Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey

Tassew, Aberash Abay; Tekle, Dejen Yemane; Belachew, Abate Bekele; Adhena, Beyene Meressa

doi:10.1371/journal.pone.0203098

Cited by 60 publications

(93 citation statements)

References 11 publications

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“…Children from mothers who were exposed to media (watched television, listened to the radio, and read newspapers or magazines) every day or at least once a week were more than two times more likely to meet MAD than those children from mothers who didn't. This study is similar to other studies conducted in Ethiopia and Asian countries [21,25,28,[35][36][37]41]. The reason behind this could be that currently, most of the time, child feeding practices are promoted using different Media, which has the power to change the attitude and practices of individuals.…”

Section: Discussionsupporting

confidence: 87%

“…This finding is higher than studies conducted in Dembech district, Amhara region 8.6% [25], Golina district, Afar region 19.4 [26], and Babile, Enderta, and Hintalo Wajirat districts of Ethiopia [27]. It is also higher than the national findings [16,28]. It might be due to sampling size, study area, and period.…”

Section: Discussioncontrasting

confidence: 57%

“…It can be attributed to the feeding interest of the child too. This was supported by studies carried out in Indonesia, Nepal, Sri Lanka, and Ethiopia [18,25,28,30,40]. Children from mothers who were exposed to media (watched television, listened to the radio, and read newspapers or magazines) every day or at least once a week were more than two times more likely to meet MAD than those children from mothers who didn't.…”

Section: Discussionmentioning

confidence: 72%

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Minimum Acceptable Diet and its Predictors among Children Aged 6-23 Months in Mareka District, Southern Ethiopia: Community Based Cross-Sectional Study

Feleke¹,

Mulaw²

2020

Int. J. Child Health Nutr.

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Background: Optimal infant and young child feeding practices are essential for normal growth, better health, and mental and physical development. Even though there are a lot of nutrition intervention programs in Ethiopia, still suboptimal feeding practices are prevalent. This study was devised to assess a level of minimum acceptable diet (MAD) and predictors among children aged 6-23 months in Mareka District, south Ethiopia. Method: A community-based cross-sectional study was employed on 662 study participants from August 15 to September 15/ 2015. They were selected by a multi-stage sampling technique. Data were collected by interviewer-administered semi-structured questionnaires. Statistical significance was declared at p-value <0.05 at multivariable logistic regression. Result: The study showed that 35.5 % of the children aged 6-23 months met the recommended MAD. Maternal primary and secondary education (AOR: 1.90; 95% CI: 1.15-3.16 and AOR: 2.06, 95% CI: 1.12-3.77), Media exposure (AOR: 2.16; 95% CI: 1.46-3.29), health facility delivery (AOR:2.52; 95% CI: 1.54-4.13), child age of 9-11 and 12-23 months (AOR:2.73; 95% CI: 1.41-5.49 and AOR:2.55; 95% CI: 1.39-4.69) and GMP service utilization (AOR: 4.09; 95% CI: 2.51-6.65) were associated with MAD of children. Conclusion: The level of MAD among children was low. Maternal educational status, media exposure, institutional delivery, child age, and GMP service utilization were associated with MAD. Increasing utilization of GMP service, health facility delivery, maternal education, and media promotion was recommended to increase the level of MAD.

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Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 72%

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Minimum Acceptable Diet and its Predictors among Children Aged 6-23 Months in Mareka District, Southern Ethiopia: Community Based Cross-Sectional Study

Feleke¹,

Mulaw²

2020

Int. J. Child Health Nutr.

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“…where σ u 0 2 is variance at community level and π 2 / 3 is the variance at individual level. 19 The presence of multicollinearity among explanatory variables was checked by variance inflation factor (VIF). The smaller values of VIF (mean value of VIF <10) indicates the absence of multicollinearity among the explanatory variables.…”

Section: Resultsmentioning

confidence: 99%

Role of Maternal Education and Vaccination Coverage: Evidence From Pakistan Demographic and Health Survey

Asif

Akbar

Tahir

et al. 2019

Asia Pac J Public Health

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The aim of this study was to examine the impact of maternal education on child immunization uptake in Pakistan, both at individual and community levels. Pakistan Demographic and Health Survey data were used for analysis. Multilevel logistic regression was used to access the individual- and community-level factors associated with childhood immunization coverage. Out of 6765 children 2659 (39.3%) were fully immunized. Parents education, access to media, and wealth status have positive while ethnicity and working status of mother have a negative impact on the immunization uptake. In the community with a high percentage of educated mothers, the odds of immunized children were high (odds ratio = 1.43, 95% confidence interval = 1.14-1.80) as compared with communities with lower percentage of educated mothers. Moreover, significant variation was found in the likelihood of full immunization across communities. Both community- and individual-level factors have substantial impact on children immunization status. There is a need of improvement in maternal education, poverty alleviation, and removal of rural-urban disparities.

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“…IYCF practice was associated with the household's financial resources (Ahishakiye et al, 2019;Helle, Hillesund, & Overby, 2018;G. N. Khan et al, 2017;Maciel et al, 2018;Na, Aguayo, Arimond, Narayan, & Stewart, 2018b) and urban-rural location (Nguyen et al, 2018;Tassew et al, 2019). It implies that wealth and living in urban areas determine the ease of accessing resources to meet child's adequate feeding practice.…”

Section: Discussionmentioning

confidence: 99%

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

Puspitasari¹,

Gayatri²

2020

GJHS

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Previous studies showed the significant association between women’s empowerment and infant and young child feeding (IYCF) practice. Only around 40% of Indonesian children met adequate IYCF practice. Hence, each dimension of women’s empowerment in the household domain must be explored. We carried out a dataset of the 2017 Indonesia Demographic and Health Survey, with samples of 4,880 mothers of reproductive age in a marriage relationship with their last-born child aged 6-23 months. Logistic regression was applied. Mother with legal asset ownerships had lower odds of her child meeting (aOR: 0.83; 95% CI: 0.72, 0.95) minimum dietary diversity (MDD), (aOR: 0.75; 95% CI: 0.65, 0.87) minimum meal frequency (MMF) and (aOR: 0.74; 95% CI: 0.61, 0.90) minimum acceptable diet (MAD). Mother who could control her own earnings had higher odds of her child meeting MDD (aOR: 1.52; 95% CI: 1.32, 1.74) and MAD (aOR: 1.62; 95% CI: 1.34, 1.94). Employed mother had higher odds of meeting MMF (aOR: 1.58; 95% CI: 1.38, 1.82). Mother who did not approve of intimate partner violence was more likely to feed her child with MDD (1.39 times), MMF (1.41 times) and MAD (2.04 times). Mother with three or more parity had lower odds of her child meeting MDD (aOR: 0.81; 95% CI: 0.79, 0.93), MMF (aOR: 0.84; 95% CI: 0.72, 0.99) and MDD (aOR: 0.80; 95% CI: 0.65, 1.00). Mother who did not approve towards domestic violence, was working, controlled her assets and had a maximum of two parity was associated with official IYCF recommendation.

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Factors affecting feeding 6–23 months age children according to minimum acceptable diet in Ethiopia: A multilevel analysis of the Ethiopian Demographic Health Survey

Cited by 60 publications

References 11 publications

Minimum Acceptable Diet and its Predictors among Children Aged 6-23 Months in Mareka District, Southern Ethiopia: Community Based Cross-Sectional Study

Minimum Acceptable Diet and its Predictors among Children Aged 6-23 Months in Mareka District, Southern Ethiopia: Community Based Cross-Sectional Study

Role of Maternal Education and Vaccination Coverage: Evidence From Pakistan Demographic and Health Survey

Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain

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