scholarly journals Magnitude of Undernutrition and Associated Factors among Infants and Young Children aged 6-23 Months in Sinan district, Northwest Ethiopia  Amhara regional state: A crossectional study

2021 ◽  
Author(s):  
Mastewal Giza Amera ◽  
Gemechu Kumera Feyira ◽  
Nurilign Abebe Moges ◽  
Enyew Fenta Mengistu ◽  
Yihenew Sewale Bizu
Keyword(s):  
Young Children ◽  
Nutritional Status ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Northwest Ethiopia ◽  
Hand Washing ◽  
Dietary Diversity Score ◽  
Infants And Young Children ◽  
Older Child

Abstract Background: Childhood undernutrition continues to be the most serious public health problem in the developing world particularly in the rural area. Determining the nutritional status among children less than two years is needed to plan a good nutrition intervention and to provide nutrition education to the community. Despite this, there is limited research conducted in the study area.Objective: To assess undernutrition and associated factors among infants and young children aged 6-23 months in Sinan District, Northwest Ethiopia, 2019.Methods: A Community -based cross-sectional study was conducted among 431 child-mother pairs from March 10, 2019-April 20, 2019 in Sinan District. WHO Anthro software (version 3.2.2) was used to generate the Z-scores. Data were entered using Epi-Data version 4.2 and analysis was done using SPSS version 25. Bivariable and multivariable binary Logistic Regression were fitted. In the multivariable analysis, p-values less than 0.05 were considered as statistically significant factors. Results: The magnitude of stunting, underweight and wasting were 48.7%, 21.7%, and 8% respectively. Less than two times the daily intake of food (AOR = 3.7, 95% CI: 1.5, 9.3). Being older child (12-23 months) (AOR=0.46, 95% CI, 0.22, 0.96) and low dietary diversity score (AOR=0.53, 95% CI, (0.30, 0.92) were significantly associated with undernutrition. Additionally, not having a hand washing facility in the toilet was a significant predictor for both wasting and underweight. Conclusion: The prevalence of undernutrition among infants and young children was higher compared with the previous studies. Low dietary diversity score, lower meal frequency, being an older child, and absence of hand washing facility in the toilet were factors related to the nutritional status. Hence, interventions targeting community management of undernutrition might be appropriate to manage the problem. Efforts should also be intensified to reduce by focusing on identified determinants and the provision of nutrition education to mothers focusing on appropriate feeding practices to improve children’s nutritional status in the study area.

scholarly journals Fish and Meat Are Often Withheld From the Diets of Infants 6 to 12 Months in Fish-Farming Households in Rural Bangladesh

2017 ◽  
Vol 38 (3) ◽  
pp. 354-368 ◽  
Author(s):  
Andrew L. Thorne-Lyman ◽  
Natalie Valpiani ◽  
Rumana Akter ◽  
Md Abdul Baten ◽  
Sven Genschick ◽  
...  
Keyword(s):  
Young Children ◽  
Nutrition Education ◽  
Dietary Diversity ◽  
Small Fish ◽  
Introduced Fish ◽  
Major Barrier ◽  
Processing Technologies ◽  
Dietary Diversity Score ◽  
Minimum Dietary Diversity ◽  
Infants And Young Children

Background: Fish is a widely available animal-source food in Bangladesh and a rich source of nutrients, yet little is known about practices related to incorporating fish into the diets of infants and young children. Objective: Use dietary diversity data to explore consumption patterns of fish and high-quality food items within the household and examine factors associated with delayed introduction of fish to infants and young children. Methods: Cross-sectional survey of 496 households with children <36 months participating in the Aquaculture for Income and Nutrition project in Bangladesh. Data collected included household characteristics, women’s dietary diversity score, and minimum dietary diversity score along with data on Infant and Young Child Feeding practices. Results: Most children (63.4%) met the threshold for minimum dietary diversity. Despite having received extensive nutrition education related to including fish in complementary foods, only half of the caretakers introduced fish at 6 months and the mean age of introduction of small fish was 8.7 months. Meat and fish were not common in infant diets but increased with child age. Concerns about bones were a major barrier to incorporating fish into infant diets. Conclusion: Given its nutrient profile and widespread availability in certain contexts, fish could be an underutilized opportunity to improve nutrition and health outcomes of infants and young children. Further research, including utilizing food processing technologies, is needed to develop appropriate responses to overcome these barriers.

scholarly journals Appropriate Weaning Practice and Associated Factors among Infants and Young Children in Northwest Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Liknaw Bewket Zeleke ◽  
Mengistu Welday Gebremichael ◽  
Yohannes Mehretie Adinew ◽  
Kelemeu Abebe Gelaw
Keyword(s):  
Young Children ◽  
Associated Factors ◽  
Maternal Nutrition ◽  
Dietary Diversity ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Northwest Ethiopia ◽  
Future Health ◽  
Cross Sectional ◽  
Infants And Young Children

Background. The right nutrition from the start of a pregnancy to the child’s second birthday has a profound impact on the future health, wellbeing, and success of a child. This can be achieved through proper maternal nutrition during pregnancy, exclusive breastfeeding, and appropriate weaning practice. Objective. This study was aimed at assessing appropriate weaning practice and associated factors among infants and young children aged 6–23 months in Feres Bet Town, Northwest Ethiopia. Methods. A community based cross-sectional study was conducted among 351 children aged 6–23 months. Simple random sampling technique was used to select study participants. Interviewer administered questionnaires were used. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with appropriate weaning practice. Results. Nearly quarter (23.9%) of mothers have practiced appropriate weaning. Proportion of children who started consumption of weaning food timely and met the recommended dietary diversity was 61.5% and 43.9%, respectively. Child age [AOR (Adjusted Odds Ratio): 7.04], husband’s occupation [AOR: 6.85], and maternal weaning advice [AOR: 4.38] were positively associated with appropriate weaning practice, while family size [AOR: 0.28] showed negative association. Conclusion. Appropriate weaning practice was found to be low. Health education at community level and one-on-one advice for mothers in health institutions are highly recommended to improve appropriate weaning.

scholarly journals Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food Practice in Ethiopia: A Cluster-Randomized Trial

2020 ◽  
Author(s):  
Getenesh Berhanu Teshome ◽  
Susan J. Whiting ◽  
Timothy J. Green ◽  
Demelash Mulualem ◽  
Carol J. Henry
Keyword(s):  
Nutritional Status ◽  
Nutrition Education ◽  
Weight Status ◽  
Dietary Diversity ◽  
Intervention Group ◽  
Complementary Food ◽  
Control Group ◽  
Dietary Diversity Score ◽  
Cluster Randomized ◽  
The Impact

Abstract Background: Improving children's weight status through nutrition education (NE) for mothers about using pulses in complementary feeding has been demonstrated in pilot studies, but no effect on stunting was reported. The aim of the study was to assess the impact of a 9-month pulse-nutrition education program on improving mothers' knowledge, attitude, and practices (KAP) towards pulses, as well as its effect on children's diet diversity, and nutritional status. The NE was delivered by Health Extension Workers (HEWs). Methods: A cluster randomized study was employed for the community-based interventional study. Twelve randomly selected villages in Sidama Zone, Southern Ethiopia were included in the study. A total of 772 mother-child pairs involved in the study; where 386 mother-child pairs in the intervention group received additional messages about pulse-cereal complementary food, and 386 pairs (the control) received only routine health education for 9 months. A survey on mothers’ KAP and anthropometric measurements of the children were taken at baseline, midline, and endline. ANOVA and descriptive statistics were used to analyzed data. Results: At baseline and endline, maternal KAP and the dietary diversity score of the children (mean age at endline 18.8 ± 2.9 mo) were assessed. Intervention mothers’ KAP improved (p<0.001) at midline and endline compared to that of the control group, as did frequency of pulse consumption and Dietary Diversity Score (DDS) among children. At 9 months, the prevalence of stunting, wasting, and underweight was significantly reduced in the intervention group compared to the control group (p=0.001). Conclusions: NE delivered by HEWs improved KAP of mothers regarding pulse consumption and dietary diversity of children led to improved nutritional status of the children. Training HEWs on the use of pulses for complementary food may be an effective way to improve the health of children in Ethiopian communities. Trial Registration: Clinicaltrials.gov #NCT02638571

scholarly journals Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda

2019 ◽  
Vol 40 (2) ◽  
pp. 221-230 ◽  
Author(s):  
Richard B. Kajjura ◽  
Frederick J. Veldman ◽  
Susanna M. Kassier
Keyword(s):  
Young Children ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Acute Malnutrition ◽  
Maternal Knowledge ◽  
Test Analysis ◽  
Hygiene Practices ◽  
Moderate Acute Malnutrition ◽  
Infants And Young Children

Background: Inappropriate infant and young child complementary feeding practices related to a lack of maternal knowledge contributes to an increased risk of malnutrition, morbidity, and mortality. There is a lack of data regarding the effect of nutrition education on maternal knowledge, feeding, and hygiene practices as part of a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition in low-income countries like Uganda. Objective: To determine whether nutrition education improves knowledge, feeding, and hygiene practices of mothers with infants and young children diagnosed with moderate acute malnutrition. Methods: A cross-sequential study using a pretest–posttest design included 204 mother–infant pairs conveniently sampled across 24 randomly selected clusters. Weekly nutrition education sessions were embedded in a supplementary porridge intervention for 3 months. Mean scores and proportions for knowledge, feeding, and hygiene practices were determined at baseline and end line. The difference between mean scores at the 2 time points were calculated with the paired t test analysis, while the proportions between baseline and end line were calculated using a z test analysis. Results: Mean scores for knowledge, dietary diversity, and meal frequency were higher at end line compared to baseline ( P < .001). Handwashing did not improve significantly ( P = .183), while boiling water to enhance water quality improved ( P < .001). Conclusion: Nutrition education in conjunction with a supplementary feeding intervention targeting infants and young children with moderate acute malnutrition improved meal frequency, dietary diversity and water quality.

Nutrition Education and Introduction of Broad Bean—Based Complementary Food Improves Knowledge and Dietary Practices of Caregivers and Nutritional Status of Their Young Children in Hula, Ethiopia

2014 ◽  
Vol 35 (4) ◽  
pp. 480-486 ◽  
Author(s):  
Canaan Negash ◽  
Tefera Belachew ◽  
Carol J. Henry ◽  
Afework Kebebu ◽  
Kebede Abegaz ◽  
...  
Keyword(s):  
Young Children ◽  
Nutritional Status ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Intervention Group ◽  
Baseline Survey ◽  
Control Group ◽  
Broad Beans ◽  
Knowledge And Practice

Background Nutritious complementary foods are needed in countries where undernutrition and stunting are major problems, but mothers may be reluctant to change from traditional gruels. Objective To test whether a recipe-based complementary feeding education intervention would improve knowledge and practice of mothers with young children in Hula, Ethiopia. Methods A baseline survey of 200 eligible, randomly selected mother—child pairs gathered data on sociodemographic characteristics, food security status, knowledge and practices concerning complementary feeding, food group intakes of children aged 6 to 23 months by 24-hour recalls, and children's anthropometric measurements. Twice a month for 6 months, women in the intervention group received an education session consisting of eight specific messages using Alive and Thrive posters and a demonstration and tasting of a local barley and maize porridge recipe containing 30% broad beans. The control group lived in a different area and had no intervention. Results At 6 months, knowledge and practice scores regarding complementary feeding were significantly improved ( p < .001) in the intervention group but not in the control group. The intervention resulted in improvement of children's dietary diversity, as well as mean intake of energy and selected nutrients, compared with children in the control group. Changes in height and weight did not differ between the two groups. Conclusions Community-based nutrition education over 6 months that included demonstration of a local porridge recipe with broad beans added improved the complementary feeding practices of caregivers and the nutritional status of their young children.

scholarly journals Dietary Diversity Practice and Associated Factors Among Infants and Young Children in Haramaya Town, Ethiopia

2017 ◽  
Vol 6 (3) ◽  
pp. 243 ◽  
Author(s):  
Berhe Gebremichael ◽  
Gudina Egata ◽  
Nega Assefa
Keyword(s):  
Young Children ◽  
Low Income ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Statistical Significance ◽  
P Value ◽  
Healthy Children ◽  
Eastern Ethiopia ◽  
Study Participants ◽  
Infants And Young Children

Optimum child feeding is crucial for growth, development, and better health in later life. Dietary diversity is a critical part of the feeding practices. However, there is limited evidence on dietary diversity practice in low-income countries, like Ethiopia. This study assessed dietary diversity practice and associated factors among mothers of infants and young children aged 6-23 months in Haramaya Town, Eastern Ethiopia<strong>. </strong>Community based cross-sectional study design was used and study participants were selected by simple random sampling. Data were collected using a pre-tested questionnaire by face-to-face interview. The collected data were entered to EpiData version 3.1 and exported to SPSS version 22.0 for analysis. Characteristics of the study participants were described by using frequencies, percentages, summary measures, and tables. Bi-variable and multi-variable analyses were used to identify the associated factors. Statistical significance was declared at p-value &lt; 0.05. The study included 635 participants yielding to a response rate of 98.1%. The prevalence of dietary diversity practice was 25.2%. Mothers learned up to secondary level or above [(AOR=2.97, 95% CI: (1.26, 6.99)], mothers who had job [(AOR=3.21, 95% CI: (1.41, 7.29)], older children [(AOR=2.51, 95% CI: (1.45, 4.34)], male children [(AOR= 2.08, 95% CI: (1.29, 3.33)], healthy children [(AOR=2.65, 95% CI: 1.36, 5.16)] and richest households [(AOR=4.45, 95% CI: 1.94, 10.22)] were associated with dietary diversity practice. Generally, the dietary diversity practice was low. Therefore, attention should be given to mothers with no formal education and efforts should be done to improve the socioeconomic status of the households.

scholarly journals Dietary diversity and associated factors among children aged 6 to 23 months in Chelia District, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shambel Keno ◽  
Haile Bikila ◽  
Tesfaye Shibiru ◽  
Werku Etafa
Keyword(s):  
Young Children ◽  
Associated Factors ◽  
Family Income ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Dominant Group ◽  
Cross Sectional ◽  
Household Heads ◽  
Minimum Dietary Diversity ◽  
Infants And Young Children

Abstract Background Although minimum dietary diversity (MDD) is one of the core indicators of a high-quality diet for infants and young children, meeting this dietary diversity standard remains a challenge in Ethiopia. Therefore, adequate information on the status and factors affecting minimum dietary diversity is essential to identify potential strategic interventions. This study to study is to assess DD and associated factors among children aged 6 to 23 months in Chelia District, Ethiopia. Methods A community-based cross-sectional study was conducted in the seven kebeles of Chelia District from 12th April to April 30th, 2020. Kebele is the smallest administrative unit in Ethiopia. Multistage sampling was used to select 631 participants who had a child aged 6 to 23 months. Data was entered into the Epi data version 3.1 and analyzed using Statistical Package for Social Science (SPSS) version 24. A binary logistic regression was fitted to identify significant factors associated with met MDD at 95% CI and a p-value < 0.05. Results Less than one-quarter (17.32%) of infants and young children aged 6 to 23 months had met MDD. The dominant group of foods consumed was composed of grains, roots, and tubers. Children aged18-23 months (AOR = 3.26, 1.36-7.79), mothers aged 35-44 years (AOR = 3.25, 1.38-7.45), housewives as household heads (AOR = 3.41, 1.56-2.37), children of smaller family size (AOR = 3.89, 1.18-12.78), and caregivers who studied grade 9-12 (AOR = 9.98, 5.66-17.10), who received information about food diversity during ANC (AOR = 1.48, 2.21-11.23) and PNC (AOR = 3.94, 2.04-7.63) visit, who travels less than one hour to reach the market (AOR = 2.94, 1.24-6.91) and who had high family income (AOR = 4.12, 1.90-8.19) were significantly associated with meeting MDD. Conclusion Dietary diversity among children aged 6 to 23 months in Chelia District is low. It is proposed that caregivers on MDD be educated/trained and encouraged to share information during health service in order to increase the diverse diet and achieve a better dietary diversity score for infants and younger children.

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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