Household dietary diversity across regions in Ethiopia: Evidence from Ethiopian socio-economic survey data

Abstract

Background Household food and nutrition insecurity continued to be a development and policy agenda in Ethiopia. Assessing the patterns and determinants of household dietary diversity is an important area of research given its importance for policy uptake in the country. This study is, therefore, initiated to identify the dominant food groups consumed by households and to investigate the determinants of household dietary diversity in the country. Method We used data from the 4th wave of the Ethiopian socioeconomic survey. The survey data for this study included 3,115 households living in rural areas (hereafter called ‘rural households’). Household Dietary Diversity Score (HDDS) was calculated and categorized as per the FAO’s recommendation: low HDDS category for those who consume three or less food groups, medium HDDS for those who consume four to six, and high HDDS for those who consume seven and more food groups during the past seven days. Ordinal logistic regression model was employed to estimate the determinants of rural household’s dietary diversity. Results Cereals were the most dominant food group consumed by 96.4% of the households followed by pulses, which was consumed by 82% of the households Nutrition-dense food commodities such as lean meat, vegetables and fruits were the least consumed food groups by households in Ethiopia. In terms of determinants of dietary diversity, female headed households have 38% more chance of consuming diverse foods compared to their male-headed counterparts (AOR = 1.38, 95% CI: 1.10, 1.73). Household heads who completed secondary education and above have 62% more chance of consuming diverse foods compared to uneducated household heads (AOR = 1.62, 95% CI: 1.2, 2.30). Household heads who are single have 37% less chance of consuming diverse foods compared to those household heads who are married (AOR = 0.63, 95% CI: 0.50, 0.80). Those households located in Harari regional state and in the rural surroundings of Diredawa town have 6.56 times more chance of consuming diverse foods compared to those households living in Tigray and Amhara regional states (AOR = 6.56, 95% CI: 4.60, 9.37). The results also highlighted that households who are in the upper wealth category have 9 times more chance of consuming diverse foods compared to those households who are the lower wealth category (AOR = 8.54, 95% CI: 6.79, 11.98).