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.

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