Complementary Feeding Practices and it's Associated Factors Among Mothers in Selected Urban Area of Nepal

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.

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Appropriate Complementary Feeding Practice and associated factors among mothers with children age 6- 23 months in Faggeta-Lekoma District, Northwest Ethiopia: community- based cross - sectional study

10.21203/rs.2.12833/v2 ◽

2019 ◽

Author(s):

Addisu belete Ferede ◽

Gashaw Andargie Bikes ◽

Tsgehana gebregyorgis Gebremichael

Keyword(s):

Associated Factors ◽

Complementary Feeding ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Feeding Practice ◽

Meal Frequency ◽

Food Groups ◽

Community Based ◽

Cross Sectional ◽

Care Visit

Abstract Abstract Objective : the aim of the study was to assess appropriate complementary feeding practices and associated factors among mothers with children of age 6 - 23 months in Faggeta-Lekoma District, Northwest Ethiopia. Result – A total of 593 study subjects were included in the study. The magnitude of appropriate complementary feeding practice was 10.6%. Majority (67.1%) of the mothers timely initiated complementary feeding at 6 months. About 60% of mothers fulfill the minimum meal frequency feeding to their children, the day preceding the survey. Only 12.3 % mothers offered four or more food groups to their child Mother’s education: high school and above [AOR=3.12(95%CI 1.43, 6.81)], postnatal care visit [AOR=5.30 (95%CI 2.69, 10.42)], Age of a child: 18-23 months [AOR=3.98 (95%CI 1.55, 10.22)] were significantly associated with appropriate complementary feeding practice. Keywords : appropriate Complementary feeding practice, Children aged 6–23 months, Ethiopia

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Appropriate Complementary Feeding Practice and associated factors among mothers with children age 6- 23 months in Faggeta-Lekoma District, Northwest Ethiopia: community- based cross - sectional study

10.21203/rs.2.12833/v1 ◽

2019 ◽

Author(s):

Addisu Belete Ferede ◽

Gashaw Andargie Bikes ◽

Tsgehana GebreGyorgis Gebremichael

Keyword(s):

Associated Factors ◽

Complementary Feeding ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Feeding Practice ◽

Meal Frequency ◽

Food Groups ◽

Community Based ◽

Cross Sectional ◽

Care Visit

Abstract Abstract Objective: the aim of the study was to assess appropriate complementary feeding practices and associated factors among mothers with children of age 6 - 23 months in Faggeta-Lekoma District, Northwest Ethiopia. Result – A total of 593 study subjects were included in the study. The magnitude of appropriate complementary feeding practice was 10.6%. Majority (67.1%) of the mothers timely initiated complementary feeding at 6 months. About 60% of mothers fulfill the minimum meal frequency feeding to their children, the day preceding the survey. Only 12.3 % mothers offered four or more food groups to their child Mother’s education: high school and above [AOR=3.12(95%CI 1.43, 6.81)], postnatal care visit [AOR=5.30 (95%CI 2.69, 10.42)], Age of a child: 18-23 months [AOR=3.98 (95%CI 1.55, 10.22)] were significantly associated with appropriate complementary feeding practice. Keywords: appropriate Complementary feeding practice, Children aged 6–23 months, Ethiopia

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Complementary Feeding Practices and Associated Factors Among Infants and Young Children 6–23 Months in Fort Portal Kabarole District Uganda (P11-049-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz048.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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Complementary feeding practice and associated factors among internally displaced mothers of children aged 6–23 months in Amhara region, Northwest Ethiopia: a cross-sectional study

BMC Pediatrics ◽

10.1186/s12887-021-03050-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alex Yeshaneh ◽

Meron Zebene ◽

Molla Gashu ◽

Haimanot Abebe ◽

Habtemariam Abate

Keyword(s):

Associated Factors ◽

Complementary Feeding ◽

Sampling Technique ◽

Feeding Practices ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Feeding Practice ◽

Sectional Study ◽

Cross Sectional ◽

Internally Displaced

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.

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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

10.21203/rs.3.rs-98306/v1 ◽

2020 ◽

Author(s):

Minghui Liao ◽

Qun Huang ◽

Huixia Li ◽

Yi Liao ◽

Guangwen Huang

Keyword(s):

Migrant Workers ◽

Rural Areas ◽

Associated Factors ◽

Complementary Feeding ◽

Dietary Diversity ◽

Feeding Practices ◽

Cross Sectional Study ◽

Hunan Province ◽

Nutrition And Health ◽

Cross Sectional

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.

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Knowledge, Practice, and Associated Factors of Home-Based Management of Diarrhea among Caregivers of Children Attending Under-Five Clinic in Fagita Lekoma District, Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016

Nursing Research and Practice ◽

10.1155/2017/8084548 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 4

Author(s):

Bogale Kassahun Desta ◽

Nega Tezera Assimamaw ◽

Tesfaye Demeke Ashenafi

Keyword(s):

Primary Education ◽

Associated Factors ◽

Good Practice ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Cross Sectional ◽

Under Five ◽

Adequate Knowledge ◽

Home Based ◽

Knowledge Practice

Introduction. In Ethiopia, it is the second cause for clinical presentation among under five-year child population. Objective. The main aim of this study was to assess knowledge, practice, and associated factors of home-based management of diarrhea among caregivers of children attending the under-five clinic. Methods. Institution based quantitative cross-sectional study was carried out from March 1, 2016, to April 22, 2016. Results. Two hundred eight (56.2%) of them had good knowledge and one hundred thirty-nine (37.6%) of them had the good practice of home management of diarrhea, specifically, primary education (AOR: 5.384, 95% CI: 2.008, 14.438), secondary and above education (AOR: 11.769, 95% CI: 3.527, 39.275), daily laborer (AOR: 0.208, 95% CI: 0.054, 0.810), and no information about diarrhea (AOR: 0.139, 95% CI: 0.054, 0.354). Moreover, age range of 25–35 (AOR: 4.091, 95% CI: 1.741, 9.616) and 36–45 (AOR: 3.639, 95% CI: 1.155, 11.460), being single (AOR: 0.111, 95% CI: 0.013, 0.938), being divorced (AOR: 0.120, 95% CI: 0.024, 0.598), illiteracy (AOR: 0.052, 95% CI: 0.017, 0.518), primary education (AOR: 0.143, CI: 0.046, 0.440), and no information about diarrhea (AOR: 0.197, 95% CI: 0.057, 0.685) were significantly associated variables with the outcome variables in multivariate regression. Conclusion. Caregivers had slightly adequate knowledge but poor practice.

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Infant and Young Child Feeding (IYCF) Practices by Rural Mothers of Bangladesh

Medicine Today ◽

10.3329/medtoday.v28i1.30959 ◽

2017 ◽

Vol 28 (1) ◽

pp. 1-5

Author(s):

Md Saizuddin ◽

Md Shahidul Hasan ◽

Md Rashidul Islam ◽

Md Alfazzaman ◽

MM Mafizur Rahman ◽

...

Keyword(s):

Young Child ◽

Exclusive Breastfeeding ◽

Complementary Feeding ◽

Feeding Practices ◽

Cross Sectional Study ◽

Child Feeding ◽

Cross Sectional ◽

Young Child Feeding ◽

Rural Mothers ◽

Initiation Of Breastfeeding

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

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Concordance of Mother-Child (6–23 Months) Dietary Diversity and Its Associated Factors in Kucha District, Gamo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

Journal of Nutrition and Metabolism ◽

10.1155/2021/8819846 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Tesfaye Guja ◽

Yabsira Melaku ◽

Eshetu Andarge

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Cross Sectional Study ◽

World Health ◽

Southern Ethiopia ◽

Food Groups ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Mothers And Children

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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Complementary Feeding Practices of Nepali mothers for 6 months to 24 months children.

Journal of Nepal Medical Association ◽

10.31729/jnma.1923 ◽

2013 ◽

Vol 52 (191) ◽

Cited By ~ 2

Author(s):

Ram Hari Chapagain

Keyword(s):

Breast Feeding ◽

Complementary Feeding ◽

Sampling Technique ◽

Feeding Practices ◽

Cross Sectional Study ◽

Systematic Sampling ◽

Child Feeding ◽

Cross Sectional ◽

Exclusive Breast Feeding ◽

Young Child Feeding

Introduction: Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study wasto evaluate the mother’s knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.Methods: A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.Results: Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent thanrecommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.Conclusions: There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend._______________________________________________________________________________________Keywords: complementary feeding; exclusive breast feeding; infant and young child feeding; ideal feeding._______________________________________________________________________________________

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Concordance of mother-child (6-23 month) dietary diversity and its associated factors in Kucha district, Gamo Gofa Zone, Southern Ethiopia: a community- based cross- sectional study

10.21203/rs.2.22886/v1 ◽

2020 ◽

Author(s):

Tesfaye Guja ◽

Yeabsira Melaku ◽

Eshetu Andarge

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Food Groups ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Mothers And Children ◽

Gamo Gofa

Abstract Background 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 Gofa zone, Southern Ethiopia. Methods A community based cross-sectional study was conducted among 791 mother- child (6-23 months) pairs from 11 selected kebeles in March 6 to April 13, 2017. Multi-stage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from family folder of health posts in each kebele. The mother-child pairs were selected by simple random sampling method. The 7 food groups of 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. Multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. Result A good concordance was noted between mother- child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) of mothers were negative deviants and 133 (16.8%) of mothers were positive deviants in dietary diversity consumption. Rural residence (AOR =3.49; 95% CI: 1.90-6.41), mothers having no formal education (AOR= 1.8; 95% CI: 1.08-3.05, mothers who did not own milking cow (AOR= 1.7; 95% CI: 1.10-2.56),children with low diversity 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 successive increase in maternal dietary diversity. Conclusion Despite, interesting similarity between mothers and children dietary consumption, more than three quarter of concordants didn’t 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 promote 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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