scholarly journals Dietary Diversity Practice and Associated Factors among Children Aged 6–23 Months in Robe Town, Bale Zone, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Shumi Bedada Damtie ◽  
Tomas Benti Tefera ◽  
Mekonnen Tegegne Haile
Keyword(s):  
Associated Factors ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Media Exposure ◽  
Sampling Technique ◽  
Systematic Sampling ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Adequate Food ◽  
Minimum Dietary Diversity

Background. Diet diversification is essential to prepare adequate food that is useful for children’s physical and cognitive development. Despite the limited studies performed in different parts of Ethiopia, the information about the feeding practice of children in the current study area is not documented. Thus, this study intended to assess the dietary diversity practices and associated factors among children aged 6–23 months. Methods. Community-based cross-sectional study was conducted on 517 children aged 6–23 months paired with their mothers in Robe town. Systematic sampling technique was applied to select a child-mother pair. Data were collected using a pretested and structured questionnaire. Multivariate logistic regression analyses were used to identify the factors associated with the dependent variable. Adjusted odds ratios with 95% confidence interval were used to assess the strength of association and level of significance. Results. From a total of 508 children included, making a 98% response rate, 77% of them did not meet the minimum dietary diversity. Children aged 12–23 months were more likely fed diversified food when compared with those aged 6–11 months (AOR = 2.99). Mothers whose educational level was secondary and above (AOR = 3.21), had media exposure (AOR = 3.99), and were knowledgeable about diet diversification (AOR = 8.5) were more likely to feed their child diversified food than their counterpart. Children whose father was a merchant were more likely to receive a diversified diet compared to those whose fathers were daily laborers. Conclusions. Inadequate practices of minimum dietary diversity observed in the current study area were mainly associated with the child’s age, maternal education, mothers’ knowledge on diet diversification, and media exposure. Improving knowledge of mothers, increasing their education, and promoting appropriate infant and child feeding practices through media are an important intervention to improve dietary diversity practices.

scholarly journals Minimum Dietary Diversity Score and Associated Factors among Pregnant Women at Alamata General Hospital, Raya Azebo Zone, Tigray Region, Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Kemal Jemal ◽  
Mukemil Awol
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
General Hospital ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Sampling Technique ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Minimum Dietary Diversity

Background. Consumption of diversified food during pregnancy found very important and critical to determine healthy pregnancy outcome. Low dietary diversity has a major adverse effect on mothers, fetus, and life of new born. Dietary diversity is still low in low-resourced countries. Therefore, this study aims to determine prevalence of minimum dietary diversity score (MDDS) and associated factors among pregnant women. Methods. Facility-based cross-sectional study was conducted from April to May, 2017, in Alamata General Hospital (AGH). Data were collected using a pretested and structured self-interview questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression and odds ratio with 95% confidence interval (CI) were carried out to see the association between variables and the outcomes. Results. From a survey of 412 participants, 61.2% had high MDDS and 38.8% had low MDDS. Multivariate analysis revealed that being government employees (AOR = 4.87, CI: 1.70–13.95), merchant (AOR = 4.67, CI: 1.81–12.05), secured food (AOR = 3.85, CI: 2.12–6.97), and eating three meals and above (AOR = 2.66, CI: 1.47–4.82) were significantly associated with high MDDS among pregnant women. Conclusions. In our study, minimum dietary diversity shows small increment from previous study. Screening and special emphases should be given by a health-care provider on women diet during antenatal follow-up at health-care settings.

scholarly journals 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

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Andualem Agize ◽  
Dube Jara ◽  
Getiye Dejenu
Keyword(s):  
Marital Status ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Child Feeding ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Minimum Dietary Diversity

Background. Globally, undernutrition is responsible for at least 35% of deaths in children less than 5 years of age and estimated 6% of under-five deaths can be prevented by ensuring optimal complementary feeding especially the dietary diversity and meal frequency. In Ethiopia, 5% of children were fed according to minimum standards with respect to food diversity.Objective. To assess the level of knowledge and practice of mothers on dietary diversity practices and associated factors for children 6–23 months in Adea woreda.Methods. Community-based cross-sectional study was conducted. A sample of 730 mothers who have children in the age group of 6–23 months were selected using systematic sampling. Logistic regression model was fitted in order to identify factors associated with knowledge and practice of dietary diversity practice.Result. Of the total 700, 357 (51%) were knowledgeable on dietary diversity but 112 (16%) practiced appropriate dietary diversity practice for their 6–23-month-old children. Husbands’ education (AOR = 2.79, 95% CI = (1.55, 5.00)), mothers’ age, and marital status were significantly associated with knowledge of mothers. Mothers’ age, husbands’ education, marital status, and knowledge of mothers were significantly associated with mothers’ dietary diversity for 6–23-month-old children.Conclusion. This study showed that approximately half of the mothers have good knowledge on minimum dietary diversity for children 6–23 months old and very low proportion of children 6–23 months old received diversified meal according to Infant and Young Child Feeding indicators. It was identified that different factors are responsible for this discrepancy.

scholarly journals Minimum Dietary Diversity Practice and Associated Factors among Children Aged 6 to 23 Months in Dire Dawa City, Eastern Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199663
Author(s):  
Alekaw Sema ◽  
Yalelet Belay ◽  
Yonatan Solomon ◽  
Assefa Desalew ◽  
Abebaw Misganaw ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Associated Factors ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Dire Dawa ◽  
Minimum Dietary Diversity

Objective: Malnutrition because of poor dietary diversity contributing to child morbidity and mortality. Two-thirds of child mortality occurs within the first 2 years. However, there is limited data related to dietary diversity among children aged 6 to 23 months in Ethiopia. Thus, this study aimed to assess dietary diversity and factors among children aged 6 to 23 months in the study setting. Methods: A community-based cross-sectional study conducted on 438 children aged 6 to 23 months in Dire Dawa, 1-30/02/2019. Simple random sampling was used to select study subjects. Data collected using a structured and pretested interview administered questionnaire. Data entered using EpiData 4.2 and analyzed with SPSS Version 22. Multivariable logistic regression was used to examine associated factors. Adjusted odd-ratio with 95% confidence interval (CI) used, and P-value <.05 considered statistically significant. Results: The overall minimum dietary diversity practice was 24.4% (95% CI: 20.3, 28.5). Maternal education [AOR 2.20; 95% CI: 1.08, 4.52], decision-making [AOR = 2.5; 95% CI: 1.19, 5.29], antenatal care [AOR = 2.19; 95% CI: 1.20, 3.99], postnatal care [AOR = 6.4; 95% CI: 2.78, 14.94] and facility delivery [AOR = 2.66; 95% CI: 1.35, 5.25] were maternal factors. Moreover, child’s age [AOR = 2.84; 95% CI: 1.39, 5.83], and child’s sex [AOR = 2.85; 95% CI: 1.64, 4.94] were infant factors. Conclusion: One-fourth of children practiced minimum dietary diversity. Child’s age, birth interval, postnatal care, antenatal care, child’s sex, mothers’ decision-making, mothers’ education, and place of delivery were significant predictors. Therefore, maternal education, empowering women, and improve maternal service utilization are crucial to improving dietary diversity.

scholarly journals Minimum Dietary Diversity and Associated Factors among Lactating Mothers in Ataye District, North Shoa Zone, Central Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
History Of ◽  
Minimum Dietary Diversity

Background. Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia. Methods. A community-based cross-sectional study design was used among 652 lactating mothers aged 15–49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model. Results. The prevalence of minimum dietary diversity among lactating mothers was 48.8% (95% CI: (44.7%, 52.9%). Having formal education ((AOR = 2.16, 95% CL: (1.14, 4.09)), a final say on household purchases ((AOR = 5.39, 95% CI: (2.34, 12.42)), home gardening practices ((AOR = 2.67, 95% CI: (1.49, 4.81)), a history of illness ((AOR = 0.47, 95% CI: (0.26, 0.85)), good knowledge of nutrition ((AOR = 5.11, 95% CI: (2.68, 9.78)), being from food-secure households ((AOR = 2.96, 95% CI: (1.45, 6.07)), and medium ((AOR = 5.94, 95% CI: (2.82, 12.87)) and rich wealth indices ((AOR = 3.55, 95% CI: (1.76, 7.13)) were significantly associated with minimum dietary diversity. Conclusion. The prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households, and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mother’s decision-making autonomy, nutrition knowledge, household food security, and wealth status.

scholarly journals PROPORTION OF EARLY ANTENATAL CARE BOOKING AND ASSOCIATED FACTORS IN MEKELLE CITY, PUBLIC HEALTH INSTITUTIONS, NORTHERN ETHIOPIA, 2015

2018 ◽  
Vol 11 (4) ◽  
pp. 409
Author(s):  
Gebreamlak Gidey ◽  
Desta Abraha
Keyword(s):  
Antenatal Care ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
World Health ◽  
Systematic Sampling ◽  
Northern Ethiopia ◽  
Cross Sectional ◽  
Mekelle City

 Objective: The objective of this study was to assess the proportion and associated factors for early initiation of antenatal care visit in Mekelle City, Tigray, Northern Ethiopia, 2015.Method: An institution-based cross-sectional study was employed among 391 pregnant women’s in Mekelle special zone. A systematic sampling technique was used to select study participants. Pretested structured questionnaire was used to collect the data through interview. Data were entered into EPI info version 7 and analyzed using SPSS version 20, respectively. Bivariate and multivariate logistic regression was done to see significant variables with p<0.05 at 95% confidence interval (CI).Result: The proportion of pregnant women who initiate early antenatal care (ANC) visit was found to be 41.1%. Perceived correct time of initiation before 4 months (adjusted odds ratio [AOR]=3.261, 95% CI 1.391–7.645) and correct time told by others before 4 months with (AOR=6.617, 95% CI 2.580, 16.971) were found to have statistically significant positive outcomes association with early initiation of antenatal care visit.Conclusion: The proportion of early ANC initiation in Mekelle is lower than the World Health Organization recommendation which is <16 weeks gestation. Therefore, providing information to the community, initiation counseling, and providing health education on the benefits early ANC is crucial to improving maternal, neonatal, and child health outcomes.

scholarly journals Maternal minimum dietary diversity and associated factors among pregnant women, Southwest Ethiopia, 2021

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Abel Girma Tilahun ◽  
Abebaw Molla Kebede
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Systematic Sampling ◽  
Age Group ◽  
Food Groups ◽  
Minimum Dietary Diversity

Abstract Background Inadequate dietary diversity intake during pregnancy increases risks of intrauterine growth restriction, abortion, low birth weight, preterm birth, prenatal and infant mortality,and morbidity and has long-lasting health impacts. Dietary diversity during pregnancy promotes the health status of the mother and her fetus. This study aimed to assess the magnitude of minimum dietary diversity and associated factors among pregnant women attending antenatal care. Methods A facility-based cross-sectional study was conducted among 274 pregnant women who attended antenatal care at Wacha primary hospital from January to February 2021. A systematic sampling method was used to select the study participants. The data were collected through face-to-face interviews using a structured and semi-structured questionnaire. Bivariate logistic regression was done to identify factors associated with maternal dietary diversity. Finally, multivariate logistic regression was done, and variables that showed P values of < 0.05 were considered statistically significant. Result The magnitude of minimum dietary diversity was 51% (95% CI: 44.5, 56.7). The mean (±SD) minimum dietary diversity score was 4.5 (± 1.268) with a minimum of 1 anda maximum of 8 food groups consumed out of ten food groups. Age fewer than 25 years (AOR 4.649; 95% CI; 1.404, 15.396), and the age group between 25 to 34 years (AOR 3.624; 95% CI: 1.315, 10.269), husband age group of 26 to 34 years (AOR 2.238; 95% CI; 1.028,4.873), and 35 to 44 years (AOR 3.555; 95% CI; 1.228,10.292) and nutrition awareness of women (AOR 2.182; 95% CI; 1.243, 3.829) were significantly associated with minimum dietary diversity. Conclusion The consumption of minimum dietary diversity of the pregnant mothers was found to be low. Women aged less than 25 and age between 25 to 34 years, husband’s age between 26 to 34 and 35 to 44 years, and nutrition awareness were the factors significantly associated with minimum dietary diversity. Therefore, providing nutrition education and counseling service warranted to promote maternal dietary diversity.

scholarly journals Individual dietary diversity is strongly associated with stunting in infants and young children

2017 ◽  
Vol 14 (1) ◽  
pp. 19 ◽  
Author(s):  
Bunga Astria Paramashanti ◽  
Yhona Paratmanitya ◽  
Marsiswati Marsiswati
Keyword(s):  
Young Children ◽  
Protective Factor ◽  
Dietary Diversity ◽  
Economic Status ◽  
Sampling Technique ◽  
Optimal Growth ◽  
Feeding Practice ◽  
Food Groups ◽  
Cross Sectional ◽  
Infants And Young Children

Background: The increased nutrient fulfillment is required for optimal growth and development during the first two years of life. Based on WHO, dietary diversity is one of core indicators for assessing diet quality and adequacy.Objective: This study aimed to understand the association between individual dietary diversity and stunting in infants and young children in Sedayu Subdistrict, Bantul District, Yogyakarta, Indonesia.Method: This study used cross-sectional design. It was conducted from February to March 2016 in Sedayu Subdistrict. Subjects were 189 infants and young children aged 6-23 months selected by probability proportional to size sampling technique. Individual dietary diversity was assessed by minimum dietary diversity with the consumption of 4 or more food groups of the total 7 food goups. Data were analyzed by using statistics descriptive, Chi-Square test, and multiple logistic regression.Results: Poor dietary diversity (OR=16,76; 95%CI: 6,77-41,51) was significantly related with stunting. Other factor associated with stunting was low birth weight (OR=5,12; 95%CI: 2,11-12,43). In addition, appropiate time of introducing complementary food (OR=0,32; 95%CI: 0,13-0,75) was a protective factor against stunting. Household economic status acted as an effect modifier and confounding factor between dietary diversity and stunting.Conclusion: Consumption of diverse diet at least 4 food groups reduced the risk of stunting in infants and young children. Efforts should be made to improve dietary diversity in complementary feeding practice.

scholarly journals Patients’ satisfaction with outpatient pharmacy services and associated factors in Debre Tabor comprehensive specialized hospital, Northwest Ethiopia: A cross-sectional study

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262300
Author(s):  
Mulugeta Molla ◽  
Woretaw Sisay ◽  
Yared Andargie ◽  
Belayneh Kefale ◽  
Pradeep Singh
Keyword(s):  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Public Hospitals ◽  
Systematic Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Patients Satisfaction

Introduction By measuring patients’ satisfaction, providers can gain insight into several elements of health care services, including the effectiveness of their care and the level of empathy they exhibit. The aim of this study was to assess patient satisfaction with pharmaceutical services and associated factors in public hospitals located in Northwestern Ethiopia. Methods An institution-based quantitative cross-sectional study was used. The study was carried out in an outpatient pharmacy from January 1–June 30, 2021. Participants were selected by a systematic sampling technique. The IBM SPSS statistical package (version 23) was used to enter and analyze the collected data. The findings were presented using descriptive statistical methods. To find factors linked to satisfaction, binary logistic regression was used. Results The final analysis included a total of 401 samples. More than half of the participants (229, or 55.1%) were female. The overall mean score of satisfaction was 30.6 out of a maximum of 100 scores. By taking this mean score as a cut-off point, 204 (50.9%) of the study participants had satisfaction with the outpatient pharmacists’ service. Participants’ responses scored on the uncomfortable and inconvenient waiting areas [AOR = 0.31; 95%CI, (0.13, 0.49)] were found to be negatively associated with the level of patients’ satisfaction. Also, the unavailability of medications [AOR = 0.12; 95%CI, (0.02, 0.37)] was negatively associated with the respondent satisfaction. Uncomfortable and inconvenient private counseling areas [AOR = 1.37; 95%CI, (0.79, 4.42)] showed a negative association with their satisfaction. Conclusion Patients’ satisfaction levels with pharmacy service were found to be greater than 50%. The socio-demographic characteristics of patients have no association with their level of satisfaction, but their perception of uncomfortable private counseling areas and waiting areas was negatively associated with their satisfaction.

scholarly journals Minimum Dietary Diversity and Associated Factors among Lactating Mothers in Ataye District, North Shoa Zone, Central Ethiopia: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
History Of ◽  
Minimum Dietary Diversity

AbstractBackgroundLow dietary diversity superimposed with poor quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia.MethodsA community-based cross-sectional study design was used among 652 lactating mothers aged 15-49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model.ResultsThe prevalence of minimum dietary diversity among lactating mothers was 48.8%, (95% CI: (44.7%, 52.9%). Having formal education [(AOR=2.16, 95% CL: (1.14, 4.09)], a final say on household purchases [(AOR=5.39, 95% CI: (2.34, 12.42)], home gardening practices [(AOR=2.67, 95% CI: (1.49, 4.81)], a history of illness [(AOR=0.47, 95% CI: (0.26, 0.85), good knowledge of nutrition [(AOR=5.11, 95% CI: (2.68, 9.78)], being from food-secure households [(AOR=2.96, 95% CI: (1.45, 6.07)] and medium [(AOR=5.94, 95% CI: (2.82, 12.87)] and rich wealth indices [(AOR= 3.55, 95% CI: (1.76, 7.13)] were significantly associated with minimum dietary diversity.ConclusionThe prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mothers decision-making autonomy, nutrition knowledge, household food security and wealth status.

scholarly journals Feeding practice and associated factors among infants and children with common childhood illness at Dabat Health and Demographic surveillance System site: A community based cross-sectional study

2020 ◽  
Author(s):  
Gashaw Andargie Bikes ◽  
Amare Tariku ◽  
Molla Mesele Wassie ◽  
Solomon Mekonnen ◽  
Esmeal Ali Muhammad ◽  
...  
Keyword(s):  
Surveillance System ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Demographic Surveillance System ◽  
Feeding Practice ◽  
Meal Frequency ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Minimum Dietary Diversity

Abstract Background: Optimal feeding practices are recommended to improve nutritional status and prevent the common childhood illnesses. Studies on the feeding practice of children including meal frequency and dietary diversity are scarce in children with illness. Therefore, we aimed to assess feeding practice and its associated factors among children aged 6-59 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia. Methods : A community based cross-sectional study was conducted in Dabat HDSS site from February to June 2016 on 1,174 mother-child pairs. A multistage stratified sampling followed by a systematic random sampling technique was employed to select the study participants. A binary logistic regression model was fitted to identify factors associated with children’s feeding practice. A crude odds ratio and adjusted odds ratio with its 95% confidence intervals (CI) were calculated to see the strength of association and significance of the identified factors with feeding practices. Result: The overall prevalence of a minimum dietary diversity practice and a minimum meal frequency was 27 % (95%CI: 24.4, 29.7) and 83.7 %( 95%CI: 91.7, 86.0), respectively. Having antenatal care (ANC) service (AOR = 1.6; 95% CI: 1.18, 2.27) and institutional delivery (AOR = 2.6; 95% CI: 1.85, 3.55) increased odds of an adequate dietary diversity in children. On the contrary, the odds of practicing an adequate dietary diversity was lower among a household obtained food from home gardens (AOR = 0.4; 95% CI: 0.29, 0.52) and currently breast fed children (AOR = 0.6; 95% CI: 0.42, 0.78). The probability of having a minimum meal frequency was decreased among children in the first two years of age (AOR = 0.1; 95% CI: 0.06, 0.15), however increased in children who fed alone (AOR = 1.9; 95% CI: 1.29, 2.69). Conclusion: The proportion of children who received the minimum dietary diversity was low while the proportion of children who obtained minimum meal frequency was good. Providing a health and nutrition counseling on Infant and Young Child Feeding during maternal ANC services and delivery period are recommended for achieving the recommended dietary practices.

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