Factors associated with minimal meal frequency and dietary diversity practices among infants and young children in the predominantly agrarian society of Bale zone, Southeast Ethiopia: a community based cross sectional study

Abstract Background: Optimal feeding practices are recommended to improve nutritional status and prevent the common childhood illnesses. Studies on the feeding practice of children including meal frequency and dietary diversity are scarce in children with illness. Therefore, we aimed to assess feeding practice and its associated factors among children aged 6-59 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia. Methods : A community based cross-sectional study was conducted in Dabat HDSS site from February to June 2016 on 1,174 mother-child pairs. A multistage stratified sampling followed by a systematic random sampling technique was employed to select the study participants. A binary logistic regression model was fitted to identify factors associated with children’s feeding practice. A crude odds ratio and adjusted odds ratio with its 95% confidence intervals (CI) were calculated to see the strength of association and significance of the identified factors with feeding practices. Result: The overall prevalence of a minimum dietary diversity practice and a minimum meal frequency was 27 % (95%CI: 24.4, 29.7) and 83.7 %( 95%CI: 91.7, 86.0), respectively. Having antenatal care (ANC) service (AOR = 1.6; 95% CI: 1.18, 2.27) and institutional delivery (AOR = 2.6; 95% CI: 1.85, 3.55) increased odds of an adequate dietary diversity in children. On the contrary, the odds of practicing an adequate dietary diversity was lower among a household obtained food from home gardens (AOR = 0.4; 95% CI: 0.29, 0.52) and currently breast fed children (AOR = 0.6; 95% CI: 0.42, 0.78). The probability of having a minimum meal frequency was decreased among children in the first two years of age (AOR = 0.1; 95% CI: 0.06, 0.15), however increased in children who fed alone (AOR = 1.9; 95% CI: 1.29, 2.69). Conclusion: The proportion of children who received the minimum dietary diversity was low while the proportion of children who obtained minimum meal frequency was good. Providing a health and nutrition counseling on Infant and Young Child Feeding during maternal ANC services and delivery period are recommended for achieving the recommended dietary practices.

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Factors Associated With Minimum Dietary Diversity Among Children Aged 6 to 23 Months in Debre Berhan Town, Central Ethiopia: Community-based Cross-sectional Study

10.21203/rs.3.rs-1157976/v1 ◽

2021 ◽

Author(s):

Takele Gezahegn Demie ◽

Getachew Tilahun Gesese ◽

Behailu Tariku Derseh ◽

Kalayu Birhane Mruts ◽

Tesfaye Birhane Gebremariam

Keyword(s):

Dietary Diversity ◽

Cross Sectional Study ◽

Food Groups ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Central Ethiopia ◽

Factors Associated ◽

Debre Berhan ◽

Minimum Dietary Diversity

Abstract Background: Minimum dietary diversity (MDD) is the consumption of four or more food groups from the seven food groups. Poor infant and young child feeding (IYCF) practices in the first 2 years of age are among major causes of childhood undernutrition, illness, and mortality. Therefore, this study aimed at investigating MDD and its associated factors among IYC aged 6–23 months in Debre Berhan town, central Ethiopia.Methods: A community-based cross-sectional study was undertaken from January 1 to 30, 2017. A simple random sampling technique was used to sample 377 IYC aged 6-23 months with mothers/caregivers. An interviewer-administered structured and pretested questionnaire was used to collect data through a face-to-face interview. Data were cleaned and entered into Epidata 3.1, exported to SPSS software version 20. Logistic regression was fitted and an odds ratio with a 95% confidence interval (CI) and p-value less than 0.05 was used to identify factors associated with MDD. Results: A total of 377 IYC aged 6-23 months with mothers/caregivers were participated in the study. The proportion of children who met the MDD practice was 58.4%. Mother’s education [(AOR = 0.15; 95% CI = 0.02-0.88), (AOR = 0.21; 95% CI = 0.05-0.97)], mother’s occupation (AOR = 0.28; 95% CI = 0.15-0.54), father’s occupation (AOR = 3.45; 95% CI = 1.40-8.54), and number of antenatal care visit by mothers (AOR = 0.54; 95% CI = 0.30-0.97) were factors associated with MDD among IYC.Conclusion: Even though the study showed better progress as compared to the national prevalence of the consumption of MDD, it is substandard in the study area. Thus, more efforts need to be done to achieve the recommended MDD intake for all children aged between 6 and 23 months. Increasing mothers’ level of education, creating employment opportunities for both mothers and fathers’, and increasing the frequency of ANC service use are vital interventions to improve IYCF practices in Debre Berhan town.

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Dietary diversity among school age children in Merawi town, Amhara region, Ethiopia, 2018: a community based cross-sectional study

Archives of Public Health ◽

10.1186/s13690-019-0384-7 ◽

2020 ◽

Vol 78 (1) ◽

Author(s):

Tilahun Tewabe ◽

Amare Belachew ◽

Yihun Miskir ◽

Getnet Mekuria

Keyword(s):

Food Security ◽

Dietary Diversity ◽

Cross Sectional Study ◽

School Age Children ◽

School Age ◽

Access To Information ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated

Abstract Background Malnutrition with its constituents of protein energy malnutrition and micro-nutrient deficiencies continues to be a major health burden in low and middle-income countries. To end all forms of malnutrition, we need to address poverty, which is associated with the insecure supply of food and diversified nutrition. The objective of this study was to determine the level of dietary diversity and household food security among urban school-age children in Merawi town, Ethiopia. Methods A community based cross-sectional study was conducted in Merawi town among 422 households having school age children from April 1 to June 15, 2018. The association between dietary diversity and determinants was assessed using binary logistic regression analysis. Socio-demographic, maternal and child related variables; food security and diversity determinants were studied. Results The overall level of good dietary diversity was 91.7%, i.e.; 8.3% had a low, 59.1% had a good, 32.6% had better dietary diversity, respectively. Most households (95.2%) were secured with food access. The factors associated with good dietary diversity were the age of the child [AOR = 0.31 (0.14, 0.70)], and access to information [AOR = 3.18 (1.07,9.47)]. Conclusion The prevalence of good dietary diversity was relatively high. Among different socio-cultural and economic factors studied, age of the child and access to information were the factors associated with dietary diversity. Increasing maternal and child awareness towards good dietary diversity practices through the mass media (radio and Television) and working with mothers with early school-age children to improve dietary diversity are recommended.

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Only one in four lactating mothers met the minimum dietary diversity score in the pastoral community, Afar region, Ethiopia: a community-based cross-sectional study

Journal of Nutritional Science ◽

10.1017/jns.2021.28 ◽

2021 ◽

Vol 10 ◽

Author(s):

Getahun Fentaw Mulaw ◽

Fentaw Wassie Feleke ◽

Kusse Urmale Mare

Keyword(s):

Dietary Diversity ◽

Cross Sectional Study ◽

Meal Frequency ◽

Food Groups ◽

Community Based ◽

Cross Sectional ◽

Dietary Diversity Score ◽

Lactating Mothers ◽

Minimum Dietary Diversity

Abstract Maternal dietary feeding practice is one of the proxy indicators of maternal nutrient adequacy and it improves outcomes for both mothers and their offspring. The minimum maternal dietary diversity score of lactating women is defined as when the mother ate at least four and above food groups from the nine food groups 24 h preceding the survey regardless of the portion size. Therefore, the present study aimed to determine the minimum dietary diversity score (MDDS) and its predictors among lactating mothers in the Pastoralist community, Ethiopia. A community-based cross-sectional study design was employed on 360 lactating mothers using a multi-stage sampling technique from 5 January 2020 to 10 February 2020. Data were collected using questionnaires and anthropometry measurements. Data were entered using EPI-data 4.6.02 and exported into SPSS version 25. Statistical significance was declared at P-value <0⋅05 at multivariable logistic regression. Only one in four lactating mothers met the MDDS. The majority of them consumed cereals in the preceding 24 h of data collection. The most important predictors were maternal meal frequency (adjusted odds ratio (AOR) 6⋅26; 95 % confidence interval (CI) (3⋅51, 11⋅15)), antenatal care (ANC) follow-up one to three times and four and above times (AOR: 2⋅58; 95 % CI (1⋅24, 5⋅36), 4⋅77 (1⋅90, 11⋅95), respectively) and secondary paternal education (AOR 2⋅97; 95 % CI (1⋅44, 6⋅11)). The MDDS among lactating mothers was low. Paternal education, maternal meal frequency and ANC follow-up were the significant predictors. Therefore, to improve maternal dietary diversity score emphasis should be given to those predictors.

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Magnitude and Its Predictors of Minimum Dietary Diversity Feeding Practice Among Mothers Having Children Aged 6–23 Months in Goba Town, Southeast Ethiopia, 2018: A Community-Based Cross-Sectional Study

Nutrition and Dietary Supplements ◽

10.2147/nds.s243521 ◽

2020 ◽

Vol Volume 12 ◽

pp. 215-222

Author(s):

Habtamu Gezahegn ◽

Mekonnen Tegegne

Keyword(s):

Dietary Diversity ◽

Cross Sectional Study ◽

Feeding Practice ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Southeast Ethiopia ◽

Minimum Dietary Diversity

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Prevalence and Predictors of Anemia among Adolescent girls in Rural Hadero district, Southern Ethiopia, Community Based Cross-sectional Study

10.21203/rs.2.13048/v1 ◽

2019 ◽

Author(s):

Tsegaye Alemu Alemu Gute ◽

Tigist Yakob Hankore

Keyword(s):

Adolescent Girls ◽

Dietary Diversity ◽

Cross Sectional Study ◽

Physical Work ◽

Bed Nets ◽

Southern Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated

Abstract Abstract Background: Anemia is the most common nutritional problem in adolescent girls and it has negative consequence on cognition, work performance and economic productivity. However, in the developing world there is limited evidence regarding the magnitude and determinants of anemia among adolescent girls. The current study highlights the burden of and factors associated with anemia in adolescent girls in Hadero district, Southern Ethiopia. Methods: A community based cross-sectional study was conducted in January, 2016 among adolescent girls 10-19 years old. A total of 407 subjects were selected using multistage cluster sampling technique. Hemoglobin level was determined from capillary blood using the HemoCue method. Factors associated with anemia (give the operational definition in bracket) were identified using bivariate and multivariate binary logistic regression analysis. The outputs of analyses are presented using adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI). Result: The mean (±SD) of hemoglobin concentration adjusted for altitude was 13.7 + 1.2and ranged from 8 to 16.6g/dl. The overall prevalence of anemia was 15.2% (95%CI: 11.68%, 18.72%). Out of the total 400 adolescent girls 13.7% [95% CI: 10.33%, 17.06%] and 1.5% [95%CI: 0.3%, 2.7%] had mild and moderate anemia, respectively. low dietary diversity, (AOR=3.6, 95 % CI: 1.7, 7.7), long menstrual duration (AOR=6.4, 95%CI: 1.55, 27.0), malaria attack history (AOR=3.2, 95%CI: 1.4, 7.2) and over loaded physical work load (AOR=4.0, 95%CI: 1.7, 9.5), large family size (AOR=0.37,95% CI:0.16, 0.92) and low altitude (AOR=3.2, 95%CI: 1.23, 8.3) were significantly associated with anemia. Furthermore, prevalence of stunting and thinness were 21.3% and 16.5 % respectively. Conclusion : Anemia is a mild public health problem in the study area; increasing dietary diversity, Insecticide Treated Bed nets (ITNs) utilization and adolescent nutrition education are important strategies to reduce the burden of anemia.

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Modeling Dietary Diversity Practice and Related Factors of Women Reproductive Age at Asaita Woredas, Ethiopia: Community Based Cross-Sectional Study

10.21203/rs.3.rs-1038264/v1 ◽

2021 ◽

Author(s):

Alebachew Abebe ◽

Alebachew Abebe

Keyword(s):

Family Size ◽

Cell Phone ◽

Dietary Diversity ◽

Cross Sectional Study ◽

Education Level ◽

Reproductive Age ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Factors Associated

Abstract Background Competent and health diet throughout women reproductive age is crucial for the health of both mother and new born. Dietary diversity is a procurator indicator of women reproductive age nutrient sufficiency. Objectives This study was planned to evaluate the dietary diversity exercise and associated factors among women reproductive age at Asaita districts, Afar region, Ethiopia. Methods Community based cross-sectional study was done on randomly chosen 422 women under reproductive age at Asaita woredas from February to March, 2020. Data was gathered by using interviewer and 24 hours dietary call up methods. Data entered and analyzed using SPSS version-25. Ordinary logistic regression model was employed to assess factors associated with dietary diversity and potential factors were screened at P-value less than 5%. Results The average dietary diversity score was 4.17±1.112SD. Approximately 13.0%, 78.5% and 8.5% of women reproductive age had low, medium and high dietary diversity practice respectively. Family size of male, family size of female, marital status, education level, house with window, having cell phone, bank, refrigerator, television and cart were significant factors associated with women dietary diversity practice at 5% level of significance. The odds of being “low dietary” instead of “high dietary” multiplies by OR=0.665 for each 1-unit increase in family size of female household. Odds of house with window is in low dietary rather than high dietary scores are OR=2.793 times estimated odds for house with no window’s. Conclusion Marital status, house with window, having cell phone, owner of bank account and refrigerator had a positive association with dietary diversity whereas family size, education level, having television and cart had a negative relation with women under reproductive age of dietary diversity.

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Undernutrition and Associated Factors among Lactating Women: Community-Based Cross-Sectional Study in Moyale District, Borena Zone, Southern Ethiopia

Advances in Public Health ◽

10.1155/2020/4367145 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Hailu Bekele ◽

Gebi Husein Jima ◽

Ashenafi Habtamu Regesu

Keyword(s):

Dietary Diversity ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Monthly Income ◽

Community Based ◽

Cross Sectional ◽

Lactating Women ◽

Household Food ◽

Delivery Place

Background. Undernutrition is one of the most widespread public health problems that affect both developed and developing countries. In Ethiopia, it is one of the factors leading to unacceptable high morbidity and mortality among women. However, little is documented on undernutrition among lactating women particularly in such a purely pastoral community. Therefore, this study was designed to assess prevalence of undernutrition and its associated factors among lactating women living in pastoral community of Moyale District, Borena Zone, Southern Ethiopia, 2018. Methods. A community-based cross-sectional study was conducted. Data were collected from a random sampled 545 lactating women using structured interviewer-administered questionnaire. Height and weight measurements of the study participants were also taken to compute body mass index. Data were entered in to Epi info version 7 and then exported to SPSS version 21 software for analysis. Descriptive statistics like frequency, mean, and percentage were computed to describe characteristics of the sample. Multivariable analysis was carried out, association between independent and dependent variables were measured using adjusted odds ratios, and its 95% confidence interval and P value below 0.05 were considered statistically significant. Results. This study showed that prevalence of undernutrition among lactating women was 17.7%. Dietary diversity (AOR = 2.49, 95% CI: 1.43–4.36), monthly income (AOR = 5.22, 95% CI: 1.40–19.40), extra meal taking (AOR = 2.76, 95% CI: 1.43–5.29, delivery place (AOR = 2.65, 95% CI: 1.24–5.65), and household food insecurity (AOR = 6.57, 95% CI: 3.50–12.34) were independent variables showing statistically significant association with undernutrition of lactating women. Conclusion and recommendations. The study revealed that magnitude of undernutrition among lactating women was high. Dietary diversity, monthly income, extra meal, delivery place, and household food insecurity were found to be predictor of undernutrition. Finally, we recommend that governmental and nongovernmental organizations should organize timely interventions targeting lactating women.

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