Anyanwu Oyedolapo, Ghosh Shibani, Kershaw Meghan, Cherinet Abuye, Kennedy Eileen
Tufts University, Friedman School of Nutrition Science and Policy, Boston, MA, USA.
Save the Children, Addis Ababa, Ethiopia.
Curr Dev Nutr. 2022 Feb 18;6(4):nzac020. doi: 10.1093/cdn/nzac020. eCollection 2022 Apr.
The Government of Ethiopia has made a major commitment toward improving food security, diet, nutrition, and health through a series of national nutrition plans. The focus of these plans is on providing both nutrition-specific as well as nutrition-sensitive approaches for achieving national priorities for health and nutrition. The present study conducted a secondary analysis of data provided through a larger birth cohort study conducted in Ethiopia between 2014 and 2016.
The overall objectives of this research were to assess the relation between minimum dietary diversity in women and water, sanitation, and hygiene (WASH), and evaluate the association between midupper arm circumference (MUAC) in women and WASH.
In addition to descriptive statistics, the study used mixed effects logistic regression analyses to investigate the relation between dietary diversity, MUAC, and household WASH practices.
Improved WASH practices were associated with an increased probability ( = 0.04) that a woman would consume a diet with foods from 5 or more food groups. A beneficial effect was observed for improved WASH practices and a decrease in low MUAC. Improved household WASH practices were successful in contributing to improved dietary diversity in women as well as an improved MUAC.
Interventions aimed at improving the diet and nutritional status of women during and after pregnancy should include relevant WASH components as essential elements in multisector nutrition programming.
埃塞俄比亚政府通过一系列国家营养计划，在改善粮食安全、饮食、营养和健康方面做出了重大承诺。这些计划的重点是提供针对营养的方法以及对营养敏感的方法，以实现国家健康和营养优先事项。本研究对2014年至2016年在埃塞俄比亚进行的一项更大规模出生队列研究提供的数据进行了二次分析。
本研究的总体目标是评估女性最低饮食多样性与水、环境卫生和个人卫生（WASH）之间的关系，并评估女性上臂中段周长（MUAC）与WASH之间的关联。
除描述性统计外，本研究还使用混合效应逻辑回归分析来研究饮食多样性、MUAC与家庭WASH实践之间的关系。
改善WASH实践与女性食用包含5种或更多食物组食物的饮食的概率增加（P = 0.04）相关。观察到改善WASH实践有有益效果，且低MUAC有所降低。改善家庭WASH实践成功地促进了女性饮食多样性的改善以及MUAC的改善。
旨在改善孕期及产后女性饮食和营养状况的干预措施应将相关WASH组成部分作为多部门营养规划的基本要素。
