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The association between infant and young child feeding practices and diarrhoea in Tanzanian children

Felix Akpojene Ogbo1,2, Hillary Nguyen1, Sabrina Naz1

  • 11Translational Health Research Institute, School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2571 Australia.

Tropical Medicine and Health
|February 10, 2018
PubMed

Insights

Exclusive breastfeeding protects Tanzanian infants from diarrhoea. Introducing complementary foods before 6 months increases diarrhoea risk. Strengthening infant and young child feeding programs is crucial.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition

Background:

  • Diarrhoea is a major cause of child mortality in Tanzania.
  • Optimal infant and young child feeding (IYCF) practices are linked to reduced diarrhoea, but evidence for strategic interventions in Tanzania is limited.

Purpose of the Study:

  • To examine the association between infant and young child feeding (IYCF) practices and diarrhoea in Tanzanian children under 24 months.
  • To provide evidence for targeted interventions to reduce childhood diarrhoea in Tanzania.

Main Methods:

  • Utilized Tanzania Demographic and Health Survey data.
  • Employed multivariable logistic regression analysis, adjusting for confounding factors and cluster variability.
  • Estimated diarrhoea prevalence stratified by IYCF practices.

Main Results:

  • Exclusive breastfeeding (EBF) and predominant breastfeeding (PBF) were associated with lower diarrhoea prevalence in infants aged 0-5 months.
  • Introduction of complementary foods at 6-8 months was linked to a higher prevalence of diarrhoea compared to EBF.
  • EBF and PBF showed a protective effect against diarrhoea (AOR 0.31 and 0.30, respectively), while early complementary feeding increased risk (AOR 2.91).

Conclusions:

  • EBF and PBF are protective against diarrhoeal illness in Tanzanian children.
  • Early introduction of complementary foods is associated with increased diarrhoea risk.
  • Strengthening IYCF programs can improve feeding behaviors and reduce the burden of diarrhoea in children under two years.
Abstract

Keywords:
BreastfeedingChildrenComplementary feedingDiarrhoeaTanzania

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