Timely Initiation Of Complementary Feeding Research Articles

Determinants of timely initiation of complementary feeding among mothers with children aged 6-23 months in Lalibela District, Northeast Ethiopia, 2015.

BackgroundOptimal complementary feeding alone prevents six percent of child mortality, but it has continued to be considered as sub-optimal in Ethiopia. Therefore, this study aimed to assess timely initiation of complementary feeding and associated factors among mothers with children aged 6–23 months in Lalibela District.MethodsA community-based cross-sectional study was conducted from March 01 to April 29, 2015. Four hundred twenty-one mother-child pairs were selected by the systematic random sampling technique. An interviewer-administered questionnaire was used to collect data. A multivariable logistic regression analysis was employed to identify factors associated with timely initiation of complementary feeding. The Adjusted Odds Ratio (AOR) with a 95 % Confidence Interval (CI) was computed to assess the strength of association, and variables with a P-value of <0.05 were considered as statistically significant in the multivariable analysis.ResultsThe study demonstrated that, the prevalence of timely initiation of complementary feeding was 63 %. In addition, mother’s education [AOR = 4.33, 95 % CI: 1.99, 9.40], antenatal care follow up [AOR = 5.90, 95 % CI: 2.45, 14.21], and institutional delivery [AOR = 2.54, 95 % CI: 1.33, 4.82] were found key determinants of timely initiation of complementary feeding.ConclusionIn this community, timely initiation of complementary feeding was lower than the World Health Organization cut-off point for good practice of complementary feeding. Therefore, intensifying utilization of antenatal care and institutional delivery helps to improve the coverage of timely initiation of complementary feeding. Furthermore, the focus needs to be on uneducated women.

Appropriate complementary feeding practices and associated factors among mothers of children age 6-23 months in Southern Ethiopia, 2015.

BackgroundPoor complementary feeding of children aged 6–23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Evidences have shown that promotion of appropriate complementary feeding practices reduces the incidence of stunting and leads to better health and growth outcome. This study was aimed at assessing practices of complementary feeding and associated factors among mothers of children aged 6–23 months.MethodsA community-based cross sectional study design was conducted among 611 mothers who had children with 6–23 months of age in the ten randomly selected Kebeles (smallest administrative unit). A multistage sampling technique was used to identify study subjects. Data were collected using pre-tested structured questionnaire. Data were entered in to Epi info version 3.5.1. Data cleaning and analysis were done using SPSS version 16. Odds ratios (ORs) with 95 % confidence interval (CI) were computed to measure the strength of association.ResultsThe response rate was 97.6 % (611/626). The practices of timely initiation of complementary feeding, minimum meal frequency and minimum dietary diversity were 72.5, 67.3 and 18.8 % among mothers of 6–23 months aged children, respectively. The practice of appropriate complementary feeding was 9.5 %. Child’s age (12–17 and 18–23 months) [Adjusted OR: 2.75 (95 % CI: 1.07 7.03), 2.64 (95 % CI: 1.06 6.74)], educational level of mother (primary and secondary and above schools) [AOR: 3.24 (1.28 8.20), 3.21 (1.1.07 9.70)], and smaller family size [AOR: 12.10 (95 % CI: 1.10 139.7)] were found to be independent predictors of appropriate complementary feeding practice of 6–23 months old children.ConclusionLow appropriate complementary feeding of children aged 6–23 months was observed. Mothers who are illiterate, children age 6–11 months and families with large size were associated factors for inappropriate feeding practices. Therefore, nutritional counseling on child feeding practices were recommended.

Timely Initiation of Complementary Feeding and Associated Factors among Children Aged 6 to 12 Months in Addis Ababa Ethiopia, 2015

Introduction: Appropriate nutrient intake and/or complementary feeding in quantity, bioavailability and timely in infancy period are essential for optimal growth and development. Initiation of safe and nutritionally adequate complementary foods at 6 month is crucial to achieve optimal growth, development and health. Exclusive breastfeeding) for the first six months of life is critical for the wellbeing of the infant. This study aim was to assess the prevalence of timely initiation of complementary feeding and associated factors among infants 6 to 12 months age in Addis Ababa. Methods: A cross-sectional study design was conducted from 30th February to 20th March 2015 on 400 randomly selected mothers with infants aged from six months to one year in five randomly selected health centers in Addis Ababa. Data on demographic and other risk factors of timely initiating of complementary feeding were collected using semi-structured questionnaire. Data entry, cleaning and analysis was done by using Epidata 3.1 and SPSS version 20. Logistic regressions employed to assess the relationship between dependent and independent variables. Results: It was found that the prevalence of timely initiation of complementary feeding at sixth month was 55.2%. Occupation of mother, having Antenatal care follow-up, believed time of initiation of complementary feeding and place of delivery were found to be independent predictors of timely initiation of complementary feeding. Conclusions: Around half of mothers initiated timely complementary feeding. The determinates of were Occupation of mother, having Antenatal care follow up, believed time of initiation of complementary feeding and place of delivery in which all of them are modifiable factors. Therefore, mothers should be encouraged to have Antenatal care follow up and deliver at health institution government needs to set new strategies to improve infant child feeding practices for mothers who are illiterate and work outside at home.

Complementary feeding practices and associated factors among HIV positive mothers in Southern Ethiopia.

The objective of this study was to assess complementary feeding practices and associated factors among HIV exposed infants in Sidama Zone, Southern Ethiopia. An institutional based cross-sectional study with cluster random sampling technique was employed and all HIV exposed infants aged 6-17 months found in randomly selected health institutions in Sidama zone, Southern Ethiopia were included. A 24-hour dietary recall and 7-day quasi-food group frequency was used to assess complementary feeding practices. The prevalence of timely initiation of complementary feeding (6-8 months) was 42% [95% CI: (30-54%)]. Of all the HIV exposed infants aged 6-17 months, 40.7% had practiced bottle-feeding. About 65.6% and 53.3% of HIV exposed infants did not receive the recommended number of food groups and frequency of complementary feeding in the last 24 hours respectively. Pulse (plant protein) was consumed by only 22.5% of the infants while only 9.9% of the infants consumed animal source food in the last 24 hours. Presence of infant food prohibition (β = -0.342, P = 0.001) and age of the infant (β = 0.311, P = 0.001) were found to be an independent predictors of dietary diversity. Presence of infant food prohibition (β = -0.181, P = 0.02) and age of infant (β = 0.388, P < 0.001) were also the predictors of 24 hour meal frequency. Having lower educational status [AOR = (0.21, 95% CI (0.062-0.71)] was an independent negative predictor of bottle-feeding practice. Many of the complementary feeding practices like meal frequency; dietary diversity and bottle-feeding were sub-optimal. Nutrition education should be designed for improving complementary feeding practices of HIV exposed infants in Sidama Zone, Southern Ethiopia. Mothers with higher educational status should be also targeted for nutrition education especially on bottle feeding practice.

Determinants of timely initiation of complementary feeding among children aged 6-24 months in Sagamu, Nigeria.

Poor breastfeeding and complementary feeding practices may contribute to childhood malnutrition in the developing world. The objective was to examine the determinants of timely initiation of complementary feeding among Nigerian children. Using a cross-sectional design, children aged 6-24 months were surveyed in a Nigerian Teaching Hospital. Children with timely initiation of complementary feeding (6-8 months) were compared with children with untimely initiation of complementary feeding early (<6 months and >8 months) for clinical and social characteristics using both bivariate and multivariate analysis. Of 156 children, 41%, 53.8%, and 5.1% had timely, early and delayed initiation of complementary feeding. Complementary feeding was initiated with processed cereals (44.8%), locally prepared maize gruel (32.1%) and mashed family diet (23.1%). Bivariate analysis showed significant association between timely initiation of complementary and orthodox maternity care, no prelacteal feeding, exclusive breastfeeding, no siblings and first birth order. Parental education was not associated with timely initiation of complementary feeding. Multivariate analysis identified orthodox maternity care, exclusive breastfeeding and no siblings as independent predictors of timely initiation of complementary feeding. Complementary feeding is most frequently initiated earlier than 6 months in this population. Good breastfeeding practices may influence timely initiation of complementary feeding. Interventions should be targeted at the entire population irrespective of educational and socioeconomic status.

Complementary feeding practice of mothers and associated factors in Hiwot Fana Specialized Hospital, Eastern Ethiopia.

IntroductionMalnutrition remains one of the main public health problems. Over one third of under-five mortality is caused by under nutrition related to inadequate complementary feeding. This study was aimed to assess of complementary feeding practice and associated factors.MethodsCross sectional study design was conducted to assess complementary feeding practice of mothers to their young children in Hiwot Fana specialized hospital in January 2013. Systematic sampling method was used to select 200 mothers to child pair to assess their timely initiation of complementary feeding and associated factors. Data were collected by using semi-structured questionnaire for face to face interview method. Descriptive statistics, binary and multiple logistic regressions were used for data analysis.ResultsThe prevalence of timely initiate of complementary feeding was 60.5%. Nineteen percent of mothers were initiate complementary before 6 months. The reason for too early initiation of complementary feeding was lack of knowledge and perceive inadequate breast milk production by mothers 17(47.2%), 11(30.6%) respectively. Mothers have male child three times more likely timely initiate complementary feeding than female child (AOR 2.9,95% CI 1.2-7.3). This might be due to traditional gender norm that discriminate female feeding “female eat little talk little” this might start at early age life.ConclusionMore than half of them initiated complementary feeding timely which was low. The main reason reported by the mothers for early initiation of complementary feeding was lack of knowledge. Mothers who have male child were three times more likely timely initiate complementary feeding than female child. Information about importance of timely initiation of complementary feeding should be implemented via information education and behavioral change communications, and integrating with health extension package is recommended.

Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study

Background- Adequate and appropriate complementary feeding during 6-23 months-of-age, is fundamental to the development of each child’s full human potential. Ethiopian national survey reports showed the minimum acceptable diet was 4.2% in same region. But in most cases only timely initiation is considered as the only indicator of complementary feeding. The aim of this study was to assess the prevalence of appropriate complementary feeding practices and associated factors among mothers having 6 - 23 months of age children in Northern Ethiopia. Methods- A community-based cross-sectional study design was conducted among 428 mothers who had children with 6-23 months of age in Northern Ethiopia. Simple random sampling was used to select the required number of sample. Pretest was done among 22 respondents out of the study area. A face-to-face interview was used to collect data using structured questionnaire. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR with 95% confidence interval was computed to measure the strength of association. Results – The response rate was 98.6%. In this study only 10.75% (95% CI = 8.07, 13.95) children aged 6-23 months received appropriate complementary feeding. Child’s age (AOR=4.21), education level of mother (AOR=3.84), and postnatal care follow up (AOR=2.80) were found to be independent predictor of timely initiation of complementary feeding. Conclusion and recommendations – one out of ten mothers fed complementary foods appropriately to their children aged 6-23 months which was very low. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make postnatal care follow up.

Timely initiation of complementary feeding and associated factors among children aged 6 to 12 months in Northern Ethiopia: an institution-based cross-sectional study.

BackgroundExclusive breastfeeding (EBF) for the first six months of life is critical for the wellbeing of the child. In the mean while, timely initiation and starting nutritionally-adequate, safe, age-appropriate complementary feeding at six months is recommended for the better health and development of infants. According to the Ethiopian Demographic and Health Survey 2011, timely initiation of complementary feeding in Ethiopia at the 6th month was only 51%. The purpose of this study is to determine the magnitude of timely initiation of complementary feeding and associated factors in Mekelle town, Northern Ethiopia.MethodsAn institutional based cross-sectional study design was conducted among 422 mothers of infants aged from six months to one year selected from six public health facilities. Sample size proportional to the patient flow rate of each institution was allocated and systematic random sampling method was used to get the study participant. An exit interview using structured questionnaire was conducted about their experience on complementary feeding and related experience. The questionnaire was pretested among 21 mothers. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR and 95% confidence interval was computed.ResultThe prevalence of timely initiation of complementary feeding at sixth month was 62.8% (265/422, 95% C.I: 58.1, 67.31%). Educational level, occupation of mother, parity, having ANC follow up, and birth preparedness were found to be independent predictor of timely initiation of complementary feeding.ConclusionsAlmost two-third of mothers initiated complementary feeding at six month of child’ age as recommended. This was relatively higher prevalence than most developing countries. However, significant proportion of mothers still did not initiate complementary feeding timely. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make antenatal care follow up.