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

Ogunlesi, TA; Ayeni, Victor Ayodeji; Adekanmbi, AF; Fetuga, BM

doi:10.4103/1119-3077.144399

Cited by 32 publications

(36 citation statements)

References 15 publications

(22 reference statements)

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“…Compared to the current finding, a lower prevalence of timely initiation of complementary feeding was reported from Nigeria (41 %) [13] and India (55.7 %) [12]. This discrepancy could be attributed to differences in sample sizes between the two study areas, as more mothers were surveyed in India than in this study.…”

Section: Discussioncontrasting

confidence: 84%

“…In this regard, about 71 %, 70 %, 55 %, and 39 % of the infants in Bangladesh, Nepal, India, and Pakistan, respectively, are reported to have timely initiation of complementary feeding [8, 10–12]. On the other hand, there is a low rate of timely initiation of complementary feeding in Africa [1, 13]. In Ethiopia, more than half (57 %) of the child mortality occurs mainly due to undernutrition [14], and the majority of the children have had sub-optimal feeding practices.…”

Section: Introductionmentioning

confidence: 99%

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

2016

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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.

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Section: Discussioncontrasting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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

2016

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“…Benin, Ghana and Guinea-Bissau were countries where the timely introduction of CFs was better, with proportions of children 6 to 8 months old having been introduced CFs estimated beyond 70%. A study on Nigerian children found that 53.8% had premature initiation of CF while 5.1% had delayed initiation of CF [14]. Other studies, in Mali and Senegal, revealed early introduction of CFs as a poor infant feeding practice [15,16] .…”

Section: Complementary Feeding Practices In West African Countries Timentioning

confidence: 99%

“…It appears that suboptimal complementary feeding practices remain one of the major causes of child malnutrition and mortality in West Africa [17]. Concerning the time of initiation of complementary feeding, complementary foods introduced too early or too late was the main impediment to exclusive breastfeeding (EBF) [14]. The inappropriate age of introduction of CFs remains a challenge that significantly hampers optimal child growth and development.…”

Section: Complementary Feeding Practices In West African Countries Timentioning

confidence: 99%

“…As a result, children are at risk of malnutrition during the complementary feeding period. In other words, these foods often lack protein or appropriate micronutrients such as iron, vitamin A, zinc and iodine, according to secular trends in complementary feeding indicators [14,29]. A low quality diet provided to children contributes to the high risk of stunting during early life [6].…”

Section: Types Of Complementary Foods and Overview Of Enriched Floursmentioning

confidence: 99%

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Complementary feeding practices among children under two years old in West Africa: A review

Mitchodigni

Hounkpatin

Ntandou-Bouzitou³

et al. 2018

AJFAND

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The burden of child malnutrition is still high in West African countries with 19.2 million stunted children and increases rapidly during the weaning period. This has been attributed to inappropriate complementary feeding practices. To our knowledge, few studies have tried to review the state of complementary feeding in the sub-region. This review aimed to provide an overview of current complementary feeding practices in West Africa in order to identify issues that should be targeted for ensuring optimal infant and young child nutrition. Articles and reports published from 2006 to 2016 were selected and reviewed. All documents were accessed through PubMed, Google scholar, and FreeFullPDF databases. Relevant and current documents focused on infant and young child (IYC) feeding from World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) were identified by using electronic searches via the Google platform. Complementary feeding practices are suboptimal in West Africa compared to the Northern Africa. Porridges and family dishes are the two main categories of complementary foods given to children and there are nutritionally inadequate. Enriched flours have been developed by using local diversity of food resources and improved food process like dehulling, fermentation, germination, malting, but their use remains low. Socioeconomic , cultural and geographical factors were the determinants influencing IYC feeding practices at mother and household levels. Besides food availability, social, cultural, economic and geographic determinants were interrelated in a complex way to affect child feeding practices. This paper contributes to a much-needed evidence-based focus on the state of complementary feeding practices. As a key component to child survival, the improvement of complementary feeding has been shown to be the most effective in enhancing child growth and reducing stunting. Stakeholders such as policy and decision-makers, development partners, the private sector, and Non-Governmental Organizations should develop strategies for making enriched flours and nutritionally dense foods more accessible and affordable. Nutritional interventions should emphasize the promotion of adequate complementary feeding practices including feeding frequency, quality and quantity of diet and food safety in order to reduce malnutrition. Ongoing national plans and strategies for optimal IYC feeding should be encouraged to reduce child malnutrition.

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Practices of hygiene during complementary food feeding and associated factors among women with children aged 6−24 months in Dedo district, Southwest Ethiopia: A cross‐sectional study

Birhanu,

Liga,

Jabir

2023

Health Science Reports

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Background and AimsPoor food handling practices contribute to food contamination, leading to food‐borne illnesses and childhood diarrhea in developing countries like Ethiopia. This study examines hygienic complementary food feeding practices and associated characteristics among women with children ages 6−24 months in the Dedo District.MethodA community‐oriented cross‐sectional study design was used in a multistage sampling strategy to gather information from 501 mothers of children between May 25 and July 10, 2022. There were absolute and relative frequencies assigned to each variable. Multiple logistic models have been used for factors that were 20% significant in univariate analysis. Odds ratios with corresponding 95% confidence intervals (CI) were produced to identify the important predictors.ResultsThis study showed that mothers with a diploma (adjusted odds ratio [AOR]: 11.2; CI: 5.51−22.8), urban residency (AOR = 6.35; CI: 3.57−11.3), a positive attitude toward hygienic complementary food feeding (AOR = 2.23; CI: 1.19−4.20), good knowledge of complementary food feeding practices (AOR = 3.95; CI: 2.39−6.55), access to a hand washing facility close to the latrine (AOR = 2.60; CI: 1.55−4.36), and access to water close to their home (AOR = 2.42; CI: 1.27−4.59) were highly associated with good hygiene practices of mothers.ConclusionThis study shows that mothers of children aged between 6 and 24 months have a very low overall prevalence of good hygienic complementary feeding practices. The concerned parties should therefore establish a healthcare educational program for mothers that emphasizes the importance of hand washing and informs them about the dangers of improper complementary feeding practices.

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

Cited by 32 publications

References 15 publications

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

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

Complementary feeding practices among children under two years old in West Africa: A review

Practices of hygiene during complementary food feeding and associated factors among women with children aged 6−24 months in Dedo district, Southwest Ethiopia: A cross‐sectional study

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