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Perumal et al. BMC Pregnancy and Childbirth 2013, 13:146 http://www.biomedcentral.com/1471-2393/13/146

RESEARCH ARTICLE

Open Access

Health and nutrition knowledge, attitudes and practices of pregnant women attending and not-attending ANC clinics in Western Kenya: a cross-sectional analysis Nandita Perumal1*, Donald C Cole1,2, Hermann Z Ouédraogo2, Kirimi Sindi2, Cornelia Loechl3, Jan Low2, Carol Levin4,5, Christine Kiria2, Jaameeta Kurji1 and Mary Oyunga6

Abstract Background: Antenatal care (ANC) is a key strategy to decreasing maternal mortality in low-resource settings. ANC clinics provide resources to improve nutrition and health knowledge and promote preventive health practices. We sought to compare the knowledge, attitude and practices (KAP) among women seeking and not-seeking ANC in rural Kenya. Methods: Data from a community-based cross-sectional survey conducted in Western Province, Kenya were used. Nutrition knowledge (NKS), health knowledge (HKS), attitude score (AS), and dietary diversity score (DDS) were constructed indices. χ2 test and Student’s t-test were used to compare proportions and means, respectively, to assess the difference in KAP among pregnant women attending and not-attending ANC clinics. Multiple regression analyses were used to assess the impact of the number of ANC visits (none,