Pulse Brain · Growing Health Evidence Index
Tier 2 — RCT, large cohort or strong causal designPeer-reviewed

Impact of nutritional education on iron and folate adequacy and serum levels during pregnancy using a CRCT in Southern Ethiopia

Kaleb Mayisso; Tafese Bosha; Dessalegn Tamiru

Scientific Reports · 2026

Read source ↗ All evidence

Summary

This cluster-randomized controlled trial in Southern Ethiopia evaluated the effectiveness of Health Belief Model-based nutrition education in improving micronutrient status during pregnancy. The intervention significantly improved both dietary adequacy and blood biomarkers for iron and folate compared to standard care, with statistically significant differences in serum ferritin and serum folate levels (P < 0.001). The findings provide evidence that structured nutrition education can effectively enhance micronutrient adequacy and status in pregnant women.

Regional applicability

The study was conducted in Ethiopia and addresses micronutrient deficiencies during pregnancy in a low-income setting with limited dietary diversity. Whilst the UK has different baseline micronutrient status and healthcare infrastructure, the Health Belief Model-based educational approach may offer transferable principles for improving maternal nutrition knowledge and dietary practices in underserved UK populations or lower-income countries with comparable nutritional challenges.

Key measures

Nutrition knowledge, dietary practices, folate adequacy (β = 28.52), iron adequacy (β = 9.32), serum ferritin levels (β = 12.11 μg/L), serum folate levels (β = 2.26 ng/mL)

Outcomes reported

The study measured iron and folate dietary adequacy, serum ferritin levels, and serum folate levels in pregnant women following a nutrition education intervention based on the Health Belief Model. Significant improvements in both micronutrient adequacy and blood markers were observed in the intervention group compared to standard care controls.

Theme
Nutrition & health
Subject
Maternal, infant & child nutrition
Study type
Research
Study design
Cluster-randomized controlled trial
Source type
Peer-reviewed study
Status
Published
Geography
Ethiopia
System type
Human clinical
DOI
10.1038/s41598-026-68001-y
Catalogue ID
NRmuvsqka5-006

Topic tags

Pulse AI · ask about this record

Dig deeper with Pulse AI.

Ask about this record, its theme or its relevance to UK farming and policy. Pulse AI uses selected catalogue evidence and cites the sources it draws on.