scholarly journals Factors Associated With Recommended Complementary Feeding Practices Among Children in Sidama and Oromia Regions in Ethiopia

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 164-164
Author(s):  
Ana Moyeda Carabaza ◽  
Mary Murimi ◽  
Alemneh Kabeta Daba ◽  
Jessie Vipham
Keyword(s):  
Food Insecurity ◽  
International Development ◽  
Nutrition Education ◽  
Maternal Employment ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional ◽  
Factors Associated ◽  
Feed The Future

Abstract Objectives To determine complementary feeding practices (CFP) among 6-to-23-month-old children and to identify associations between maternal and household characteristics with CFP. Methods Cross-sectional study conducted among rural communities located within the Sidama and Oromia regions in Ethiopia. Pairs of mothers and their children (N = 190) were randomly selected to participate in the survey. Data was collected using the WHO Infant and Young Child Feeding indicators, Household Food Insecurity Access Scale, and Knowledge on CFP. Multivariate logistic regressions were used to analyze factors associated with CFP. Results Most (87.4%) of the children achieved minimum meal frequency, while only 27.4% achieved minimum dietary diversity (MDD) and 26.8% minimum acceptable diet (MAD). Majority (80%) of the households were food insecure, with 40% of the households reporting severe food insecurity. Half (50.0%) of participating mothers showed poor levels of knowledge on CFP. Children of employed mothers were more likely to meet MDD (P = .014) and achieve MAD (P = .034). Furthermore, children of mothers that had adequate knowledge on the recommended CFP were more likely to achieve MDD (P < .001) and MAD (P < .001). In contrast, children living in households with an estimated annual income lower than $254 dollars were less likely to achieve MDD (P < .05) and MAD (P < .05). Similarly, children living in households with moderate to severe levels of food insecurity were less likely to achieve MDD (P = .003 and P = .012, respectively) and MAD (P = .005 and P = .023, respectively). Conclusions Complementary feeding practices were suboptimal in the Sidama and Oromia region in Ethiopia. Low household income and food insecurity seem to hinder the achievement of MDD and MAD, while maternal employment and knowledge on CFP contributed to a diversified and adequate diet among children. Thus, policies and interventions that target poverty, food insecurity, maternal unemployment, and nutrition education are necessary for the improvement of CFP. Funding Sources United States Agency for International Development (USAID) Bureau for Food Security as part of Feed the Future Innovation Lab for Livestock Systems.

scholarly journals Population-attributable risk estimates for factors associated with inappropriate complementary feeding practices in The Gambia

2017 ◽  
Vol 20 (17) ◽  
pp. 3135-3144 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Osita K Ezeh ◽  
Andre MN Renzaho
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Population Attributable Risk ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Attributable Risk ◽  
The Gambia ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional ◽  
Factors Associated

AbstractObjectiveThe present cross-sectional study aimed to determine population-attributable risk (PAR) estimates for factors associated with inappropriate complementary feeding practices in The Gambia.DesignThe study examined the first and most recent Demographic and Health Survey of The Gambia (GDHS 2013). The four complementary feeding indicators recommended by the WHO were examined against a set of individual-, household- and community-level factors, using multilevel logistic analysis. PAR estimates were obtained for each factor associated with inappropriate complementary feeding practices in the final multivariate logistic regression model.SettingThe Gambia.SubjectsLast-born children (n 2362) aged 6–23 months.ResultsInadequate meal frequency was attributed to 20 % (95 % CI 15·5 %, 24·2 %) of children belonging to the youngest age group (6–11 months) and 9 % (95 % CI 3·2 %, 12·5 %) of children whose mothers were aged less than 20 years at the time of their birth. Inadequate dietary diversity was attributed to 26 % (95 % CI 1·9 %, 37·8 %) of children who were born at home and 20 % (95 % CI 8·3, 29·5 %) of children whose mothers had no access to the radio. Inadequate introduction of solid, semi-solid or soft foods was attributed to 30 % (95 % CI 7·2 %, 38·9 %) of children from poor households.ConclusionsFindings of the study suggest the need for community-based public health nutrition interventions to improve the nutritional status of Gambian children, which should focus on sociocultural and economic factors that negatively impact on complementary feeding practices early in infancy (6–11 months).

scholarly journals Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

2014 ◽  
Vol 18 (4) ◽  
pp. 669-678 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Penelope Burns ◽  
Andrew Page ◽  
Michael J Dibley
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Meal Frequency ◽  
Factors Associated ◽  
Minimum Dietary Diversity ◽  
Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

scholarly journals Determinants and Current Level of Optimal Complementary Feeding Practices among Lactating Mothers of Children in Ambo Town, Oromia, Ethiopia

2020 ◽  
Vol 1 (1) ◽  
pp. 31-50
Author(s):  
Haile Abebe ◽  
◽  
Belay Assefa ◽  
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Current Level ◽  
Meal Frequency ◽  
Maternal Knowledge ◽  
Complementary Foods ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

An appropriate diet is critical in the growth and development of children especially in the first two years of life. Poor complementary feeding of children aged 6 months - 23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Therefore, this study aimed to assess determinants and current level of optimal complementary feeding practices among mothers of children aged 6 months to 23 months in Ambo town, Oromia Region. The study used cross sectional study design and targeted 336 mothers with children 6 months - 23 months olds. Information from the respondents were collected using standard questionnaire. Data entry and analysis was done using SPSS version 21.0 windows statistical software. All (100%) the children 6 months - 8 months old had received solid, semi-solid/soft foods. The minimum meal frequency was attained by 88.3% (95% CI 84.3-91.4) whereas the minimum dietary diversity was attained by 17.9% (95% CI 14.1-22.5). The minimum acceptable diet was attained by 15.4% (95% CI 11.9-19.8). Maternal knowledge on: importance of breastfeeding (87.3%); age of introduction of complementary foods (85.4%) and correct meal frequency for age (74.5%) was high. On the contrary, knowledge on the importance of enriching complementary foods (34.5%) was low. Mothers who knew the importance of a diverse diet were likely (chi-square test; p=0.001) to feed their children on a diverse diet. On the other hand, mothers who knew the importance of enriching complementary foods were likely to feed their children on a minimum acceptable diet (chi-square test; p = 0.007) and maternal knowledge on enriching complementary foods (OR = 3.41, p = 0.040) were significant predictors of consumption of Vitamin A rich foods, minimum meal frequency and minimum acceptable diet, respectively. Behaviour change and communication involving all the stakeholders in infant and young child feeding should be emphasized. Messages on appropriate feeding practices should include importance of dietary diversity

scholarly journals Factors Associated with Minimum Acceptable Diet in 6–11-Month-Old Indonesian Children Using the 2017 IDHS

2021 ◽  
Vol 9 (E) ◽  
pp. 1403-1412
Author(s):  
Eurika Zebadia ◽  
Trias Mahmudiono ◽  
Dominikus Raditya Atmaka ◽  
Mira Dewi ◽  
Siti Helmyati ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Complementary Feeding ◽  
Research Question ◽  
Secondary Analysis ◽  
Significant Risk ◽  
Wealth Index ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

BACKGROUND: Inadequate complementary feeding practices are known to contribute to children’s nutritional status. A minimum acceptable diet (MAD) is one of the simple, valid, and reliable indicators to assess complementary feeding practices in 6–23-month-old children on food diversity and meal frequency. Based on the UNICEF data, the MAD of 6–11 months in Indonesia was 26.3% in 2017 and the lowest compared to other groups. Hence, this study research question is posing toward several factors associated with the low MAD among 6–11 months infant. AIM: This study aimed to determine factors associated with MAD in 6–11-month-old children in Indonesia. METHODS: This study was a secondary analysis using the 2017 Indonesia Demographic and Health Survey. This is a cross-sectional study involving 17,848 children in Indonesia. Final sample to be analyzed were 1,441 children of 6–11-month-old. Logistic regression model was applied to identify the significant risk factors associated with MAD. RESULTS: The result showed that the prevalence of MAD in this study is 29%. From the multivariate logistic regression, wealth index, television ownership, and mother’s occupation were significantly associated with MAD of 6–11-month-old children in Indonesia. CONCLUSION: In conclusion, factors associated with MAD among 6–11-month-old children were wealth index, television ownership, and mother’s occupation.

scholarly journals Differences in Underlying Causes of Infant Malnutrition Between a Pastoral and an Agro Pastoral Community in Ethiopia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 247-247
Author(s):  
Ana Moyeda Carabaza ◽  
John Dawson ◽  
Mary Murimi
Keyword(s):  
Food Insecurity ◽  
Infant Health ◽  
Dietary Diversity ◽  
Household Survey ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Pastoral Community ◽  
Pastoral Communities ◽  
Feed The Future

Abstract Objectives To determine the difference in underlying factors related to child nutritional status between pastoral and agro pastoral based communities in Ethiopia. Methods This cross-sectional study was conducted in two rural pastoral communities located in the Somali region and agro pastoral community located in Southern Nations. Pairs of mothers and their infants aged 6 to 52 months were randomly selected to participate in the survey. Data was collected using the Household Food Insecurity Access Scale, Dietary Diversity, and Sanitation for Household Survey. Anthropometric measurements taken included height, length, and weight using WHO Anthro version 3.2.2. Chi-square tests were used to assess differences between communities. Logistic regression were used to analyze factors that contributed to infant health status. Results A total of 232 participants from both communities completed the survey. The agro pastoral community reported a higher food insecurity rate at 87% than the pastoral community at 70%. The prevalence of women not achieving the minimum dietary diversity was significantly higher in the pastoral community than the agro pastoral community (94% vs 68%, P < .001). Similarly, more households in the pastoral community reported accessing drinking water from unimproved sources (64% vs 0.9%, P < .001) and using unimproved toilet facilities (97% vs. 77%, P < .001) than the agropastoral community. Although almost all participants from both the agropastoral and pastoral communities reported washing their hands during critical times (100% and 96%) respectively. In addition, the pastoral community had significantly higher prevalence rates of infants’ wasting (44.5% vs 0%, P < .001) and underweight (47.8% vs 7.7%, P < .001) than the agro pastoral community. Conclusions Even though the prevalence of food insecurity was higher in the agro pastoral community than the pastoral community, they had lower rates of infant malnutrition. In contrast, although the pastoral community reported a lower rate of food insecurity, they had higher rates of child wasting and underweight, reported low dietary diversity, and poor hygiene practices. Based on these findings, dietary diversity and environmental sanitation may be protective of child wasting and underweight over and above food insecurity. Funding Sources Feed the Future Livestock Systems Innovation Lab (LSIL).

scholarly journals Feeding practices and factors associated with the provision of iron-rich foods to children aged 6-23 months in Matam area, Senegal

2021 ◽  
pp. 1-33
Author(s):  
Kossi Akpaki ◽  
Isabelle Galibois ◽  
Sonia Blaney
Keyword(s):  
Food Insecurity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Household Food Insecurity ◽  
Related Factors ◽  
Cross Sectional ◽  
Diet Diversity ◽  
Factors Associated ◽  
Household Food

Abstract Objective: The objectives of this study were to document feeding practices amongst rural Senegalese children aged 6 to 23 months, and to investigate psychosocial and environmental factors associated with the provision of iron-rich foods (IRF). Design: This was a cross-sectional study conducted from January through July 2018. Participants: Ninety-eight mothers of children aged 6-23 months. Setting: The study took place in the region of Matam, northern Senegal. Results: Results show that 27.6% of children were fed according to the minimum acceptable diet, and respectively, 55.1% and 53.1% had the minimum diet diversity and minimum meal frequency. About 65.3% of mothers provided IRF to young children the day before the survey, mostly fish. Mother‘s intention to provide IRF to their children was not associated with the provision of these foods neither was the perceived behavioural control. Child’s age (OR = 1.14, 95% CI = 1.03 - 1.26, p = 0.012) and household food insecurity score (OR = 0.80, 95% CI = 0.68 - 0.96, p = 0.014) were the predictors of the provision of IRF to children aged 6-23 months. Conclusions: Household food insecurity status and age of the child rather than mothers’ psychosocial factors were significant predictors of IRF consumption amongst children aged 6-23 months in the study area. More attention should be given to food environment and child-related factors in order to improve children feeding practices and, in particular, their consumption of IRF in the study setting. For instance, home visits and the 5-month-old vaccine consultation in health centers might be opportunities to reinforce the importance of providing IRF as part of complementary foods from the age of 6 months. Implementation of measures for the improvement of socioeconomic conditions and food security of households would also be valuable.

scholarly journals Magnitude and determinants of appropriate complementary feeding practice among mothers of children age 6–23 months in Western Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244277
Author(s):  
Marga Fanta ◽  
Hirut Assaye Cherie
Keyword(s):  
Nutrition Education ◽  
Formal Education ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Study Data ◽  
Feeding Practice ◽  
Cross Sectional ◽  
First Time ◽  
Western Ethiopia

Background Appropriate complementary feeding has the potential to prevent 6 percent of all under five deaths particularly in developing countries. However, infant and young child feeding practices in Ethiopia are suboptimal. Data on complementary feeding practices in Horro district are also lacking. Therefore, this study aimed to determine magnitude and determinants of appropriate complementary feeding practice among mothers of children age 6–23 months in Horro district, Western Ethiopia. Methods Community based cross sectional study was conducted from February to March 2016 in six kebeles of Horro district, Western Ethiopia. A total of 325 mothers of children age 6–23 months were included in the study. Data were collected using pre-tested interviewer administered structured questionnaire; entered into EPI-INFO version 3.5.4 and analyzed using SPSS version 20. Odds ratio was calculated with 95% CI to identify determinants of appropriate complementary feeding practice. P-values less than 0.05 were considered as statistically significant. Results The magnitude of appropriate complementary feeding practice in the study area was 9.91%. Lower age of child (6-11months) [AOR: 0.195, 95% CI: (0.045–0.846)], having no formal education [AOR = 0.115:95% CI: (0.002, 0.290)] and giving birth for the first time [AOR = 0.271:95% CI: (0.011, 0.463)] were factors negatively associated with appropriate complementary feeding practice. Conclusion Only one tenth of mothers practiced appropriate complementary feeding. This strongly calls for sustained nutrition education targeting uneducated mothers, mothers who gave birth for the first time and those with very young children to improve the practice.

scholarly journals Dietary diversity and its correlates among pregnant adolescent girls in Ghana

2020 ◽  
Author(s):  
LINDA AFRIYIE GYIMAH ◽  
REGINALD A ANNAN ◽  
CHARLES APPREY ◽  
ANTHONY K EDUSEI ◽  
LINDA ESI ADUKU ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Nutrition Education ◽  
Dietary Diversity ◽  
Diversity Index ◽  
Demographic Data ◽  
Dietary Quality ◽  
Food Aversion ◽  
Pregnant Adolescents ◽  
Dietary Recall ◽  
Factors Associated

Introduction Dietary diversity, a qualitative measure of dietary intake, which reflects the variety of foods consumed has been recommended to assuage nutritional problems related to insufficient micronutrients and food insecurity. To better understand the underlying factors for poor birth outcomes in Ghana, we assessed factors associated with dietary diversity among rural and urban pregnant adolescents in the Ashanti Region of Ghana. Methods As part of a larger longitudinal cohort of 416 pregnant adolescents, the FAO womens dietary diversity index was used to determine dietary diversity score (DDS) of the participants from a 3-day repeated 24-hour dietary recall data. The household hunger scale (HHS) and lived poverty index (LPI) were used to determine hunger and socioeconomic status. Eating behavior and socio-demographic data were gathered using interviewer-administered questionnaires. Results The mean DDS for participants was 4.3 but 59.7% of participants were below the minimum DD. More rural (67.1%) than urban dwellers (53.9%) had inadequate DDS (p=0.008). Urban dwelling adolescents recorded higher odds for adequate DD (OR=1.8 CI =1.0-2.8, p=0.034) compared to the rural respondents. Other factors associated with higher odds for adequate DD are income (OR=12.1, p = 0.043, 95%CI= 1.1-136.8), moderate (OR=2.1, p = 0.019, 95%CI=1.1-3.8) and high LPI (OR=2.2, p=0.007, 95%CI=1.2-3.9), practicing food aversion (OR=1.6, p = 0.046, 95%CI= 1.0-2.4), and pica (OR 1.6, p =0.043, 95%CI= 1.0-2.5). Conclusions Low DD is common among pregnant adolescents in this study and associated with poverty, food insecurity, rural living, pica practice, and food aversions. Livelihood support for pregnant teenagers and nutrition education are recommended interventions to improve dietary quality and limit the consequences of poor dietary diversity.

scholarly journals Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data

2011 ◽  
Vol 15 (5) ◽  
pp. 827-839 ◽  
Author(s):  
Charmaine S Ng ◽  
Michael J Dibley ◽  
Kingsley E Agho
Keyword(s):  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Meal Frequency ◽  
Factors Associated ◽  
Individual Household ◽  
Minimum Dietary Diversity

AbstractObjectiveThe present study aimed to assess complementary feeding practices and identify the potential risk factors associated with inappropriate complementary feeding in Indonesia for a nationally representative sample of births from 2004 to 2007.DesignThe data source for the analysis was the 2007 Indonesia Demographic and Health Survey. Multiple logistic regression was performed to analyse the factors associated with complementary feeding, using individual-, household- and community-level determinants.SettingIndonesia.SubjectsChildren (n 4604) aged 6–23 months.ResultsMultivariate analysis revealed that infants from poor households were significantly less likely to be introduced to complementary feeding (adjusted odds ratio, AOR = 4·32; 95 % CI 1·46, 12·80) and meet the minimum dietary diversity (AOR = 1·76; 95 % CI 1·16, 2·68). Mother's education (AOR for no education in dietary diversity = 1·92; 95 % CI 1·09, 3·38; AOR for no education in meal frequency = 2·03; 95 % CI 1·13, 3·64; AOR for no education in acceptable diet = 3·84; 95 % CI 2·07, 7·12), residence and decreased age of the infant were negatively associated with minimum dietary diversity, minimum meal frequency and an acceptable diet. Infants aged 6–11 months were also significantly less likely to meet minimum dietary diversity (AOR = 6·36; 95 % CI 4·73, 8·56), minimum meal frequency (AOR = 2·30; 95 % CI 1·79, 2·96) and minimum acceptable diet (AOR = 2·27; 95 % CI 1·67, 3·09). All geographical regions compared with Sumatra were more likely to give the recommended meal frequency and an acceptable diet to breast-fed children.ConclusionsPublic health interventions to improve complementary feeding should address individual-, household- and community-level factors which significantly influence the introduction of complementary feeding. Complementary feeding intervention programmes in Indonesia should ensure that restraints on families with low socio-economic status are addressed. Infants aged 6–11 months and mothers with low education levels may also need special focus. Promotion strategies should also target the health-care delivery system and the media.

scholarly journals Complementary Feeding Practices and Associated Factors Among Infants and Young Children 6–23 Months in Fort Portal Kabarole District Uganda (P11-049-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sharon Bagaaya ◽  
Henry Wamani ◽  
Richard Kajura
Keyword(s):  
Young Children ◽  
Low Income ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Infants And Young Children

Abstract Objectives To determine the prevalence of appropriate complementary feeding practices and associated factors among infants and young children 6–23 months in Fort Portal municipality Kabarole Uganda Methods A community based cross sectional study was conducted among 206 mothers/caregivers of infants and young children 6–23 months using both quantitative and qualitative methods. Probability proportionate to population size technique was used to select study subjects. A pretested WHO standard questionnaire for measuring infant and young child feeding practices was adopted for assessing complementary feeding practices. Appropriate complementary feeding was defined as attaining both minimum meal frequency and minimum dietary diversity in the last 24 hours. Prevalence ratios and there 95% confidence intervals were generated. Modified poisson regression analysis method was used to generate factors associated with appropriate complementary feeding. Five focus group discussions were conducted to capture participants perceptions on appropriate complementary feeding practices. Results The prevalence of appropriate complementary feeding was 21.4%. Formal employment (PR: 7.05; CI:1.69-29.36), cohabiting (PR: 2.15; CI: 1.10-4.18) and having no child illness (PR: 1.85; CI: 0.88-4.35) were associated with appropriate complementary feeding. Qualitative results showed that inadequate information and low income as major challenges towards appropriate complementary feeding practices. Conclusions Appropriate complementary feeding practices were low. unless interventions such as; health services access and women entrepreneurship are put in place, the inappropriate complementary feeding practices are unlikely to change. Funding Sources Ministry of Health Uganda. Supporting Tables, Images and/or Graphs

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