INTRODUCTION Adequate dietary diversity is vital for the survival, growth and development of infants and children. Inadequate dietary diversity is the major cause of micronutrient deficiency in Sub-saharan Africa, including Ethiopia, where only less than one-fourth of the children aged 6-23 months obtain adequate diversified diet. Thus country implemented a strategy known as the Sustainable Undernutrtion Reduction (SUR) programs to alleviate the problem. However, empirical evidences are scarce on the impact of the program on children aged 6-23 months. Therefore, this study aimed to compare the level of dietary diversity among children aged 6-23 months in districts covered and not covered by SURE program in West Gojjam zone. METHODS A community based comparative cross-sectional study was conducted in three districts of West Gojjam zone, Ethiopia, from February 29 to April 20, 2019. A total of 832 mother and child pairs were selected by the simple random sampling technique. A pretested and structured interviewer-administered questionnaire was used to collect data. A binary logistic regression model was fitted to identify factors associated with dietary diversity. Crude odds and adjusted odds ratios with 95% confidence intervals (CI) were calculated to assess the strength of associations and significance of the identified factors for dietary diversity score. RESULT The overall proportion of adequate dietary diversity among children aged 6-23 months was 29.9% (95% CI: 27.0-33.0), whereas in SURE covered and uncovered districts it was 33.4% (95%CI: 29.0-38.and 26.4%(95% CI: 22.0, 31.0), respectively. ANC (Antenatal care) (AOR = 1.7; 95% CI: 1.16, 2.55) and postnatal care services (AOR = 2.1; 95% CI: 1.38, 3.28), participating in food preparation programs (AOR = 1.9; 95% CI: 1.19, 2.96), GMP (AOR = 2.74,95%CI:1.80, 4.18), vitamin A supplementation (AOR = 2.10,95%CI:1.22, 3.61) and household visits by health extension workers (AOR = 2.0; 95% CI: 1.25, 3.21) were significantly associated with dietary diversity. CONCLUSION The proportion of adequate dietary diversity was higher among children in the program than those out of the program. ANC visits, PNC follow-ups, women's participating in food preparation programs and household visits by health extension workers were significantly associated with dietary diversity. Therefore, and strengthening and scaling up the program to non covered districts and providing health and nutrition counseling on Infant and Young Child Feeding (IYCF) during ANC and PNC services are recommended for achieving the recommended dietary diversity.

中文翻译：

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埃塞俄比亚西北部6-23个月大儿童在营养减少计划和饮食多样性下的可持续发展：比较性横断面研究。

简介充足的饮食多样性对于婴儿和儿童的生存，生长和发育至关重要。饮食多样性不足是包括埃塞俄比亚在内的撒哈拉以南非洲微量营养素缺乏的主要原因，在该地区，只有不到四分之一的6-23个月大的儿童获得足够的多样化饮食。因此，该国实施了一项称为“减少可持续营养不足”（SUR）计划的战略来缓解这一问题。但是，该计划对6-23个月大的孩子的影响缺乏经验证据。因此，本研究旨在比较西Gojjam地区SURE计划覆盖和未覆盖地区6-23个月大儿童的饮食多样性水平。方法在埃塞俄比亚的西戈杰姆地区的三个地区进行了基于社区的比较性横断面研究。从2019年2月29日至4月20日。通过简单随机抽样技术选择了总共832对母子。使用经过预先测试和结构化的访调员管理的问卷来收集数据。拟合二元逻辑回归模型以识别与饮食多样性相关的因素。计算具有95％置信区间（CI）的原始几率和调整后的几率，以评估关联强度以及所确定因素对饮食多样性得分的重要性。结果6-23个月大的儿童中，饮食结构多样化的总体比例为29.9％（95％CI：27.0-33.0），而在SURE覆盖和未覆盖地区，这一比例为33.4％（95％CI：29.0-38。和26.4）。分别为（95％CI：22.0、31.0），ANC（产前护理）（AOR = 1.7； 95％CI：1.16、2.55）和产后护理服务（AOR = 2.1； 95％CI：1.16、2.55）。95％CI：1.38，3.28），参加食品制备程序（AOR = 1.9; 95％CI：1.19，2.96），GMP（AOR = 2.74,95％CI：1.80，4.18），维生素A补充剂（AOR = 2.10） ，95％CI：1.22，3.61）和卫生保健工作者的家访（AOR = 2.0； 95％CI：1.25，3.21）与饮食多样性显着相关。结论参加该计划的儿童中，饮食多样化的比例高于未参加该计划的儿童。ANC的访问，PNC的跟进，妇女参加食物制备计划以及卫生推广人员的家庭访问与饮食多样性密切相关。因此，