scholarly journals Perception and Practices of Complementary Feeding among Infants’ Mothers in Southwestern Nigeria: A Qualitative Study

Author(s):  
Afolabi Kolade Afolayan ◽  
Afolabi Adebukunola Olajumoke

Background: Malnutrition resulting from inappropriate and ineffective childhood feeding remains a significant public health concern especially in developing countries, where poor child feeding practices exert serious negative impact on health outcomes. This qualitative study explored mothers’ perception about complementary feeding, mothers’ hygiene and food safety measures, food storage, and preparation and food handling practices. Methods: This study was a descriptive cross-sectional survey, conducted in selected Local Government Areas (LGAs), Southwestern Nigeria in November, 2019. Four sessions of Focus Group Discussion (FGD) were conducted in each of four selected LGAs giving a total of sixteen sessions with eight discussants selected for each session of FGD giving a total of 128 discussants. The discussants were selected by multistage sampling technique. FGD guide was used to explore mothers’ perception about complementary feeding, complementary feeding practices, and associated factors. Responses were recorded, transcribed, and thematically analyzed using Nvivo 11 software. Results: Five themes were developed from FGD responses, including mothers’ perception about complementary feeding, hygiene practices, food storage, safety, food preparation, and food handling. Mothers’ age, parity, educational status, employment status, family income, and food availability and affordability affected mothers’ perception about complementary feeding and complementary feeding practices. Conclusion: Advocacy on infants’ feeding must take cognizance of the finding factors towards appropriate, effective childhood feeding in addition to reduction in malnutrition and related burden.

2015 ◽  
Vol 19 (4) ◽  
pp. 703-715 ◽  
Author(s):  
Navnit Kaur Grewal ◽  
Lene Frost Andersen ◽  
Daniel Sellen ◽  
Annhild Mosdøl ◽  
Liv Elin Torheim

AbstractObjectiveTo examine breast-feeding and complementary feeding practices during the first 6 months of life among Norwegian infants of Somali and Iraqi family origin.DesignA cross-sectional survey was performed during March 2013–February 2014. Data were collected using a semi-quantitative FFQ adapted from the second Norwegian national dietary survey among infants in 2006–2007.SettingSomali-born and Iraqi-born mothers living in eastern Norway were invited to participate.SubjectsOne hundred and seven mothers/infants of Somali origin and eighty mothers/infants of Iraqi origin participated.ResultsBreast-feeding was almost universally initiated after birth. Only 7 % of Norwegian-Somali and 10 % of Norwegian-Iraqi infants were exclusively breast-fed at 4 months of age. By 1 month of age, water had been introduced to 30 % of Norwegian-Somali and 26 % of Norwegian-Iraqi infants, and infant formula to 44 % and 34 %, respectively. Fifty-four per cent of Norwegian-Somali and 68 % of Norwegian-Iraqi infants had been introduced to solid or semi-solid foods at 4 months of age. Breast-feeding at 6 months of age was more common among Norwegian-Somali infants (79 %) compared with Norwegian-Iraqi infants (58 %; P=0·001). Multivariate analyses indicated no significant factors associated with exclusive breast-feeding at 3·5 months of age. Factors positively associated with breast-feeding at 6 months were country of origin (Somalia) and parity (>2).ConclusionsBreast-feeding initiation was common among Iraqi-born and Somali-born mothers, but the exclusive breast-feeding period was shorter than recommended in both groups. The study suggests that there is a need for new culture-specific approaches to support exclusive breast-feeding and complementary feeding practices among foreign-born mothers living in Norway.


Author(s):  
Christiana Naa Atsreh Nsiah-Asamoah

Aim: This study sought to explore the cultural factors that are associated with complementary feeding from the reports of Community Health Workers (CHWs) and Volunteers (CHVs) in two rural districts in Ghana. Study Design: This was a cross-sectional qualitative study that assessed cultural beliefs, norms, superstitions and practices that influence complementary feeding practices of young children under two years in two rural farming districts in Ghana Study Area: The study was conducted at Kwahu Afram Plains North and South Districts in the Eastern Region of Ghana. Methodology: The study employed qualitative methods which entailed conducting 9 focus group discussions among CHWs and CHVs working at two rural districts in Ghana. The focus group discussions were conducted with the aid of a validated, interview guide, after obtaining informed consent (written) from the health workers. Ethical clearance for the study was obtained from the Institutional Review Boards of the Dodowa Health Research Centre and the University of Cape Coast. Thematic content analytical procedures were applied to analyze the transcripts, interpret and present findings as a narrative account. Results: The reports of the health workers indicate a common practice of early introduction of solid foods to infants before they attain six(6) months of age. Cultural beliefs, superstitions, beliefs, food taboos and prohibitions influence mothers’ complementary-feeding practices and result in limiting the food scope and dietary diversity of their young children. Conclusions: Interventions designed to promote appropriate complementary feeding practices should incorporate an understanding of social context, family, and cultural factors in developing nutrition promotion messages that are tailored to meet the needs of rural populations. More community interventions that draw on the support of key influential persons in the community and fathers are needed to address cultural barriers to appropriate complementary feeding practices.


2019 ◽  
Vol 82 (3) ◽  
pp. 494-500
Author(s):  
YUJUAN CHEN ◽  
YUFENG WEN ◽  
JIANGEN SONG ◽  
BAIFENG CHEN ◽  
LEI WANG ◽  
...  

ABSTRACT Family food handling by women plays a key role in the risk of foodborne acute gastroenteritis. Nevertheless, the data indicating the association between women's food handling and foodborne disease has not been reported in the People's Republic of China. The purpose of this study was to determinate the status of food handling for women and the association between food handling behaviors and foodborne acute gastroenteritis. A cross-sectional survey was conducted from 1 September 2015 to 30 August 2016 in Anhui Province, China. Data on foodborne disease and food handling was collected via a questionnaire. Of the 630 respondents included in the study, 99 (16.0%) reported having experienced symptoms in the past 4 weeks of acute gastroenteritis that may have been caused by food. The following behaviors were prevalent in respondents: (i) infrequently boiling kitchen utensils to disinfect (70.6%); (ii) infrequently heating cooked food purchased from outside the home (64.3%); (iii) infrequently storing leftovers in the refrigerator (38.6%); and (iv) often purchasing stale raw vegetables, meat, and other ingredients (23.3%). Urban and rural respondents differed significantly in their answers to the food handling questions. Foodborne acute gastroenteritis was associated with the following behaviors: (i) infrequently heating milk (odds ratio [OR] = 2.587, 95% confidence interval [CI] = 1.396 to 6.458); (ii) infrequently heating leftovers stored in the refrigerator (OR = 16.967, 95% CI = 9.030 to 31.882); (iii) infrequently thoroughly heating kidney beans (OR = 3.524, 95% CI = 1.834 to 6.773); (iv) often storing raw and cooked meat in the same container (OR = 10.216, 95% CI = 5.109 to 20.431); and (v) often eating raw seafood (OR = 2.587, 95% CI = 1.424 to 4.700). Inappropriate food handling behaviors of women in the family are associated with foodborne acute gastroenteritis. Infrequent thorough heating and improper food storage are the most critical risk factors in foodborne acute gastroenteritis.


2020 ◽  
Author(s):  
Md. Abdur Rafi ◽  
Md. Saiful Islam ◽  
M. Tasdik Hasan ◽  
Md. Golam Hossain

Abstract Background: Migraine is one of the main causes of long-term morbidity, and it is one of the major contributors of all types of headaches in worldwide. Despite its disruptive effect, it is frequently underdiagnosed and undertreated in Bangladesh. The aim of the present study was to determine the prevalence of migraines and its impact on daily life of university students in Bangladesh.Methods: This cross-sectional study was conducted among 2,352 students of Rajshahi University and Jahangirnagar University during March 2020 through a self-administered online survey. ID MigraineTM scale and HIT-6 scale were used to screen migraine and its impact respectively. Frequency distribution, and Chi-square test, t-test along with multiple logistic regressions model were used to determine the prevalence and associated factors of migraine respectively. Results: The overall prevalence of migraine among the participants was 21.4%. The prevalence was higher among females (29%) than males (12%). A multivariable logistic regression model provided the following eight risk factors of migraine: (i) gender (p<0.01), (ii) family income (p<0.01), (iii) marital status (p<0.01), (iv) infrequent exercise (p<0.01), (v) family history of headache (p<0.01), (vi) high screen time (p<0.05), (vii) depressive symptoms (p<0.05) and (viii) anxiety disorder (p<0.01). More than two-thirds of the migraineurs reported more than five attacks during the past month with moderate to severe intense headache. Stress was the most reported trigger of migraine among university students (71%) followed by irregular sleep (47%), academic pressure (33%), and external noise (28%). Almost 37% of the participants who had migraines reported that headache caused severe impact in their day to day life. Conclusions: The prevalence of migraine among university students of Bangladesh is alarmingly high. Frequent migraine attacks and severe intensity of headache cause a substantial level of impact among the sufferers. Cautious avoidance of the triggering factors through appropriate interventions and prophylactic medication can mitigate the negative impact of migraine as well as improve the quality of life.


2021 ◽  
Vol 16 (1) ◽  
pp. 30-33
Author(s):  
Md Kamrul Hassan ◽  
Abu Faisal Md Pervez ◽  
Khalid Ahmed Syfullah ◽  
Md Monir Hossain ◽  
Gias Uddin Ahmed ◽  
...  

Optimal growth and development of a child depends mostly on proper breastfeeding and complementary feeding practices. However, many children yet suffer from malnutrition and the recommended practices of complementary feeding have yet not been established among the majority of the population. In this observational study, we looked for the causes behind the improper complementary feeding practices among the mothers attending the outdoor and indoor units of the Department of Pediatrics, Faridpur Medical College Hospital, Faridpur, Bangladesh, from January 2018 to January 2019. A total of 447 mothers were interviewed regarding their complementary feeding practices and data were analyzed to find out the demographic and social influences. The majority of the respondents were between the age group of 21-25 years (54%). Thirty five percent were illiterate, 60% were from the rural area, 78% were housewives, 64% came from a nuclear family, and 87% had a monthly family income of 5000-20000. Most of the deliveries were conducted at home (58%) and the most common source of feeding related information was healthcare workers (66%). Only 41% of the mothers started complementary feeding at the age of 6 months. The most common complementary food was Suji, 60% of them lacked the knowledge of food preparation and 35% of them practice forceful feeding to the children. The promotion of proper complementary feeding needs to be ensured to achieve the children's catch-up growth and development. Faridpur Med. Coll. J. 2021;16(1):30-33


2020 ◽  
Vol 8 (10) ◽  
pp. 259-271
Author(s):  
H. Niayesh ◽  
◽  
M. Aagard ◽  

Background: Children in Afghanistan are at greater risk of malnutrition. Over 50% of children were suffering from malnutrition in Afghanistan in 2012, which has a long-lasting physical, mental, social, and impact on children. Study purpose: The purpose of this research study was to explore the association between parents knowledge, attitudes, and practices about complementary feeding and stunting in children in Afghanistan. The predictor variables were mothers knowledge, attitudes, and practices about complementary feeding and the outcome variable was stunting status of children aged 6 to 24 months. Research methods:A quantitative cross-sectional survey was conducted with randomly selected participants who were living in Kabul, Afghanistan. Logistic regressionmodels were used to analysethe data. Research setting: This research was conducted in 6 hospitals in Kabul, Afghanistan. Study participants: The study participants included 306 mothers who had children aged between 6-24 months. Results: Mothers knowledge, attitudes, and practices were significant predictors of stunting in children, χ2 (9, N = 306) = 45.33, p < .001 χ2 (9, N = 306) = 26.71, p < .01 and χ2 (9, N = 306) = 56.97, p <.001.Mothers who did not practice responsive feeding were 7.1 times more likely to have stunted children than mothers who practiced responsive feeding. Social and policy implications: The social and policy implications of this research study include reviewing nutrition policies, investing in nutrition programs, and increasing public education and awareness in promoting appropriate complementary infant feeding practices in Afghanistan.


2017 ◽  
Vol 5 (1) ◽  
pp. 97 ◽  
Author(s):  
Madhu G. N. ◽  
Harish S.

Background: Optimal infant and young child feeding (IYCF) is an evidence-based measure for improving child nutrition and child survival. After 6 months of exclusive breast feeding, introduction of appropriate complementary feeds is essential. To ensure desirable growth and development of children, complementary feeding should be timely, culturally acceptable, nutritionally adequate, safe and responsive. Objective of this study was to assess the complementary feeding practices among the mothers of children between 6 months and 1 year of age with respect to the time of introduction, quantity and quality.Methods: This is a hospital based cross sectional survey among the mothers of children aged 6 months to 2 years admitted in pediatric wards at KIMS Bangalore during a study period of 6 months. A predesigned questionnaire was used for the collection of data. Details including socio demographic profile of the family and feeding practices of the infant were collected in detail.Results: Out of the 200 participants, 59% were males. 74.5% of the respondent mothers were housewives. Complementary feeds were started at appropriate time in 64.5% of the cases. The feeds were adequate in amount and frequency in 34.5% of the children. Bottle feeding was noted in 33.5% of the cases. Conclusions: Apart from the timely introduction of complementary feeds to infants, emphasis also should be given to the adequacy and quality of the feeds with respect to nutrients. Health professionals should focus on counseling the mothers on appropriate complementary feeding during antenatal, delivery, postnatal, and immunization services.


Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S23.2-S23
Author(s):  
Denise Mohrbacher ◽  
Anneliese Gall ◽  
Rebecca Harrison ◽  
Payton Wesley ◽  
Traci Snedden

ObjectiveThis study aims to evaluate the completion of concussion education in a sample of Wisconsin high school student athletes and their parents/ guardians and identify factors associated with completion.BackgroundSport-related concussion is a significant public health concern. All 50 states have legislation mandating safety and prevention efforts aimed at reducing the burden of injury amongst the high school athlete population. Efforts include mandated concussion education for both athletes and their parents/ guardians. Previous studies have found that education leads to improved recognition of symptoms and improved outcomes. However, completion has not been formally assessed and factors that are associated with the completion are unknown.Design/MethodsSecondary analysis of cross-sectional survey data collected during fall of 2017. Data for pre-identified demographic factors (eg. race, ethnicity, student grade level, highest education, income level) were extracted and summarized using descriptive statistics. Only participants who provided responses to variables of interest were included in this analysis (n = 224 dyads of student athlete and their parent/ guardian). Chi Square test of significance assessed associations between factors and completion of concussion education. Analyses performed using SAS version 9.4.ResultsThe majority of student athletes self-identified as male (n = 123; 55.2%), white (n = 185; 87.7%) and non-hispanic (n = 192; 93.2%). Student athletes, who were older, in higher grade levels, had a history of concussion, and had parents/legal guardians with higher levels of education reported completing concussion education at higher proportions. Parents/ guardians reported completion of concussion education at higher proportions if they had a higher stated family income, their student athlete was in a higher grade level, and if their student athlete had a history of concussion.ConclusionsA number of factors are associated with higher self-reported completion of mandated concussion education, identifying a gap. Further investigation is necessary to ensure all student athletes and their parent/guardian are educated about concussion.


2021 ◽  
Author(s):  
Luz E Vera-Becerra ◽  
Ana I Rodriguez-Guerra ◽  
CLAUDIA MARTINEZ-CORDERO

Abstract Breast feeding and complementary feeding practices are crucial for health across the life. The purpose of the study was to know some infant feeding practices in a Mexican indigenous population. Twenty Mexican indigenous mothers with children under two-year age answered a semi-structured interview. Most of the mothers reported to feed their children with breast milk during the first months, although exclusive breastfeeding did not meet the recommended time mainly due to cultural factors. We conclude the mothers followed the preferences and signals of the child for complementary feeding, and instinctively determined how and when to offer different foods to breast milk.


2019 ◽  
Vol 39 (1) ◽  
pp. 22-28
Author(s):  
Swarup Kumar Bisoi ◽  
Mamata Devi Mohanty ◽  
Dillip Kumar Dash ◽  
Satabdi Giri

Introduction: According to NHFS-4 data, around 38% of under-five Indian children are malnourished and stunted. In addition to poor socio-economic status, faulty complementary feeding practice is a major contributor to this. The objective of this study is to know the prevailing complementary feeding practices in our area, the most common food type preferred for introduction during initiation of complementary feeds, knowledge of the mother and their family members regarding complementary feeding, the factors influencing in decision making  and its financial  burden on the family.  Methods: This hospital based cross-sectional study was conducted in a private Medical College in Bhubaneswar, Odisha, India. 256 mothers of infants between six months to two years attending Paediatric OPD from December 2018 to June 2019 were selected by random sampling technique. Data were collected using a structured questionnaire. Results: Out of the total 256 subjects interviewed, 134 (76.13%) out of 176 families belonging to lower income group preferred commercially available processed food over home food as the initial weaning food as compared to 32 (40%) out of 80 of the high income group preferring the same. The lower income group spent 22.3% of the total family income on commercial preparations to feed their infants in the age group six to 12 months. Whereas high income group families spend an average of 14.3% of family income on baby food products in the same age group. Despite being in regular contact with the local physician, in 85% of the total visits to the doctor, the opportunity wasn’t utilised to counsel the family member about complementary  feeding practices. Conclusions: Commercial preparations are the primary preferred weaning food. The dietary diversity of complementary food is very poor, thus affecting growth and development. The false perception that commercial preparations are critical to child growth and development is overburdening the family finances.


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