Infant Feeding Practices and the Effect of Early Complementary Feeding on Child Nutritional Status in Makada, Sabon Gari Local Government Area, Kaduna State, Nigeria

Okwori, Esther; Onu, R; Onagwa, GI; Waziri, Musa Ibrahim

doi:10.4314/njns.v32i2.71719

Cited by 9 publications

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“…Study factors comprised a range of socioeconomic, health service and individual factors, and their inclusion in the present analysis was based on findings from previously published studies in Sub-Saharan African countries, such as Malawi, Kenya and northern Nigeria; 12 13 5 and South-East Asian countries—Nepal, Sri Lanka, India and Bangladesh 16–19 —where an association was found between these determinants and inappropriate complementary feeding practices. The socioeconomic status measures included mother's highest educational level (categorised as no schooling, primary or secondary and post-secondary education), employment status (categorised as not working or working in the past 12 months preceding the survey) and father's highest educational level (categorised as no schooling, primary or secondary and postsecondary education).…”

Section: Methodsmentioning

confidence: 99%

“… 3 4 Previous studies have shown that timely introduction of appropriate and safe complementary foods to infants and young children reduces the risk of malnutrition, childhood infectious diseases and mortality. 5 6 In Nigeria, a recent study found that inappropriate complementary feeding negatively impacted children's weight, and was associated with undernourishment. 7 …”

Section: Introductionmentioning

confidence: 99%

“…A recent study from northern Nigeria identified socioeconomic determinants (such as maternal education, household wealth and maternal health factors) for inappropriate complementary feeding practices. 5 In Nigeria, complications from malnutrition remain a major health problem with prominent levels of stunting (37%), wasting (18%) and underweight (12%), in infants and young children. 9 To date, no nationally representative studies have examined trends over time in complementary feeding indicators or examined the determinants of changes to complementary feeding indicators over time.…”

Section: Introductionmentioning

confidence: 99%

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Trends in complementary feeding indicators in Nigeria, 2003–2013

et al. 2015

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ObjectiveThe study aimed to examine secular trends and determinants of changes in complementary feeding indicators in Nigeria.Design, setting and participantsData on 79 953 children aged 6–23 months were obtained from the Nigeria Demographic and Health Surveys (NDHS) for the period spanning 2003–2013. The surveys used a stratified two-stage cluster sample of eligible mothers aged 15–49 years from the six geopolitical zones of Nigeria. Trends in complementary feeding indicators and socioeconomic, health service and individual characteristics including factors associated with complementary feeding indicators were examined using multilevel logistic regression analyses.ResultsMinimum dietary diversity for children aged 6–23 months worsened from 26% in 2003 to 16% in 2013. Minimum meal frequency improved from 43% in 2003 to 56% in 2013 and minimum acceptable diet worsened from 11% to 9%. Among educated mothers, there was a decreasing prevalence of the introduction of solid, semisolid and soft foods in infants aged 6–8 months (67% in 2003 to 57% in 2013); minimum dietary diversity (33% in 2003 to 24% in 2013) and minimum acceptable diet (13% in 2003 to 8% in 2013). Mothers with a higher education level and mothers who reported more health service contacts were more likely to meet the minimum dietary diversity. Similarly, the odds for minimum acceptable diet were higher among mothers from higher socioeconomic status groups and mothers who reported frequent health services use.ConclusionsComplementary feeding practices in Nigeria declined over the study period and are below the expected levels required to ensure adequate growth and development of Nigerian children. National policies and programmes that ensure sustainability of projects post-MDGs and higher health service coverage for mothers, including community-based education initiatives, are proposed to improve complementary feeding practices among Nigerian mothers.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trends in complementary feeding indicators in Nigeria, 2003–2013

et al. 2015

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“…Timely introduction of appropriate and safe complementary foods to infants and young children reduces the risk of malnutrition, childhood infectious diseases and mortality. 9 , 10 …”

Section: Background and Objectivesmentioning

confidence: 99%

Complementary Feeding Practices and Associated Factors Among Nursing Mothers in Southwestern Nigeria

Samuel¹,

Ibidapo²

2020

Int J MCH AIDS

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Background and Objectives: The period of transition from breastfeeding to other foods and liquids, is a very vulnerable period when malnutrition is likely to start in many infants and young children, if appropriate feeding practices are not employed. This study assessed using composite indices, the appropriateness of complementary feeding practices and associated factors among nursing mothers in Ijebu-Ode, Ogun State. Methods: This descriptive cross sectional study was conducted in selected primary health facilities in Ijebu-Ode. Multi stage sampling technique was employed to select 283 mother-child pairs. Data was collected using a pre-tested interviewer administered questionnaire which included the World Health Organization Infant and Young Child Feeding Indicators (WHO IYCF) and the Infant and Child Feeding Index (ICFI). Results: Of the total 283 mother-child pairs studied, 33.6% met minimum meal frequency, 14.5% received minimum dietary diversity (?4 food groups) and 9.2% received minimum acceptable diet when assessed using the WHO IYCF indicators. Overall, appropriate complementary feeding was low (4.2%) and associated (p?0.05) with factors such as antenatal care visits, child welfare clinic attendance and mother’s workplace. On the other hand, the ICFI categorized respondents into low (11.7%), medium (24.7%) and high (63.6%) ICFI scores and were associated (p?0.05) with mother’s education and household size. Conclusion and Global Health Implications: This study revealed a high prevalence of inappropriate complementary feeding practices. The use of composite indices reflected these practices and their associated factors holistically as they revealed different dimensions of complementary feeding. This may be useful for monitoring, evaluation, research and the required advocacy for complementary feeding. Key words: • Appropriate complementary feeding • IYCF indicators • Feeding practices • Infant and child feeding index Copyright © 2020 Samuel and Ibidapo. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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“…Seventy percent gave herbs/water, 12% gave water and pap, 5% gave infant formula/fresh cow milk, 3% gave honey/sugar while 10% fully breastfed. It was also reported that early introduction of complementary feeds was associated with malnourishment (Okwori et al, 2011). The aim of this study was to assess the infant feeding choices and practices among nursing mothers in Aguata and Anaocha LGAs.…”

Section: Introductionmentioning

confidence: 98%

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Infant feeding is the cornerstone in infant and childhood survival strategy.This study was carried out to determine infant feeding patterns in Aguata (urban) and Anaocha (rural) Local Government Areas (LGAs). This was a comparative cross sectional study of nursing mothers attending a child welfare clinic in Aguata and Anaocha LGAs. A total of 241 mother-infant dyads were interviewed (120 in Aguata and 121 in Anaocha) and the nutritional status of the infants was assessed. Data was analyzed using SPSS version 20 with a significance level set at p<0.05. The major source of information on infant feeding was from health workers in both LGAs (72.5% in Aguata and 90.1% in Anaocha). The majority of the mothers were still breastfeeding at the time of study (93.3% in Aguata and 95.4% in Anaocha). Majority of the mothers in bothLGAs practised breast milk only when the child was less than 6 months (53.3% in Aguata and 79.3% in Anaocha). Using the WHO Z-score classification, majority of the infants in both LGAs had normal nutritional status (71.1% in Aguata and 76% in Anaocha had normal weight for age, 66.7% in Aguata and 51.2% in Anaocha had normal length for age, 62.5% in Aguata and 44.6% in Anaocha had normal weight for length).

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Infant Feeding Practices and the Effect of Early Complementary Feeding on Child Nutritional Status in Makada, Sabon Gari Local Government Area, Kaduna State, Nigeria

Cited by 9 publications

References 0 publications

Trends in complementary feeding indicators in Nigeria, 2003–2013

Trends in complementary feeding indicators in Nigeria, 2003–2013

Complementary Feeding Practices and Associated Factors Among Nursing Mothers in Southwestern Nigeria

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