International Journal of Neutrosophic Science IJNS 2690-6805 2692-6148 10.54216/IJNS https://www.americaspg.com/journals/show/2720 2020 2020 Regional Autonomous University of the Andes (UNIANDES), Ecuador Layal Layal Regional Autonomous University of the Andes (UNIANDES), Ecuador Carlos Javier L. Chapeta Regional Autonomous University of the Andes (UNIANDES), Ecuador Rosa E. Chuga Quemac College of Business Administration, American University of the Middle East, Kuwait Layal Kallach This study utilized Neutrosophic Cognitive Maps (NCMs) integrated with the D-OWA operator to analyze the nutritional rights of pregnant women in Ecuador, with a focus on the crucial role of nutrition education. The innovative application of the D-OWA operator enabled the computation of a composite centrality measure by merging key centrality indicators—degree, closeness, and betweenness—each appropriately weighted according to its relevance to the analysis. This methodology provided a sophisticated evaluation of the factors impacting maternal nutrition, demonstrating how combining various centrality measures offers a deeper and more comprehensive insight into the dynamics of complex systems. The calculated composite centrality measures revealed the system’s intricate structure, pinpointing critical nodes and pathways that could be targeted most effectively through interventions. The findings underscore the significant benefits of using composite centrality measures to enhance decision-making in public health and other sectors characterized by complexity and uncertainty. The potential for refining and expanding this approach in future research suggests that it could be further supported by technological advancements, enabling more efficient analysis and scalability across diverse complex systems. 2024 2024 50 57 10.54216/IJNS.240205 https://www.americaspg.com/articleinfo/21/show/2720