{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:12Z","timestamp":1792057572165,"version":"4.4.0"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"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":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Ethiopia has one of the highest rates of undernutrition among children under five (U5) and women of reproductive age (WRA) globally, alongside rising overweight\/obesity, particularly in urban areas. Poor diet is a shared driver of multiple forms of malnutrition. We used a participatory photography (Photovoice) approach to explore the lived experiences of WRA and their children U5 in adopting healthy diets across lower\u2010 and higher\u2010 socio\u2010economic status (SES) groups in Addis Ababa. Women took photographs illustrating challenges to healthy diets, and five focus groups (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200931 women) were conducted to discuss challenges and solutions, with separate sessions held for different SES groups. A hybrid thematic analysis, combining deductive and inductive approaches, identified themes\/subthemes, with comparisons across SES groups. Financial and physical barriers to accessing healthy foods, time constraints and perceived poor food safety were major contributors to poor diets. In lower SES groups, women also reported limited knowledge about healthy diets, inadequate family support and poor home food environments. In higher SES groups, unhealthy food preferences coupled with easy access to and aggressive promotion of unhealthy foods were key challenges. Proposed government\u2010level solutions included job creation, nutrition education, affordable healthy food, investment in household infrastructure, expanded childcare and restrictions on unhealthy food availability and promotion. Societal\u2010level solutions included gender equality, strengthened community\u2010based loan schemes and support for urban agriculture. These findings highlight that women recognise their needs and who should support them, and emphasise the importance of including women's voices in decision\u2010making processes. Findings also underscore the need for integrated interventions targeting individual, food environment and socio\u2010economic drivers to improve diets among women and children in urban Ethiopia.\n                  <\/jats:p>","DOI":"10.1111\/mcn.70208","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T10:40:15Z","timestamp":1781692815000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Challenges and Solutions to Adopting Healthy Diets Among Women and Children: A Photovoice Study in Urban Ethiopia"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8839-9911","authenticated-orcid":false,"given":"Meron","family":"Worku","sequence":"first","affiliation":[{"name":"College of Natural and Computational Sciences, Center for Food Science and Nutrition Addis Ababa University Addis Ababa Ethiopia"},{"name":"Menelik II Medical and Health Science College Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Holdsworth","sequence":"additional","affiliation":[{"name":"UMR MoISA (Montpellier Interdisciplinary Centre On Sustainable Agri\u2010Food Systems) Univ Montpellier, CIRAD, CIHEAM\u2010IAMM, INRAE, Institut Agro, IRD Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Ruel","sequence":"additional","affiliation":[{"name":"Nutrition, Diets &amp; Health Unit (NDH) International Food Policy Research Institute Washington DC US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Irache","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Medicine Universidad Aut\u00f3noma de Madrid Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaleab","family":"Baye","sequence":"additional","affiliation":[{"name":"College of Natural and Computational Sciences, Center for Food Science and Nutrition Addis Ababa University Addis Ababa Ethiopia"},{"name":"Nutrition and Food Systems Division Research Center for Inclusive Development in Africa (RIDA) Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Spires","sequence":"additional","affiliation":[{"name":"Centre for Food Systems Research, Natural Resources Institute University of Greenwich London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bricas","sequence":"additional","affiliation":[{"name":"UMR MoISA (Montpellier Interdisciplinary Centre On Sustainable Agri\u2010Food Systems) Univ Montpellier, CIRAD, CIHEAM\u2010IAMM, INRAE, Institut Agro, IRD Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0334-3714","authenticated-orcid":false,"given":"Rebecca","family":"Pradeilles","sequence":"additional","affiliation":[{"name":"UMR MoISA (Montpellier Interdisciplinary Centre On Sustainable Agri\u2010Food Systems) Univ Montpellier, CIRAD, CIHEAM\u2010IAMM, INRAE, Institut Agro, IRD Montpellier France"},{"name":"Nutrition, Diets &amp; Health Unit (NDH) International Food Policy Research Institute Washington DC US"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/wber\/lhae023"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gfs.2021.100582"},{"key":"e_1_2_10_4_1","volume-title":"Studying Food and Eaters: A Cocktail of Perspectives and Methods","author":"Auma C. 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(2024). Cost and Affordability of a Healthy Diet 2024 Q4: October\u2010December.https:\/\/ephi.gov.et\/wp-content\/uploads\/2025\/05\/CoHD_QuarterlyBulletin_2024_Q4.pdf."},{"key":"e_1_2_10_16_1","volume-title":"Ethiopia Food and Nutrition Strategy Baseline Survey 2021\u20132022","author":"Ethiopian Public Health Institute (EPHI)","year":"2025"},{"key":"e_1_2_10_17_1","volume-title":"Ethiopian Demographic And Health Survey (EDHS) 2024\u201025: Key Indicators Report","author":"Ethiopian Statistical Service (ESS) and ICF","year":"2025"},{"key":"e_1_2_10_18_1","unstructured":"Ethiopian Statistics Services. (2024). 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