Determinants of meeting the minimum acceptable diet among children aged 6 to 23 months in Bangladesh: Evidence from a national representative cross-sectional study

Shaun, Md Mahbubul Alam; Nizum, Md Wahidur Rahman; Munny, Shahnaz

doi:10.1016/j.heliyon.2023.e17560

Cited by 3 publications

(3 citation statements)

References 36 publications

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“…This study finding is higher than studies conducted in Tigray (2.30%) [ 39 ], North West, Ethiopia (12.6%) [ 1 ], EDHS 2016(6.10%) [ 40 ], Uganda (5.34%) [ 41 ], India(8·4%) [ 42 ], Dembecha (8.60%) [ 26 ]. However, lower than the studies conducted in Addis Abeba(76.6%) [ 25 ], Mareka District(35.5%) [ 27 ], Bangladesh(38%) [ 43 ], Lalibela, northeast Ethiopia(16.7%) [ 44 ], Myanmar (16.00%) [ 45 ], Delhi (19.70%) [ 46 ], Congo(33%) [ 47 ], central Amhara (31.60%) [ 48 ], Kaski (42.40%) [ 49 ], Abu Dhabi(36.20%) [ 50 ], Ghana (24.90%) [ 50 ], Rural Madagascar (50%) [ 51 ], and Bangladesh (23.00%) [ 52 ]. The possible reason for the discrepancy in the findings could be the fact that the studies’ contexts, economic backgrounds of the care givers, and data collection seasons variations.…”

Section: Discussionmentioning

confidence: 66%

Minimum acceptable diet and associated factors among 6–23 months old children enrolled in outpatient therapeutic program in the Tulla district, Sidama region, Ethiopia: a community-based cross-sectional study

Markos,

Samuel,

Challa

2024

J Health Popul Nutr

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Background Improving the minimum acceptable diet (MAD) is essential for ensuring optimal growth and development of children, as well as preventing malnutrition and its consequences. Previous studies in Ethiopia have focused on the magnitude and determinants of a minimum acceptable diet. However, much emphasis was not given to minimum acceptable diet and its associated factors among 6–23 months old children enrolled in Outpatient therapeutic programs (OTP), particularly, in the study area. This study determines the minimum acceptable diet and associated factors among 6–23-month-old children enrolled in OTP. Methods A community-based cross-sectional study was conducted among 346 randomly selected mothers with children aged 6–23 months who were admitted to the OTP. The data were collected using interviewer-administered structured questionnaires. The data were entered, cleaned, coded into Epidata version 4.6, and exported to SPSS version 26 for further analysis. Multivariate logistic regression was used to assess the determinants of MAD. Results The overall prevalence of minimum Acceptable diet among children aged 6–23 months enrolled to OTP was 14.5% (95% CI: 12.02-19%). The odds of MAD were 1.9 times higher among children aged 18–23 months compared to children aged 6–11 months (AOR = 1.9, 95% CI ((1.2 3.9). The odds of MAD were 2.9times higher in children whose mothers had a good knowledge on recommended feeding (AOR = 2.9, 95% CI (1.2, 6.35). Mothers who had no formal education were 81% less likely to provide minimum acceptable diets for their children compared to their counterpart.(AOR = 1.94, 95% CI = 1.24, 4.19). Conclusion The practice of a minimum acceptable diet is inadequate. Nutrition education should be emphasized to improve the mothers’ nutrition knowledge regarding infant and young child feeding recommendations, to support mothers in overcoming barriers to feeding their children with adequate diets, and to foster complementary feeding practices for malnourished children.

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Section: Discussionmentioning

confidence: 66%

Minimum acceptable diet and associated factors among 6–23 months old children enrolled in outpatient therapeutic program in the Tulla district, Sidama region, Ethiopia: a community-based cross-sectional study

Markos,

Samuel,

Challa

2024

J Health Popul Nutr

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“…Previous research identified various factors influencing the likelihood of children achieving a minimum acceptable diet (MAD). These factors include residential location (Kambale et al, 2021 ), maternal age (Acharya et al, 2021 ), maternal education level (Birie et al, 2021 ), socioeconomic status (Belay et al, 2022 ), exposure to media messaging about healthy eating (Gizaw & Tesfaye, 2019 ), maternal employment status (Molla et al, 2021 ), place of delivery (Feleke & Mulaw, 2020 ), frequency of antenatal care attendance, and participation in postnatal care services (Shaun et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

Minimum acceptable diet and its predictors among children aged 6‐23 months in Ethiopia. A multilevel cloglog regression analysis

kitaw,

Tilahun,

Abate

et al. 2024

Maternal & Child Nutrition

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Despite significant progress made previously and the recognized health benefits of optimal feeding practices, ensuring a minimum acceptable diet in developing countries like Ethiopia remains a formidable challenge. Additionally, there is a scarcity of data in this area. Therefore, our study aims to identify predictors of a minimum acceptable diet using a powerful tool called complementary log‐log regression analysis. Thus, it contributes to accelerating the pathway of ending child undernutrition thereby promoting optimal child health. A multilevel analysis was conducted among a weighted sample of 1427 children aged 6‐23 months using the 2019 Ethiopian Demographic Health Survey (EDHS). The EDHS sample was stratified and selected in two stages. A minimum acceptable diet is defined as a composite of children fed with both minimum dietary diversity and minimum meal frequency. Data extraction took place between August 1 and 30, 2023. We used STATA software version 17 for data analysis. A complementary log‐log regression model was fitted to identify significant predictors of the minimum acceptable diet. A p‐value of ≤0.05 was used to declare statistically significant predictors. Only 10.44% (95CI: 8.90‐12.15) of the children meet the minimum acceptable diet. Child aged (18‐23 month) (AOR = 1.78, 95CI:1.14‐2.78)], mother's educational level (secondary and above education) (AOR = 279,95CI: 1.51‐5.15), number of children three and above [(AOR = 0.78,95CI: 0.53‐0.94], institutional delivery [AOR = 1.77,95CI: 1.11‐3.11], having postnatal‐check‐up [AOR = 2.33,95CI: 1.59‐3.41] and high community poverty level (AOR = 0.49,95CI: 0.29‐0.85) were found to be predictors of minimum acceptable diet. In Ethiopia, only one in ten children achieve a minimum acceptable diet. Which is lower than the global report findings (16%). Enhancing maternal education programs and promoting family planning strategies to reduce household size are essential. Besides, encouraging institutional deliveries and postnatal check‐ups are also recommended. It is necessary to implement targeted interventions for poverty reduction in communities to ensure that families can afford nutritious diets for their children.

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“…Previous research identified various factors influencing the likelihood of children not achieving a minimum acceptable diet (MAD). These factors include residential location ( 10 ), maternal age ( 11 ), maternal education level ( 12 ), socioeconomic status ( 13 ), exposure to media messaging about healthy eating ( 14 ), maternal employment status ( 15 ), place of delivery ( 16 ), frequency of antenatal care attendance ( 17 ), and participation in postnatal care services ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

Geospatial pattern of level of minimum acceptable diet and its determinants among children aged 6–23 months in Ethiopia. Spatial and multiscale geographically weighted regression analysis

Kitaw,

Abate,

Derese Tilahun

et al. 2024

Front. Public Health

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BackgroundDespite prior progress and the proven benefits of optimal feeding practices, improving child dietary intake in developing countries like Ethiopia remains challenging. In Ethiopia, over 89% of children fail to meet the minimum acceptable diet. Understanding the geographical disparity and determinants of minimum acceptable diet can enhance child feeding practices, promoting optimal child growth.MethodsSpatial and multiscale geographically weighted regression analysis was conducted among 1,427 weighted sample children aged 6–23 months. ArcGIS Pro and SatScan version 9.6 were used to map the visual presentation of geographical distribution failed to achieve the minimum acceptable diet. A multiscale geographically weighted regression analysis was done to identify significant determinants of level of minimum acceptable diet. The statistical significance was declared at P-value <0.05.ResultsOverall, 89.56% (95CI: 87.85–91.10%) of children aged 6–23 months failed to achieve the recommended minimum acceptable diet. Significant spatial clustering was detected in the Somali, Afar regions, and northwestern Ethiopia. Children living in primary clusters were 3.6 times more likely to be unable to achieve the minimum acceptable diet (RR = 3.61, LLR =13.49, p < 0.001). Mother’s with no formal education (Mean = 0.043, p-value = 0.000), family size above five (Mean = 0.076, p-value = 0.005), No media access (Mean = 0.059, p-value = 0.030), home delivery (Mean = 0.078, p-value = 0.002), and no postnatal checkup (Mean = 0.131, p-value = 0.000) were found to be spatially significant determinants of Inadequate minimum acceptable diet.ConclusionLevel of minimum acceptable diet among children in Ethiopia varies geographically. Therefore, to improve child feeding practices in Ethiopia, it is highly recommended to deploy additional resources to high-need areas and implement programs that enhance women’s education, maternal healthcare access, family planning, and media engagement.

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Determinants of meeting the minimum acceptable diet among children aged 6 to 23 months in Bangladesh: Evidence from a national representative cross-sectional study

Cited by 3 publications

References 36 publications

Minimum acceptable diet and associated factors among 6–23 months old children enrolled in outpatient therapeutic program in the Tulla district, Sidama region, Ethiopia: a community-based cross-sectional study

Minimum acceptable diet and associated factors among 6–23 months old children enrolled in outpatient therapeutic program in the Tulla district, Sidama region, Ethiopia: a community-based cross-sectional study

Minimum acceptable diet and its predictors among children aged 6‐23 months in Ethiopia. A multilevel cloglog regression analysis

Geospatial pattern of level of minimum acceptable diet and its determinants among children aged 6–23 months in Ethiopia. Spatial and multiscale geographically weighted regression analysis

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