Minimum acceptable diet and associated factors among infants and young children aged 6–23 months in Amhara region, Central Ethiopia: community-based cross-sectional study

Abstract

ObjectiveThe main objective of this study was to assess the prevalence of a minimum acceptable diet (MAD) and associated factors.DesignCommunity-based cross-sectional studySettingDebre Berhan Town, Ethiopia.ParticipantsAn aggregate of 531 infants and young children mother/caregiver pairs participated in this study. A one-stage cluster sampling method was used to select study participants and clusters were selected using a lottery method. Descriptive statistics were calculated for all study variables. Statistical analysis was performed on data to determine which variables are associated with MAD and the results of the adjusted OR with 95% CI. P value of <0.05 considered statistically significant.Primary outcomePrevalence of MAD and associated factorsResultsThe overall prevalence of MAD was 31.6% (95% CI: 27.7 to 35.2). Having mother attending secondary (adjusted OR, AOR=4.9, 95% CI: 1.3 to 18.9) and college education (AOR=6.4, 95% CI: 1.5 to 26.6), paternal primary education (AOR=1.3, 95% CI: 1.5 to 2.4), grouped in the aged group of 12–17 months (AOR=1.8, 95% CI: (1.0 to 3.4) and 18–23 months (AOR=2.2, 95% CI: 1.2 to 3.9), having four antenatal care (ANC) visits (AOR=2.0, 95% CI: 1.0 to 3.9), utilising growth monitoring (AOR=1.8, 95% CI: 1.1 to 2.9), no history of illness 2 weeks before the survey (AOR=2.9, 95% CI: 1.5 to 6.0) and living in the household with home garden (AOR=2.5, 95% CI: 1.5 to 4.3) were positively associated with increase the odds of MAD.ConclusionGenerally, the result of this study showed that the prevalence of minimum acceptable was very low. Parent educational status, ANC visits, infant and young child feeding advice, child growth monitoring practice, age of a child, a child has no history of illness 2 weeks before the survey, and home gardening practice were the predictors of MAD. Therefore, comprehensive intervention strategies suitable to the local context are required to improve the provision of MAD.

Association of maternal characteristics with child feeding indicators and nutritional status of children under-two years in Rural Ghana

“…The study revealed that children whose mothers have highest level of education and also being employed throughout the year are received an adequate DDS and MAD. This finding corroborates the findings of studies conducted in the Philippines [32], Timor-Leste [33], six south Asian countries [34], Ethiopia [35] and Kenya [36]. This finding could be attributed to the ability of educated mothers to read, understand and apply information from nutrition education materials provided when they access child health facilities.…”

“…Each of the questions had four (4) response options -respondent alone, respondent and husband/partner jointly, husband/partner alone and any other household member which were coded as 4, 3, 2 and 1 respectively. The total scores which were between 15 and 60 were re-categorised as low (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), medium/average (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45) and high (46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60) decision making power similar to the coding of mother's household decision-making level in related studies [24,…”

Minimum acceptable diet and associated factors among children aged 6–23 months during fasting days of orthodox Christian mothers in Gondar city, North West Ethiopia

“…This study found that children in the 12–17 and 18–23 month age groups were more likely to receive the recommended number and variety of feeds, compared to children aged between 6 to 11 months this finding is similar with studies done in Ethiopia and India [ 10 , 37 , 43 – 46 ]. The justification for this might be as the child’s age increased the chance that they will exposed to a diversified diet will be increased.…”

“…However, it is higher than studies conducted in different parts of Ethiopia such as Tigray (2.30%) [ 25 ], EDHS 2016( 6.10%) [ 14 ], Dembecha (8.60%) [ 4 ] and, East Gojam zone Goncha district (8.40%) [ 36 ]. On the other hand the result of this study is lower than other studies from central Amhara (31.60%) [ 37 ], Kaski (42.40%) [ 38 ], Abu Dhabi(36.20%) [ 39 ], Ghana (24.90%) [ 40 ] and Bangladesh (23.00%) [ 41 ]. The possible reasons for the variation might be due to differences in a study setting, different socioeconomic statuses, and seasonal difference in data collection.…”

Association between Mother’s Education and Infant and Young Child Feeding Practices in South Asia

“…Our findings on the higher rate and likelihood of IYCF practices among mothers with secondary or higher levels of education coincide with previous studies. In particular, children of mothers with secondary or higher levels of education reported a higher likelihood of EIBF in Ghana [ 32 ], Ethiopia [ 33 , 34 ], Tanzania [ 35 ], and China [ 36 ]; of EBF in the Kingdom of Saudi Arabia [ 37 ], Indonesia [ 38 ], and Sub-Saharan Africa [ 39 ]; of introducing complementary feeding in Northwest [ 40 ] and Southwest Ethiopia [ 41 ]; and of MDD, MMF, MAD, and CIRF in Ethiopia, Zambia, and the Sub-Saharan African region [ 42 , 43 , 44 , 45 , 46 ]. The positive association between higher maternal education and improved IYCF practices was well-expected.…”