Dietary diversity and associated factors among lactating mothers in Debre Tabor General Hospital, Northcentral Ethiopia


  • Melaku Tadege Engidaw Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
  • Alemayehu Digssie Gebremariam Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
  • Sofonyas Abebaw Tiruneh Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
  • Desalegn Tesfa Asnakew Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
  • Bedilu Abebe Abate Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia



Dietary diversity score, Lactating women, Ethiopia


Background: Dietary diversity score indicates that the intake of general nutritional adequacy. Low dietary diversity is a major problem among poor populations in the developing world due to consumption of monotonous staple diet consumption. Therefore, it has various consequences on the health and wellbeing of the family, communities, and nation at large. Overall, there are limited studies on this major issue and its contributing factors among lactating mothers.

Methods: Institution based cross-sectional study was employed among 419 participants who were selected by using a systematic sampling method. The data were collected using a pretested structured questionnaire. The collected data were checked for completeness, cleaned, coded and entered into EPI info version 7 and exported into SPSS version 20.0 software for further analysis. The degree of association between dependent and independent variables were assessed by using odds ratio with a 95% of confidence interval and variables with p≤0.05 were considered significant after fitting into logistic regression.  

Results: The average dietary diversity score±SD was 4.94±0.76. The magnitude of low dietary diversity score was 25% (95% CI: 22.1, 30.4). Women’s, being government employer and having meal 2 times per day were the factors associated with low dietary diversity score among lactating mothers.

Conclusions: One-fourth of the lactating women were had poor dietary diversity and age of the women, meal frequency, and respondent occupation were the determinant factors. So, appropriate counseling during maternal care are very important to halt this problem.


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Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal, Group CUS: Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243-60.

Amare B. Nutritional status and dietary intake of urban residents in Gondar, Northwest Ethiopia. BMC Public Health. 2012;12:752.

CSA: Ethiopia Demographic and Health Survey, 2011. 2012:173-87.

Nutrition DoHD: Guidelines on Maternal Nutrition. South Africa: A Manual for Health Care Personnel. In; 2008.

Asha K, Salil S: Nutrient Intake of Lactating Mothers from Rural areas and urban areas. Indian J Soc Res. 1998;39(2).

Mayen AL. Socioeconomic determinants of dietary patterns in low- and middle-income countries: a systematic review. American J Clin Nutr. 2014;100(6):1520-31.

FAO, USAID: Food and Nutrition Technical Assistance III Project (FANTA). In. Rome; 2016.

Hoddinott J, Yohannes Y. Dietary Diversity as a Food Security Indicator. Washington, D.C: Food and Nutrition Technical Assistance Project, Academy for Educational Development; 2002.

FAO., FHI 360; Minimum Dietary Diversity for Women: A Guide for Measurement. In: Rome: FAO; 2016.

Henjum S. Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal. Public Health Nutr. 2015;18.

Agize A, Jara D, Dejenu G: Level of Knowledge and Practice of Mothers on Minimum Dietary Diversity Practices and Associated Factors for 6-23-Month-Old Children in Adea Woreda, Oromia, Ethiopia. BioMed Res Int. 2017;2017:7204562.

Solomon D, Aderaw Z, Tegegne TK: Minimum dietary diversity and associated factors among children aged 6–23 months in Addis Ababa, Ethiopia. Int J Equity Health. 2017;16.

Nega G, Endris M, Teferi D, Nana A, W/Michael R: Dietary diversity and associated factors among rural households in South Gondar Zone, Northwest Ethiopia. Feed The Future. 2015.

Tegegne M, Sileshi S, Benti T, Teshome M, Woldie H: Factors associated with minimal meal frequency and dietary diversity practices among infants and young children in the predominantly agrarian society of Bale zone, Southeast Ethiopia: a community-based cross-sectional study. Arch Public Health. 2017;75:53.

Weldehaweria NB, Misgina KH, Weldu MG, Gebregiorgis YS, Gebrezgi BH, Zewdie SW, et al. Dietary diversity and related factors among lactating women visiting public health facilities in Aksum town, Tigray, Northern Ethiopia. BMC Nutr. 2016;2(1):38.

Alemayehu M, Argaw A, Mariam GA. Factors Associated with Malnutrition among Lactating Women in Subsistence Farming Households from Dedo and Seqa-Chekorsa Districts, Jimma Zone, 2014. Iiste - Developing Country Studies. 2015;5(21).

Ethiopia CS. Summary and statistical report of the 2007 population and housing census. Addis Ababa, Ethiopia: Federal democratic republic of Ethiopia population census commission. 2008:1–0.

Tseng M, Fang CY. Socio-economic position and lower dietary moderation among Chinese immigrant women in the USA. Public Health Nutr. 2012;15(3):415-23.

Yang J, Dang S, Cheng Y, Qiu H, MiB, Jiang Y, et al. Dietary intakes and dietary patterns among pregnant women in Northwest China. Public Health Nutr. 2017;20(2):282-93.

Savy M, Martin-Prével Y, Danel P, Traissac P, Dabiré H, Delpeuch F: Are dietary diversity scores related to the socio-economic and anthropometric status of women living in an urban area in Burkina Faso? Public Health Nutr. 2008;11(2):132-41.

Kant AK, Schatzkin A, Harris TB, Ziegler RG, Block G. Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 1993;57(3):434-40.

Kolasa KM, Firnhaber G, Haven K. Diet for a healthy lactating woman. Clin Obstet Gynecol. 2015;58(4):893-901.






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