scholarly journals Appropriate Complementary Feeding Practices and Associated Factors Among Caregivers of Children Age 6-23 Months in Rural Areas of Hunan Province, China: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Minghui Liao ◽  
Qun Huang ◽  
Huixia Li ◽  
Yi Liao ◽  
Guangwen Huang

Abstract BackgroundThis study aimed to evaluate the quality and associated factors that potentially influence complementary feeding practices among Chinese caregivers living in Hunan, a rapidly developing province in China. MethodsThree indicators( minimum dietary diversity(MDD), minimum meal frequency(MMF) and minimum acceptable diet(MAD)) were used to evaluate the rationality of complementary feeding. A multi-factor unconditional logistic regression model was employed to analyzeanalyse the relevant factors of complementary feeding. ResultsThe eligibility rates of MDD, MMF and MAD for children aged 6-23 months were 62.3%, 75.1% and 44.0%, respectively. The ineligible OR values of MDD for children aged 12-17 and 18-23 months were 0.238 and 0.103, respectively, and those of MAD were 0.425 and 0.376, respectively, compared with those for children aged 6-11 months. Compared children whose mothers moved out for work, the ineligible MMF for children whose mothers were not migrant workers was 2.069. Compared with parents who scored less than 60 in knowledge and attitude towards nutrition and health, the ineligible OR values of MDD, MMF and MAD for children whose parents obtained 60-79 were 0.653, 0.689 and 0.668, respectively, and those for children whose parents obtained 80-100 were 0.543, 0.428 and 0.496, respectively (all P values <0.05). ConclusionThe complementary feeding of children in rural areas of Hunan Province needs to be improved. Younger month-age, mothers’ not going out to work and parents’ lacking in knowledge about nutrition and health are high risk factors for poor complementary feeding.

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sharon Bagaaya ◽  
Henry Wamani ◽  
Richard Kajura

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


2020 ◽  
Vol 3 (1) ◽  
pp. 6-14
Author(s):  
Ulak N ◽  
KC D ◽  
Tiwari K

Poor complementary feeding contributes to the characteristic negative growth trends leading to death as well. Therefore, the present study aimed to assess complementary feeding practices and associated factors in the selected urban area of Nepal. A community-based cross-sectional study was conducted among 237 mothers having children aged 6-23 months in Bhaktapur Municipality. Pretested structured questionnaire was used to collect data using a face-to-face interview. Data were entered in Excel followed by using Statistical Package for Social Sciences (SPSS) version 20. Multinomial logistic regression was conducted to determine the feeding practices of infants as per WHO recommendation. Out of the 237 children, 54.8% were boys and 42.2% were girls. In this study 61% were breastfed within 1 hour of birth, 33% were given pre-lacteal feeding, 19% were given complementary feed on time, 55.3% had good minimum meal frequency, and 47.70% were given minimum number of food groups and 26.5% were practicing good minimum acceptable diet. Total Kcal intake supplied is equal to WHO recommended standard however, triggering 84% of participants included processed food as a part of complementary feeding which is never the good practice. The majority of mothers lack the knowledge regarding ideal feeding practices as calorie intake was equal to WHO recommendation. There was a gap in knowledge and practice regarding duration of exclusive breastfeeding and initiation and continuation of ideal complementary feeding. The rate of complementary feeding was found on declining trend. Emphasis given to educate mothers about complementary feeding practices can be very useful for the purpose.


2021 ◽  
Author(s):  
Tadele Tuba Tringo ◽  
Gebremedhin Chameno Chalite ◽  
Markos Makiso Urugo ◽  
Fitsum Endale Liben

Abstract Background Stunting is impaired linear growth of children that they experience it in the first 1000 days after conception and indication of chronic malnutrition. It is caused by poor maternal nutrition and other interrelated factors. Objective This study conducted to assess the magnitude and associated factors of stunting among 6–23 month old children in drought vulnerable kebeles of Demba Gofa district. Methodology: A cross-sectional study with stratified multistage sampling was conducted. Semi-structured questionnaire and anthropometric measurements were used to collect the data. Bivariate and multivariable logistic regression models were fitted using SPSS 20.0 for Windows. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used to measure the strength of the association between dependent and associated variables at a p value < 0.05. Result From the total study population (362), 79 (21.82%) of the children were stunted. Household dietary diversity [AOR = 0.45, 95% CI, 0.78, 0.966], exclusive breast feeding [AOR = 3.54, 95% CI, 1.33, 9.41], early initiation of complementary feeding [AOR = 0.08, 95% CI, 0.044–0.174] and not feeding animal source food during complementary feeding [AOR = 0.061, 95% CI, 0.016–0.226] were significantly associated with child stunting. Conclusions The extent of stunting in the study area is relatively lower than national and regional average. However, based on the findings awareness creation on exclusive breast feeding, complementary feeding and dietary diversification strategies suggested to lessening the problem.


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.


2017 ◽  
Vol 20 (17) ◽  
pp. 3135-3144 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Osita K Ezeh ◽  
Andre MN Renzaho

AbstractObjectiveThe present cross-sectional study aimed to determine population-attributable risk (PAR) estimates for factors associated with inappropriate complementary feeding practices in The Gambia.DesignThe study examined the first and most recent Demographic and Health Survey of The Gambia (GDHS 2013). The four complementary feeding indicators recommended by the WHO were examined against a set of individual-, household- and community-level factors, using multilevel logistic analysis. PAR estimates were obtained for each factor associated with inappropriate complementary feeding practices in the final multivariate logistic regression model.SettingThe Gambia.SubjectsLast-born children (n 2362) aged 6–23 months.ResultsInadequate meal frequency was attributed to 20 % (95 % CI 15·5 %, 24·2 %) of children belonging to the youngest age group (6–11 months) and 9 % (95 % CI 3·2 %, 12·5 %) of children whose mothers were aged less than 20 years at the time of their birth. Inadequate dietary diversity was attributed to 26 % (95 % CI 1·9 %, 37·8 %) of children who were born at home and 20 % (95 % CI 8·3, 29·5 %) of children whose mothers had no access to the radio. Inadequate introduction of solid, semi-solid or soft foods was attributed to 30 % (95 % CI 7·2 %, 38·9 %) of children from poor households.ConclusionsFindings of the study suggest the need for community-based public health nutrition interventions to improve the nutritional status of Gambian children, which should focus on sociocultural and economic factors that negatively impact on complementary feeding practices early in infancy (6–11 months).


2017 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Md Saizuddin ◽  
Md Shahidul Hasan ◽  
Md Rashidul Islam ◽  
Md Alfazzaman ◽  
MM Mafizur Rahman ◽  
...  

A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January, 2015 to December, 2015. Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers are illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and only 30.7% had three or more children.Medicine Today 2016 Vol.28(1): 1-5


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.


2017 ◽  
Vol 17 (3) ◽  
pp. 86-96 ◽  
Author(s):  
Mohd Rohaizat Hassan ◽  
Mohd Fadhli Samsuri ◽  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Zulkifli Md Zainuddin ◽  
...  

The purpose of this study was to determine the prevalence and factors associated with of Premature Ejaculation &Erectile Dysfunctionamong Malaysian men. A cross-sectional study was conducted in urban and rural areas using standardized and validated self-administered questionnaires. A total of 319 samples were recruited for PE screening. The overall prevalence of PE was 31.7% with 20.7% and 40.8% for urban and rural area respectively. Depression, anxiety and frequent masturbation were significantly associated with PE. While For ED, infrequent sexual intercourse was the sole factor significantly associated with ED.PE and ED were highly prevalent in both urban and rural areas; with several significant preventable associated factors.


Author(s):  
Arulprasad Radjasegarane ◽  
Anandaraj Rajagopal ◽  
Prakash Mathiyalagen ◽  
Kavita Vasudevan

Background: Optimal infant and young child feeding practices (IYCF) are essential to address the increasing burden of malnutrition and for the overall development of the children. The present study was conducted to estimate the proportion of optimal infant and young child feeding practices among rural children aged 0 to 23 months and study the associated socio demographic factors.Methods: A community based cross-sectional study was conducted among 360 children in the age group of 0 to 23 months in a rural field practice area of a medical college in Puducherry. Data on IYCF practices were collected using a standardized tool developed by WHO. Core and optional IYCF indicators were calculated. Chi-square test and Fishers’ exact test were used as tests of significance.Results: Almost 88.0% of infants were initiated early on breastfeeding and 90.8% were exclusively breastfed for six months. Children who were continuously breastfed at one year and two years were 77.4% and 22.4% respectively. About 75.0% were introduced with solid or semisolid foods at 6 to 8 months of age. Among children aged 6 to 23 months, 77.3% had the recommended minimum dietary diversity, 81.3% had the minimum meal frequencies, while 57.7% received the minimum acceptable diet and only 39.4% consumed iron rich foods. Gender was significantly associated with the practice of continued breastfeeding at one year, adequate minimum dietary diversity and minimum meal frequency.Conclusions: The core and optional IYCF indicators were acceptably good in the initial six months of life but thereafter showed suboptimal levels, which should be emphasized among the mothers or primary care givers.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.


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