Use of pulse crops in complementary feeding of 6-23-month-old infants and young children in Taba Kebele, Damot Gale District, Southern Ethiopia

Mesfin, Addisalem; Henry, Carol J.; Girma, Meron; Whiting, Susan J.

doi:10.4081/jphia.2015.357

Cited by 14 publications

(33 citation statements)

References 12 publications

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“…Only one-quarter of the children achieved this cut-off. In another study done in Southern Ethiopia, in areas where maize and enset were not predominate but the complementary food was primarily grains and roots, the DDS was also only 3.1, with two-thirds not achieving the minimum of four foods per day [12]. Thus, low DDS is a common problem in Southern Ethiopia.…”

Section: Discussionmentioning

confidence: 99%

“…For determining the history of sunlight exposure and socio demographic and economic data, a pretested structured questionnaire was adopted from previous studies of young children in SNNPR [12,13] and from the Ethiopian demographic and health survey [9]. The recorded food items from the 24-hour dietary assessment were converted into nutrient content amounts using Ethiopian food composition table [14], which is designed for cooked and raw foodstuffs and commercial foods [15].…”

Section: Methodsmentioning

confidence: 99%

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Dietary calcium intake and sunlight exposure among children aged 6-23 months in Dale Woreda, Southern Ethiopia

Tezera¹,

Whiting²,

Gebremedhin³

2017

AJFAND

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Nutritional rickets can be caused by either or both calcium and vitamin D deficiencies, and can frequently occur in Africa. In Ethiopia, limited evidence exists regarding the calcium intake of children and their sunlight exposure practices. The purpose of this study was to assess information regarding dietary calcium intake and sunlight exposure practice, which are factors related to nutritional rickets. The study was conducted in Dale Woreda, Southern Ethiopia using a community based cross-sectional survey design with both descriptive and analytic components. A total of 170 children were selected using multi-stage sampling technique. A structured questionnaire and an interactive 24-hour dietary assessment method were used to collect data on sociodemographic and economic information and to assess dietary calcium intake of participant children. The Ethiopian food composition table supplemented by world food data were used to convert dietary intake into nutrient content. The mean (SD) age of the study children was 14.4 (+4.7) months. The male to female ratio was 1.24. The mean (± SD) calcium intake of participant children was 407 ± 235 mg/day; 26.5% had low dietary calcium intake compared with their age specific recommended nutrient intake (RNI) value. Regarding sunlight exposure, 41.1% participant mothers exposed their child to sunlight within 1 (one) month of birth and 56.5% of study children were exposed to sunlight for 20 to 30 minutes per day. In conclusion, the risk of dietary calcium inadequacy was prevalent because of low intakes by some children. Even if only 26.5% of participating children had low dietary calcium intake, the children in the study area have some risk of dietary calcium inadequacy due to the high content of phytate in the prevailing complementary foods such as fruits and maize based complementary food, which can inhibit bioavailability of calcium. The participant children were not at risk of inadequate exposure to sunlight because they had good exposure practices and there was no sunlight avoidance practices among the majority of participant children.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Dietary calcium intake and sunlight exposure among children aged 6-23 months in Dale Woreda, Southern Ethiopia

Tezera¹,

Whiting²,

Gebremedhin³

2017

AJFAND

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“…The observed overall stunting and underweight for Hallaba (Ersino et al, 2013) and Wolaita (Mesfin et al, 2015), for instance, are prevalence estimates which WHO classifies as levels of "very high" and "high" public health concerns, respectively (WHO, 2008). Smallest prevalences were reported for the study conducted in Hula district of Sidama zone (Negash et al, 2014) (Table 5).…”

Section: Nutritional Statusmentioning

confidence: 99%

“…This score was calculated using food categories based on the FAO guidelines for measuring individual dietary diversity (FAO, 2008). All studies, except one (Mesfin et al, 2015) used the eight food categories (i.e. grains, roots and tubers; legumes and nuts; vitamin A rich fruits and vegetables; other fruits and vegetables; meat, poultry, fish; eggs; milk and milk products; and foods cooked with fats and/or oils), and affirmative responses in each was scored as 1: Score of DDS > 4 per day is the minimum recommended level (FAO, 2008), and all the studies included in this review have used this cut point.…”

Section: Summary Of Study Designsmentioning

confidence: 99%

Complementary Feeding Practices among Infant and Young Children in Southern Ethiopia: Review of the Findings from a Canada-Ethiopia Project

Henry¹,

Whiting²,

Regassa³

2015

JAS

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Collaborative projects have been undertaken between Hawassa University, Ethiopia and the University of Saskatchewan, Canada, with aims at mitigating protein and micronutrient malnutrition in Ethiopia. The main objective of this review is to assess complementary feeding practices of mothers in the project sites in Southern Ethiopia based on baseline data compiled by a total of nine independent studies. Findings revealed that complementary feeding practices are unacceptably poor in all the districts considered, despite the fact that larger proportion of mothers had knowledge on the timing and importance of complementary feeding to their child. The computed Diet Diversity Score (DDS) which was measured using 24-hour recall of children's intake, indicated that those with adequate DDS (> 4) were < 25% for 6 of 9 surveys, and the most frequently consumed food groups were low protein grains, roots and tubers. All the study zones had low wealth index and high household food insecurity, both of which corresponded with low DDS. The prevalence of both current and exclusive breast feeding practices were good (above 70%). The prevalence of food secure households was very low in all the study districts and was reflected in very high levels of stunting and underweight among infants and young children. We conclude that future efforts should focus on both nutrition-based educational interventions to improve knowledge and practice of complementary feeding, and on nutrition-sensitive agriculture to increase access to affordable protein rich crops such as pulses, and curb the very high food insecurity levels through improving household income and wealth status.

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“…Recent studies conducted in the study region documented the importance of nutrition education in increasing pulse consumption [10][11][12][13][14] for improved nutritional outcomes of children. However, few studies have addressed the needs of women.…”

Section: Introductionmentioning

confidence: 99%

Nutrition education promoted consumption of pulse based foods among rural women of reproductive age in Sidama zone, Southern Ethiopia

Henry¹,

Yetnayet²,

Berhanu³

et al. 2017

AJFAND

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Nutrition education about locally available, nutritionally rich crops, such as pulses, is one of the promising strategies to reduce the burden of malnutrition among women in rural communities of low-income and middle income countries such as Ethiopia. This study was conducted to determine the effectiveness of nutrition education on the knowledge, attitude and practice of women of reproductive age using the Health Belief Model. A pre-test post-test controlled intervention study was conducted on 200 randomly selected women from Hawassa Zuria district in two groups: intervention (n=100) and control (n=100). Nutrition education intervention was given using Health Belief Model (HBM) only to the intervention group, every 15 days for consecutive six months whereas the control group got the same information in a summarized form at the end of the study. Women in both groups completed knowledge, attitude and practice (KAP) and food frequency questionnaires at baseline and after six months of intervention. Data were analyzed using independent and paired sample t-tests to find out the effect of nutrition education intervention by comparing the pre and post test data between the two groups and within each group. The result showed a significant improvement in the mean knowledge (p<0.001), attitude (p<0.001), and practice scores (p<0.001) in the intervention group compared to control group. There was significant (p<.001) improvement in the scores of HBM constructs: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and taking health action by the intervention group to the control group. The success of this intervention using nutrition education to improve practices using pulses may be due to there being repeated demonstrations of pulse processing and recipes, to group discussions involving peer learning and experience sharing, and to interest from the mothers regarding health benefits. It is concluded that nutrition education based on HBM can be effective in bringing positive change on the KAP of women of reproductive age towards household utilization of pulse based diets.

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Use of pulse crops in complementary feeding of 6-23-month-old infants and young children in Taba Kebele, Damot Gale District, Southern Ethiopia

Cited by 14 publications

References 12 publications

Dietary calcium intake and sunlight exposure among children aged 6-23 months in Dale Woreda, Southern Ethiopia

Dietary calcium intake and sunlight exposure among children aged 6-23 months in Dale Woreda, Southern Ethiopia

Complementary Feeding Practices among Infant and Young Children in Southern Ethiopia: Review of the Findings from a Canada-Ethiopia Project

Nutrition education promoted consumption of pulse based foods among rural women of reproductive age in Sidama zone, Southern Ethiopia

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