Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health centers, Addis Ababa, Ethiopia.

Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on dietary diversity among pregnant women. Objectives: This study was designed to assess the dietary diversity practice and associated factors among pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Result: The mean DDS was 5.45{+/-}1.83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5000 ETB had more dietary diversity than income less than 2000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second ANC visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)]. Conclusion and Recommendation: The mean DDS among the pregnant mothers was 5.45. 60.9% of pregnant women had a good dietary diversity score and 39.1 % had poor dietary diversity. Mothers education, monthly income, second and third ANC visit and nutrition information had a positive significant with pregnant mothers dietary diversity (P<0.05. Early initiation of ANC visit and incorporation of nutrition education at each visit should be practiced. Health extension workers should provide nutritional education to every pregnant woman. Key Words: DDS, Pregnant women, Income, ANC, Education and Nutrition information.