Teshome Roza (prof)Fantahun Addishiwet(Msc)Tolesa Fikadu2020-11-242023-11-062020-11-242023-11-062020-06http://etd.aau.edu.et/handle/123456789/23484Background: Adequate consumption of diversified food during pregnancy enables adequate intake of eleven important micronutrients. Pregnant women who consumed inadequate dietary diversity during pregnancy have high percentage of delivering preterm, still birth, low birth weight, and small for gestational age newborn. Therefore, this study aims to assess dietary diversity adequacy and associated factors among pregnant women attending antenatalcare at public health facilities in Fitche town, Oromia region, Ethiopia 2020. Methods:An institution-based cross-sectional study was conducted on 400 pregnant women attending antenatal care at publichealth facilities in Fitche town, in 2020.Study participants were selected by systematic random sampling method. Data wereentered in to Epi data version 4.6and exported to Statistical Package for Social Science version 24 for analysis.Description of means, frequencies and proportions of the given data for each variable was calculated.Results from bivariate analysis of p<0.25 were moved to multivariable logistic regression model analysis.Any statistical test with the P-value <0.05 at 95% confidence interval was considered as statistically significant. Results: The study revealed that 55.4% of the pregnant women had adequate dietary diversity.Being urban dweller (AOR=2.4. 95% CI: 1.1, 5.18), being housewife(AOR=3.44, 95% CI: 1.37,8.68), employed(AOR=3.69, 95% CI: 1.12, 12.16), merchant(AOR=3.43, 95% CI: 1.15, 10.24),daily laborer(AOR=3.66, 95% CI: (1.0, 13.45), low average monthly household income less than 500 Ethiopian birr(AOR=0.25, 95% CI: 0.07, 0.83), practicing home gardens(AOR=2.5,95% CI : 1.39, 4.5), meal frequency three and above times per day(AOR=2.9, 95% CI: 1.64,5.09), and receiving dietary counseling during antenatal care(AOR=3.56, 95% CI: 2.0, 6.35)were factors associated with pregnant women dietary diversity. Conclusions and Recommendations: This study found that 55.4% of pregnant women consumed adequate dietary diversity.Place of residence, women’s occupation, average monthly household income, practicing home gardens, meal frequency per day and receiving dietary counseling during antenatal care were strong predictors of adequate dietary diversity. Therefore, attention should be paid to pregnant women diet by health care provider during antenatal care.en-USMicronutrient adequacy, pregnant women diet, adequate dietary diversity.Thesis