scholarly journals Association of Complementary feeding practices and household food insecurity and anthropometric status of children aged 6-23 months old in Kabul city

2020 ◽  
Author(s):  
Gholam Reza Ahrar ◽  
Leila Azadbakht
Keyword(s):  
Food Insecurity ◽  
Odds Ratio ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Household Food Insecurity ◽  
Meal Frequency ◽  
Z Score ◽  
Household Food ◽  
Anthropometric Status

Abstract Introduction During the first 1000 days of a child life, appropriate infant feeding practices are fundamental to growth, health and development of a child. Globally only one in six children receive a minimum acceptable diet. In Afghanistan, the status of minimum meal frequency, dietary diversity and acceptable diet were 55%, 23% and 18%, respectively among children aged 6-23 months. This study designed with the aim of determines the association of complementary feeding (CF) indicators and household food insecurity and anthropometric status of Afghan children aged 6-23 months. Methods We were selected 300 children aged 6-23 months old in this cross-sectional study through simple method. Three 24-hour dietary recall were collected for CF practices. Socioeconomic and United State Department of Agriculture (USDA) food security questionnaire were used from interview method and nutritional status was assessed using World Health Organization indicators. Chi-Square analysis were used to determined association between anthropometry of children among different age groups, complementary feeding indicators and household Food insecurity. Independent sample test was used to determined association between nutrient intake and complementary feeding indicators. Results Results showed that 59% of children received timely introduction of CF and Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD) and Minimum Acceptable Diet were met by 87.7%, 44.7% and 42.3%, respectively. Prevalence rate of food insecurity was 90.7%. Result for odds ratio and 95% CI showed there is association between (Length for Age Z-score (LAZ) with MMF), (Weight for Age Z-score (WAZ), Weight for Length Z-score (WLZ) and Length for Age Z-score (LAZ) with MDD and MAD). Result for odds ratio and 95% CI also showed there are significant associations between WAZ, WLZ and LAZ with household food insecurity. Conclusion Household food insecurity and weak complementary feeding make more prevalence of malnutrition.

scholarly journals Maternal Social Support Is Associated with Child Complementary Feeding, and Household Food Security in the Vakinankaratra Region, Madagascar

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 855-855
Author(s):  
Joel Komakech ◽  
Hasina Rakotomanana ◽  
Christine Walters ◽  
Deana Hildebrand ◽  
Barbara Stoecker
Keyword(s):  
Social Support ◽  
Food Security ◽  
Food Insecurity ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Household Food ◽  
Maternal Social Support

Abstract Objectives There is limited research on the associations between maternal social support and household food security and child feeding practices in Madagascar. Our study examined the association between maternal social support, household food security, and feeding practices among mothers of children 6 - 24 months in the Vakinankaratra region, Madagascar. Methods This cross-sectional study included 344 mother-child dyads. The Medical Outcomes Study (MOS) Social Support Index was used for maternal social support scores. A mean score of >4 was considered optimal social support with ≤2 as none or little support. Food insecurity scores were determined using the Household Food Insecurity Access Scale (HFIAS). Complementary feeding practices were assessed using the World Health Organization (WHO) IYCF guidelines. Logistic and linear regression models tested the association between social support, complementary feeding practices, and household food insecurity. The models were adjusted for household, maternal and child confounders. Statistical significance was set at P < 0.05. Results Almost half of the mothers (49.1%) were supported by their spouses, although only 37.8% of mothers had optimal social support. Less than half of infants (36.34%) met minimum dietary diversity (≥4 of 7 food groups). Mothers with optimal social support had lower household food insecurity (b = −0.85, P = 0.016, R,2 = 0.10) in the adjusted models. Furthermore, children of mothers with higher social support were more likely to meet minimum dietary diversity scores (AOR = 2.36 [1.21–4.56], P = 0.021) and to achieve the minimum adequate diet (AOR = 2.32 [1.17–4.61], P = 0.018). Although maternal social support was significantly associated with child minimum meal frequency in the bivariate analysis, it became nonsignificant in the final adjusted model (AOR = 1.70 [0.93–3.11], P = 0.387). Conclusions Increased maternal social support was significantly associated with household food security, child dietary diversity, and diet adequacy. Integrating parental peer support in nutrition interventions may be effective in improving food security, and child feeding practices in the Vakinankaratra region of Madagascar. Funding Sources This study was funded by Oklahoma State University.

scholarly journals Maternal nutritional status mediates the linkage between household food insecurity and mid-infancy size in rural Bangladesh

2020 ◽  
Vol 123 (12) ◽  
pp. 1415-1425
Author(s):  
Muzi Na ◽  
Abu Ahmed Shamim ◽  
Sucheta Mehra ◽  
Alain Labrique ◽  
Hasmot Ali ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Child Growth ◽  
Household Food Insecurity ◽  
Rural Bangladesh ◽  
Maternal Nutritional Status ◽  
Prenatal Factors ◽  
Household Food

AbstractHousehold food insecurity (HFI) is a major concern in South Asia. The pathways by which HFI may reduce child growth remain inadequately understood. In a cohort study of 12 693 maternal–infant dyads in rural Bangladesh, we examined association and likely explanatory pathways linking HFI, assessed using a validated nine-item perception-based index, to infant size at 6 months. Mothers were assessed early in pregnancy for anthropometric status, dietary diversity and socio-economic status. Infants were assessed for weight, length, and arm, chest and head circumferences and breast and complementary feeding status at birth and 6 months of age. Extent of HFI shared a negative, dose–response association with all measures of infant size at 6 months and odds of wasting and stunting; 57–89 % of variances in the unadjusted models were explained by prenatal factors (maternal nutritional status and dietary diversity), and birth size adjusted for gestational age. Postnatal infant breast and complementary feeding and morbidity exposures explained the remaining fraction of the significant association between HFI and differences in infant arm and chest circumferences and odds of underweight. Contextual (i.e. socio-economic) factors finally brought remaining non-significant fractions of the food insecurity-related mid-infancy growth deficit to practically zero. Improving food security prior to pregnancy and during gestation would likely improve infant growth the most in rural Bangladesh.

scholarly journals Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

2014 ◽  
Vol 18 (4) ◽  
pp. 669-678 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Penelope Burns ◽  
Andrew Page ◽  
Michael J Dibley
Keyword(s):  
Risk Factors ◽  
Health Survey ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Meal Frequency ◽  
Factors Associated ◽  
Minimum Dietary Diversity ◽  
Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

scholarly journals Magnitude and Factors Associated with Optimal Complementary Feeding Practices among Children Aged 6-23 Months in Bensa District, Sidama Zone, South Ethiopia

1970 ◽  
Vol 29 (2) ◽  
Author(s):  
Muntasha Birhanu ◽  
Teferi Abegaz ◽  
Rekiku Fikre
Keyword(s):  
Food Security ◽  
Service Utilization ◽  
Odds Ratio ◽  
Postnatal Care ◽  
Complementary Feeding ◽  
Care Service ◽  
Feeding Practices ◽  
Household Food Security ◽  
Factors Associated ◽  
Household Food

BACKGROUND: Prevalence of optimal complementary feeding practices are lower than expected. Undernutrition contributes 35% of children mortality. Our study was aimed to assess magnitude and factors associated with optimal complementary feeding practices among children 6-23 months in Bensa Dstrict, Sidama Zone, South Ethiopia, 2016.METHOD: A community based cross sectional study was conducted from January to February 2016 in (8) randomly selected kebles found in Bensa District. Respondents were selected by using simple random sampling technique after sampling frame was prepared from rapid survey. Pre-tested questionnaire was used to collect information. Then, data were entered into SPSS version 20, Then, crude odds ratio (COR) and adjusted odds ratio (AOR) with 95% confidence interval were computed to examine statistical significance.RESULT: This study revealed that only 8.6% (95%CI: 6.4, 10.7%) of 6-23 months children had optimal complementary feeding practices. Mother’s knowledge on optimal complementary feeding (AOR=5.4, 95%CI: 2.7, 11), postnatal care service utilization(AOR=3.4, 95%CI: 1.7, 7), and household food security (AOR=5, 95%CI: 2.5, 10.5) were positively associated with optimal complementary feeding practices.CONCLUSION: Mother’s knowledge, postnatal care utilization and household food security positively affected optimal complementary feeding practices.Thus, Bensa District Health Office, Sidama Zone Health Departiment and other respective stakeholders should cooperatively work to enhance knowledge of mothers/care takers on optimal complementary feeding practices, household food security and on advantages of postnatal care service utilization.

scholarly journals Agricultural Food Production Diversity and Dietary Diversity among Female Small Holder Farmers in a Region of the Ecuadorian Andes Experiencing Nutrition Transition

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2454
Author(s):  
Christopher L Melby ◽  
Fadya Orozco ◽  
Jenni Averett ◽  
Fabián Muñoz ◽  
Maria José Romero ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Food Groups ◽  
Household Food ◽  
Small Holder Farmers ◽  
Production Diversity ◽  
Small Holder ◽  
Agricultural Food

Some rural areas of Ecuador, including the Imbabura Province of the Andes Highlands, are experiencing a double burden of malnutrition where micronutrient deficiencies persist at the same time obesity is increasing as many traditional home-grown foods are being replaced with more commercially prepared convenience foods. Thus, the relationships among agricultural food production diversity (FPD), dietary diversity (DD), and household food insecurity (HFI) of the rural small holder farmers need further study. Therefore, we examined these associations in small holder farmers residing in this Province in the Andes Highlands (elevation > 2500 m). Non-pregnant maternal home managers (n = 558, x age = 44.1, SD = 16.5 y) were interviewed regarding the number of different agricultural food crops cultivated and domestic animals raised in their family farm plots. DD was determined using the Minimum Dietary Diversity for Women Score (MDD-W) based on the number of 10 different food groups consumed, and household food insecurity (HFI) was determined using the 8-item Household Food Insecurity Experience Scale. The women reported consuming an average of 53% of their total food from what they cultivated or raised. Women with higher DD [MMD-W score ≥ 5 food groups (79% of total sample)] were on farms that cultivated a greater variety of crops (x = 8.7 vs. 6.7), raised more animals (x = 17.9 vs. 12.7, p < 0.05), and reported lower HFI and significantly higher intakes of energy, protein, iron, zinc, and vitamin A (all p < 0.05). Multiple regression analyses demonstrated that FPD was only modestly related to DD, which together with years of education, per capita family income, and HFI accounted for 26% of DD variance. In rural areas of the Imbabura Province, small holder farmers still rely heavily on consumption of self-cultivated foods, but greater diversity of crops grown in family farm plots is only weakly associated with greater DD and lower HFI among the female caretakers.

Household food insecurity but not dietary diversity is associated with children's mean micronutrient density adequacy in rural communities across Ghana

Nutrition ◽  
2019 ◽  
Vol 65 ◽  
pp. 97-102 ◽  
Author(s):  
Aaron Kobina Christian ◽  
Grace S. Marquis ◽  
Esi K. Colecraft ◽  
Anna Lartey ◽  
Rula Soueida
Keyword(s):  
Rural Communities ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Household Food

scholarly journals Household Food Insecurity, Dietary Diversity, Stunting, and Anaemia among Left-Behind Children in Poor Rural Areas of China

2019 ◽  
Vol 16 (23) ◽  
pp. 4778 ◽  
Author(s):  
Yang ◽  
Yuan ◽  
Yang ◽  
Zou ◽  
Ji ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Rural China ◽  
Nutritional Intervention ◽  
Food Group ◽  
Hunan Province ◽  
Household Food Insecurity ◽  
Left Behind ◽  
Household Food

Left-behind children (LBC) are a newly emerged social group in China. Poor nutritional status is particularly prominent in this population. However, their food insecurity tends to attract very little attention. This study aims to investigate the relationship between food insecurity and undernutrition (stunting and anaemia) in 3 to 5-year-old LBC in rural China. Face-to-face interviews were administered to 553 LBC caregivers in 40 rural villages of Hunan Province, China. The Household Food Insecurity Access Scale (HFIAS) was used to assess household food insecurity (HFI). Dietary diversity score (DDS) and food group consumption frequency were measured by 24 h-recall and food frequency questionnaires (FFQ). Hemoglobin tests and anthropometric measurements including height and weight were measured by trained health professionals. Logistic regression was constructed to assess the association between household food insecurity and dietary diversity, stunting, and anaemia. A high prevalence of household food insecurity was determined (67.6%). The weighted prevalence of stunting and anaemia were 16.6% and 26.5%, respectively. Food insecurity was positively associate with LBC stunting (severe HFI: OR = 6.50, 95% CI: 2.81, 15.00; moderate HFI: OR = 3.47, 95% CI: 1.60, 7.54), and anaemia (severe HFI: OR = 1.91, 95% CI: 1.02, 3.57). LBC with food insecurity had significantly lower dietary diversity than those who were food-secure (p < 0.001). The prevalence of household food insecurity among LBC in poor rural China is high and is associated with low DDS, stunting, and anaemia. Nutritional intervention programs and policies are urgently needed to reduce household food insecurity and undernutrition for this vulnerable population.

Sign in / Sign up

Export Citation Format

Share Document