Minimum Dietary Diversity Among Children Aged 6-59 Months in East Africa Countries: A Multilevel Analysis
Temam Beshir Raru1, Bedasa Taye Merga1, Gutema Mulatu2
1School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Insights
Minimum dietary diversity (MDD) is low in East Africa, affecting only 10.47% of children under five. Maternal education and postnatal care are key factors for improving children's nutrition.
Area of Science:
- Nutrition Science
- Public Health
- Pediatrics
Background:
- Minimum Dietary Diversity (MDD) is a crucial indicator for assessing children's diet quality.
- Under-five children in East Africa face significant challenges in achieving adequate dietary diversity.
- The 2017 revised MDD indicator provides a standardized method for evaluation.
Purpose of the Study:
- To identify the key determinants of minimum dietary diversity (MDD) among children under five in East Africa.
- To analyze factors influencing MDD using the 2017 revised indicator.
- To provide evidence for targeted nutritional interventions in the region.
Main Methods:
- Utilized secondary data from Demographic and Health Surveys (DHS) across eight East African countries.
- Included 27,223 weighted samples of children aged 6-59 months.
- Employed multi-level logistic regression analysis to determine significant factors.
Main Results:
- The prevalence of adequate MDD in East Africa was found to be 10.47% (95% CI: 10.12-10.84).
- Significant determinants included maternal age (35-49 years), higher maternal educational attainment, and postnatal check-ups within two months.
- Ethiopia and Rwanda reported the lowest and highest MDD rates, respectively.
Conclusions:
- Adequate MDD intake among children aged 6-59 months in East Africa is alarmingly low.
- Interventions should prioritize improving household economic status, maternal education, and promoting diverse food consumption.
- Enhanced feeding practices are essential for child health and development in the region.
Abstract:
Objective: To find out the determinants of minimum dietary diversity (MDD) among under-five children in East Africa based on the 2017 revised indicator. Methods: Secondary data from the demographic and health survey (DHS) of eight countries in East Africa were combined. A total of 27,223 weighted samples of children aged 6-59 months were included. Multi-level logistic regression analysis was employed to identify the determinants of dietary diversity. Results: The magnitude of adequate MDD in East Africa was found to be 10.47% with 95% CI (10.12-10.84) with the lowest and highest magnitude in Ethiopia and Rwanda respectively. Having a mother in the age group of 35-49, having a mother with higher educational attainment, and having a post-natal check-up within 2 months were significant factors in determining adequate MDD. Conclusion: The magnitude of adequate MDD intake among children aged 6-59 months in East Africa is relatively low. Therefore, strengthening interventions focused on improving the economic status of households, the educational status of mothers, and diversified food consumption of children aged 6-59 months should get priority to improve the recommended feeding practice of children.
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