scholarly journals Determinants and Current Level of Optimal Complementary Feeding Practices among Lactating Mothers of Children in Ambo Town, Oromia, Ethiopia

2020 ◽  
Vol 1 (1) ◽  
pp. 31-50
Author(s):  
Haile Abebe ◽  
◽  
Belay Assefa ◽  

An appropriate diet is critical in the growth and development of children especially in the first two years of life. Poor complementary feeding of children aged 6 months - 23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Therefore, this study aimed to assess determinants and current level of optimal complementary feeding practices among mothers of children aged 6 months to 23 months in Ambo town, Oromia Region. The study used cross sectional study design and targeted 336 mothers with children 6 months - 23 months olds. Information from the respondents were collected using standard questionnaire. Data entry and analysis was done using SPSS version 21.0 windows statistical software. All (100%) the children 6 months - 8 months old had received solid, semi-solid/soft foods. The minimum meal frequency was attained by 88.3% (95% CI 84.3-91.4) whereas the minimum dietary diversity was attained by 17.9% (95% CI 14.1-22.5). The minimum acceptable diet was attained by 15.4% (95% CI 11.9-19.8). Maternal knowledge on: importance of breastfeeding (87.3%); age of introduction of complementary foods (85.4%) and correct meal frequency for age (74.5%) was high. On the contrary, knowledge on the importance of enriching complementary foods (34.5%) was low. Mothers who knew the importance of a diverse diet were likely (chi-square test; p=0.001) to feed their children on a diverse diet. On the other hand, mothers who knew the importance of enriching complementary foods were likely to feed their children on a minimum acceptable diet (chi-square test; p = 0.007) and maternal knowledge on enriching complementary foods (OR = 3.41, p = 0.040) were significant predictors of consumption of Vitamin A rich foods, minimum meal frequency and minimum acceptable diet, respectively. Behaviour change and communication involving all the stakeholders in infant and young child feeding should be emphasized. Messages on appropriate feeding practices should include importance of dietary diversity

2020 ◽  
Vol 4 (11) ◽  
Author(s):  
Hasina Rakotomanana ◽  
Deana Hildebrand ◽  
Gail E Gates ◽  
David G Thomas ◽  
Fanjaniaina Fawbush ◽  
...  

ABSTRACT Background Data are limited on how feeding knowledge and practices relate to child undernutrition in the highlands of Madagascar. Objectives This study assessed maternal knowledge and practices of complementary feeding and their associations with anthropometrics of children aged 6–23 mo in the Vakinankaratra region of Madagascar. Methods Knowledge was assessed using WHO recommendations on child feeding, and WHO infant and young child feeding (IYCF) indicators were used to evaluate feeding practices. Child growth was measured as length-for-age, weight-for-age, and weight-for-length z-scores using the 2006 WHO growth standards. A z-score less than −2 was classified as child undernutrition. Logistic regression models were used to determine associations between independent variables and outcomes. Focus group discussions among mothers and in-depth interviews with key informants were conducted; barriers and facilitators of optimal feeding practices were identified using a thematic analysis approach. Results Maternal knowledge scores regarding child feeding averaged 6.4 of 11. Better knowledge scores were associated with higher odds of appropriate complementary feeding practices before and after covariate adjustments. The proportions of children achieving the minimum dietary diversity (35.8%), minimum acceptable diet (30.2%), and consuming meat, fish, and poultry (14.1%) were low. Only consumption of iron-rich foods was associated with lower odds of underweight (adjusted OR = 0.3; 95% CI: 0.1, 0.7; P < 0.05). None of the IYCF indicators were associated significantly with stunting or wasting. Maternal attitudes about complementary foods, as well as mothers’ workload and very low income, were identified as barriers to optimal feeding practices. Maternal perceived benefits of giving appropriate complementary foods as well as their positive relationship with the community health workers were the main facilitators of optimal child feeding. Conclusions Integrated nutrition-sensitive interventions addressing these barriers while enhancing the facilitators are critical in promoting better feeding practices in the Vakinankaratra region.


2021 ◽  
Vol 7 (2) ◽  
pp. 176-181
Author(s):  
Lia Artikasari ◽  
Taty Nurti ◽  
Nelly Priyanti ◽  
Enny Susilawati ◽  
Herinawati Herinawati

Complementary food for breast milk is food or drink containing nutrition given to infants or children aged 6-24 months to meet their nutritional needs. Giving complementary foods to breast milk too early in infants can cause indigestion, diarrhea, food allergies, disturbances in appetite regulation and changes in appetite. This research was conducted in June 2019 in the Sungai Manau Health Center Work Area, Merangin Regency. This study is a descriptive study with a cross sectional design, with a sample of 96 mothers who have babies aged 0-6 months. The data analysis used was the chi square test with a significant level of = 0.05. Based on the research that has been done, it was found that there is a relationship between family support and the provision of complementary foods (p<0.01), there is a relationship between mother's knowledge and the provision of complementary foods (p<0.00), there is a relationship between family habits and the provision of complementary foods (p<0.00). <0.00). Based on the results of the study, it is hoped that it can provide input in the Sungai Manau Health Center Work Area in order to increase socialization to the community regarding the provision of complementary feeding.  


2021 ◽  
Vol 4 (1) ◽  
pp. 12-19
Author(s):  
Qurratul A’yun

Complementary food to breast milk is food or drink given to babies aged 6-24 months to meet nutritional needs other than breast milk. Supplementary food or complementary feeding programs have been implemented in Indonesia with the hope of reaching 80%, but in this case it fulfills many things. According to the 2008 Ministry of Health's national data, there were 28.5% or 6 million undernourished toddlers because there were still many people who lacked knowledge about the importance of maintaining nutrition from infancy.The purpose of this study was to analyze the relationship between the level of knowledge of mothers about complementary foods and offering complementary foods at the age of 0-6 months.This type of research is analytical correlation with cross sectional design. The population is all mothers who have babies aged 0-6 months in Billa'an village. Sampling using a total sampling technique of 34 respondents. The independent variable is mother's knowledge, while the dependent variable is offering complementary foods to babies aged 0-6 months. The instruments used were questionnaires and KMS books.The results of the study of 34 obtained results as many as 3 respondents (8.82,%) who have knowledge of complementary foods and 27 respondents (79.4%) are not appropriate in giving complementary foods at the age of 0-6 months. The statistical test used is Chi-Square with a significant number a = 0.05, then it is obtained X2 count (14.008)> X2 table (5.991) so that Ho is rejected.From the results obtained, it can be ignored that there is a significant relationship between maternal knowledge and complementary feeding in infants aged 0–6 months. Therefore the need for mother's awareness to increase mother's knowledge in providing complementary breastfeeding on time or age, namely for babies aged 6 months so that it does not pose a risk because the function of the baby's digestive system is not optimal if given complementary feeding before the baby is 6 months old.


2019 ◽  
Vol 4 (2) ◽  
pp. 8-12
Author(s):  
Elin Soyanita

ABSTRACT The growth period of infants and toddlers is the most valuable period. In every step and development parents have the desire to give their best. One of the most important times is when the baby starts eating complementary foods. If the complementary food provided is not suitable, it can cause the baby to be malnourished and can become malnourished if not treated properly. The purpose of this study was to determine the factors associated with complementary feeding according to the age of the baby. This study is an analytical study using a cross sectional approach, the subjects studied were mothers who have children over 6 months of age who came to the posyandu onion village, pesantren district, Kediri district as many as 34 people. Statistical analysis with Chi square test (Chi Square). The results of the study showed that respondents gave complementary foods for ASI at yaitu 6 months, which were 64.7%, respondents received information about complementary foods as much as 76.5%, respondents who had good knowledge were 70.6% and had a positive attitude about giving complementary foods as much as 67.6%. The results of statistical analysis showed that there was no relationship between the source of information with complementary feeding according to age, there was a relationship between knowledge and attitude with supplementary feeding according to age. Health workers can further improve health education or counseling about complementary feeding. Keyword : Knlowledges, Attitude, sources of information, MP-ASI  


2020 ◽  
Vol 8 (3) ◽  
pp. 862-876
Author(s):  
Joyce Nzilani Mutuku ◽  
Sophie Ochola ◽  
Justus Osero

Appropriate complementary feeding practices have positive impact on health and growth of children aged 6-23 months. Little is known about complementary feeding practices among the pastoralists. The aim of this study was to document the influence of maternal knowledge on child feeding and complementary practices on the nutritional status of children aged 6-23 months amongst a pastoral community in Kenya. A WHO standard validated questionnaire was used to collect data from 289 randomly selected mothers/primary caregivers and their children aged 6-23 months. The interviews were conducted through face-to-face in a one-time household visit. The findings showed that half (50.2%) of the children received complementary foods at the age of six months. The proportion of breastfed and non-breastfed children that achieved the recommended Minimum Meal Frequency (MMF) was 28.7% and 2.6% respectively. About one-quarter (23.9%) achieved the recommended Minimum Dietary Diversity (MDD). A total of 5.9% achieved the Minimum Acceptable Diet (MAD). Majority of the mothers/caregivers (95.1%) knew that children should be encouraged to feed while 61.6% knew that children should be fed more frequently during and after illness. The timing of introduction of complementary feeding ([OR]=0.307, P=0.001) and child’s dietary diversity ([OR]=3.112, P=0.020 were predictors of wasting among the children while timing of introduction of complementary feeding ([OR]=0.226, P=0.000) and maternal knowledge on the duration of breastfeeding ([OR]=6.359, P=0.012) predicted child underweight.. Complementary feeding practices are not optimal and the nutritional status of the children is poor. Complementary feeding practices predicted child nutritional status whereas maternal/caregivers’ knowledge on complementary feeding practices had limited impact on child nutrition status.


2021 ◽  
Vol 8 (8) ◽  
pp. 269-272
Author(s):  
Kshitij K. Munde ◽  
Sushma U. Save

Background: Inappropriate complementary feeding practices in children may lead to adverse consequences ranging from growth failure to mortality. Intervention programs intending to optimize the practices should be based on identification of the lacunae and on the assessment of the magnitude of the problem. Aim: The aim of the study was to determine appropriateness and adequacy of complementary feeding given to children aged 6?23 months. Materials and Methods: Data regarding demographic profile, maternal education, source of information for feeding, and details of complementary feeding provided in the last 24 h were obtained from caregivers, using the standard WHO questionnaire. Chi-square test was used for determining the association between optimal feeding practices and continued breastfeeding, age-group, maternal education, and source of information. Results: The study enrolled 480 children (mean age: 12.9+5.1 month; male: female=1.22:1). 225 children (46.87%) had minimum meal frequency and 66 (13.8%) had minimum dietary diversity, 41 (11.08%) were receiving minimum acceptable diet. Only 103 mothers (21.5%) obtained the information regarding recommended complementary feeding practices from health professionals. There was a significant association between health professional being the source of information and presence of adequate dietary diversity (p<0.01) and minimum acceptable diet (p<0.01). Conclusion: Complimentary feeding practices are inadequate and thus, require an intervention of healthcare providers with better involvement.


Author(s):  
Hildagardis M.E Nai ◽  
I Made Alit Gunawan ◽  
Esti Nurwanti

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Stunting reflects a process of failure to reach linear growth potential as a result of suboptimal health or nutrition conditions. One of causal factors of stunting is inadequate of quality and quantity of complementary foods.</em></p><p><em><strong>Objectives</strong>: To identify complementary feeding practices such as introduction age of complementary foods, dietary diversity, and meal frequency as risk factors of stunting among children aged 6-23 months in Sedayu Subdistrict, Bantul, Yogyakarta.</em></p><p><em><strong>Methods</strong>: Study design was case-control with ratio (1:1). The study used both quantitative methods as well as case control design and qualitative through interview. Cases were children aged 6-23 months who had length for age z-score &lt;-2SD. Controls were children aged 6-23 months who had length for age z-score ≥-2SD who live adjacent to the case. Data were analyzed by using univariable (descriptive), bivariable (chi-square test), and multivariable analysis (multiple logistic regression).</em></p><p><em><strong>Results</strong>: The result of bivariate analysis showed that introduction age of complementary foods (OR=1.07), dietary diversity (OR=1.17), and meal frequency (OR=1.69) were not risk factors of stunting. However, compared with high dietary diversity score, low dietary diversity score (≤2, 3, 4 food groups) associated with increased odds of being stunted among children aged 6-23 months (OR=2.24, 95% CI:1.00-5.01, OR=1.82, 95% CI:0.96-3.45, OR=1.66, 95% CI:0.81-3.46 respectively). The result of multivariate analysis showed that mother’s height (OR=1.86) and story of low birth weight (OR=3.23) were risk factors of stunting.</em></p><p><em><strong>Conclusions</strong>: Complementary feeding practices such as age introduction of complementary foods, dietary diversity, and meal frequency were not risk factors of stunting among children aged 6-23 months. Mother’s height and story of low birth weight were risk factors of stunting among children aged 6-23 months.</em></p><p><strong>KEYWORDS</strong>:<em> stunting, nutritional intake, nutritional status, complementary foods</em></p><p> </p><p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Stunting merefleksikan kegagalan proses mencapai potensi pertumbuhan linear sebagai akibat dari kondisi kesehatan dan gizi yang tidak optimal. Salah satu penyebab kejadian stunting adalah kuantitas dan kualitas MP-ASI yang rendah.</em></p><p><em><strong>Tujuan</strong>: Untuk mengidentifikasi risiko praktik pemberian MP-ASI seperti usia pengenalan MP-ASI, keragaman MP-ASI, dan frekuensi MP-ASI dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Metode</strong>: Rancangan penelitian ini adalah kasus-kontrol dengan perbandingan 1:1 dan menggunakan pendekatan kuantitatif-kualitatif model concurrent embedded. Kasus adalah anak usia 6-23 bulan yang memiliki skor-z PB/U &lt;-2SD. Kontrol adalah anak usia 6-23 bulan yang memiliki skor-z PB/U ≥-2SD yang tinggal berdekatan dengan kelompok kasus. Analisis data menggunakan analisis univariat (deskriptif), bivariat (uji chi-square) dan multivariat (uji regresi logistik berganda).</em></p><p><em><strong>Hasil</strong>: Analisis bivariat menunjukkan usia pengenalan MP-ASI (OR=1,07), keragaman MP-ASI (OR=1,17), dan frekuensi pemberian MP-ASI (OR=1,69) bukan faktor risiko kejadian stunting (p&gt;0,05). Skor keragaman MP-ASI yang lebih rendah (kelompok makanan ≤2, 3, 4) berhubungan dengan peningkatan risiko kejadian stunting berturut-turut OR=2,24, 95% CI:1,00-5,01; OR=1,82, 95% CI:0,96-3,45; OR=1,66, 95% CI:0,81-3,46. Analisis multivariat menunjukkan faktor risiko kejadian stunting adalah tinggi badan ibu (OR=1,86) dan riwayat berat badan lahir rendah (BBLR) (OR=3,23,).</em></p><p><em><strong>Kesimpulan</strong>: Praktik pemberian MP-ASI seperti usia pengenalan, keragaman, dan frekuensi pemberian MP-ASI bukan merupakan faktor risiko kejadian stunting pada anak usia 6-23 bulan. Faktor risiko kejadian stunting pada anak usia 6-23 bulan yang bermakna adalah tinggi badan ibu dan riwayat BBLR.</em></p><p><strong>KATA KUNCI</strong><em>: stunting, asupan makan, status gizi, MP-ASI</em></p>


2014 ◽  
Vol 18 (4) ◽  
pp. 669-678 ◽  
Author(s):  
Abukari I Issaka ◽  
Kingsley E Agho ◽  
Penelope Burns ◽  
Andrew Page ◽  
Michael J Dibley

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.


Author(s):  
Kavita Kunhipurayil ◽  
Manissha Srivastav

Background: Child health and growth deteriorate as a result of inadequate quantities and frequencies of complementary feeding.Methods: A community-based cross-sectional study was conducted in urban field practice area of a tertiary medical college hospital among 280 children by systematic random sampling method. Children belonging to 12-23 months were included while sick child, children whose mother/guardian did not give consent were excluded.Results: The proportion of children who met the minimum dietary diversity (MDD) and minimum meal frequency (MMF) were 52.8 % (95% CI) and 52% (95% CI), respectively. Out of 280 children, 90 i.e. (32.1 %) children had achieved the recommended Minimum acceptable diet (MAD). Maternal education (Chi square value=11.2; CI 95%); socioeconomic status (Chi square value=57.4; CI 95%) were positively associated with dietary diversity. Higher percentage of male children (44.8 %) achieved minimum acceptable diet as compared to female children (20.5%); (chi square value=18.8, CI 95%). The percentage of children receiving MDD and MMF was more among children of higher socioeconomic class (p value 0.0001) and from nuclear family (p value=0.45). The birth order of the child was inversely related to the attainment of MAD. (p value=0.0001).Conclusions: Results of the study strongly suggest that poor dietary diversity and meal frequency is associated with numerous factors and their interplay is a multitude of combinations rather than a single cause.  


2021 ◽  
Vol 15 (5) ◽  
pp. 1330-1332
Author(s):  
T. Yubiah ◽  
N. Sulami ◽  
Nurha edah

Background: The knowledge of pregnant women about cosmetics' dangers is still shallow; this is because pregnant women mostly have never consulted a dermatologist regarding the cosmetic products they use. Aim: This study aimed to determine the relationship between pregnant women's knowledge about cosmetics and the use of facial cream. Method: This research applied an analytical survey with a cross-sectional approach. The study samples were 40 pregnant women taken from a population of 44 pregnant women who used facial cream with Slovin formula and a purposive sampling technique that met the inclusion criteria. The instrument used questionnaires. Results: Data analyzed by the Chi-Square test showed bivariate results (ρ = 0.001) <0.05 indicating that there were relationships between 2 variables. Conclusion: In conclusion, there was a relationship between maternal knowledge about cosmetics and the use of facial cream in the Bre Village of Palibelo Primary Health Center in 2017. Keywords: Knowledge, Pregnant women, Cosmetics


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