{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:18:47Z","timestamp":1787681927312,"version":"build-2784847793"},"reference-count":69,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Maternal dietary diversity is vital for the health of both mothers and children during lactation, yet it is often compromised in low- and middle-income countries. This cross-sectional study among 251 lactating mothers in Tarakeswor Municipality, Nepal, assessed dietary diversity using a 24-hour dietary recall and the Minimum Dietary Diversity for Women (MDD-W) indicator. Overall, 68.1% of mothers achieved the minimum dietary diversity (\u22655 of 10 food groups), with a mean score of 5.03\u2009\u00b1\u20091.25. In multivariable analysis, higher odds of meeting MDD were observed among mothers with secondary or higher education (aOR = 7.5; 95% CI: 3.8\u201315.0), employment (aOR = 2.9; 95% CI: 1.4\u20135.8), joint or extended family structure (aOR = 3.7; 95% CI: 1.9\u20137.0), the highest wealth quintile (aOR = 4.2; 95% CI: 1.9\u20139.1), food-secure households (aOR = 4.5; 95% CI: 2.3\u20137.9), adequate nutrition knowledge (aOR = 5.2; 95% CI: 2.7\u20139.8),\u2009\u2265\u20094 antenatal care visits (aOR = 1.9; 95% CI: 1.0\u20133.4), and higher empowerment (aOR = 3.9; 95% CI: 1.9\u20137.8). These findings highlight substantial socioeconomic disparities in maternal dietary diversity and underscore the need for integrated, equity-focused nutrition interventions in rapidly urbanizing settings in low- and middle-income countries. These findings can inform targeted maternal nutrition programs in semi-urban municipalities of Nepal by prioritizing nutrition education, improving household food security, and integrating dietary diversity counseling into antenatal and postnatal care services.<\/jats:p>","DOI":"10.1371\/journal.pgph.0005711","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:24:56Z","timestamp":1787678696000},"page":"e0005711","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternal dietary diversity and its correlates in a semi-urban municipality of Nepal: A cross-sectional study"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3030-9159","authenticated-orcid":true,"given":"Reshika","family":"Rimal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8314-1176","authenticated-orcid":true,"given":"Ayusha","family":"Rimal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0066-8583","authenticated-orcid":true,"given":"Pranil Man Singh","family":"Pradhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"issue":"10","key":"pgph.0005711.ref001","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1093\/jn\/nxy128","article-title":"90th Anniversary Commentary: Dietary Diversity Is the Cornerstone of Good Nutrition","volume":"148","author":"AD Stein","year":"2018","journal-title":"J Nutr"},{"issue":"5","key":"pgph.0005711.ref002","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.ajog.2021.12.035","article-title":"The importance of nutrition in pregnancy and lactation: lifelong consequences","volume":"226","author":"NE Marshall","year":"2022","journal-title":"Am J Obstet Gynecol"},{"key":"pgph.0005711.ref003","doi-asserted-by":"crossref","DOI":"10.29219\/fnr.v63.1553","article-title":"Determinants of dietary diversity among women of reproductive age in two different agro-ecological zones of Rongai Sub-County, Nakuru, Kenya","volume":"63","author":"MW Gitagia","year":"2019","journal-title":"Food Nutr Res"},{"issue":"1","key":"pgph.0005711.ref004","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s12937-024-00949-x","article-title":"The global diet quality score as an indicator of adequate nutrient intake and dietary quality - 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