Trends in complementary feeding indicators in Nigeria, 2003-2013

Area of Science:

• Public Health
• Nutrition Science
• Pediatrics

Background:

• Complementary feeding is crucial for infant growth and development.
• Understanding trends in complementary feeding practices is essential for public health interventions.

Purpose of the Study:

• To examine secular trends in complementary feeding indicators in Nigeria from 2003 to 2013.
• To identify determinants of changes in these indicators.

Main Methods:

• Analysis of data from 79,953 children aged 6-23 months from the Nigeria Demographic and Health Surveys (2003-2013).
• Utilized multilevel logistic regression to assess trends and associated factors.
• Examined indicators including minimum dietary diversity, meal frequency, and acceptable diet.

Main Results:

• Minimum dietary diversity declined from 26% (2003) to 16% (2013).
• Minimum meal frequency improved from 43% (2003) to 56% (2013), but minimum acceptable diet worsened (11% to 9%).
• Higher maternal education and increased health service contact were associated with better dietary diversity and acceptable diet.

Conclusions:

• Complementary feeding practices in Nigeria showed a decline over the study period, falling below optimal levels.
• There is a need for sustained national policies and programs, including enhanced health service coverage and community-based education, to improve practices.