Factors associated with complementary feeding practices among children aged 6–23 mo in Malawi: an analysis of the Demographic and Health Survey 2015–2016

Nkoka, Owen; Mhone, Thomas Gabriel; Ntenda, Peter Austin Morton

doi:10.1093/inthealth/ihy047

Cited by 40 publications

(63 citation statements)

References 26 publications

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“…Besides, children whose diet was adequately diversified were high among children older child age, more educated mothers, mothers who had better knowledge on IYCF, fathers who involved in IYCF practices, mothers who had exposed to IYCF information through mass media, mothers who had diversified their diet, household with better SES, mothers who had participated in a cooking demonstration, and those households who possessed of home gardening. Consistent to our findings, a report from the analysis of Malawi DHS showed child age, maternal education, SES and maternal exposure to mass media were significantly associated with higher odds of receiving minimum meal frequency, minimum DD and minimum acceptable diet (Nkoka et al., 2018).…”

Section: Discussionsupporting

confidence: 91%

Magnitude and determinants of complementary feeding practices in Ethiopia: A systematic review and meta-analysis

Abdurahman

Chaka

Bule

et al. 2019

Heliyon

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Background & aim Concurrent estimates on the magnitude and evidence on the determinants of complementary feeding (CF) practices in Ethiopia are currently disparate. Hence, this systematic review and meta-analysis assessed the magnitude and determinants of CF among children age 6–23 months in Ethiopia. Methods Studies from various databases published until July 2018 were identified, selected, extracted and assessed for risk of bias by two authors independently. A random-effects model was used to pool the prevalence and odds ratios (ORs). Results 26 studies with 17, 383 children were included. The pooled prevalence estimate of timely initiated CF, minimum dietary diversity (DD), minimum meal frequency and minimum acceptable diet were 61.0%, 18.0%, 56.0%, and 10.0% respectively. The pooled prevalence of timely initiation and minimum DD were higher in Northern Ethiopia. On the other hand, except for the minimum meal frequency, all the three core indicators of CF were better in urban than rural settings. Child age, maternal and/or paternal education, paternal involvement, maternal DD, antenatal and postnatal care, and place of delivery were the main determinants that can increase appropriate CF practices. Conclusion The reported estimates of the prevalence of core CF indicators in Ethiopia remained poor. Therefore, the authors would like to acknowledge the effort that has been done by the minister of health and its partners including Alive & Thrive to improving CF practices in the country, however, these programs should be done more thoroughly, and scaled up by applying and adapting tested, proven approaches and tools in contexts.

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Section: Discussionsupporting

confidence: 91%

Magnitude and determinants of complementary feeding practices in Ethiopia: A systematic review and meta-analysis

Abdurahman

Chaka

Bule

et al. 2019

Heliyon

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“…This was supported by the study conducted in Bangladesh, Indonesia and Malawi. 48 , 58 , 59 This was also supported by the study conducted in Ghana, the increase in the child’s age (18-23 months) was positively associated (β = 1.387, P < .01) with achieving the needed MMF. 60 …”

Section: Discussionsupporting

confidence: 63%

Prevalence of Minimum Meal Frequency Practice and Its Associated Factors among Children Aged 6 to 23 Months in Ethiopia: A Systematic Review and Meta-analysis

Wake

2021

Global Pediatric Health

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Background. Inappropriate complementary feeding practices are amongst the key causes of child undernutrition. It rises the risk of undernutrition, illness, and mortality among children. Objectives. This study was aimed to determine the pooled prevalence of MMF practice and associated factors among children aged 6 to 23 months in Ethiopia. Methods. The search was conducted by using the following electronic databases; PubMed/MEDLINE, HINARI, EMBASE, Google Scholar, Web of Science, Scopus, African journals, and Google for grey literature. The publication bias was determined by using a funnel plot and Egger’s test. The heterogeneity between the studies was checked by using I2 statistic. The subgroup analysis was done by sample size, region, and year of publication. Result. A total of 20 studies with 12 656 study participants were included in the present systematic review and meta-analysis. The pooled prevalence of MMF practice among children aged 6 to 23 months in Ethiopia was estimated to be 63.80% (95%CI: 56.59, 71.01). PNC visit (AOR = 1.90, 95%CI [1.31, 2.49]), wealth index (AOR = 2.11, 95%CI [1.42, 2.81]) and age of child (AOR = 5.75, 95%CI [4.25, 7.26]) were factors significantly associated with MMF among children aged 6 to 23 months. Conclusion. The findings showed that the pooled prevalence of MMF among children aged 6 to 23 months in Ethiopia was relatively low. PNC visit, wealth index and age of child were factors significantly associated with MMF among children aged 6 to 23 months. Therefore, community-based health education concerning the recommended MMF among children aged 6 to 23 months is required to take place.

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“…The prevalence of minimum acceptable diet found in this study is close to that reported in Nepal (29%) [ 18 ] and China (27%) [ 19 ]. Minimum acceptable diet prevalence ranging from 8 to 18% have been observed in India, Bhutan, Ethiopia and Malawi [ 20 – 23 ], while in Tanzania [ 24 ], Bangladesh [ 25 ], and Indonesia [ 15 ] they were 38, 42, and 48% respectively. The differences in health services, including health education and advice on breastfeeding and complementary feeding during prenatal and postnatal care, and region-dependent feeding cultural practices could be the factors explaining these differences.…”

Section: Discussionmentioning

confidence: 99%

Minimum acceptable diet among children aged 6–23 months in South Kivu, Democratic Republic of Congo: a community-based cross-sectional study

et al. 2021

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Background Suboptimal child nutrition remains the main factor underlying child undernutrition in Democratic Republic of Congo (DRC). This study aimed to assess the prevalence of minimum acceptable diet and associated factors among children aged 6–23 months old. Methods Community-based cross-sectional study including 742 mothers with children aged 6–23 months old was conducted in 2 Health Zones of South Kivu, Eastern DRC. WHO indicators of Infant and Young Child Feeding (IYCF) regarding complementary feeding practices were used. Logistic regression analysis was used to quantify the association between sociodemographic indicators and adequate minimum acceptable diet for both univariate and multivariate analysis. Results Overall, 33% of infants had minimum acceptable diet. After controlling for a wide range of covariates, residence urban area (AOR 2.39; 95% CI 1.43, 3.85), attendance postnatal care (AOR 1.68; 95% CI 1.12, 2.97), education status of mother (AOR 1.83; 95% CI 1.20, 2.77) and household socioeconomic status (AOR 1.72; 95% CI 1.14, 2.59) were factors positively associated with minimum acceptable diet. Conclusion Actions targeting these factors are expected to improve infant feeding practices in South Kivu.

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Factors associated with complementary feeding practices among children aged 6–23 mo in Malawi: an analysis of the Demographic and Health Survey 2015–2016

Cited by 40 publications

References 26 publications

Magnitude and determinants of complementary feeding practices in Ethiopia: A systematic review and meta-analysis

Magnitude and determinants of complementary feeding practices in Ethiopia: A systematic review and meta-analysis

Prevalence of Minimum Meal Frequency Practice and Its Associated Factors among Children Aged 6 to 23 Months in Ethiopia: A Systematic Review and Meta-analysis

Minimum acceptable diet among children aged 6–23 months in South Kivu, Democratic Republic of Congo: a community-based cross-sectional study

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