scholarly journals Trends and Influencing Factors of Complementary Feeding Practices in Niger: An Analysis of National Surveys From 2000 – 2018

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 639-639
Author(s):  
Nan Dou ◽  
Evaniya Shakya ◽  
Raphia Ngoutane ◽  
Roger Sodjinou ◽  
Christine Kaligirwa ◽  
...  
Keyword(s):  
Influencing Factors ◽  
Maternal Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Demographic And Health Surveys ◽  
Access To Health Services ◽  
Regional Office ◽  
Individual Household ◽  
The Individual ◽  
Weighted Proportion

Abstract Objectives To examine the trends and influencing factors of suboptimal complementary feeding (CF) practices among children aged 6–23 months in Niger using national data from 2000 to 2018. Methods Using data from the 2000 Multiple Indicator Cluster Survey, 2012 Demographic and Health Surveys (DHS), and 2018 Standardized Monitoring and Assessment of Relief and Transitions survey in Niger, the trends and predictors of WHO-UNICEF CF indicators including timely introduction of complementary foods (INTRO), minimum meal frequency (MMF), minimum dietary diversity (MDD), and minimum acceptable diet (MAD) were estimated. Using the most completed data in CF and influencing factors (available from 2012 DHS), multilevel logistic regression models were applied to identify factors at the individual, household and community levels that were associated with meeting INTRO, MMF, MDD, and MAD. Results The weighted proportion of children aged 6–8 months meeting INTRO increased from 56.0% in 2000 to 84.4% in 2018. The weighted proportion of children meeting MMF (51.3% to 77.9%), MDD (9.8% to 14.2%), and MAD (5.6% to 10.9%) also increased between 2012 - 2018. At the individual level, children with mothers who were employed had higher odds of meeting all four indicators as compared to those whose mothers were unemployed. Older child age and maternal exposure to media were significantly associated with higher odds of meeting MMF, MDD, and MAD. Maternal education and child birth weight greater or smaller than average (reference) were positively associated with the odds of meeting MMF and MAD, and antenatal iron supplementation and currently breastfeeding were positively associated with the odds of achieving MDD and MAD. At the household level, the odds of meeting MMD and MAD were higher among children from wealthier households. At the community level, the odds of meeting INTRO and MMF were higher among children from communities with greater access to health services. Conclusions Despite the improvement in CF practices since 2000, only 10% of children from 6–23 months received minimum acceptable diets. Factors associated with CF were distributed across individual, household and community levels, suggesting the need for multi-level strategies to improve child nutrition in Niger. Funding Sources UNICEF West and Central Africa Regional Office (Grant # 43279190).

scholarly journals Using National Survey Data From Nigeria to Assess Maternal-Child Dietary Concordance and Inform Nutrition Program Strategy

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 389-389
Author(s):  
Nadia Akseer ◽  
Rebecca A Heidkamp ◽  
Andrew Thorne-Lyman
Keyword(s):  
Maternal Education ◽  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Maternal Diet ◽  
Food Group ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Food Groups ◽  
Diet Diversity ◽  
Maternal Child

Abstract Objectives Improving child diet diversity is a policy priority in many settings. Multiple factors influence complementary feeding practices in low-income countries including household food access, caregiver-level factors and cultural practices. Child's dietary data is often available in national surveys (i.e., Demographic and Health Surveys, DHS), but they typically lack diet data from adults. The 2018 Nigeria DHS was among the first to measure food group intake in both young children and women. We describe the relationship between child and maternal diet diversity in Nigeria and highlight implications for design of infant and young child feeding (IYCF) programs. Methods Using the Nigeria DHS 2018 dataset, we estimated consumption of individual food groups in the previous 24 hours as well as minimum dietary diversity for children 6–23 months (MDD-C) and their mothers, women 15–49 years (MDD-W) using WHO-UNICEF definitions. We compare rates of concordance and discordance between n = 8975 mother-child pairs for individual food groups and MDD using McNemar's tests. Probit regression was used to identify drivers of MDD-C. Results Nationally, 22% of children achieve MDD-C; 51% of mothers achieve MDD-W. For both populations, the most commonly consumed group is grains, roots and tubers (>80%) Dairy and eggs are the least consumed. Maternal-child (age 12–23 months) discordance is highest for consumption of legumes and nuts (36%), vitamin A rich fruits and vegetables (39%) and other fruits and vegetables (57%); mothers consume these more frequently. Children are more likely than mothers to consume dairy (19% vs 8%) and eggs (8% vs 4%). Maternal-child food group discordance is consistently higher for children 6–11months than children 12–23 months. Results vary at state level and by maternal age group. Children's MDD probability is increased by MDD-W (27%, P < 0.001), higher maternal education (8%, P < 0.01) and household wealth (7%, P < 0.01). Conclusions Maternal and child diet diversity is suboptimal in Nigeria. Maternal diet is a primary driver of child diet in Nigeria. Legumes and nuts and fruits and vegetables are available but not consistently fed to children; an important finding for IYCF program design. The forthcoming DHS-8 core questionnaire will provide child and maternal diet data for more than 90 countries. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Trends and determinants of minimum dietary diversity among children aged 6-23 months: a pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017

2021 ◽  
pp. 1-28
Author(s):  
Bunga A Paramashanti ◽  
Tanvir M Huda ◽  
Ashraful Alam ◽  
Michael J Dibley
Keyword(s):  
Nutrition Education ◽  
Rural Areas ◽  
Health Surveys ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Multiple Logistic Regression Analysis ◽  
Demographic And Health Surveys ◽  
Food Groups ◽  
Community Factors ◽  
Minimum Dietary Diversity

Abstract Objective: To examine minimum dietary diversity trends and determinants among children aged 6-23 months. Design: Secondary analysis of the Indonesia Demographic and Health Surveys (IDHS) between 2007 and 2017. The primary outcome was minimum dietary diversity, the consumption of at least five out of eight food groups (MDD-8). We included a total of 5015 (IDHS 2007), 5050 (IDHS 2007), and 4925 (IDHS 2017) children aged 6 to 23 months to estimate trends of MDD-8 and to identify factors associated with MDD-8. We used multiple logistic regression analysis adjusted for the complex sampling design to investigate the association between the study factors and MDD-8. Setting: Indonesia. Participant: A total of 14990 children aged 6-23 months. Results: Over the ten years, the percentage of children who consumed a diversified diet was 53.1% in 2007, 51.7% in 2012, and 53.7% in 2017. Multivariate analyses showed that older age children, higher maternal education, maternal weekly access to media, paternal non-agricultural occupation, history of at least four ANC visits, and wealthier households were associated with the increased odds of MDD-8. Children living in rural areas, Sulawesi and Eastern Indonesia, were less likely to eat a diversified diet. Conclusions: The proportion of children meeting MDD-8 has stagnated in the last decade. Child, parental, health care, household, and community factors are associated with MDD-8. Therefore, nutrition-education programmes and behaviour change communication activities should target mothers and families from socio-economically and geographically disadvantaged populations.

scholarly journals Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective

2017 ◽  
Vol 21 (4) ◽  
pp. 655-668 ◽  
Author(s):  
Logan Manikam ◽  
Anika Sharmila ◽  
Abina Dharmaratnam ◽  
Emma C Alexander ◽  
Jia Ying Kuah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Global Health ◽  
Influencing Factors ◽  
South Asian ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Cultural Beliefs ◽  
Meal Frequency ◽  
Infant And Young Child

AbstractObjectiveSuboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in Pakistan.DesignSearches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0–2 years and/or their families. Search terms: ‘children’, ‘feeding’ and ‘Asians’ with their derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence).ResultsFrom 45 712 results, seventeen studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF was found in all studies. Nine of fifteen studies assessing timing recorded CF introduced between 6 and 9 months. Five of nine observed dietary diversity across four of seven food groups; and two of four, minimum meal frequency in over 50 % of participants. Influencing factors included lack of CF knowledge, low maternal education, socio-economic status and cultural beliefs.ConclusionsThis is the first systematic review to evaluate CF practices in Pakistan. Campaigns to change health and nutrition behaviour are needed to meet the substantial unmet needs of these children.

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 Systematic review of infant and young child complementary feeding practices in South Asian families: the India perspective

2017 ◽  
Vol 21 (4) ◽  
pp. 637-654 ◽  
Author(s):  
Logan Manikam ◽  
Ankita Prasad ◽  
Abina Dharmaratnam ◽  
Christy Moen ◽  
Alexandra Robinson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Global Health ◽  
Influencing Factors ◽  
South Asian ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Cultural Influences ◽  
Meal Frequency ◽  
Infant And Young Child

AbstractObjectiveSuboptimal nutrition among children remains a problem among South Asian (SA) families. Appropriate complementary feeding (CF) practices can greatly reduce this risk. Thus, we undertook a systematic review of studies assessing CF (timing, dietary diversity, meal frequency and influencing factors) in children aged <2 years in India.DesignSearches between January 2000 and June 2016 in MEDLINE, EMBASE, Global Health, Web of Science, OVID Maternity & Infant Care, CINAHL, Cochrane Library, BanglaJOL, POPLINE and WHO Global Health Library. Eligibility criteria: primary research on CF practices in SA children aged 0–2 years and/or their families. Search terms: ‘children’, ‘feeding’ and ‘Asians’ and derivatives. Two researchers undertook study selection, data extraction and quality appraisal (EPPI-Centre Weight of Evidence).ResultsFrom 45 712 abstracts screened, sixty-four cross-sectional, seven cohort, one qualitative and one case–control studies were included. Despite adopting the WHO Infant and Young Child Feeding guidelines, suboptimal CF practices were found in all studies. In twenty-nine of fifty-nine studies, CF was introduced between 6 and 9 months, with eight studies finding minimum dietary diversity was achieved in 6–33 %, and ten of seventeen studies noting minimum meal frequency in only 25–50 % of the study populations. Influencing factors included cultural influences, poor knowledge on appropriate CF practices and parental educational status.ConclusionsThis is the first systematic review to evaluate CF practices in SA in India. Campaigns to change health and nutrition behaviour and revision of nationwide child health nutrition programmes are needed to meet the substantial unmet needs of these children.

scholarly journals Complementary feeding practices and associated factors among children aged 6–23 months in Pakistan

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247602
Author(s):  
Muhammad Ali ◽  
Muhammad Arif ◽  
Ashfaq Ahmad Shah
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Premature Mortality ◽  
Feeding Practices ◽  
Multivariate Regression Analysis ◽  
Child Feeding ◽  
Household Level ◽  
Individual Level ◽  
Young Child Feeding ◽  
The Individual

Premature mortality and undernutrition rates in Pakistan are among the highest in the world. Inadequate infant and young child feeding are the major causes of premature mortality and undernutrition. Yet, very little is known about the determinants of complementary feeding practices in Pakistan. Therefore, this study aims to identify the determinants of inadequate complementary feeding practices among children aged 6 to 23 months in Pakistan by using the latest nationally representative data from the Pakistan Demographic and Health Survey (2017–18). The results show that only 12% of children consume a minimum acceptable diet, 21% achieve minimum dietary diversity, and 38% reach minimum meal frequency. Multivariate regression analysis shows that child age, child weight at birth, mother’s access to newspapers/magazines at the individual level, wealth at the household level, and prenatal visits at the community level are significant predictors of complementary feeding practices among children aged 6–23 months in Pakistan. These findings show that, in addition to poverty alleviation, raising awareness through health practitioners, increasing access to media, and expanding access to child and maternal healthcare can improve complementary feeding practices in Pakistan. This consequently reduces premature mortality and undernutrition.

scholarly journals Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6–23 Months in Bangladesh

2022 ◽  
Vol 19 (1) ◽  
pp. 550
Author(s):  
Sabuj Kanti Mistry ◽  
Md Belal Hossain ◽  
Nafis Md Irfan ◽  
Manika Saha ◽  
Silvia Saberin ◽  
...  
Keyword(s):  
Fruits And Vegetables ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Demographic And Health Surveys ◽  
Positive Trend ◽  
Food Groups ◽  
Cross Sectional ◽  
Nationally Representative ◽  
Semi Solid ◽  
Specific Food

The present study aims to comprehensively analyse trends in complementary feeding indicators (Introduction of solid, semi-solid, and soft foods at 6–8 months (INTRO), Minimum Dietary Diversity (MDD), Minimum Meal Frequency (MMF) and Minimum Acceptable Diet (MAD)) among children aged 6–23 months in Bangladesh. The study used data from four rounds (2007, 2011, 2014, and 2017–2018) of nationally representative Bangladesh Demographic and Health Surveys (BDHSs). The Cochran–Armitage test was performed to capture the trends in complementary feeding practices and intake from specific food groups. BDHSs are periodically conducted cross-sectional surveys in all seven administrative divisions of Bangladesh. The present analysis was performed among 8116 children (1563 in 2007, 2137 in 2011, 2249 in 2014, and 2167 in 2017–2018) aged 6–23 months. Overall, a decreasing trend was observed in all the complementary feeding indicators except INTRO from 2007 to 2014, but a substantial increase in MDD, MMF and MAD was noted in 2017–2018. A statistically significant reduction in consumption from different food groups such as legumes and nuts (p < 0.001), dairy products (p = 0.001), vitamin-A-rich fruits or vegetables (p < 0.001), and other fruits and vegetables (p < 0.001) was also observed. However, a positive trend was noted in the consumption of grains/roots/tubers (p = 0.027), and meat/fish/egg (p < 0.001). After experiencing a significant decreasing trend during 2007–2014, the recent BDHS indicates improvements in all complementary feeding indicators among young children in Bangladesh, which calls for integrated, multisectoral, and multicomponent interventions to sustain this progress.

scholarly journals 150Trends and factors associated with complementary feeding practices in Ethiopia from 2005 to 2016

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kedir Yimam Ahmed
Keyword(s):  
Maternal Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Optimal Growth ◽  
Complementary Foods ◽  
Service Usage ◽  
Low Education ◽  
Antenatal Visits ◽  
Minimum Dietary Diversity

Abstract Background Introducing appropriate complementary feeding at sixth months of age is crucial for the optimal growth and development of an infant. The aim of this study is to investigate the trends and determinants of complementary feeding practices in Ethiopia from 2005 to 2016. Methods The study was conducted using the Ethiopia Demographic and Health Survey (EDHS) data for 2005 (N = 2520), 2011 (N = 2850), and 2016 (N = 2864). Multivariate logistic regression was used to examine the association between socioeconomic, demographic, health service and community-level factors and (i) the introduction of complementary foods, (ii) minimum dietary diversity (MDD), (iii) minimum meal frequency (MMF) and (iv) minimum acceptable diet (MAD). Results The proportion of mothers who met MDD increased from 6.3% to 13.5% and MAD increased from 4.1% to 7.1% from 2005 to 2016. Improvements in the introduction of complementary foods (from 50.3% to 59.5%), and MMF (from 41.3% to 43.6%) were not statistically significant. Maternal education and occupation were associated with the introduction of complementary foods, MDD, MMF and MAD. Higher partner education and frequent antenatal visits were associated with MDD and MAD. Children whose mothers listened to the radio had higher odds of MDD, MMF, and MAD. Conclusions Interventions aiming to improve complementary feeding practices in Ethiopia should also target mothers with low education, antenatal service usage and media exposure Key messages The study showed that there were improvements in the proportion MDD and MAD.

scholarly journals Complementary feeding and attained linear growth among 6–23-month-old children

2013 ◽  
Vol 17 (9) ◽  
pp. 1975-1983 ◽  
Author(s):  
Adelheid W Onyango ◽  
Elaine Borghi ◽  
Mercedes de Onis ◽  
Ma del Carmen Casanovas ◽  
Cutberto Garza
Keyword(s):  
Linear Growth ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Secondary Analysis ◽  
Demographic And Health Surveys ◽  
Meal Frequency ◽  
Food Groups ◽  
Standard Format ◽  
Adequate Diet ◽  
Minimum Dietary Diversity

AbstractObjectiveTo examine the association between complementary feeding indicators and attained linear growth at 6–23 months.DesignSecondary analysis of Phase V Demographic and Health Surveys data (2003–2008). Country-specific ANOVA models were used to estimate effects of three complementary feeding indicators (minimum meal frequency, minimum dietary diversity and minimum adequate diet) on length-for-age, adjusted for covariates and interactions of interest.SettingTwenty-one countries (four Asian, twelve African, four from the Americas and one European).SubjectsSample sizes ranging from 608 to 13 676.ResultsLess than half the countries met minimum meal frequency and minimum dietary diversity, and only Peru had a majority of the sample receiving a minimum adequate diet. Minimum dietary diversity was the indicator most consistently associated with attained length, having significant positive effect estimates (ranging from 0·16 to 1·40 for length-for-age Z-score) in twelve out of twenty-one countries. Length-for-age declined with age in all countries, and the greatest declines in its Z-score were seen in countries (Niger, −1·9; Mali, −1·6; Democratic Republic of Congo, −1·4; Ethiopia, −1·3) where dietary diversity was persistently low or increased very little with age.ConclusionsThere is growing recognition that poor complementary feeding contributes to the characteristic negative growth trends observed in developing countries and therefore needs focused attention and its own tailored interventions. Dietary diversity has the potential to improve linear growth. Using four food groups to define minimum dietary diversity appears to capture enough information in a simplified, standard format for multi-country comparisons of the quality of complementary diets.

scholarly journals Promising Trends of Complementary Feeding Practices in Côte D'lvoire: An Analysis of Nationally Representative Survey Data Between 1994–2016

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 687-687
Author(s):  
Evaniya Shakya ◽  
Nan Dou ◽  
Raphia Ngoutane ◽  
Anne-Sophie Le Dain ◽  
Aashima Garg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cote D'ivoire ◽  
Maternal Education ◽  
Côte D’Ivoire ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Abstract Objectives Poor complementary feeding practices pose a major challenge for early childhood growth and development in Côte d'Ivoire, where more than 20% children under five suffer from stunting. We aimed to examine the trends and risk factors of suboptimal complementary feeding among children aged 6–23 months in Côte d'Ivoire. Methods We estimated the country-level prevalence, trends, and risk factors of four complementary feeding indicators: introduction of complementary foods (INTRO), minimum meal frequency (MMF), minimum dietary diversity (MDD), and minimum acceptable diet (MAD). Data was extracted from Demographic and Health Surveys (1994 to 2011) and Multiple Indicator Cluster Surveys (2000–2016) to estimate the complementary feeding indicators for children between 6 to 23 months in Côte d'Ivoire. Multilevel logistic regression models were used to identify factors associated with these complementary feeding indicators in 2016. Results On average, 59.2% of children aged 6–8 months achieved INTRO between 1994–2016. In 2016, the proportion of children aged 6–8 months meeting INTRO was 65.5% showing an increase of around 15 percentage points from 2006. Between 2011 – 2016, the proportion of children aged 6–23 months meeting MMF, MDD, and MAD also increased from 40.2% to 47.7%, 11.3% to 26.0%, and 4.6% to 12.5%, respectively. Child age (MDD, MAD), maternal education (INTRO), and breastfeeding status (MMF, MAD) were significantly and positively associated with achieving at least one of the complementary feeding practices: INTRO, MMF, MDD, and MAD. Higher household wealth was significantly associated with greater odds of achieving all four complementary feeding criteria compared to poorer households Conclusions Suboptimal complementary feeding practices remain a problem and disparities in complementary feeding still exist in Côte d'Ivoire. However, complementary feeding practices have improved in the past decade. Additional research is needed to understand the policy and programmatic efforts that may explain the promising trends of complementary feeding practices in Côte d'Ivoire. Funding Sources UNICEF West and Central Africa Regional Office and Bill & Melinda Gates Foundation (Grant # 43279190).

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