Dietary Patterns and Anthropometric Status of Under-Five Children in Arba Minch Zuria, Gamo Gofa Zone: Community-Based Cross-Sectional Study

Abstract

Background: Malnutrition continues to be a major public health problem in developing countries. The problem is very significant among infant and young children. Although malnutrition is remarkably responsible for childhood death, the contributing factors are not well studied in the study area. Therefore, this study aimed to assess dietary patterns and anthropometric status of under-five children in Arba Minch Zuria, Gamo Goffa Zone, Southern Ethiopia. Methods: This cross-sectional study was conducted on child-mother-pairs in Arba Minch Zuria from February- July, 2012. Quantitative data were obtained from sample of 762 respondents by using pretested questionnaires and observational checklists. Qualitative data were collected by using in-depth interviews with tape recorder. Sociodemographic status, maternal and child characteristics, child feeding practices, anthropometry and dietary diversity were assessed. Results: Breastfeeding is considered as natural gift in this community. About 95.8% of mothers had ever breastfed their children. More than half of mothers (57.3%) initiated breastfeeding within first hour of delivery and small number 78(10.2%) of mothers discarded colostrum. About 60.4% of mothers exclusively breastfed their children to 5-6 months. Majority of (74.5%) children had diets in the lowest dietary diversity group (<3 food groups), 16% of the children had diets in the medium dietary diversity group (4-5 food groups). Thirteen percent of the children are wasted and 45.9% of them are stunted. Stunting was significantly associated with number of under-five children, lack of paternal education, not exclusive breastfeeding and lack of dietary diversity. More than one-fourth (25.7%) of children are underweight which significantly associated with lack of dietary diversity, lack of maternal and paternal education. Conclusions: Behavioral change communications on key optimal child feeding behaviors need to be given in this community to maximize the effect of global and national infant and young child feeding recommendations. In addition, consumption of different types of food and nutrition education interventions that address the dietary diversity issues of the study area are urgently required in the study participants.