Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda

Abstract Background Globally, over a billion women of reproductive age (WRA) suffer from some kind of undernutrition micronutrient deficiencies, and/or anemia as a result of inadequate dietary diversity. This leads to poor maternal and child health outcomes, however, there is limited research on pop...

Full description

Bibliographic Details
Main Authors: Derrick Kimuli, Florence Nakaggwa, Norah Namuwenge, Rebecca N. Nsubuga, Kenneth Kasule, Sheila Nyakwezi, Jimmy Odong, Paul Isabirye, Solome Sevume, Norbert Mubiru, Daniel Mwehire, Fatuma Matovu, Bonnie Wandera, Barbara Amuron, Daraus Bukenya
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s40795-024-00858-6
_version_ 1797275552483115008
author Derrick Kimuli
Florence Nakaggwa
Norah Namuwenge
Rebecca N. Nsubuga
Kenneth Kasule
Sheila Nyakwezi
Jimmy Odong
Paul Isabirye
Solome Sevume
Norbert Mubiru
Daniel Mwehire
Fatuma Matovu
Bonnie Wandera
Barbara Amuron
Daraus Bukenya
author_facet Derrick Kimuli
Florence Nakaggwa
Norah Namuwenge
Rebecca N. Nsubuga
Kenneth Kasule
Sheila Nyakwezi
Jimmy Odong
Paul Isabirye
Solome Sevume
Norbert Mubiru
Daniel Mwehire
Fatuma Matovu
Bonnie Wandera
Barbara Amuron
Daraus Bukenya
author_sort Derrick Kimuli
collection DOAJ
description Abstract Background Globally, over a billion women of reproductive age (WRA) suffer from some kind of undernutrition micronutrient deficiencies, and/or anemia as a result of inadequate dietary diversity. This leads to poor maternal and child health outcomes, however, there is limited research on population level research on minimum dietary diversity for women (MDD-W). This study assessed the prevalence and predictors of MDD-W among WRA in Uganda. Methods This study was a secondary analysis of data from the lot quality assurance sampling (LQAS) survey conducted across 55 Ugandan districts between May and September 2022. Women of various ages were interviewed across 5 study subgroups that this study used to construct its study population (WRA). Descriptive analyses, tests for outcome differences, and multilevel mixed-effects logistic regression were conducted at a 5% statistical significance level using STATA version 17. The results were reported using Adjusted Odds Ratios (aOR) as the measure of the outcome. Results The study analyzed responses from 29,802 WRA with a mean age of 27.8 (± 6.8) years. Only 8.8% (95% CI 8.5–9.3) achieved the MDD-W, the least proportion was observed in the South-Central region (3.13%). In the adjusted analysis, WRA who were older than 25 years (aOR 1.1, 95% CI 1.1–1.3, p < 0.001), had secondary education (aOR = 1.4, 95% CI 1.1–1.7, p = 0.003) or above (aOR = 1.7, 95% CI 1.3–2.2, p < 0.001), and used modern contraceptives (aOR = 1.1, 95% CI 1.0-1.3, p = 0.01) were more likely to achieve the MDD-W. Conversely, WRA who travelled longer distances to the nearest household water source (aOR = 0.8, 95% CI 0.7–0.9, p = 0.002) and those residing in larger households (aOR = 0.9, 95% CI 0.8-1.0, p = 0.019) were less likely to achieve the MDD-W. Conclusion A low proportion of WRA met the MDD-W. Age, education level, household sizes and use of modern contraception were predictors of MDD-W among WRA in Uganda. MDD-W-related program efforts in Uganda should strengthen multisectoral collaboration with prioritization of younger women, education, household sizes and access to safe water sources.
first_indexed 2024-03-07T15:16:06Z
format Article
id doaj.art-722c9ec2344e4a69bd49c2920d88b828
institution Directory Open Access Journal
issn 2055-0928
language English
last_indexed 2024-03-07T15:16:06Z
publishDate 2024-03-01
publisher BMC
record_format Article
series BMC Nutrition
spelling doaj.art-722c9ec2344e4a69bd49c2920d88b8282024-03-05T17:55:47ZengBMCBMC Nutrition2055-09282024-03-011011910.1186/s40795-024-00858-6Prevalence and determinants of minimum dietary diversity for women of reproductive age in UgandaDerrick Kimuli0Florence Nakaggwa1Norah Namuwenge2Rebecca N. Nsubuga3Kenneth Kasule4Sheila Nyakwezi5Jimmy Odong6Paul Isabirye7Solome Sevume8Norbert Mubiru9Daniel Mwehire10Fatuma Matovu11Bonnie Wandera12Barbara Amuron13Daraus Bukenya14Social & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivityThe United States Agency for International Development Uganda, US Mission Compound - South WingSocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivityThe United States Agency for International Development Uganda, US Mission Compound - South WingThe United States Agency for International Development Uganda, US Mission Compound - South WingThe United States Agency for International Development Uganda, US Mission Compound - South WingSocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivityAbstract Background Globally, over a billion women of reproductive age (WRA) suffer from some kind of undernutrition micronutrient deficiencies, and/or anemia as a result of inadequate dietary diversity. This leads to poor maternal and child health outcomes, however, there is limited research on population level research on minimum dietary diversity for women (MDD-W). This study assessed the prevalence and predictors of MDD-W among WRA in Uganda. Methods This study was a secondary analysis of data from the lot quality assurance sampling (LQAS) survey conducted across 55 Ugandan districts between May and September 2022. Women of various ages were interviewed across 5 study subgroups that this study used to construct its study population (WRA). Descriptive analyses, tests for outcome differences, and multilevel mixed-effects logistic regression were conducted at a 5% statistical significance level using STATA version 17. The results were reported using Adjusted Odds Ratios (aOR) as the measure of the outcome. Results The study analyzed responses from 29,802 WRA with a mean age of 27.8 (± 6.8) years. Only 8.8% (95% CI 8.5–9.3) achieved the MDD-W, the least proportion was observed in the South-Central region (3.13%). In the adjusted analysis, WRA who were older than 25 years (aOR 1.1, 95% CI 1.1–1.3, p < 0.001), had secondary education (aOR = 1.4, 95% CI 1.1–1.7, p = 0.003) or above (aOR = 1.7, 95% CI 1.3–2.2, p < 0.001), and used modern contraceptives (aOR = 1.1, 95% CI 1.0-1.3, p = 0.01) were more likely to achieve the MDD-W. Conversely, WRA who travelled longer distances to the nearest household water source (aOR = 0.8, 95% CI 0.7–0.9, p = 0.002) and those residing in larger households (aOR = 0.9, 95% CI 0.8-1.0, p = 0.019) were less likely to achieve the MDD-W. Conclusion A low proportion of WRA met the MDD-W. Age, education level, household sizes and use of modern contraception were predictors of MDD-W among WRA in Uganda. MDD-W-related program efforts in Uganda should strengthen multisectoral collaboration with prioritization of younger women, education, household sizes and access to safe water sources.https://doi.org/10.1186/s40795-024-00858-6Dietary diversityGeographic locationWomenEducation
spellingShingle Derrick Kimuli
Florence Nakaggwa
Norah Namuwenge
Rebecca N. Nsubuga
Kenneth Kasule
Sheila Nyakwezi
Jimmy Odong
Paul Isabirye
Solome Sevume
Norbert Mubiru
Daniel Mwehire
Fatuma Matovu
Bonnie Wandera
Barbara Amuron
Daraus Bukenya
Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda
BMC Nutrition
Dietary diversity
Geographic location
Women
Education
title Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda
title_full Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda
title_fullStr Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda
title_full_unstemmed Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda
title_short Prevalence and determinants of minimum dietary diversity for women of reproductive age in Uganda
title_sort prevalence and determinants of minimum dietary diversity for women of reproductive age in uganda
topic Dietary diversity
Geographic location
Women
Education
url https://doi.org/10.1186/s40795-024-00858-6
work_keys_str_mv AT derrickkimuli prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT florencenakaggwa prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT norahnamuwenge prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT rebeccannsubuga prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT kennethkasule prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT sheilanyakwezi prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT jimmyodong prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT paulisabirye prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT solomesevume prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT norbertmubiru prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT danielmwehire prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT fatumamatovu prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT bonniewandera prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT barbaraamuron prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda
AT darausbukenya prevalenceanddeterminantsofminimumdietarydiversityforwomenofreproductiveageinuganda