scholarly journals Social and behaviour change communication to improve child feeding practices in Ethiopia

Author(s):  
Abdulhalik Workicho ◽  
Sibhatu Biadgilgn ◽  
Meghan Kershaw ◽  
Rahel Gizaw ◽  
Jennifer Stickland ◽  
...  
Author(s):  
Kolade Afolayan Afolabi ◽  
Adebukunola Olajumoke Afolabi

Introduction: The quality of feeding in early childhood depends on nutritional knowledge of mothers. Improving maternal nutrition knowledge is therefore pivotal towards promoting effective infants’ feeding behaviour. Objective: Study assessed mothers’ knowledge about complementary feeding and complementary feeding practices. Study also assessed effectiveness of Behaviour Change Communication on mothers’ knowledge and complementary feeding practices, compared the nutritional status of infants whose mothers received intervention to infants of mothers in the control group. Materials and Methods: A quasi-experimental study conducted among 204 mothers in rural and urban local government areas, South-west Nigeria between March and September, 2019. Sample size was estimated using formula for comparison of two proportions, eligible mothers were selected through multistage sampling technique. Study was conducted in three phases: pre-intervention phase, intervention and post intervention phases. Intervention: Selected mothers were randomly assigned into intervention and control groups. Mothers in the intervention group received Behavior Change Communication on complementary feeding and were followed up for six months. Data Analysis: Data was analyzed using SPSS software version 25, Chi-square and repeated analysis of variance evaluated effectiveness of intervention, level of significance was < 0.05. Results: BCC improved mothers’ knowledge about complementary feeding by 31.9% (χ2 = 21.62; p = 0.001), meal frequency by 16% (χ2 = 5.88, p = 0.01), dietary diversity by 19.6% (χ2 = 7.44, p = 0.01), minimum acceptable diet by 20.6% (χ2 = 13.09; p =0.01). Intervention also reduced under-weight by 14% (χ2 = 0.69, p = 0.01; (F(1,191) =275.34; p = 0.04) among intervention group. Conclusion: Effective nutritional intervention for mothers towards improving nutritional status of children should incorporate appropriate behaviour change approach. This approach is capable of improving nutritional status of infants and children and consequently reduce malnutrition and related complications in early childhood.


2006 ◽  
Author(s):  
Silvina A. Salvi ◽  
Liron Nemanim ◽  
Ivy Donaldson ◽  
Laura Juarez ◽  
Fary Cachelin

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e048738
Author(s):  
Phuong Hong Nguyen ◽  
Shivani Kachwaha ◽  
Anjali Pant ◽  
Lan M Tran ◽  
Sebanti Ghosh ◽  
...  

ObjectivesThe COVID-19 pandemic has profound negative impacts on people’s lives, but little is known on its effect on household food insecurity (HFI) in poor setting resources. This study assessed changes in HFI during the pandemic and examined the interlinkages between HFI with child feeding practices and coping strategies.DesignA longitudinal survey in December 2019 (in-person) and August 2020 (by phone).SettingCommunity-based individuals from 26 blocks in 2 districts in Uttar Pradesh, India.ParticipantsMothers with children <2 years (n=569).Main outcomes and analysesWe measured HFI by using the HFI Access Scale and examined the changes in HFI during the pandemic using the Wilcoxon matched-pairs signed-rank tests. We then assessed child feeding practices and coping strategies by HFI status using multivariable regression models.ResultsHFI increased sharply from 21% in December 2019 to 80% in August 2020, with 62% households changing the status from food secure to insecure over this period. Children in newly or consistently food-insecure households were less likely to consume a diverse diet (adjusted OR, AOR 0.57, 95% CI 0.34 to 0.95 and AOR 0.51, 95% CI 0.23 to 1.12, respectively) compared with those in food-secure households. Households with consistent food insecurity were more likely to engage in coping strategies such as reducing other essential non-food expenditures (AOR 2.2, 95% CI 1.09 to 4.24), borrowing money to buy food (AOR 4.3, 95% CI 2.31 to 7.95) or selling jewellery (AOR 5.0, 95% CI 1.74 to 14.27) to obtain foods. Similar findings were observed for newly food-insecure households.ConclusionsThe COVID-19 pandemic and its lockdown measures posed a significant risk to HFI which in turn had implications for child feeding practices and coping strategies. Our findings highlight the need for further investment in targeted social protection strategies and safety nets as part of multisectoral solutions to improve HFI during and after COVID-19.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Nigatu Regassa Geda ◽  
Cindy Xin Feng ◽  
Bonnie Janzen ◽  
Rein Lepnurm ◽  
Carol J. Henry ◽  
...  

Abstract Background Undernutrition among children is a priority area of public health concern in Ethiopia. The purpose of this study was to examine disparities in Infant and Young Child Feeding (IYCF) practices among children 6–23 months. Method Data were drawn from the 2016 Ethiopian Demographic and Health Surveys (EDHS). A total of 3240 children aged 6–23 months were used for the present analysis. The outcome variable was IYCF practice score (ranging 0–7) which was constructed based on the linear and combined effects of four sets of variables: breastfeeding, avoidance of bottle feeding, diet diversity score and minimum feeding frequency. IYCF practice score was further recoded into three categories. Proportional odds regression was used to assess the determinants of IYCF category. Results The proportional odds regression analysis showed that IYCF scores significantly decreased by 5% (Adjusted Odds Ratio (AOR) = 0.95; 95% CI: 0.93–0.97) for every unit increase in the child’s age. Households with fathers of primary and secondary and above level education were 1.37 times (95% CI: 1.14–1.66) and 1.67 times (95% CI: 1.26–2.23) more likely to be in the high IYCF category than in the poor IYCF category. The likelihood of being in the high IYCF practice category decreased for non-working mothers by 30% (AOR = 0.70; 95% CI: 0.59–0.83) compared to those working in gainful employment. The chance of being in the high IYCF practice category decreased by 29% for households with no access to radio (AOR = 0.71; 95% CI: 0.59–0.85). Those with medium and rich/richer wealth category were 1.54 times (95% CI: 1.22–1.94) and 1.40 times (95% CI: 1.11–1.75) more likely to belong to high IYCF practice category than being in poor IYCF category. For every unit increase in health service utilization, the chance of falling in higher IYCF category increases by 1.15 times (95% CI: 1.08–1.23). The chance of falling in higher IYCF practice category decreases for rural residents by 37% (AOR = 0.63; 95% CI: 0.47–0.84) compared to those residing in urban areas. Conclusion For a child, the first two years is the time span during which linear faltering of growth is most prevalent and the period when the process of becoming stunted is almost complete. This study recommends improving access to women for gainful employment, provision of economic support to poor rural women, education and promotion of nutrition messages using most accessible media and boosting the positive role of fathers in child feeding practices.


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