Melesse Niguse KumaJimma University, Ethiopia
Title: : Effects of nutrition education and home gardening interventions on feto-maternal outcomes among pregnant women in Jimma Zone, Southwest Ethiopia: a cluster randomized controlled trial
Background: Although pro dietary practices and associated malnutrition are modifiable risk factors, they have a significant effect on maternal and neonatal health outcomes. Therefore, this study aimed to assess the effect of nutritional education and home gardening promotion on feto-maternal outcomes among pregnant women.
Methods: A three parallel arms community-based cluster randomized controlled trial was carried out in Jimma Zone, Southwest Ethiopia from June to December 2020. A total of 348 pregnant women were recruited at the baseline and 336 attended the end-line survey. Nutrition education and vegetable seeds were provided for women in the intervention groups and routine nutrition education for the control. Data were collected using a pretested interviewer-administered structured questionnaire. Generalized estimating equation analysis (GEE) and One Way Analysis of Variance (ANOVA) were used to evaluate the effect of the intervention.
Result: In the final model, neonates born from women in the husband group were 147 grams heavier than those in the control groups (P = 0.006). Similarly, women in the husband group had 0.33 gm/dl greater hemoglobin level than the control groups (p = 0.04). Baseline mid-upper arm circumference (? = 56.94, 95% CI: 33.48, 80.40), minimum diet diversity score (? = 93.32 95% CI: (74.14, 107.90)), and gestational weight gain (?= 18.16, 95% CI: 9.42, 26.90) were found to be significantly positively associated with neonatal birth weight. However, the Pittsburgh sleep quality index (?= -56.05; 95% CI: -71.67, -40.49) was negatively associated.
Conclusions: Nutrition education and home gardening interventions resulted in a significant positive effect on the mean birth weight and maternal hemoglobin level among the intervention groups. The findings imply the need for enhancing such interventions to improve feto-maternal outcomes.
Melesse has completed his BSc in public health from Jimma University, Ethiopia, and the MSc from Mekelle University Ethiopia in integrated emergency general surgery, obstetrics, and gynecology. He is on serving at Shenen Gibe General hospital as a clinician and performed many emergency surgical cases. Currently, he is a PhD fellow at Jimma University in human nutrition and dietetics.