{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T06:43:36Z","timestamp":1792219416079,"version":"4.4.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"unspecified","delay-in-days":306,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980025101304_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Nutrition education plays a crucial role in improving the nutritional status of pregnant women, yet evidence of its impact in low-income settings like Ethiopia is limited. This study evaluated the effectiveness of facility-based nutrition education and counseling on pregnant women\u2019s knowledge, dietary practices, and Fe-folic acid supplement use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980025101304_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cluster randomised controlled trial was conducted in Addis Ababa, Ethiopia, involving 683 pregnant women across twenty health centres assigned to intervention or control groups. Antenatal care providers in the intervention group received training on pregnancy nutrition and counseling, while the control group continued standard care per national guidelines. A total of 683 pregnant women were enrolled during their first and second antenatal care (ANC) visits. Mixed-effects linear regression was used to evaluate outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980025101304_as3\">\n                    <jats:title>Study setting:<\/jats:title>\n                    <jats:p>The study was conducted in Addis Ababa, Ethiopia, from August to December 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980025101304_as4\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Pregnant women attending ANC follow-ups and healthcare providers working in ANC units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980025101304_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The intervention group demonstrated significant improvements in knowledge, including iodised salt use (difference-in-differences (DID) 23 %), correct Fe-folic acid supplementation duration (DID 68 %) and the need for additional meals during pregnancy (DID 49\u00b79 %). Dietary practices improved with higher dietary diversity (DID 32\u00b73 %), increased dairy consumption (MD 1\u00b72\n                      <jats:italic>v<\/jats:italic>\n                      . \u20130\u00b71; DID 1\u00b72 per week) and higher Fe-folic acid supplementation (MD 4\u00b79\n                      <jats:italic>v<\/jats:italic>\n                      . 1\u00b76; DID 3\u00b72 per week).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980025101304_as6\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nutrition education and counseling during ANC visits significantly improved pregnant women\u2019s knowledge and dietary practices. Integrating and strengthening these interventions into routine ANC services could effectively enhance dietary intake and health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980025101304","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T09:28:58Z","timestamp":1762162138000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["The effect of facility-based nutrition education and counseling on dietary intake and supplemental iron folic acid use among pregnant women: a cluster randomised controlled trial"],"prefix":"10.1017","volume":"28","author":[{"given":"Afrah","family":"Mohammedsanni","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038b8e254","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Health Sciences, Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demewoz","family":"Haile","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038b8e254","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Health Sciences, Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal Shikur","family":"Endris","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038b8e254","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Health Sciences, Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yirgu","family":"Gebrehiwot","sequence":"additional","affiliation":[{"name":"College of Health Sciences, Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0580-5708","authenticated-orcid":false,"given":"Eskeziaw Abebe","family":"Kassahun","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038b8e254","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Health Sciences, Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seifu Hagos","family":"Gebreyesus","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038b8e254","id-type":"ROR","asserted-by":"publisher"}],"name":"College of Health Sciences, Addis Ababa University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,3]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980025101304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T07:38:08Z","timestamp":1763451488000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980025101304\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S1368980025101304"],"URL":"https:\/\/doi.org\/10.1017\/s1368980025101304","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e191"}}