This study aimed at characterizing breastfeeding and complementary feeding practices in a food‐insecure area of Benin and identifying factors associated with these practices. A cross‐sectional study was conducted in the districts of Bopa and Houéyogbé among n = 360 mother–child pairs. Children aged 0–17 months were considered. Socioeconomic characteristics among children and mothers, Breastfeeding on demand, Breastfeeding frequency during children illness, and Positioning and Attachment of children while breastfeeding were assessed using semi‐structured interviews and observations. Qualitative 24‐hr recalls were administered to mothers to compute WHO recommended complementary feeding practices indicators namely minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD) among 6–17 months old children (n = 232). Associations between each feeding practice and mothers' socioeconomic characteristics were tested using multivariate generalized linear models. Breastfeeding on demand and good positioning and attachment for breastfeeding rates were 59% and 66%, respectively. Only 26% of mothers used to increase breastfeeding frequency when their children were ill. The proportions of children who met MDD, MMF, and MAD were 51%, 75%, and 44%, respectively. Children living in Houéyogbé were less likely to be breastfed on demand compared with those living in Bopa; however, they had better breastfeeding frequency during illness and meal frequency. Socioeconomic factors with significant association with breastfeeding practices were children age and sex and mothers’ education, ethnicity, and employment status. Complementary feeding practices were positively associated with children's age but not with other socioeconomic characteristics. Breastfeeding and complementary feeding practices were almost suboptimal or medium and still need to be improved through well designed nutrition intervention program including nutrition education.
Background: Nutrition is a major determinant of health and an essential factor in the development of countries. Faced with food insecurity and malnutrition, Benin has implemented policies and programs aiming to reduce the progression of this burden. Aims: To take inventory of nutritional status and interventions implemented to reduce the prevalence of different forms of malnutrition and food insecurity in Benin. Methods: A review of nutritional and food data available at the national level and consultation of intervention management reports was carried out from May to July 2020 and then, the data were compiled and structured. Results: Even though Benin has natural resources and remarkable biodiversity, the country faces a double nutritional burden marked by undernutrition: stunting (32%), anemia (71.5%), underweight (17%), wasting (5%) in children under 5 years, exclusive breastfeeding rate (42%) and over-nutrition: obesity (7.4%), diabetes (12.4%) in adults. Food insecurity remains persistent in 9.6% of households and undernourishment concerns 7.4%. The main interventions at the community level are made by the National Integrated School Feeding Program and the Coordinated Early Childhood Nutrition and Development Project. In addition, are the implementation of essential nutrition actions and nutrition-sensitive interventions involving different sectors such as, non-governmental organizations and technical and financial partners. Conclusion: Food and nutrition situation in Benin has been slightly improved thanks to the implementation of multisectoral coordination of interventions. Nonetheless, many challenges remain to be addressed, including the scaling up of successful interventions and advocacy for a substantial mobilization of resources in order to achieve global nutrition targets and sustainable development goals. Keywords: Nutritional status, Diet, Intervention, Benin.
Background: Nutrition is a major determinant of health and an essential factor in the development of countries. Faced with food insecurity and malnutrition, Benin has implemented policies and programs aiming to reduce the progression of this burden. Aims: To take inventory of nutritional status and interventions implemented to reduce the prevalence of different forms of malnutrition and food insecurity in Benin. Methods: A review of nutritional and food data available at the national level and consultation of intervention management reports was carried out from May to July 2020 and then, the data were compiled and structured. Results: Even though Benin has natural resources and remarkable biodiversity, the country faces a double nutritional burden marked by undernutrition: stunting (32%), anemia (71.5%), underweight (17%), wasting (5%) in children under 5 years, exclusive breastfeeding rate (42%) and over-nutrition: obesity (7.4%), diabetes (12.4%) in adults. Food insecurity remains persistent in 9.6% of households and undernourishment concerns 7.4%. The main interventions at the community level are made by the National Integrated School Feeding Program and the Coordinated Early Childhood Nutrition and Development Project. In addition, are the implementation of essential nutrition actions and nutrition-sensitive interventions involving different sectors such as, non-governmental organizations and technical and financial partners. Conclusion: Food and nutrition situation in Benin has been slightly improved thanks to the implementation of multisectoral coordination of interventions. Nonetheless, many challenges remain to be addressed, including the scaling up of successful interventions and advocacy for a substantial mobilization of resources in order to achieve global nutrition targets and sustainable development goals. Keywords: Nutritional status, Diet, Intervention, Benin.
The purpose of this study was to determine the factors associated with exclusive breastfeeding (EBF) practices in community settings of southern Benin. We conducted a quantitative and qualitative cross-sectional study in Sakété commune. Six midwives and 100 breastfeeding women with at least one child under 6 months of age completed a semi-structured questionnaire. We also conducted focus groups with grandmothers. The quantitative data were analyzed with SPSS 20 using chi-square tests, Student's t-tests, and logistic regression. The data from the focus groups were analyzed thematically. The Information-Education-Communication (IEC) sessions on the EBF were conducted in all the visited maternity care facilities. Nonetheless, only 58% of breastfeeding mothers followed EBF practices, and most grandmothers did not follow EBF practices. Regression analysis identified that mothers who participated in IEC sessions focused on good infant feeding and nutrition practices and those seeking advice from close relatives were more likely to use EBF. The study revealed a low EBF rate and suggested that interventions could educate mothers and other household members on the importance of timely breastfeeding initiation in the study area.
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