Determinants of inappropriate complementary feeding practices in young children in Nepal: secondary data analysis of Demographic and Health Survey 2006

Joshi, Nira; Agho, Kingsley; Dibley, Michael J.; Senarath, Upul; Tiwari, Kalpana

doi:10.1111/j.1740-8709.2011.00384.x

Cited by 143 publications

(208 citation statements)

References 9 publications

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“…Accordingly, mothers with primary, and no formal education were 3.32 and 4.78 times more likely to practice feeding inadequate dietary diversity to their children than those educated above secondary level (AOR = 3.32, 95% CI: 2.01, 5.21) and (AOR = 4.78, 95% CI: 2.55, 8.95). This finding is in line with findings from other studies [27,28,29,30]. This implies that parental education plays an important role in meeting the minimum dietary diversity standards.…”

Section: Discussionsupporting

confidence: 83%

Dietary Diversity and Associated Factors Among Infants and Young Children in Wolaita Zone, Southern Ethiopia

Sagaro¹

2017

SJCM

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Abstract:Background: Increasing the variety of foods and food groups in the diet ensures that there is adequate intake of essential nutrients. Lack of dietary diversity especially for children 6-23 months is specifically critical because they require energy and nutrient-dense foods for both physical and mental growth and development. Encouraging children aged 6-23 months for appropriate complementary feeding practices reduces the incidence of stunting and leads to better health and growth outcome. A community based cross sectional study was conducted from May-June 2016, among children aged 6-23 months residing in rural districts of Wolaita Zone. Multi-stage sampling technique was applied to select 944 childmother/caregiver paired study population. Data was collected through a pre-tested and structured interviewer administered questionnaire consisting of demographic characteristics variables, household wealth indicators, and dietary assessment tool and entered using Epi-data manager and client entry version 1.4.4.0 and exported to SPSS Version 20 for analysis. Variables having p < 0.25 at bivariate analysis were fitted to multivariate analysis. Odds ratio, P-value and 95% CI were computed to show the association of variables. The proportion of children who consumed minimum acceptable dietary diversity was 43.2% (95% CI: 40.0 -46.6). The Diary and dairy products, meat, Vitamin A rich fruits and vegetables were less commonly consumed food groups. Older children (AOR = 2.49, 95% CI: 1.71, 3.64), maternal education of primary and secondary and above (AOR = 3.32, 95% CI: 2.01, 5.22) and (AOR = 4.78, 95% CI: 2.55, 8.95) were independent predictors of dietary diversity. Conclusion: Even though feeding practice of infants and young children is encouraging, plenty of children are still suffering from consuming inadequate dietary diversity. Hence, due attention has to be given to improve feeding practice of older children. Furthermore, improving parental education and economy result in proper child feeding practice.

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Section: Discussionsupporting

confidence: 83%

Dietary Diversity and Associated Factors Among Infants and Young Children in Wolaita Zone, Southern Ethiopia

Sagaro¹

2017

SJCM

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“…The results revealed that the prevalence of appropriate complementary feeding was only 13.8 % which is similar to what was reported from Northern Ethiopia, Sri Lanka, Nepal and Tanzania Bangladesh, Zambia, and [17][18][19][20]. This indicates the general low level of appropriate complementary feeding practices in many countries including Ghana.…”

Section: Discussionsupporting

confidence: 71%

“…This study revealed that there was no association between frequency of antenatal care (ANC) visits and appropriate complementary feeding practice and same was reported in Northern Ethiopia [17] but that disagrees with other studies in Nepal, India and Sri Lanka [18,19,24] where inadequate antenatal care was associated with inappropriate complementary feeding. The finding in our study could imply that appropriate complementary feeding messages were either not being given to mothers by health professionals during antenatal or there was little variation in ANC attendance among the mothers.…”

Section: Discussioncontrasting

confidence: 47%

“…The lack of association may be attributed to the little variation of these variables in our study sample. In other studies, higher maternal education attainment is reported to associate positively with appropriate complementary feeding [19,20] Geographic location was also an important determinant of appropriate complementary feeding. Children from the Upper West and Upper East Regions were more likely to receive appropriate complementary feeding when compared to the children from Northern Region.…”

Section: Discussionmentioning

confidence: 99%

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Magnitude and factors associated with appropriate complementary feeding among children 6–23 months in Northern Ghana

et al. 2016

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Background: Inappropriate complementary feeding is a major contributor to child malnutrition. Previous studies have described complementary feeding practice using single indicators but a combination of indicators is needed to better explain the role of complementary feeding practices in child growth. To adequately quantify appropriate complementary feeding, we used a composite indicator comprising three of the World Health Organization (WHO) core infant and young child feeding (IYCF) indicators that relate closely to complementary feeding. Methods: A community-based cross sectional cluster survey was carried out in November 2013. The study population comprised mothers/primary caregivers and their children selected using a two-stage cluster sampling procedure. A total of 778 children aged 6-23 months were involved. Results: Of the children aged 6-23 months; 57.3 % met the minimum meal frequency, 35.3 % received minimum dietary diversity (≥4 food groups), 25.2 % had received minimum acceptable diet and only 14.3 % received appropriate complementary feeding. Multivariable logistic regression adjusted for cluster sampling showed that children aged 12-23 months were 26.6 times more likely [AOR 26.57;)] to receive appropriate complementary feeding compared to children aged 6-8 months. Children who were not bottled-fed were 2.5 times more likely to have been appropriately fed [AOR 2.51;)] compared to children who were bottle-fed in the last 24 h prior to study. Conclusions:Findings from this study demonstrate appropriate complementary feeding and caring practices by caregivers remain a challenge for most households in Northern Ghana.

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“…In Table 3, the prevalence of HHFI was also 55 [23][24][25][26] Global foods prices have increased by more than 10% along with social, political and environmental vulnerabilities adversely affecting food and nutrition security throughout South Asian regions. 27 In this study, approximately 36.3% children age 6-23 months were estimated to be food insecure.…”

Section: Prevalence Of Hhfi (Bivariate Analysis Based On Chisquare Test)mentioning

confidence: 99%

Does household food insecurity influence nutritional practice of children age 6 to 23 months in Bangladesh?

Chowdhury¹,

Kabir

Papadopoulas

et al. 2017

SE Asia J. Pub. Health

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To examine the prevalence of household food insecurity (HHFI) among children aged between 6-23 months in Bangladesh. This paper also aims to identify the individual, household and community levels determinants of HHFI and the association between nutritional behavior and HHFI. Bangladesh Demographic Health Survey (BDHS), 2011 was used for this research. A total of 2,344 children were selected for analysis. Statistical analysis and tests were guided by the nature of the variables. Finally, logistic regression analysis was used to find out the association between independent variables and outcome. The overall prevalence of HHFI was 36.3% (95% CI: 33.6-39.0) among the participants (children). The prevalence of HHFI was significantly higher among children who did not receive nutritional items. In contrast, HHFI was more prevalent among children who were breastfed (37.0%) as compared to non-breastfed. Binary logistic regression analysis showed that children of illiterate mothers (adjusted OR: 2.20, 95% CI: 1.17-4.10), illiterate fathers (adjusted OR: 2.27, 95% CI: 1.41-3.66) and socio-economically poor families (adjusted OR: 11.35, 95% CI: 7.20-17.91) were more at risk of experiencing HHFI, whereas, rural children (adjusted OR: 0.72, 95% CI: 0.57-0.93) were more protective. In the adjusted logistic regression model, children who did not receive juice (adjusted OR: 1.54, 95% CI: 1.09-2.16) had experienced HHFI. The prevalence of HHFI among children is still high in Bangladesh. Therefore, to achieve the Millennium Development Goals, the Government of Bangladesh should priorities HHFI as a major public health issue. Strong collaborations among various stakeholders are also crucial to improve the situation.South East Asia Journal of Public Health Vol.6(2) 2016: 53-60

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Determinants of inappropriate complementary feeding practices in young children in Nepal: secondary data analysis of Demographic and Health Survey 2006

Cited by 143 publications

References 9 publications

Dietary Diversity and Associated Factors Among Infants and Young Children in Wolaita Zone, Southern Ethiopia

Dietary Diversity and Associated Factors Among Infants and Young Children in Wolaita Zone, Southern Ethiopia

Magnitude and factors associated with appropriate complementary feeding among children 6–23 months in Northern Ghana

Does household food insecurity influence nutritional practice of children age 6 to 23 months in Bangladesh?

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