Complementary Feeding Knowledge, Practices, and Dietary Diversity among Mothers of Under-Five Children in an Urban Community in Lagos State, Nigeria

Abstract

Background and Objectives:Inappropriate complementary feeding is a major cause of child malnutrition and death. This study determined the complementary feeding knowledge, practices, minimum dietary diversity, and acceptable diet among mothers of under-five children in an urban Local Government Area of Lagos State, Southwest Nigeria.Methods:This descriptive cross-sectional study was conducted in Eti-Osa area of Lagos State, Nigeria. Multi-stage sampling technique was employed to select 355 mothers and infants. Data was collected using a pre-tested interviewer administered questionnaire and 24-hour diet recall was used to assess dietary diversity. Data was analyzed using Epi-Info.Results:Knowledge of complementary feeding was low (14.9%) and was associated with older mothers’ age, being married, and higher level of education. The prevalence of timely initiation of complementary feeding (47.9%), dietary diversity (16.0%) and minimum acceptable diet for children between 6 and 9 months (16%) were low. Overall, appropriate complementary feeding practice was low (47.0%) and associated with higher level of mothers’ education and occupation.Conclusions and Global Health Implications:Complementary feeding knowledge and practices were poor among mothers of under-5 especially the non-literate. Reduction of child malnutrition through appropriate complementary feeding remains an important global health goal. Complementary feeding education targeting behavioral change especially among young, single and uneducated mothers in developing countries is important to reduce child morbidity and mortality.

Smartphone-Based Maternal Education for the Complementary Feeding of Undernourished Children Under 3 Years of Age in Food-Secure Communities: Randomised Controlled Trial in Urmia, Iran

“…Nonetheless, the short follow-up period implies that the long-term effects of the smartphone-based maternal education on undernourishment and linear growth need to be studied further. Moreover, the psychometric properties of the instrument used to measure the mothers' nutritional literacy based on WHO recommendations have not been established, but the approach assessing knowledge, attitudes, and practices has shown acceptable face validity in multiple previous studies [28][29][30][31][32]. Finally, it should be taken into account that smartphone ownership requires some personal and socioeconomic resources, meaning that mothers burdened with severe personal issues or belonging to the poorest households in the community may not have been included in the study [34,50].…”

“…The secondary outcome measures were the change in wasting caseness (WHZ < −2; yes/no) and the change in the mothers' nutritional literacy with regard to critical knowledge, feeding attitudes, and nutritional practice. The instrument used to measure nutritional literacy (Supplementary Materials) was based on WHO recommendations and has been used in several previous studies [28][29][30][31][32]. It was translated from English to Persian using a back-translation procedure in which ambiguous expressions were corrected.…”

<p>Magnitude and Its Predictors of Minimum Dietary Diversity Feeding Practice Among Mothers Having Children Aged 6–23 Months in Goba Town, Southeast Ethiopia, 2018: A Community-Based Cross-Sectional Study</p>

“…19,[21][22][23][24][25]27,29,31,34,[39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] On the other hand the finding of this study is lower than in studies conducted in China (51.7%), Indonesia (50%), Ghana (46%), Sri Lanka (71%) and in Addis Ababa (59.9%). 12,18,28,[59][60][61][62][63] The possible explanation for the difference could be due to differences in socioeconomic status, variation in study settings and time gaps in the study.…”

The adequate breast cancer knowledge assessment: A cross-sectional study done among nonmedical women of Karachi

“…Adequate cancer knowledge defined according to the score, >5 was considered as adequate knowledge women and levels of knowledge was divided into three criteria as, poor knowledge scores between 0 and 4, fair knowledge scores between 5 and 7, and good knowledge scores between 8 and 10. [ 9 10 ] Stratification was done with respect to age, marital status, educational status, occupation, and family income level. Poststratification, Chi-square test was applied.…”