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Optimal Complementary Feeding Practices and Determinants Among 6-23 Months Aged Children's Mothers in Kedida Gamela
Yididia Desta Langena1, Diliab Desta Langena2, Minale Fekadie Baye3
1Applied Human Nutrition Department, Hawassa University, Hawassa, Ethiopia, hu.edu.et.
Insights
Optimal complementary feeding practices are more prevalent in urban settings compared to rural areas. Improving these practices requires integrating nutrition education into maternal and child health services.
Area of Science:
- Public Health
- Nutrition Science
- Pediatrics
Background:
- The first two years of a child's life are critical for development.
- Optimal complementary feeding is key to reducing infectious disease and mortality.
- Limited studies exist on complementary feeding practices and their determinants.
Purpose of the Study:
- To investigate and compare complementary feeding practices in urban and rural settings.
- To identify determinants influencing these practices.
- To address the existing information gap in infant and young child feeding.
Main Methods:
- A community-based comparative cross-sectional study was conducted.
- Data was collected from 565 mothers of children aged 6-23 months.
- Bivariate and multivariable logistic regression analyses were performed using SPSS.
Main Results:
- Optimal complementary feeding practice was 13.1% in rural areas and 25.1% in urban areas.
- Maternal knowledge and food insecurity were key factors in rural areas.
- Child age, postnatal care, and maternal awareness were significant in urban areas.
Conclusions:
- Optimal complementary feeding practices are significantly more common in urban than rural settings.
- Integrating nutrition education into maternal and child health services is crucial.
- Further research can inform targeted interventions for improved child nutrition.
Background:
For children to grow and develop to their full potential, the first 2 years of life are critical. Infectious disease incidence and associated mortality can be reduced by optimal complementary feeding practices. Studies on these practices and determinants, however, are few in this field. The purpose of this study is to close this information gap.
Methods:
Between January 15 and February 15, 2021, 565 mothers of children ages 6 to 23 months participated in a community-based comparative cross-sectional study in Durame town and Kedida Gamela district. Structured questionnaires were used to gather data through in-person interviews, and SPSS Version 25 was used for analysis. Determinants of complementary feeding practices were identified through bivariate and multivariable logistic regression, utilizing adjusted odds ratios with a 95% confidence interval p value 0.05.
Results:
Complementary feeding practice magnitudes in rural and urban areas were 13.1% and 25.1%, respectively. The mother's knowledge of good complementary feeding (AOR = 5.13, 95% CI: 1.68, 15.65) and household food insecurity (AOR = 3.5, 95% CI: 1.4, 8.75) was associated with optimal complementary feeding practices in rural areas, while child age (AOR = 3.57, 95% CI: 1.08, 11.805), postnatal care (AOR = 2.58, 95% CI: 1.28, 5.16), and the mother's awareness about complementary feeding practices (AOR = 4.5, 95% CI: 1.13, 14.17) were associated with good complementary feeding practices in urban settings.
Conclusion And Recommendation:
In comparison with rural areas, the magnitude of optimal complementary feeding practice is significantly higher in urban areas. Integration of nutrition education and infant and young child feeding into maternal and child health services is essential to improving child feeding practices.
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