Correlates of the Timely Initiation of Complementary Feeding among Children Aged 6⁻23 Months in Rupandehi District,

Dilaram Acharya1,2, Radha Subedi3, Kwan Lee4

  • 1Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju, 123 Dongdae-ro, Gyeongju-si 38066, Korea. dilaramacharya123@gmail.com.

Insights

In Nepal, less than 60% of children aged 6-23 months start complementary feeding on time. Maternal education, occupation, and child factors like male gender and micronutrient intake are key predictors.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Timely initiation of complementary feeding is crucial for child development but under-researched in Nepal.
  • Existing knowledge on predictors is limited in the Nepalese context.

Purpose of the Study:

  • To identify factors associated with the timely initiation of complementary feeding in Nepalese children aged 6-23 months.
  • To inform the Nepalese Infant and Young Child Feeding (IYCF) program.

Main Methods:

  • Community-based cross-sectional study in Rupandehi district, Nepal.
  • Simple random sampling of 155 mother-child pairs.
  • Logistic regression analysis to identify independent associations.

Main Results:

  • Only 3 in 5 children initiated complementary feeding at the recommended age (6 months).
  • Maternal literacy and employment in service/business sectors were linked to timely initiation.
  • Child factors including male gender, higher birth order, and micronutrient consumption were also associated with timely initiation.

Conclusions:

  • Maternal education and occupation are significant predictors of timely complementary feeding in Nepal.
  • Child characteristics such as gender and micronutrient intake also play a role.
  • The Nepalese IYCF program should target these identified predictors in its strategies.

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