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Background ENGINE (Empowering New Generations for Improved Nutrition and Economic Opportunities) was a US Agency for International Development (USAID)–funded project implemented in Ethiopia from 2011 to 2016. ENGINE used a multisectoral approach to achieve the goals articulated in the Government of Ethiopia's National Nutrition Plan, among which is improvement in the dietary intakes of women and preschool-aged children. Objectives The objectives of the present research are 2-fold: 1) to document trends in women's dietary diversity (WDD) and 2) to identify factors associated with dietary diversity for women. Methods Descriptive statistics and multivariate, pooled analyses were calculated. Results Results indicate that WDD was low, ranging, on average, from 3.0 to 4.0 (out of a possible 10). Across the time points covered reflecting pregnancy and 1-y postpartum, only ∼13% to 17% of women met the Minimum Dietary Diversity Score for Women (MDD-W). Conclusions The production of both food and cash crops and the rearing of livestock were significant predictors of improved dietary diversity in women. The focus of ENGINE on a diverse set of agricultural activities improved WDD and MDD-W in a population of women where dietary diversity is poor. [ABSTRACT FROM AUTHOR]

Household decision-making influences choices related to the production, sale, purchase, and consumption of nutrient-rich foods. The present study assessed the effect of household decision-making in 2 regions of Ethiopia within 2 groups of households, most vulnerable households and model farmer households. The study focused on identifying barriers and facilitators relating to decisions about nutrient-rich foods—in this case fruits, vegetables, and animal source foods. The results provide insights into how future agricultural programs can affect key aspects of decision-making to maximize the positive impacts on diet and food security. [ABSTRACT FROM AUTHOR]

Economic growth and poverty reduction are not always sufficient to improve child health and nutritional status.Heifer Internationalpromotes livestock introduction and related training for community development and poverty alleviation. These programmes do not directly address child health or nutrition. To determine effects of its activities on these important outcomes,Heiferconducted a 4-year longitudinal investigation in rural Nepal. The intervention was associated with significantly improved child anthropometry (related to the duration of intervention exposure) and child health.Heiferactivities represent a viable ‘nutrition sensitive’ intervention, but these impacts take time to manifest and be sustained. [ABSTRACT FROM PUBLISHER]

Undernutrition is a major public health concern due to its association with the mortality and disease burden of women and children. This study aimed at identifying the extent and determinants of undernutrition among young pregnant women in Ethiopia. A multivariable regression analysis was fitted to identify determinants of undernutrition and anaemia in a sample of 1,393 pregnant women. Risk ratios (RRs) with 95% confidence interval (CI) were estimated. All the analyses were performed using STATA version 14 and adjusted for clustering. The study revealed that 38% of the women were undernourished and 22% were anaemic. Improved maternal education, RR = 0.94, 95% CI [0.89, 0.98]; higher wealth status, RR = 0.72, 95% CI [0.47, 0.95]; higher minimum dietary diversity for women, RR = 0.87, 95% CI [0.77, 0.98]; increased maternal height, RR = 0.96, 95% CI [0.94, 0.98]; and protected water source, RR = 0.93, 95% CI [0.86, 0.96], have decreased the risk of undernutrition while using unimproved toilet, RR = 1.31, 95% CI [1.06, 1.63], and depression, RR = 1.33, 95% CI [1.14, 1.55], increased the risk of anaemia. Animal source food consumption decreased both the risk of undernutrition, RR = 0.85, 95% CI [0.77, 0.94], and anaemia, RR = 0.91, 95% CI [0.85, 0.95]. The burden of undernutrition is still high. Although improved socio‐economic status and dietary practices decreased the risk of undernutrition, poor health and environmental conditions were still significant risk factors. These findings suggest the need to target this set of important determinants to significantly decrease the burden of undernutrition among young pregnant women. [ABSTRACT FROM AUTHOR]

Background: ENGINE (Empowering New Generations for Improved Nutrition and Economic Opportunities) was a US Agency for International Development (USAID)-funded project implemented in Ethiopia from 2011 to 2016. ENGINE used a multisectoral approach to achieve the goals articulated in the Government of Ethiopia's National Nutrition Plan, among which is improvement in the dietary intakes of women and preschool-aged children., Objectives: The objectives of the present research are 2-fold: 1 ) to document trends in women's dietary diversity (WDD) and 2 ) to identify factors associated with dietary diversity for women., Methods: Descriptive statistics and multivariate, pooled analyses were calculated., Results: Results indicate that WDD was low, ranging, on average, from 3.0 to 4.0 (out of a possible 10). Across the time points covered reflecting pregnancy and 1-y postpartum, only ∼13% to 17% of women met the Minimum Dietary Diversity Score for Women (MDD-W)., Conclusions: The production of both food and cash crops and the rearing of livestock were significant predictors of improved dietary diversity in women. The focus of ENGINE on a diverse set of agricultural activities improved WDD and MDD-W in a population of women where dietary diversity is poor., (© The Author(s) 2021. Published by Oxford University Press on behalf of the American Society for Nutrition.)