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      Timely initiation of complementary feeding to children aged 6–23 months in rural Soro district of Southwest Ethiopia: a cross-sectional study

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          Abstract

          Background

          Poor complementary feeding practice to infants is one of risk factors for child undernutrition in Ethiopia. This would vary across the culturally and socioeconomically diverse settings in this country. Thus, this study was aimed to determine the proportion of timely initiated complementary feeding practice of women to their children aged 6–23 months in rural Soro district in Southwest Ethiopia.

          Methods

          A community based crossectional survey was conducted in Soro district from August to September in 2015. Randomly selected 543 women having children aged 6–23 months were the final sampling units for this study. First, local administrative units (kebeles) of residents were randomly selected from such lists in the district. Secondly, the sample size was proportionally allocated to each selected kebele by population sizes. Individual households were selected by systematic random technique. Data was collected by using a structured questionnaire through face to face interview. Descriptive statistics was done for univariate results, and we applied bivariate logistic regression to look for crude association, and multivariate logistic regression to model predictors with effect measures and 95% confidence intervals (CI). Statistical significance was decaled at P < 0.05.

          Results

          The proportion of timely initiated complementary feeding was 34.3% at 95%CI: (30.31, 38.29) in this study. Secondary and above education levels of respondents (AOR = 2.25 95%CI: 1.17, 4.30) and husbands (AOR = 2.33 at 95% CI: 1.06, 5.14), and maternal Postnatal Care visits (AOR = 1.94 at 95% CI: 1.19, 3.16) were found independent predictors for timely initiated complementary feeding practice in this study.

          Conclusions

          Timely complementary feeding practice in the study area was low compared to the standard recommends for it. Education in general and equipping child bearing women with specific messages on Infant and Child Feeding Practices may improve infant and child feeding practice in the area. Optimizing utilization of Postnatal Care by post partum women and including specific advices on complementary feeding are recommended.

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          Most cited references12

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          Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya

          Background The World Health Organisation (WHO) recommends exclusive breastfeeding during the first six months of life for optimal growth, development and health. Breastfeeding should continue up to two years or more and nutritionally adequate, safe, and appropriately-fed complementary foods should be introduced at the age of six months to meet the evolving needs of the growing infant. Little evidence exists on breastfeeding and infant feeding practices in urban slums in sub-Saharan Africa. Our aim was to assess breastfeeding and infant feeding practices in Nairobi slums with reference to WHO recommendations. Methods Data from a longitudinal study conducted in two Nairobi slums are used. The study used information on the first year of life of 4299 children born between September 2006 and January 2010. All women who gave birth during this period were interviewed on breastfeeding and complementary feeding practices at recruitment and this information was updated twice, at four-monthly intervals. Cox proportional hazard analysis was used to determine factors associated with cessation of breastfeeding in infancy and early introduction of complementary foods. Results There was universal breastfeeding with almost all children (99%) having ever been breastfed. However, more than a third (37%) were not breastfed in the first hour following delivery, and 40% were given something to drink other than the mothers' breast milk within 3 days after delivery. About 85% of infants were still breastfeeding by the end of the 11th month. Exclusive breastfeeding for the first six months was rare as only about 2% of infants were exclusively breastfed for six months. Factors associated with sub-optimal infant breastfeeding and feeding practices in these settings include child's sex; perceived size at birth; mother's marital status, ethnicity; education level; family planning (pregnancy desirability); health seeking behaviour (place of delivery) and; neighbourhood (slum of residence). Conclusions The study indicates poor adherence to WHO recommendations for breastfeeding and infant feeding practices. Interventions and further research should pay attention to factors such as cultural practices, access to and utilization of health care facilities, child feeding education, and family planning.
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            Undernutrition, poor feeding practices, and low coverage of key nutrition interventions.

            To estimate the global burden of malnutrition and highlight data on child feeding practices and coverage of key nutrition interventions. Linear mixed-effects modeling was used to estimate prevalence rates and numbers of underweight and stunted children according to United Nations region from 1990 to 2010 by using surveys from 147 countries. Indicators of infant and young child feeding practices and intervention coverage were calculated from Demographic and Health Survey data from 46 developing countries between 2002 and 2008. In 2010, globally, an estimated 27% (171 million) of children younger than 5 years were stunted and 16% (104 million) were underweight. Africa and Asia have more severe burdens of undernutrition, but the problem persists in some Latin American countries. Few children in the developing world benefit from optimal breastfeeding and complementary feeding practices. Fewer than half of infants were put to the breast within 1 hour of birth, and 36% of infants younger than 6 months were exclusively breastfed. Fewer than one-third of 6- to 23-month-old children met the minimum criteria for dietary diversity, and only ∼50% received the minimum number of meals. Although effective health-sector-based interventions for tackling childhood undernutrition are known, intervention-coverage data are available for only a small proportion of them and reveal mostly low coverage. Undernutrition continues to be high and progress toward reaching Millennium Development Goal 1 has been slow. Previously unrecognized extremely poor breastfeeding and complementary feeding practices and lack of comprehensive data on intervention coverage require urgent action to improve child nutrition.
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              Determinants of inappropriate complementary feeding practices in young children in Nepal: secondary data analysis of Demographic and Health Survey 2006.

              Inappropriate complementary feeding increases the risk of undernutrition, illness and mortality in infants and children. This study uses a subsample of 1428 children of 6-23 months from Nepal Demographic and Health Survey (NDHS), 2006. The 2006 NDHS was a multistage cluster sample survey. The complementary feeding indicators were estimated according to the 2008 World Health Organization recommendations. The rate of introduction of solid, semi-solid or soft foods to infants aged 6-8 months was 70%. Minimum meal frequency and minimum dietary diversity rates were 82% and 34%, respectively, and minimum acceptable diet for breastfed infants was 32%. Multivariate analysis indicated that working mothers and mothers with primary or no education were significantly less likely to give complementary foods, to meet dietary diversity, minimum meal frequency and minimum acceptable diet. Children living in poor households were significantly less likely to meet minimum dietary diversity and minimum acceptable diet. Mothers who had adequate exposure to media, i.e. who watch television and who listen to radio almost every day, were significantly more likely to meet minimum dietary diversity and meal frequency. Infants aged 6-11 months were significantly less likely to meet minimum acceptable diet [adjusted odds ratio (OR)=3.13, confidence interval (CI)=2.16-4.53] and to meet minimum meal frequency (adjusted OR=4.46, CI=2.67-7.46). In conclusion, complementary feeding rates in Nepal are inadequate except for minimum meal frequency. Planning and promotion activities to improve appropriate complementary feeding practices should focus on illiterate mothers, those living in poor households, and those not exposed to media. © 2011 Blackwell Publishing Ltd.
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                Author and article information

                Contributors
                bkabalo@gmail.com
                ejamoelias25@gmail.com
                thilagakshaya@gmail.com
                yohannismulugeta@yahoo.com
                Journal
                BMC Pediatr
                BMC Pediatr
                BMC Pediatrics
                BioMed Central (London )
                1471-2431
                31 January 2018
                31 January 2018
                2018
                : 18
                : 17
                Affiliations
                [1 ]School of public Health, Wolaita Sodo University, P.o.box 126 Wolaita Sodo, Ethiopia
                [2 ]ISNI 0000 0004 1936 7443, GRID grid.7914.b, Centre for international Health, the University of Bergen, ; Bergen, Norway
                [3 ]ISNI 0000 0000 8953 2273, GRID grid.192268.6, School of Public Health, Hawassa University, ; Hawassa, Ethiopia
                [4 ]Soro district Health office, Hosanna, Ethiopia
                [5 ]Damot Pulasa district, Wolaita Sodo, Ethiopia
                Article
                989
                10.1186/s12887-018-0989-y
                5793361
                29386008
                4b67c4d4-a2e5-4295-8ba9-f71ed924eb09
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 10 October 2016
                : 16 January 2018
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2018

                Pediatrics
                timely initiation,complementary feeding,ethiopia
                Pediatrics
                timely initiation, complementary feeding, ethiopia

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