{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:15:26Z","timestamp":1792005326521,"version":"4.4.0"},"reference-count":50,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"unspecified","delay-in-days":282,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nutr Sci"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Maternal malnutrition is pervasive throughout the world, notably in sub-Saharan Africa, including Ethiopia. This study examined the effect of community-based iron-folic acid supplementation (IFAS) nutrition education on IFAS knowledge and attitude among pregnant women in urban settings in South Ethiopia. A community-based quasi-experimental study was conducted among 198 randomly selected pregnant women attending antenatal care (ANC) (99 intervention and 99 control). We used a multistage sampling technique followed by systematic sampling to select the pregnant women. Pregnant women who participated in the intervention arm received six nutrition education sessions and counselling using a health belief model (HBM), while the control group received only routine ANC services. Baseline and endline data were collected during the ANC and compared. The data was analysed using statistical package for social sciences. Analyses of the effect of the intervention were done using difference-in-difference and generalised estimation equation to allow correlation of repeated observations over time. The results indicated a significant effect of intervention on maternal knowledge towards IFAS; with intervention, group levels increased by 35 percentage points (P &lt; 0.001). The odds of being knowledgeable at the endpoint in the intervention group were 2.6 times higher than baseline (OR = 2.67, 95% CI 1.88\u20133.80). There was a significant (P = 0.001) change in proportion with a favourable attitude towards IFAS between the two time points. The community-based nutrition education intervention approach has significantly improved maternal knowledge and a favourable attitude towards IFAS among pregnant women. The HBM is effective in improving knowledge and attitude among pregnant women.<\/jats:p>","DOI":"10.1017\/jns.2024.59","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T08:27:26Z","timestamp":1728462446000},"source":"Crossref","is-referenced-by-count":2,"title":["Community-based nutrition education and counselling provided during pregnancy: effects on knowledge and attitude towards iron-folic acid supplementation"],"prefix":"10.1017","volume":"13","author":[{"given":"Mensur","family":"Reshid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4836-4335","authenticated-orcid":false,"given":"Anchamo","family":"Anato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"S2048679024000594_ref10","volume-title":"Demographic and Health Survey","year":"2016"},{"key":"S2048679024000594_ref29","volume-title":"Training of Trainers Manual for Counseling on Maternal, Infant and Young Child Nutrition Ethiopia","year":"2011"},{"key":"S2048679024000594_ref30","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224361"},{"key":"S2048679024000594_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15585"},{"key":"S2048679024000594_ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-018-0222-2"},{"key":"S2048679024000594_ref35","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-16798-y"},{"key":"S2048679024000594_ref39","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/781973"},{"key":"S2048679024000594_ref42","first-page":"1","article-title":"Compliance to iron folic acid supplementation and its associated factors among pregnant women attending antenatal clinic in Wondo district: a cross-sectional study","volume":"13","author":"Lencha","year":"2023","journal-title":"Sci Rep."},{"key":"S2048679024000594_ref47","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-45"},{"key":"S2048679024000594_ref49","first-page":"13","article-title":"Editorial: how do Ethiopia\u2019s health extension workers spend their time?","volume":"52","author":"Marsh","year":"2014","journal-title":"Ethiop Med J."},{"key":"S2048679024000594_ref28","volume-title":"Health Behavior: Theory, Research, and Practice","author":"Glanz","year":"2015"},{"key":"S2048679024000594_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62304-5"},{"key":"S2048679024000594_ref41","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.978084"},{"key":"S2048679024000594_ref33","first-page":"1","article-title":"Generalized estimating equations in longitudinal data analysis: a review and recent developments","volume":"2014","author":"Wang","year":"2014","journal-title":"Adv Stat."},{"key":"S2048679024000594_ref43","doi-asserted-by":"publisher","DOI":"10.5897\/IJNM2017.0289"},{"key":"S2048679024000594_ref45","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-481"},{"key":"S2048679024000594_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-607"},{"key":"S2048679024000594_ref17","first-page":"1","article-title":"Adherence to iron with folic acid supplementation and its associated factors among pregnant women attending antenatal care follow up at Debre Tabor General Hospital, Ethiopia, 2017","volume":"14","author":"Digssie Gebremariam","year":"2019","journal-title":"PLoS One"},{"key":"S2048679024000594_ref37","doi-asserted-by":"publisher","DOI":"10.4103\/2277-9531.162349"},{"key":"S2048679024000594_ref46","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2023.2183749"},{"key":"S2048679024000594_ref48","doi-asserted-by":"publisher","DOI":"10.5539\/gjhs.v8n2p230"},{"key":"S2048679024000594_ref15","volume-title":"Guidelines for the Prevention and Control of Micronutrient Deficiencies","year":"2020"},{"key":"S2048679024000594_ref50","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-015-0094-3"},{"key":"S2048679024000594_ref31","first-page":"49","article-title":"Knowledge and attitude of pregnant women about IDA","volume":"7","author":"Ahamed","year":"2018","journal-title":"IOSR J Nurs Heal Sci."},{"key":"S2048679024000594_ref40","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-7-498"},{"key":"S2048679024000594_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15405"},{"key":"S2048679024000594_ref36","doi-asserted-by":"publisher","DOI":"10.12944\/CRNFSJ.1.2.02"},{"key":"S2048679024000594_ref16","volume-title":"Ethiopia Mini Demographic and Health Survey 2019: Final Report","year":"2021"},{"key":"S2048679024000594_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.hnm.2021.200131"},{"key":"S2048679024000594_ref12","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2902498"},{"key":"S2048679024000594_ref34","doi-asserted-by":"publisher","DOI":"10.1017\/jns.2022.51"},{"key":"S2048679024000594_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0534-3"},{"key":"S2048679024000594_ref14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215305"},{"key":"S2048679024000594_ref23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2012.01278.x"},{"key":"S2048679024000594_ref22","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2015.20.43.4894"},{"key":"S2048679024000594_ref44","first-page":"162","article-title":"Factors associated with not using antenatal iron\/folic acid supplements in Indonesia: the 2002\/2003 and 2007 Indonesia demographic and health survey","volume":"24","author":"Titaley","year":"2015","journal-title":"Asia Pac J Clin Nutr."},{"key":"S2048679024000594_ref20","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114514000087"},{"key":"S2048679024000594_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00084-5"},{"key":"S2048679024000594_ref38","first-page":"1000265","article-title":"Effect of nutrition education on pregnancy specific nutrition knowledge and healthy dietary practice among pregnant women in Addis Ababa","volume":"14","author":"Zelalem","year":"2017","journal-title":"Clin Mother Child Heal."},{"key":"S2048679024000594_ref32","first-page":"3359","article-title":"Application of generalized estimating equation (GEE) model on students\u2019 academic performance","author":"Owusu-Darko","year":"2014","journal-title":"Appl Math Sci."},{"key":"S2048679024000594_ref27","volume-title":"Guidelines for Assessing Nutrition-Related Knowledge, Attitudes and Practices Manual","year":"2014"},{"key":"S2048679024000594_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14092"},{"key":"S2048679024000594_ref9","volume-title":"Double-Duty Actions for Nutrition Policy Brief","year":"2017"},{"key":"S2048679024000594_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-019-4045-2"},{"key":"S2048679024000594_ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169415"},{"key":"S2048679024000594_ref24","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2649-0"},{"key":"S2048679024000594_ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282641"},{"key":"S2048679024000594_ref6","volume-title":"The Global Prevalence of Anaemia in 2011","year":"2015"},{"key":"S2048679024000594_ref7","first-page":"1","article-title":"Micronutrient deficiencies and related factors in school-aged children in ethiopia: a cross-sectional study in Libo Kemkem and Fogera Districts, Amhara regional state","volume":"9","author":"Herrador","year":"2014","journal-title":"PLoS One"},{"key":"S2048679024000594_ref8","first-page":"132","article-title":"Folate defciency in women of reproductive age in nine administrative regions of Ethiopia: an emerging public health problem","volume":"23","author":"Haidar","year":"2010","journal-title":"S Afr J Clin Nutr."}],"container-title":["Journal of Nutritional Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2048679024000594","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T08:27:39Z","timestamp":1728462459000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2048679024000594\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":50,"alternative-id":["S2048679024000594"],"URL":"https:\/\/doi.org\/10.1017\/jns.2024.59","relation":{},"ISSN":["2048-6790"],"issn-type":[{"value":"2048-6790","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e58"}}