scholarly journals The Association Between Employment Status and Timely Initiation of Infant Complementary Feeding Practice in Addis Zemen Town, Ethiopia, 2018.

Author(s):  
Bekalu Kassie ◽  
Genet Degu ◽  
Teklemariam Tarekegn

Abstract Background Complementary feeding is giving other foods or fluids to infants in addition to breast milk at six months of age. For better health and development of children, it should be timely (at six months of age). Thus, this study aimed to assess timely initiation of complementary feeding and associated factors among mothers with children aged 6–23 months in Addis Zemen Town. Methods A Community based cross-sectional study design was conducted from March 21 to April 10, 2018. Researchers recruited four hundred sixteen mothers whose child was aged from 6 to 23 months by systematic random sampling technique. We used interviewer-administrated questionnaire and then the data were coded and entered to EpiData version 4.2. It was exported to SPSS version 23 for analysis. Binary logistic regression model was fitted and variables p-values < 0.05 with multi-variable logistic regression analysis were considered as statistically significant at 95% confidence interval (CI). Adjusted odds ratio (AOR) was used to measure the strength of association. Result Timely initiation of complementary feeding was 57.7% with 95% CI (52.9, 62.3). In this study Being employed (AOR 2.34(1.07–5.16), visit antenatal care clinic four times and above (AOR 2.36(1.44, 3.85)), having good knowledge on complementary feeding (AOR 3.47(2.20, 5.48)), and having favorable attitude towards complementary feeding practice (AOR 3.87(2.46, 6.11) were found to be statically significantly associated with timely initiation of complementary feeding practice. Conclusion Timely initiation of complementary feeding practice was lower than WHO cut of point. Educate women, enhance antenatal visits and work to increase mothers’ knowledge are recommended. Additionally, special focus is better to be given for unemployed mothers.

2021 ◽  
Vol 2 (2) ◽  
pp. 118-128
Author(s):  
E. M. Okonkwo ◽  
F. O. Samuel

This study determined food neophobia (FN) and the relationship of infant feeding practice (IFP) and (FN) among pre-school children in Orogun community, Ibadan. Three hundred and seventy mothers of pre-school children were chosen using a systematic random sampling technique from a pre-survey house to house list of eligible children. A semi-structured questionnaire that included socio-demographic characteristics, retrospective breastfeeding practice, retrospective complementary feeding practice (CFP) and FN scales were used to collect information. Data were analyzed using descriptive and logistic regression. The exclusive breastfeeding (EBF) rate was 26.8% and 38% of the mothers had a good breastfeeding practice. Timely initiation of complementary feeding was 54%. The prevalence of FN was 35%. Logistic regression analysis showed that the odds for FN was higher among children who were initiated to breastfeeding late (OR = 1.45, 95% CI: 0.886 – 2.31), children that were not breastfed on demand (OR = 1.766, 95% CI: 0.925 – 3.372), those not exclusively breastfed for six months (OR = 1.366, 95% CI: 0.834 – 2.240) and children introduced to complementary food before 6 months (OR = 1.473, 95% CI: 0.787 – 2.760). Most rejected foods were from the fruits and vegetable group. There were suboptimal IFP in the study and prevalence of FN was high.  Poor IFP were associated with FN. Community-based nutrition education programs should be encouraged to improve IFP.


2018 ◽  
Vol 6 (1) ◽  
pp. 156
Author(s):  
Shankar Prasad Yadav ◽  
Anita Chamlagain ◽  
Sneha Dhakal ◽  
Gauri Shankar Shah

Background: Initial years of life are crucial for child growth and development.  Breast feeding for first six months of life, followed by adequate complimentary feeding is necessary for preventing malnutrition and its complication in children. This study accessed the complementary feeding practice and the time of initiation of complementary feeding among infants.Methods: This was a cross-sectional study conducted for 3 weeks, among 92 infants. Details of feeding practice were taken from the parents from semi-structured questionnaire and nutritional status was evaluated by anthropometric assessment tools.Results: Ninety-two mothers were interviewed, and their corresponding infants were evaluated. The mean age of infant was 8.8 months with equal proportion of male and female. The mean age of mother interviewed was 26.6 yrs. 59.8% had timely initiation of complimentary feeding. Timely complimentary feeding was directly related to maternal literacy where literate mother follows the practices of appropriate complimentary feeding (p<0.007). There was significant association between ethnicity and timely initiation of complimentary feeding practices. 78.2 % babies who had timely initiation were of higher ethnicity. Overall in our cohort 18.4% were stunted, 14.1% were wasted. The stunted and wasted child were significantly more in whom there was absence of timely initiation of complimentary feeding (p<0.05).Conclusions: Proper complimentary feeding is still lagging in our society, proper parental education and nutritional counselling will be required to prevent under nutrition in infants.


2018 ◽  
Vol 4 (1) ◽  
pp. 111-116 ◽  
Author(s):  
Radha Kumari Paudel ◽  
Yuba Nidhi Basaula ◽  
Sunita Tiwari

Inappropriate complementary feeding practice is one of the main reasons for malnutrition among Nepal children aged less than two years. Exclusive breastfeeding for the first six months followed by complementary feeding along with breastfeeding is vital for proper growth and development of a child. This study was carried out to assess the knowledge and practices of mothers regarding complementary feeding, and to determine the factors influencing the inappropriateness of complementary feeding. A hospital based cross-sectional study was carried out at Bharatpur Hospital Chitwan, Nepal, involving mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, using systematic sampling technique and applying semi-structured questionnaire. About 73.8 % of mothers knew they had to start breast feeding within ½-1 hours after birth. It was found in this study that around 20.8% mothers practiced exclusive breast feeding more than six months. Study shows that 52.30% mothers had introduced complementary feeds within six months. This study found that 50% mother fed their children appropriate complementary feeding. About26.1% mothers were found to be practicing ideal feeding in this study. It was observed in the study that 73.8% mothers had knowledge about the exclusive breast feeding. Most mothers (18.4%) knew when to start complementary feeding . Study shows that 52.30% mothers had introduced complementary feed within six month. Half of the mothers fed their child appropriate complementary feeding there was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of complementary feeding.


Children ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 106 ◽  
Author(s):  
Dilaram Acharya ◽  
Radha Subedi ◽  
Kwan Lee ◽  
Seok-Ju Yoo ◽  
Salila Gautam ◽  
...  

Although the predictors of the timely initiation of complementary feeding are well-known elsewhere, there is less awareness of the topic in Nepal. The current study was undertaken to identify the correlates of timely initiation of complementary feeding among children aged 6–23 months. A community-based cross-sectional study was conducted in the Rupandehi district, Nepal. A total of 155 mother-child pairs were selected using a simple random sampling technique. Logistic regression with adjustment for potential confounders was employed to examine the independent association between risk factors and the timely initiation of complementary feeding. Fewer than 3 in 5 children aged 6–23 months received complementary feeding at the recommended time. Literate mothers and a maternal occupation in the service or business sectors were found to be associated with complementary feeding at 6 months. In addition, child characteristics such as birth order, male children, and those fed micronutrients were also more likely to have been received complementary feeding at 6 months than their counterparts. Maternal education and occupation, and child characteristics such as, birth order, male gender, and micronutrient consumption, which are correlates of the timely initiation of complementary feeding, suggest that the Nepalese Infant and Young Child Feeding (IYCF) programme should target these predictors while designing preventive strategies.


Author(s):  
Vidya Mallesh ◽  
Rekha S. Udgiri ◽  
Shailaja S. Patil

Background: Malnutrition among under 5 children is a major public health concern in India, sub-optimal feeding and inadequate knowledge of mothers on optimal child feeding practice not only increases the risk of infections and malnutrition but also considered as an important determinant of under-5 children mortality. Objective: Assess knowledge, attitude and practice on breastfeeding, and complementary feeding among mothers with the children under-2 years of age attending the health camp.Methods: This cross-sectional study was conducted on all the mothers with the children under 2 years of age attending the health camp at Shri B. M. Patil Medical College Hospital and Research Center, Vijayapura. A verbal consent was taken and pre structured questionnaire was used to assess knowledge, attitude and practice on breastfeeding and complementary feeding in the mother attending the health camp.Results: In the present study, only 42.1% of the mothers had practiced early initiation breastfeeding and only 38.3% of mothers had practice exclusive breastfeeding for the first 6 months. 36% of the mothers had given prelactial feeds, 62.8% of mothers had fed their children with colostrum and timely initiation of complementary feeding was practiced only among 18.2% of mothers.Conclusions: This study shows inadequate knowledge among mothers regarding infant and young child feeding methods and faulty child feeding practices were followed by mothers. 


Author(s):  
Md. Al-Amin

Household saving ensures a smooth future by softening the potential insecurities arise from uncertainty at the cost of present consumption. Moreover, the volume of national investment determines the actual health of an economy which is intensively associated with national savings. This study aimed at determining the effects of different socio-economic characteristics of rural households on their saving decision in Pabna district of Bangladesh. This research used a set of cross-sectional data from 250 households from three upazilas in Pabna district namely Pabna Sadar, Iswardi and Sujanagar on the relevant variables for the empirical analysis. A multistage random sampling technique involving simple, purposive and stratified random sampling was used to draw the sample. The study employed a binary logistic regression model to assess the influences of different socio-economic and demographic characteristics of rural household on their saving decision. The findings of the current study asserted that gender, family size and dependency ratio of household have significant and negative effects on their decision to start saving or not to start saving. Contrarily, the effects of the variables age, education level, marital status, income, secondary earner and liabilities on the decision of households to participate in saving were positive and significant. Moreover, the results revealed that social status has a strong but insignificant effect, but the variables access to bank and credit facilities have almost no significant effect on the household saving decisions. Since, private savings is essential for both the micro and macro level of an economy, therefore the study tried to suggest some recommendations with a view to increase private savings.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Kassa Mamo ◽  
Tizita Dengia ◽  
Abuzumeran Abubeker ◽  
Eden Girmaye

Background. The World Health Organization (WHO) recommends mothers worldwide to exclusively breastfeed infants for the child’s first six months to achieve optimal growth, development, and health. Even though appropriate feeding practice is the most cost-effective intervention to reduce child morbidity and mortality, exclusive breastfeeding practices in developing countries are still low. Objective. The objective of the study was to assess exclusive breastfeeding practice and associated factors among mothers in West Shoa zone. Methods. Community-based cross-sectional study design was conducted from May to December 2018 in the West Shoa zone, Ethiopia, among 710 mothers with 6–9-month-old infants. The multistage stage sampling technique was employed. A pretested structured interviewer-administered questionnaire was used to collect the data. Epi Info version 7.1.2.0 was used to enter the data, and we transferred to SPSS version 25 for analysis. The association between factors and the exclusive breastfeeding were analyzed with bivariate and multivariate logistic regression. Result. A total of 710 women were included with a response rate of 97.9%. The prevalence of unintended pregnancy was 38.7%, and only 65.35% of the respondents reported that they have exclusively breastfed for the first six months of their infant’s life. Marital status (AOR 2.467 (1.333–4.564)), ANC visit (AOR 2.562 (1.250–5.252)), pregnancy intentionality (AOR 4.727 (3.217–6.945)), postnatal care clinic attendance (AOR 3.373 (2.293–4.963)), and counseling on exclusive breastfeeding AOR 2.544 (1.239–5.225) were the factors associated with exclusive breastfeeding. Exclusive breastfeeding practice is still low and actions need to be taken like educating the community about the importance of exclusive breastfeeding using every accessible media. Maternal health service centers should provide counseling and education for women about breastfeeding.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Yeshaneh ◽  
Meron Zebene ◽  
Molla Gashu ◽  
Haimanot Abebe ◽  
Habtemariam Abate

Abstract Background Internally displaced populations are susceptible to food deprivation. Specifically, children aged 6–23 are commonly vulnerable to poor complementary feeding. Proper complementary feeding is of paramount importance to the healthy growth and survival of a children. Therefore, this study aimed to assess the level of appropriate complementary feeding practices and associated factors among internally displaced children aged 6–23 months in northwest Ethiopia, 2020. Methods A community-based cross-sectional study was conducted from June to July 2020 among 264 internally displaced mothers of children 6–23 months in northwest Ethiopia. A systematic random sampling technique was used to reach the study subjects and data were collected using a structured and pre-tested interviewer-administered questionnaire. Data were entered into the Epi Data version 4.1 and analyzed using SPSS version 23. Binary and multivariable analyses with a 95% confidence level were performed. In the final model, variables with P < 0.05 were considered statistically significant. Results The overall level of appropriate complementary feeding practice was 26.8%. Only 14% of the mothers provided a diversified diet for their 6–23 months children. Child aged 6–11 months (AOR = 0.11, 95%; CI: 0.04–0.27), 12–17 months (AOR = 0.35, 95%; 95% CI: 0.17–0.70) and not having harmful culture on complementary feeding (AOR = 2.04; 95% CI: 1.06–3.96) were independent predictors of appropriate complementary feeding practices. Conclusion The level of appropriate complementary feeding practice was found to be low, which would have negative implications on the health and nutritional status of infants and young children. Additional rations for breastfeeding mothers and children aged 6–23 months at refugee camps and nutritional counseling on child feeding practices are recommended.


2020 ◽  
Vol 13 (3) ◽  
pp. 277-288
Author(s):  
Fantu Hilemariam ◽  
Kassahun Ketema ◽  
Melese Linger Endalifer

BACKGROUND: Inappropriate feeding practices, coupled with high rates of infectious diseases, are the proximate causes of malnutrition during the first two years of life. Around 10 million under-five children died annually of which over one-third were due to inappropriate complementary feeding. OBJECTIVE: To assess factors associated with timely initiation of complementary feeding among children aged 6 to 12 months in public health care facilities of Addis Ababa Ethiopia. METHODS: An institutional-based cross-sectional study design was conducted. Data was collected using a pretested structured questionnaire. Binary and multivariable logistic regressions analyses were performed. Variables with p-value ≤0.05 were considered as statistically significant. RESULTS: The proportion of timely initiation of complementary feeding was 65.2% (95% CI = 60.8, 69.5). Being married [AOR = 2.622, 95% CI: 1.182–5.817], belongs to 18–24 years age at first marriage [AOR = 1.671, 95% CI: 1.019–2.742], being grade 9 and above [AOR = 1.910, 95% CI: 1.401–2.258], average income > 1500 Ethiopian birr [AOR = 2.138, 95% CI: 1.762–2.347], and postnatal care follow up [AOR = 1.641, 95% CI:1.435–3.224] were significantly associated with complementary feeding. CONCLUSIONS: In this study, the magnitude of timely initiation complementary feeding was higher as compared to the country level figure. Implementing nutrition strategy which scales-up mother’s living standards improve complementary feedings practices.


2021 ◽  
Author(s):  
Hajo Denko Kebeto ◽  
Gizachew Abdeta ◽  
Solomon Tejineh ◽  
AmanUrgessa Edaso

Abstract Background: The period of transition from exclusive breastfeeding to family foods, referred to as complementary feeding, covers a child from 6-23 months of age. According to World Health Organization 2015; untimely initiation of complementary feeding has negative effect on child health, growth and development and an important cause of under nutrition in children less than 5 years of age which is an underlying cause of more than 40% of morbidity and mortality. Objective: To assess the Timely Initiation of Complementary Feeding practice and Associated factors among children aged 6-23 Months in Nagelle Arsi District, Southern Ethiopia, 2019.Methods: A community-based cross-sectional study was carried out. Systematic random sampling method was used to select 400 study participants. Data was collected using structured questionnaire using face to face interview. The collected data was coded, entered in to Epi-Info version 7 and then exported to SPSS version 21 for analysis.Descriptive statistics, binary and multiple logistic regressions were used for data analysis at 95% confidence intervals. A p-value <0.05 was considered to declare statistical significance. Results: Out of 398 study participants, the proportion of timely initiated complementary feeding was 296 (74.4%) at 95%CI: (70.14, 78.66). In this study Postnatal care follow up [AOR=2.484; 95% CI: (1.478, 4.176)], ANC follow up [AOR=2.221; 95% CI: (1.276, 3.876)] and maternal counseling about timely initiation of complementary feeding at delivery place were positively associated with timely initiation of complementary feeding practice [AOR=2.362; 95% CI: (1.399, 3.986)].Conclusion and recommendation: In this study, three-fourth (74.4%) of children were initiated complementary food at six months of age which was lower than the WHO cut-off point of >80%. ANC follow up, having postnatal care visits and being counseled about timely initiation of complementary feeding at place of delivery were significantly associated with timely initiation of complementary feeding. Therefore promoting ANC follow up, postnatal care visits and counseling about timely initiation of complementary feeding at delivery place were recommended to the concerned bodies to improve the coverage of timely initiation of complementary feeding practice.


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