Appropriate complementary feeding practice among mothers of 6-23 months old children in Kedida Gamela district, south Ethiopia: A community based cross-sectional study

Abstract

Introduction of complementary foods to infants is a common practice. However, according to recommended infant and young child feeding protocol the timing of introduction, frequency of feeding and the quality of diet are not appropriate. Thus, the aim of this study is to determine the magnitude and identify the predictors of appropriate complementary feeding practice among mothers of children 6-23 months of age in Kedida Gamela district, southern Ethiopia. A community based cross sectional study was conducted among mothers of children aged 6-23 months on March 2017. A total of 777 randomly selected mothers/caregivers paired with their children aged 6-23 months were interviewed by trained nurses. Data were entered, cleaned and analyzed by using SPSS version 20. Descriptive analyses were done for main variables. Exposures with p-value less than 0.25 on bivariate analysis were taken for multivariate analysis. Statistical significance was declared at p<0.05 and adjusted odds ratio (AOR) with 95% confidence interval (CI) was reported. The proportion of appropriate complementary feeding was 21% in the study area. Maternal age 18-24 years [AOR=4.01,95% CI (1.78, 9.04)], mothers with children 6-11 months of age [AOR=2.88, 95% CI (1.68, 4.94)] and 12-23 months of age [AOR=2.67, 95% CI (1.61, 4.45)], mothers who attended postnatal care follow up [AOR=2.14, 95% CI (1.14, 4.02)], and living in a food secure household [AOR=2.23, 95% CI (1.30, 3.82)] were the factors associated with appropriate complementary feeding practice. Mothers in the age range of 18-24 years, mothers having children of 6-11 months and 12-23 months of age, attending postnatal care follow up and living in a food secure household were the predictors of appropriate complementary feeding practice. Mothers should be encouraged to attend postnatal care follow up and income generating activity should be made to assure household food security status to prevent economical vulnerability of households.

Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis

“…Finally, a total of 17 primary studies were included in this systematic review and meta-analysis. [15,[20][21][22]28], 3 [19,24,30], 1 [27], and 1 [18] studies were conducted in Amhara, SNNPR, Oromia, Tigray, and Afar Region, respectively. e highest proportion of ACFP was reported by the study conducted in Debre Birhan town [16], whereas the lowest proportion was in Damot Weyde district [15] (Table 1).…”

“…The included articles were conducted in 5 regions of Ethiopia. From the 17 articles, 7 [ 16 , 17 , 23 , 25 , 26 , 29 , 31 ], 5 [ 15 , 20 – 22 , 28 ], 3 [ 19 , 24 , 30 ], 1 [ 27 ], and 1 [ 18 ] studies were conducted in Amhara, SNNPR, Oromia, Tigray, and Afar Region, respectively. The highest proportion of ACFP was reported by the study conducted in Debre Birhan town [ 16 ], whereas the lowest proportion was in Damot Weyde district [ 15 ] ( Table 1 ).…”

“…In this systematic review and meta-analysis, the overall pooled effect size of significantly associated factors of ACFP in this study were mothers' educational status of secondary school and above (OR = 3.36 with 95% CI: 3.03–3.69) [ 23 , 24 , 26 , 27 , 31 ], having repeated ANC visits (OR = 4.77 with 95% CI: 3.49–6.05) [ 18 , 19 , 26 , 28 ], child's age between 12 and 24 months (OR = 3.7 with 95% CI: 2.75–4.65) [ 20 , 23 , 24 , 27 , 31 ], having repeated PNC visits (OR = 3.17 with 95% CI: 1.96–4.38) [ 16 , 20 , 21 , 27 , 31 ], having health education on IYC feeding practice (OR = 4.88 with 95% CI: 3.86–5.9) [ 17 , 18 , 26 ], knowledge of mothers on IYC feeding practice (OR = 4.85 with 95% CI: 3.77–5.93) [ 16 , 21 ], maternal age between 18 and 35 years (AOR = 2.67 with 95% CI: 1.64–3.72) [ 20 , 23 , 25 ], institutional delivery (OR = 2.23 with 95% CI: 1.79–2.68) (18, 25), and higher household wealth (OR = 2.65 with 95% CI: 1.46–3.84) [ 23 , 29 ] ( Figure 5 ).…”

“…e proportion of ACFP is unacceptably low in lowincome countries such as 23% in Bangladesh [13], 7.7% in Malawi [5], and 9.76% in Ethiopia [14]. In Ethiopia, the prevalence of ACFP among mothers who had IYC aged between 6 and 24 months was from 8.5 in a study held in Damot Weyde district to 70.3% in a study held in Debre Birhan town [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31].…”

“…Known independent predictors of ACFP are knowledge of mothers on IYC feeding practices, health education on IYC feeding practices, having repeated antenatal care (ANC) visits, having repeated postnatal care (PNC) visits, child age, maternal age, mothers' occupation, workload, mothers' educational status, birthplace, number of children, food secured in the household, and higher household wealth [16,18,20,21,[23][24][25][26][27][28][29]31].…”