NUTRITIONAL VALUE AND SENSORY DESCRIPTION OF "ATADJON BASSAMOIS", A TRADITIONAL INFANTILE PORRIDGE BASED ON TIGERNUT (CYPERUS ESCULENTUS, L.)

Child malnutrition is still a public health problem in Côte d'Ivoire, mainly due to poor feeding practice linked to the low nutritional value of the staple foods used for child nutrition. However, the introduction of tigernut, proteins and lipids rich tuber, in the dietary habits of these children could constitute an interesting nutritional alternative to solve this problem. The objective of this work was to valorize the tigernut-based porridges for their use as complementary food in the diet of weaning children. To this end, physicochemical and organoleptic characteristics of four formulations AB1, AB4, RB2 and SB3 were studied. The atadjon formulations, especially AB1, presented the highest density in energy (95.70 Kcal/100g), protein (5.37 %), lipids (3.8 %) and the lowest contents in anti-nutrients with 2.17% in fiber, 36.6% in oxalates, 65.54% in tannin and 0% in phytates, contrary to the rice (RB2) and tigernut (SB3) control porridges. In addition, the atadjon formulations AB4 and AB1 were preferred to the control because of their sweet taste, tigernut flavor, brown color and flowability according to PCA analysis. Thus, this study indicates that these traditionally prepared porridges could be suitable for children receiving an average level of breastfeeding and three meals per day.

Infant and Young child feeding practice and associated factors among 0-23 months of children in irrigated and non-irrigated area of Dangila district, North West of Ethiopia

Background Infant and young child feeding practice is a cornerstone of care for child development mentally and growth physically. Failure to proper infant and young child feeding practice is associated with increased risk of childhood morbidity and mortality. Objective To assess the prevalence of infant and young child feeding practice among 0-23 months of age children in irrigated and non-irrigated area of Dangila Woreda, North-west Ethiopia, 2021. Methods Community based comparative cross-sectional study was conducted from Dec 1, 2020 to Jun 1, 2021 with a total of 823 mothers who have infant and young children 0-23monthes of age in 9 selected Keebles were included in the study. Stratified sampling technic was implemented to select irrigated and non- irrigated kebeles and study units. Data was collected by face to face interview method. bivariate and multivariate analysis were used, variables with p<0.05, was taken as statistically significant and independently associated with infant and young child feeding practice. Adjusted odds ratio along with 95% confidence interval was used to assess the strength of the association. Result Among 823 households visited, 802 participants gave complete responses with response rate of 97.4%. The overall prevalence infant and young child feeding practice was 62.5%, of these 72.8%(95%CI: 67.5%, 76.1%)from irrigated and 52.2%(95%CI: 47.8%, 57.4%), from non-irrigated area had good practice of IYCF. Moreover, the study identified that ANC (AOR= 2.138, 95% CI: 1.085, 4.210), knowledge (AOR= 2.43, 95% CI: 0.275, 0.612), attitude (AOR= 1.687, 95% CI: 1.129, 2.520), PNC (AOR= 1.606, 95% CI: 1.154, 2.360) and women’s decision making (AOR= 1.941, 95% CI: 1.305, 2.888) were significant predictor for IYCF among 0-23months of age children. Conclusion The overall prevalence of infant and young child feeding practice was (62.5%) in the study area and had shown significant variation between irrigated and non-irrigated area. Infant and young child feeding practice is high as compared previous study. Women’s decision making, ANC follow up, PNC follow up, attitude and knowledge were identified as the intervention areas..

Assessment of Feeding Practice among Mothers Attending the Immunisation Clinic of UCMS Hospital, Nepal: A Cross-Sectional Study

INTRODUCTION: Practice of exclusive breast feeding has dramatically reduced infant mortality in developing countries due to reduction in diarrhea and infectious diseases. We conducted a study to assess the feeding practices among mothers with children less than 12 months of age attending the immunization clinic of UCMS hospital, Nepal. MATERIAL AND METHODS: A hospital based cross sectional study was carried out in the immunization clinic of Pediatric ward of UCMS, Nepal for a period of four months. Mothers of child of 0-12 months were included in the study. Sample size was 372 which was based on the number of mothers visited Pediatric ward for immunization of their child of age group 0-12 months during the duration of the study. Mothers were interviewed by using a pre-validated structured questionnaire. Data was analyzed by using SPSS version-20 software and presented by descriptive statistics as frequency and percentages. RESULTS: Most of the children were above six months, 56.5% were of 7-12 months of age group. Exclusive breastfeeding was done in 48.4% children for first six months. Maximum population preferred hospital as their mode of delivery. 93.5% mothers opted for hospital as their place of delivery. 23.4% mothers were illiterate. Night feeding was practiced by 96.2% mothers. CONCLUSION: Breast feeding awareness must be spread among mothers by workshops and health education programs.

Knowledge, Attitude, and Practice Analysis among Rural Mothers of 6 to 24 Month Age Child Regarding Complementary Feeding

Introduction: According to WHO, exclusive breastfeeding is essential for first 6 moth of life, afterward by six months to meet raised energy and nutrient needs of growing infant complementary feeding is necessary [1]. Proper complementary feeding very essential for the proper physical, neurocognitive development of the child. Objectives: To assesses the knowledge, attitude, and practice among rural Indian mothers of age 6 to 24 month child regarding complementary feeding. Methods: This cross-sectional analysis study was conducted at a tertiary care teaching rural hospital in India between December 2020 and June 2021. A self-administrated questionnaire was distributed to mothers of 6 to 24 month age children attending pediatrics outpatient department at hospital. The questionnaire consisted of 3 parts; first part consist of demographic variables, second and third part regarding knowledge, attitude and practice of mother towards complementary feeding practice. SPSS 21 was used for data analysis. Results: Out of the 250 participants, 220(88%) completed questionnaire completely and validly, 96% mothers initiated breastfeeding within first 48 hrs of birth, and about 62% mothers continue exclusive breastfeeding till six moth age. 72 % mother knew that complementary feeding should start at 6 month of age but only 66% mother able to start at that age, major reason for delayed start is mother perception that her feeding is sufficient for baby, other that family member’s advice. 64% mother believe in homemade complementary feeds and 26% mothers believe in commercial feeds, though major source of knowledge is family members (69%), electronic media(12%) also important source of knowledge while only 19% mothers get information from health professionals. Significant number of mother have knowledge about iron rich foods(63%), iodized salt (50%) etc. however only 36% mother knows about dietary diversity. During illness 52% mothers prefer to decrease in feeding while, 10% prefer to withhold it. 91% mother practice washing hands before cooking and 85% practice giving boil water to baby. However, still 70% mother practice bottle feeding for their children’s. Conclusion: Though there is good knowledge among mothers regarding exclusive breastfeeding, complementary feeding in term of age of start, type of feeding, nutrient value of feeding, importance of consistency, however still there is lack of knowledge about dietary diversity, cultural and social food taboos, bottle feeding etc. Strategies need to employ like health education, awareness programs, training programs for mothers to improve their practice and attitude towards complementary feeding.

Neonatal Birthweight, Infant Feeding, and Childhood Metabolic Markers

Objective Antenatal and early neonatal nutritional environment may influence later metabolic health. Infants of mothers with gestational diabetes mellitus (GDM) have higher risk for childhood obesity and metabolic syndrome (MetS). Leptin and adiponectin are known biomarkers for MetS and may guide interventions to reduce later obesity. We sought to examine the relationship between birthweight, early infancy feeding practices, and biomarkers for MetS in offspring of women with mild GDM. Study Design Secondary analysis of a prospective observational follow-up study on the offspring of women who participated in a multicenter randomized treatment trial on mild GDM. Children were evaluated by research coordinators and biospecimens collected at the age of 5 to 10. Plasma concentrations of leptin and adiponectin were compared between large for gestational age (LGA) and average birthweight (AGA) infants, and according to whether solid foods were introduced early (<6 months of age) or at the recommended age (≥6 months of age). Multivariable analysis adjusted for fetal sex, race/ethnicity, and maternal body mass index. Results Leptin and adiponectin were measured in 336 plasma samples. In bivariate analysis, compared with AGA children, LGA children had lower leptin (5.0 ng/mL [3.6–6.0] vs. 5.8 ng/mL [4.5 = 6.6], p = 0.01) and similar adiponectin (6.3 µg/mL [5.1–7.9] vs. 6.4 µg/mL [5.3–8.6], p = 0.49) concentrations. Maternal/child characteristics were similar between the early/delayed solid feeding groups. Leptin and adiponectin concentrations were similar in the early fed and delayed feeding groups (5.8 ng/mL [4.6–6.7] vs. 5.6 ng/mL [4.2–6.6], p = 0.50 and 6.4 µg/mL [5.4–8.1] vs. 6.4 µg/mL [5.1–8.8], p = 0.85, respectively). After controlling for covariates, children who were LGA and AGA at birth had similar leptin concentrations. Conclusion Birthweight and early infancy feeding practice are not associated with alterations in leptin and adiponectin in children of women with mild GDM. Key Points

Exclusive breastfeeding practice and its associated factors among children aged 6-23 months in Woldia Town, Northwest Ethiopia

Background: Inappropriate practice of exclusive breastfeeding (EBF) is still a major problem worldwide.Objective: To identify exclusive breastfeeding practice and its associated factors among children aged 6-23 months in Woldia Town.Methods: A Community based cross-sectional study was carried out.Interviewer-administered questionnaire was utilized to collect the data. The questionnaire was adapted from the 2016 Ethiopia Demographic and Health Survey. Hosmer-Lemeshowmodel was fitted at a P-value of 0.91. Finally, Variables having P-Value <0.05 with 95% CI was considered as significant factors.Result: The prevalence of exclusive breastfeeding practice was 46.2% (95% CI: 42.0, 49.8). Being employed mothers (AOR=0.62,95% CI:0.44,0.87), being head of a household (AOR=0.52,95% CI:0.32,0.83),not g getting husband support (AOR:0.5,95%CI:0.34,0.74),not fed colostrum’s (AOR:0.36,95%CI:0.23,0.57),not affected by traditional belief (AOR:3.59,95% CI:2.09-6.17) shows significant association with Exclusive breast feeding practice.Conclusion: The prevalence of exclusive breast feeding practice was relatively lower than the National prevalence. Some demographic variable and traditional beliefs were significantly associated with exclusive breast feeding. Designing model policies that empower the role of women and eradicating bad traditional beliefs in the community is fundamental step. Keywords: Exclusive Breastfeeding; Breastfeeding practice; Breastfeeding Promotion.

Examining Infant and Young children feeding (IYCF) practice and its determinant factors among mothers who gave birth in the last two years, Ethiopia Community-based cross-sectional study design

Background: The first two years of life are critical stages for a child’s growth and development. However, globally, 60% of the infant and young child deaths reported due to inappropriate infant feeding practices and infectious disease, where two-thirds of these deaths are attributable to sub-optimal breastfeeding practices. Methods and materials-community-based cross-sectional study design was employed from February to March 2020 in Jima Rare district, Ethiopia. The stratified sampling and simple random sampling were employed to recruit participants into the study. Data was collected by using semi-structured interviewer-administered questionnaire. And data were analyzed by using SPSS version 20. Results- The actual feeding practice style among the respondents had been assessed by using eight core indicators of infant and child feeding practice of the WHO. The finding revealed that (initiated breastfeeding within one-hour after birth 78%), (66.7% and 33.4% exclusive breastfeeding at 6 and 4-5months), respectively. About 11.8% of mothers continued breastfeeding at 2 years. About 33.4% and 66.7% of mothers started introducing solid, semi-solid or soft foods at 4 to 5 months at 6 months and above), respectively. The overall, proportion of children age 6- 23 months who met minimum meal frequency and dietary diversity accounts for 51.2%, 49.9% respectively. About half proportion (49.9%) of children age 6- 23 months fit for the minimum acceptable diet. The multivariate analysis finding shows that mothers who gave birth at health institutions, get help from their husband, had received practical support of IYCF practices, counseling during ANC and/or PNC visit and households who have agricultural land and radio were more likely to carryout appropriate IYCF practices than their comparable groups. Conclusion-the result suggests that the overall appropriate infant and young child feeding practice was low. Hence, initiatives and interventions should focus on advocacy for institutional delivery, counselling and practical support for IYCF practice. Special attention needs to be given for young and illiterate mothers. Moreover, attention need to address to empower women to have autonomy of decision-making and control power over assets to support them for appropriate IYCF practices.

Examining Infant and Young children feeding (IYCF) practice and its determinant factors among mothers who gave birth in the last two years, Ethiopia

Background: The first two years of life are critical stages for a child’s growth and development. However, globally, 60% of the infant and young child deaths reported due to inappropriate infant feeding practices and infectious disease, where two-thirds of these deaths are attributable to sub-optimal breastfeeding practices. Methods and materials-community-based cross-sectional study design was employed from February to March 2020 in Jima Rare district, Ethiopia. The stratified sampling and simple random sampling were employed to recruit participants into the study. Data was collected by using semi-structured interviewer-administered questionnaire. And data were analyzed by using SPSS version 20. Results- The actual feeding practice style among the respondents had been assessed by using eight core indicators of infant and child feeding practice of the WHO. The finding revealed that (initiated breastfeeding within one-hour after birth 78%), (66.7% and 33.4% exclusive breastfeeding at 6 and 4-5months), respectively. About 11.8% of mothers continued breastfeeding at 2 years. About 33.4% and 66.7% of mothers started introducing solid, semi-solid or soft foods at 4 to 5 months at 6 months and above), respectively. The overall, proportion of children age 6- 23 months who met minimum meal frequency and dietary diversity accounts for 51.2%, 49.9% respectively. About half proportion (49.9%) of children age 6- 23 months fit for the minimum acceptable diet. The multivariate analysis finding shows that mothers who gave birth at health institutions, get help from their husband, had received practical support of IYCF practices, counseling during ANC and/or PNC visit and households who have agricultural land and radio were more likely to carryout appropriate IYCF practices than their comparable groups. Conclusion-the result suggests that the overall appropriate infant and young child feeding practice was low. Hence, initiatives and interventions should focus on advocacy for institutional delivery, counselling and practical support for IYCF practice. Special attention needs to be given for young and illiterate mothers. Moreover, attention need to address to empower women to have autonomy of decision-making and control power over assets to support them for appropriate IYCF practices.

A DESCRIPTIVE CROSS-SECTIONAL STUDY OF BREAST FEEDING PRACTICE

Background: This study was describe the breastfeeding practices and factors affected initiation and duration of breastfeeding Methods: The cross sectional study was conducted on mothers with infants less than 1 year who came to immunization center for vaccination was included in the study. Total 1000 mothers include in this study. Results: Only 35.40% of the mothers did the exclusive breastfeeding until 6 months and started weaning after 6 months. A total 55.00% of mothers in our study prematurely started weaning. Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups. Keywords: Breastfeeding, Immunization, Infants.