{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T14:13:05Z","timestamp":1771423985610,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Food Science &amp;amp; Nutrition"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The government of Ethiopia recommends nutrition counseling throughout pregnancy for better consumption of diversified diets, because improving maternal nutrition is vital for the prevention of maternal and child mortality and morbidity. As a result, the purpose of this study aimed to summarize the national evidence on the effect of nutrition intervention on dietary diversity status among pregnant women in Ethiopia using a systematic review and meta\u2010analysis. The advanced search of electronic databases and search engines was used to conduct a systematic review and meta\u2010analysis of the effect of nutrition intervention on the dietary diversity status among pregnant women in Ethiopia. Data extraction and quality appraisal were done through the standardized JBI tool. STATA V.17 was used for analysis. The meta\u2010analysis was carried out using the random effects model.\n                    <jats:italic>I<\/jats:italic>\n                    \u2010squared and\n                    <jats:italic>Q<\/jats:italic>\n                    \u2010tests were used to detect the heterogeneity of the findings. A total of 3891 participants were included in this systematic review and meta\u2010analysis study from 9 and 8 articles, respectively. The pooled difference in difference percentage and mean effects of nutrition intervention on the dietary diversity status among pregnant women were 35.63% (95% CI; 6.87%, 64.39%) and 0.78 (95% CI; 0.38, 1.18), respectively. The heterogeneity tests were very high (\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200999.65%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.00, and 99.96%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.00) for pooled percentage and mean, respectively. The pooled difference in difference percentage effect of nutrition intervention on the dietary diversity status among the pregnant women from the other regions was higher (57.69% (95% CI: 23.88%, 91.50%)) than the Oromia region (13.63% [95% CI: 3.54%, 23.73%]). The pooled percentage of the effect of nutrition intervention on the dietary diversity status among pregnant women who had received equal to or greater than 5\u2009months intervention was high (44.70% [95% CI: 23.46%, 106.87%]) as compared to the corresponding (29.61% [95% CI: 8.35%, 50.88%]). Nutritional interventions for pregnant women had a positive effect on dietary diversity status. Therefore, efforts should be made to promote nutrition intervention utilizing the HBM and TPB, targeting couples in constructing nutrition education interventions.\n                  <\/jats:p>","DOI":"10.1002\/fsn3.71231","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:40:39Z","timestamp":1764330039000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Nutrition Interventions on the Dietary Diversity Status Among Pregnant Women in Ethiopia: Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7344-6367","authenticated-orcid":false,"given":"Mahider Awoke","family":"Belay","sequence":"first","affiliation":[{"name":"Department of Public Health, College of Medicine and Health Sciences Inibara University  Injibara Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mulat Belay","family":"Simegn","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine and Health Sciences Debre Markos University  Debre Markos Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Dagne Chanie","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences Bahir Dar University  Bahir Dar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Werkneh Melkie","family":"Tilahun","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine and Health Sciences Debre Markos University  Debre Markos Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonatan","family":"Menber","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences Bahir Dar University  Bahir Dar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosef","family":"Wasihun","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, School of Public Health, College of Medicine and Health Sciences Bahir Dar University  Bahir Dar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zenebe Abebe","family":"Gebreegziabher","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Asrat Woldeyes Health Science Campus Debre Berhan University  Debre Berhan Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zewudu","family":"Andualem","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences University of Gondar  Gondar Ethiopia"},{"name":"Department of Environmental Health, School of Public Health, College of Medicine and Health Sciences Bahir Dar University  Bahir Dar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayenew Takele","family":"Alemu","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine and Health Sciences Inibara University  Injibara Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azeb","family":"Geddif","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences Bahir Dar University  Bahir Dar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genet Gedamu","family":"Kassie","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, School of Public Health, College of Medicine and Health Sciences Bahir Dar University  Bahir Dar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalkidan Worku","family":"Mitiku","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine and Health Sciences Debre Markos University  Debre Markos Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-23-00268"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-24-00103"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2011.00223.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12937\u2010023\u201000907\u2010z"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13096"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2016.10.014"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2019.08.019"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015393"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/87.5.1107"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233429"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/3916864"},{"key":"e_1_2_13_13_1","unstructured":"Federal 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T.Belachew andD.Tamiru.2023.\u201cOkra\u2010Based Nutrition Education had a Statistically Significant Effect on the Dietary Diversity Score of Pregnant Women in Okra\u2010Producing Areas of Western Ethiopia.\u201d"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxy090"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxab131"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.117.257303"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czaa101"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2021.02.003"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2022.2040152"},{"issue":"2","key":"e_1_2_13_37_1","first-page":"43","article-title":"Improving Household Diet Diversity Through Promotion of Nutrition Gardens in India","volume":"5","author":"Pradhan A.","year":"2018","journal-title":"American Journal of Food Science and Nutrition"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11030557"},{"issue":"1","key":"e_1_2_13_39_1","first-page":"10","article-title":"Dietary Diversity and Nutritional Status of Pregnant Women Attending Public Hospitals in Dire Dawa City Administration, Eastern Ethiopia","volume":"2","author":"Shenka A.","year":"2018","journal-title":"East African Journal of Health and Biomedical Sciences"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/fsn3.3667"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/02601060211056745"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2025.1541415"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0039471"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.110.123463"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13350"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280545"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1037714"},{"key":"e_1_2_13_48_1","volume-title":"Essential Nutrition Actions: Improving Maternal, Newborn, Infant and Young Child Health and Nutrition","author":"World Health Organization","year":"2013"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2012.01291.x"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.4172\/2090-7214.1000265"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1368980020000294"}],"container-title":["Food Science &amp; Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/fsn3.71231","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/fsn3.71231","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/fsn3.71231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T13:40:59Z","timestamp":1771422059000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/fsn3.71231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,28]]},"references-count":50,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/fsn3.71231"],"URL":"https:\/\/doi.org\/10.1002\/fsn3.71231","archive":["Portico"],"relation":{},"ISSN":["2048-7177","2048-7177"],"issn-type":[{"value":"2048-7177","type":"print"},{"value":"2048-7177","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,28]]},"assertion":[{"value":"2024-12-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71231"}}