The Nutritional Status and Dietary Habits among Pregnant Women Seeking Antenatal services in Othaya Constituency, Nyeri, County in Kenya
DOI:
https://doi.org/10.47941/jas.3480Keywords:
Nutritional Status, Dietary Habits, Pregnant women, ANC Services, OthayaAbstract
Purpose: The purpose of the paper is to seek to understand the contributions of dietary habits on the nutritional status of pregnant women seeking ANC services in the Constituency. It is guided by two objectives, to assess the nutritional status of pregnant women in Othaya Constituency making their first ANC visit during their current pregnancy and to establish the dietary habits of pregnant women in Othaya Constituency. The paper is grounded on the Social Learning Theory (SLT).
Methodology: The study used a descriptive, cross-sectional survey design which employed a mixed-method approach. An interviewer-administered questionnaire was used to collect data from 119 pregnant women while qualitative data were collected through focus group discussions and Key Informants. Secondary data were collected from the hospital records and maternal and child health booklet. Hb levels, MUAC, and Women Dietary Diversity Score were used to assess the nutritional status of the women.
Findings: The findings established that 14% of the study participants had Hb levels below 11 g/dl and were therefore anaemic. MUAC measurements established that 9% of the women were undernourished (MUAC below 23 cm) while 91% had adequate nutritional status (MUAC ≥ 23). The mean dietary diversity score for the 9 food groups was 4.68±1.32 while the lowest and highest were 1 and 7 food groups respectively. The respondents’ dietary habits revealed that they mainly consumed starchy foods..
Unique Contribution to Theory, Policy and Practice: The findings also revealed that the women were eating the foods they did because they had learnt it from their growing up at the family level and also through interacting with others later in life. This therefore shows that the choice people make on the food they eat is a learned behaviour and thus the contribution to the SLT. By revealing the gap in the dietary habits of pregnant women, the need for more emphasis in policy implementation regarding the dietary habits of pregnant women or where need be the need for policy review to ensure a more robust promotion of a more diversified diet among pregnant women. The paper therefore recommends the need to intensify nutrition education and counselling at the community level and Diversification of food crops.
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1. African Union (2018). African leaders and stakeholders renew their call for action to end hunger by 2025 Retrieved from: https://au.int/sites/default/files/pressreleases/33730-pr ending_hunger_pr-edited.pdf
2. African women studies Centre, University of Nairobi and Kenya National Bureau of Statistics (2014). Status Report on the Kenya National Food Security Nairobi. University of Nairobi Press.
3. AGR Partners. (2013). Hidden Hunger: The Irony of a Full Belly, Retrieved from https://agrpartners.com/wp-content/uploads/2013/08/AGR-Thought-Piece-Hidden-Hunger.pdf
4. Ali, F., Thaver, I., & Khan, S. A. (2014). Assessment of dietary diversity and nutritional status of pregnant women in Islamabad, Pakistan. Journal of Ayub Medical College Abbottabad, 26(4), 506-9·
5. Alive and Thrive. (2018). Integrating Proven Maternal Nutrition Interventions into Antenatal Care Programs: How We Can Optimize Strengths and Avoid Missed Opportunities in India (2018) Retrieved from https://www.aliveandthrive.org/wpContent/uploads/2018/06/MN BriefMay2018.pdf
6. Assefa, N., Berhane, Y., & Worku, A. (2012). Wealth status, mid upper arm circumference (MUAC) and antenatal care (ANC) are determinants for low birth weight in Kersa, Ethiopia. PloS one, 7(6), e39957.
7. Barbosa, L. B., Vasconcelos, S. M. L., Correia, L. O. D. S., & Ferreira, R. C. (2016). Nutrition knowledge assessment studies in adults: a systematic review. Ciencia & saude coletiva, 21(2), 449-462.
8. Bartunen,O. K.(2016). Nutrition Knowledge, Attitudes and Nutrition-Related Practices among Lactating Women in Marigat Sub-Location, Baringo County (Unpublished Thesis) University of Nairobi
9. Bhutta, Z. A., Ahmed, T., Black, R. E., Cousens, S., Dewey, K., Giugliani, E., & Shekar, M. (2008). What works? Interventions for maternal and child undernutrition and survival. The lancet, 371(9610), 417-440.
10. Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S. & Maternal and Child Nutrition Study Group. (2013). Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?. The lancet, 382(9890), 452-477.
11. Black, R. E., Allen, L. H., Bhutta, Z. A., Caulfield, L. E., De Onis, M., Ezzati, M., ... & Maternal and Child Undernutrition Study Group. (2008). Maternal and child undernutrition: global and regional exposures and health consequences. The lancet, 371(9608), 243-260.
12. Bookari, K. A. A. (2017). Knowledge of nutrition and gestational weight gain during pregnancy‒exploring pregnant women’s side of the story.
13. Bwibo, N. O., & Neumann, C. G. (2003). The need for animal source foods by Kenyan children. The Journal of nutrition, 133(11), 3936S-3940S.
14. Carmody, T. P., Istvan, J., Matarazzo, J. D., Connor, S. L., & Connor, W. E. (1986). Applications of social learning theory in the promotion of heart-healthy diets: The Family Heart Study dietary intervention model. Health Education Research, 1(1), 13-27.
15. Chakona G. and Shackleton C. (2019). Food Taboos and Cultural Beliefs Influence FoodChoice and Dietary Preferences among PregnantWomen in the Eastern Cape, South Africa, Nutrients2019,11, 2668; doi:10.3390/nu11112668
16. Chaman-Ara, K., Sharif, S., & Bahrami, M. A. (2018). Challenges and Barriers to Pregnant Women's Nutrition: Policy Recommendations. Journal of Nutrition and Food Security, 3(2), 60-64.
17. Chambers, S., Lobb, A., Butler, L. T., & Traill, W. B. (2008). The influence of age and gender on food choice: a focus group exploration. International journal of consumer studies, 32(4), 356-365.
18. Cochran, WG (1977). Sampling Techniques, 3rd edition., New York: Wiley
19. da Mota Santana, J., de Oliveira Queiroz, V. A., Brito, S. M., dos Santos, D. B., & Assis, A. M. O. (2015). Food consumption patterns during pregnancy: a longitudinal study in a region of the North East of Brazil. Nutricion hospitalaria, 32(1), 130-138.
20. Daniel, S., Gnanaraj, G. P. S., & Sharmine, E. (2016). Effect of nutrition education among pregnant women with low body mass index: a community based intervention. International Journal of Community Medicine and Public Health, 3(11), 3135-3139.
21. Danielewicz, H., Myszczyszyn, G., Dębińska, A., Myszkal, A., Boznański, A., & Hirnle, L. (2017). Diet in pregnancy—more than food. European journal of pediatrics, 176(12), 1573-1579.
22. Darmon, N., & Drewnowski, A. (2015). Contribution of food prices and diet cost to socioeconomic disparities in diet quality and health: a systematic review and analysis. Nutrition reviews, 73(10), 643-660.
23. Elfil, M., & Negida, A. (2017). Sampling methods in Clinical Research; an Educational Review. Emergency (Tehran, Iran), 5(1), e52.
24. Fakier, A., Petro, G., & Fawcus, S. (2017). Mid-upper arm circumference: a surrogate for body mass index in pregnant women. South African Medical Journal, 107(7), 606-610.
25. FAO (2013). Guidelines for measuring household and individual dietary diversity. Food and Agriculture Organization of the United Nations.
26. FAO .(2007). Nutritional Status Assessment and Analysis, Nutritional Status
27. FAO, F. Minimum dietary diversity for women: a guide for measurement. 2016. Rome: FAO.
28. FAO, IFAD, UNICEF, WFP, WHO. (2017).The state of food security and nutrition in the world 2017. Building resilience for peace and food security. FAO, Rome. URL: http://www. fao. org/3/a-i7695e. pdf (Accessed 16 May 2019).
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Copyright (c) 2026 Eugenia King’ori, Jeniffer Birech
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