Abstract
BackgroundThe 1000 days, between a woman’s pregnancy and her child’s second birthday, offer a unique window of opportunity to build healthier and more prosperous societies. The right nutrition during this time can have a profound impact on a child’s ability to grow, learn, and rise out of poverty. An essential nutrition action is one of the most effective preventive actions for reducing nutrition-related morbidity and mortality among young children. Nonetheless, there is limited evidence regarding the practice of essential nutrition action and its associated factors.ObjectiveThe main aim of this study was to assess the practice of key essential nutrition action messages and associated factors among mothers of children from birth up to 2 years old in Wereilu Wereda, South Wollo Zone, Northeast Ethiopia.MethodsA community-based cross-sectional study was conducted on 563 mothers of children from birth up to 2 years old in Wereilu Wereda from April 1–30, 2018. A multi-stage sampling technique was employed. A structured, adapted and pre-tested questionnaire was used to collect the data. The data was collected through the interviews. The data were entered in EPI-data Version 4.2 and exported to SPSS version 24.0 for analysis. Bivariate and multivariable logistic regression was carried out to asses’ associations between the outcome and independent variables. A p-value of < 0.05 was considered statistically significant in this study.ResultsThe prevalence of good practice was 256 (46.5%). Educational status of the mother and the father, monthly income, parity, place of birth, postnatal care follow-up, level of knowledge and level of attitude were predictors of good practice.ConclusionThe practices of key essential nutrition action messages in the study area were found to be low. So, it is better to improve access to information to the community on key essential nutrition action messages through trained health workers coupled with media.
Highlights
The 1000 days, between a woman’s pregnancy and her child’s second birthday, offer a unique window of opportunity to build healthier and more prosperous societies
It is better to improve access to information to the community on key essential nutrition action messages through trained health workers coupled with media
The current study revealed higher odds of key Essential nutrition action (ENA) message practice among mothers who delivered in health institutions as compared to those who delivered in their home
Summary
The 1000 days, between a woman’s pregnancy and her child’s second birthday, offer a unique window of opportunity to build healthier and more prosperous societies. Essential nutrition action (ENA) is an approach to expand the coverage of seven affordable and evidencebased nutrition actions to improve the nutritional status of women and children. It is an integrated package of preventive nutritional actions encompassing infant and young child feeding (IYCF), micronutrients and the nutrition of women [1, 2]. Pregnancy to the age of 24 months of a child is the critical window of opportunity for the delivery of essential nutrition interventions [4]. Children who get the right nutrition in their first 1000 days are 10 times more likely to overcome life-threatening childhood diseases and have healthier families of their own [3]
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