Dietary diversity feeding practice and its associated factors among children age 6–23 months in Ethiopia from 2011 up to 2018: a systematic review and meta-analysis

Temesgen, Habtamu; Negesse, Ayenew; Woyraw, Wubetu; Mekonnen, Nakachew

doi:10.1186/s13052-018-0567-9

Cited by 45 publications

(68 citation statements)

References 27 publications

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“…Mothers who had ANC and PNC follow up were more likely to provide diversified diet to their children. This finding is supported with other study in Ethiopia (18,19). ANC and PNC follow up may supported with nutrition education, which is a very important input to help people to select an adequate and variety of diet.…”

Section: Discussionsupporting

confidence: 88%

Diversified Diet Feeding Practice is Low Compared to the WHO Recommendation in the Dabat Demographic and Health Surveillance System Site: Finding from the Baseline Survey of Nutrition Project, 2016

Zegeye

Tariku

Bikes

et al. 2019

Preprint

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Introduction: Improving infant and young child feeding practices is critical to improved nutrition, health, and development of children. The country of Ethiopia has also adopted the WHO recommendations of child feeding practices and developed the national guideline of infant and young child feeding to improve child's nutrition and health status. However, a few children start and received appropriate complementary feeding based on the recommendation. Therefore, the study aimed to determine dietary diversity score and its associated factors among under five children at Dabat Demography Surveillance System site (HDSS), northwest Ethiopia. Methods:A cross-sectional community based study was from February to June 2016. All children aged 6-59 months old who lived in HDSS site were included in the survey. The collected data were checked and entered into Epi info version 7 and exported to STATA version 14 statistical software for analysis. Both crude odds ratio (COR) and adjusted odds ratio (AOR) with the corresponding 95% confidence interval (CI) was calculated to show the strength of association. Finally, a p-value of 0.05 was used to determine if the association was statistically significant. Results:In this study, about 34.87% (95%CI: 33.27, 36.49%) of the children received adequately diversified diet. The odds of receiving adequately diversified diet was higher among children whose mother had secondary and above education (AOR= 6.51; 95%CI: 4.95, 8.56), mother who had ANC (AOR = 1.90; 95%CI: 1.60, 2.26) and PNC visit (AOR= 1.31; 95%CI: 1.00, 1, 72). However, a lower dietary diversity score is observed among young children (AOR=0.59; 95%CI: 0.41, 0.85), and children from food inscured household (AOR=0.76; 95%CI: 0.63, 0.92). Conclusions:Diversified diet feeding practice is low compared to the WHO recommendation in the surveillance site. Age of the child, maternal education, ANC and PNC visit, and household food insecurity were significantly associated with Dietary diversity score of children. Hence, various actions need to scale up the current practices of child feeding by improving HHFSS, strengthening ANC and PNC counselling about child feeding options, and feeding of young infants.

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Section: Discussionsupporting

confidence: 88%

Diversified Diet Feeding Practice is Low Compared to the WHO Recommendation in the Dabat Demographic and Health Surveillance System Site: Finding from the Baseline Survey of Nutrition Project, 2016

Zegeye

Tariku

Bikes

et al. 2019

Preprint

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“…Additionally, one article was found by hand searching of the reference lists of the included studies. Thus, a total of 9 studies [4,[22][23][24][25][26][27][28][29] were included in the current umbrella review. The study selection and screening process is shown in Fig.…”

Section: Literature Search Findingsmentioning

confidence: 99%

“…Health [22][23][24][26][27][28][29] Lack of antenatal care Lack of postnatal care Place of delivery Sociodemographic [22][23][24][26][27][28][29] [26][27][28][29] Place of residence IYCF, Infant and young child feeding.…”

Section: Risk Factors Malnutritionmentioning

confidence: 99%

“…Table 3 shows the reported and calculated (pooled) summary estimates of IYCF practices. Seven SRM studies [22][23][24][26][27][28][29] examined factors associated with sub-optimal IYCF practices and reported a number of health, sociodemographic, and environmental factors. Home delivery (i.e., instead of intuitional delivery), not attending antenatal care, postnatal care, and nutritional counseling services were the main health-related factors often found linked to sub-optimal IYCF practices.…”

Section: Magnitude and Determinants Of Iycf Practice Indicatorsmentioning

confidence: 99%

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The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports

Mohammed

Arero

Esmaillzadeh

2019

Preprint

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Background Various systematic review and meta-analysis (SRM) studies were done on nutritional statuses of children in Ethiopia, but no summary of the findings was done on the topic. Thus, this umbrella review was done to summarize the evidence from SRM studies on the magnitude and determinants of malnutrition and poor feeding practices among under-5 children in Ethiopia.Methods PubMed, Embase, Scopus, Web of Sciences, and Google Scholar were searched for SRM studies on the magnitude and risk factors of malnutrition and child feeding practice indicators in Ethiopia. The methodological quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. The estimates of the included SRM studies on the prevalence and determinants of stunting, wasting, underweight, and poor child feeding practices were pooled and summarized with random-effects meta-analysis models.Result We included nine SRM studies, containing a total of 214,458 under-5 children from 255 observation studies. The summary estimates of prevalence of stunting, underweight, and wasting were 42% (95%CI=37-46%), 33% (95%CI=27-39%), and 15% (95%CI=12-19%). The proportion of children who met the recommendations for timely initiation of breastfeeding, exclusive breastfeeding during the first 6 months, and timely initiation of complementary feeding were 65%, 60%, and 62%, respectively. The proportion of children who met the recommendations for dietary diversity and meal frequency were 20%, and 56.0%, respectively. Only 10% of children fulfilled the minimum criteria of acceptable diet. There was a strong relationship between poor feeding practices and the state of malnutrition, and both conditions were related to various health, socio-economic, and environmental factors.Conclusion Child malnutrition and poor feeding practices are highly prevalent and of significant public health concern in Ethiopia. Only few children are getting proper complementary feeding. Multisectoral efforts are needed to improve children's feeding practices and reduce the high burden of malnutrition in the country.

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“…Additionally, one article was found by hand searching of the reference lists of the included studies. Thus, a total of 9 studies [4,[16][17][18][19][20][21][22][23] were included in the current umbrella review. The study selection and screening process is shown in Fig.…”

Section: Literature Search Ndingsmentioning

confidence: 99%

The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports

Mohammed

Arero

Esmaillzadeh

2020

Preprint

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BackgroundMalnutrition remains to be a major public health problem in developing countries, particularly among children under-5 years of age children who are more vulnerable to both macro and micro-nutrient deficiencies. Various systematic review and meta-analysis (SRM) studies were done on nutritional statuses of children in Ethiopia, but no summary of the findings was done on the topic. Thus, this umbrella review was done to summarize the evidence from SRM studies on the magnitude and determinants of malnutrition and poor feeding practices among under-5 children in Ethiopia. Methods PubMed, Embase, Scopus, Web of Sciences, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, and Google Scholar were searched for SRM studies on magnitude and risk factors of malnutrition and child feeding practice indicators in Ethiopia. The methodological quality of the included studies was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. The estimates of the included SRM studies on the prevalence and determinants of stunting, wasting, underweight, and poor child feeding practices were pooled and summarized with random-effects meta-analysis models. ResultWe included nine SRM studies, containing a total of 214,458 under-5 children from 255 observation studies. The summary estimates of prevalence of stunting, underweight, and wasting were 42% (95%CI=37-46%), 33% (95%CI=27-39%), and 15% (95%CI=12-19%), respectively. The proportion of children who met the recommendations for timely initiation of breastfeeding, exclusive breastfeeding during the first 6 months, and timely initiation of complementary feeding were 65%, 60%, and 62%, respectively. The proportion of children who met the recommendations for dietary diversity and meal frequency were 20%, and 56%, respectively. Only 10% of children fulfilled the minimum criteria of acceptable diet. There was a strong relationship between poor feeding practices and the state of malnutrition, and both conditions were related to various health, socio-economic, and environmental factors. ConclusionChild malnutrition and poor feeding practices are highly prevalent and of significant public health concern in Ethiopia. Only a few children are getting proper complementary feeding. Multi-sectoral efforts are needed to improve children’s feeding practices and reduce the high burden of malnutrition in the country.

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Dietary diversity feeding practice and its associated factors among children age 6–23 months in Ethiopia from 2011 up to 2018: a systematic review and meta-analysis

Cited by 45 publications

References 27 publications

Diversified Diet Feeding Practice is Low Compared to the WHO Recommendation in the Dabat Demographic and Health Surveillance System Site: Finding from the Baseline Survey of Nutrition Project, 2016

Diversified Diet Feeding Practice is Low Compared to the WHO Recommendation in the Dabat Demographic and Health Surveillance System Site: Finding from the Baseline Survey of Nutrition Project, 2016

The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports

The state of child nutrition in Ethiopia: an umbrella review of systematic review and meta-analysis reports

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