<p>A community-based prospective cohort study was conducted among 495 pregnant women enrolled at 16 to 20 weeks of gestation. Data were collected using a pre-tested, interviewer-administered structured questionnaire. Newborn anthropometric data was collected by midwives within 72 hours of delivery.&nbsp;</p><p>Principal component factor (PCF) analysis, test of proportion, and generalized structural equation model was employed to analyze the data. Variables with a p-value &lt; 0.25 were included to build the path diagram and the nlcom command was used to estimate the indirect and total effects. The goodness of fit was assessed using AIC and BIC.&nbsp;</p>