Abstract

In many developing countries, malnutrition has remained one of the leading causes of childhood morbidity and mortality. This is particularly important for vulnerable groups, including preschool toddlers who require adequate nutrition for physical and mental stability to face the new challenge of initiation into academic life. This study was aimed at assessing and comparing knowledge and practice of preschool feeding among mothers in urban and slum areas in Calabar, Nigeria using cross-sectional study design with researcher-administered structured questionnaire. One hundred and twenty (120) subjects were surveyed, with mean maternal age of 26.5 ± 3.4 years. Subjects in slum compared with urban areas had lower levels of education (primary level: 33.3% vs. 15.0%) (p<0.05). Thirty two (32) subjects (27.1%) had inadequate nutritional knowledge of preschool feeding. Poor knowledge of body building foods was significantly commoner among slum compared with urban subjects (43.1% vs. 18.3%, p=0.00). Also, poor knowledge of adequacy of diet was significantly commoner among slum compared with urban subjects (68.9% vs. 50.0%, p=0.04). Bread and tea (51, 42.5%), Eba and soup (37, 30.8%) and rice (27, 22.5%), were the most commonly consumed breakfast, lunch and dinner, respectively. Nutritional health education and further research including the use of qualitative methods for better understanding of the reasons for dietary pattern is recommended.

Highlights

  • Malnutrition especially undernutrition is still a severe public health problem in sub-Saharan Africa (Stephenson et al, 2000)

  • Poor knowledge of adequacy of diet was significantly commoner among slum compared with urban subjects (68.9% vs. 50.0%, p=0.04)

  • The level of education in the slum areas was lower than that in the urban areas with 33.3% of slum mothers having primary education compared to 15% of urban mothers

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Summary

Introduction

Malnutrition especially undernutrition is still a severe public health problem in sub-Saharan Africa (Stephenson et al, 2000). According to United Nations Children’s Fund (UNICEF), World Health Organization (WHO) and World Bank report of 2015, out of 667 million children under age 5 worldwide, 159 million are stunted, 50 million are wasted and 41 million are overweight with a greater percentage in Asia and Africa (Global nutrition report, 2016). The issue of child malnutrition is critical because its effects are not limited to the boundary of childhood but rather persist into adulthood. It silently destroys the future productivity of nations (Jesmin et al, 2011)

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