intake was 2159±309 Kcal, protein
86±2 g, carbohydrates 312±6 g and fat 61±3 g. There was a significant improvement in
the intakes for all the macronutrients after four months exposure to the intervention.
The mean micronutrient intakes by the women at baseline were, vitamin A, 1255±2131
μg, folic acid, 197±7 μg, vitamin C 67±4 mg, calcium 300±141 mg, iron 115±3 mg and
zinc 12±4 mg. The mean intakes after the intervention were, Vitamin A 1750±3560 μg,
folic acid 249±7μg, vitamin C 90±6 mg, calcium 442±2 mg, iron 15±3 mg and zinc
16±4 mg. There was a significant increase in intake of all micronutrients after the
intervention. Mean gestation age at recruitment was 21 weeks, gestation age at delivery
was 37.7 weeks. The mean birth weight was 3098±5 grams. Babies born before 37
weeks gestation were 32.6 % while 67.4 % were born at ≥37 weeks gestation.
Coefficients of determination (R2) from the regression model showed that there were
positive significant effects of nutrition knowledge obtained from the psychoeducational
initiative on nutrient intake after the intervention and on pregnancy
outcomes. The intervention had a significant effect on nutrient intake and pregnancy
outcomes and should be strengthened in the healthcare system to improve nutrition
knowledge and dietary practices for enhanced nutrient intakes and pregnancy
outcomes.
Description
article
Keywords
Pregnant women, Nutrition Education, Nutrient intake, Pregnancy outcomes
Citation
Odiwuor, F. A., Kimiywe, J., & Waudo, J. (2022). Effectiveness of nutrition education on nutrient intake and pregnancy outcomes in MIGORI COUNTY, WESTERN KENYA. African Journal of Food, Agriculture, Nutrition and Development, 22(1), 19271-19284.