Complementary feeding practice and its determinants among mothers with children 6 to 23 months of age in Finote
Dejene Hailu1, Ayele Tilahun1, Yichilal Dagnew2
1Department of Nursing, College of Health Science, Salale University, Fitche, Ethiopia.
Insights
Timely complementary feeding is crucial for child development but not widely practiced in Northwest Ethiopia. Promoting institutional delivery, prenatal care, and mass media can improve feeding practices.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Adequate infant and early childhood nutrition is vital for development.
- Under-nutrition stems from poor breastfeeding and supplemental feeding.
- Stunting, micronutrient deficiencies, and disease peak after six months without proper feeding.
Purpose of the Study:
- To assess complementary feeding practices.
- To identify determinants of these practices among mothers in Northwest Ethiopia.
- Focus on children aged 6 to 23 months.
Main Methods:
- Community-based cross-sectional study.
- 414 caregivers surveyed using a systematic random sampling technique.
- Data analyzed using logistic regressions and frequency distributions.
Main Results:
- Only 48.6% of participants practiced timely complementary feeding.
- Factors associated with timely initiation included being married, owning a radio, attending four or more antenatal care (ANC) follow-ups, and health institution delivery.
- Adjusted Odds Ratios (AOR) indicated significant associations for these factors.
Conclusions:
- Complementary feeding practices are suboptimal in the study region.
- Promoting institutional delivery, prenatal care, and utilizing mass media are recommended.
- Improving the timing of supplemental feeding requires enhanced health information and communication strategies.
Introduction:
the development of a child's full human potential requires adequate nourishment during infancy and early childhood. Under-nutrition is mostly caused by a lack of proper breastfeeding and supplemental feeding practices. After six months of age, when the incidence of growth faltering, micronutrient deficiencies and viral diseases is at its peak, children become stunted. This study aimed to assess complementary feeding practices and their determinants among mothers with children aged 6 to 23 months in Northwest Ethiopia.
Methods:
a community-based cross-sectional study on 414 caregivers was conducted using a systematic random sampling technique. Pre-tested interviewer-administered structured questionnaire was used to collect data. The data were entered into Epi-Info version 3.5.1 and analyzed with SPSS version 21. Logistic regressions and frequency distribution were used. The strength of the association was measured using odds ratios with a 95% confidence interval.
Results:
out of 414 study participants, 201 (48.6%) practiced timely initiation of complementary feeding. Married women [AOR=2.87; 95% CI: (1.31-6.30)], radio owners [AOR=4.58; 95 % CI: (2.48-8.46)], four or more ANC followup times [AOR=1.99; 95 % CI: (1.12-3.55)] and health institution delivery [AOR=2.56(1.21-5.42)] were all associated with timely initiation of complementary feeding.
Conclusion:
complementary feeding is not widely practiced in the study area. Complementary feeding should be promoted through institutional delivery, prenatal care follow-up, and mass media coverage. Through health information and communication, it is critical to improve the timing of the start of supplemental feeding.
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