Minimum dietary diversity and associated factors among children under the age of five attending public health facilities in Wolaita Soddo town, Southern Ethiopia, 2021: a cross-sectional study

Moga, Fikre; Zaza, Zenebe Jebero; Digesa, Lankamo Ena; Ayana, Tegegn Mulatu

doi:10.1186/s12889-022-14861-8

Cited by 10 publications

(10 citation statements)

References 31 publications

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“…Poor-quality diets could be the greatest obstacle to children's survival, growth, development, and learning. Dietary diversity is a significant problem in developing countries [39]. This present study showed that MDD was not achieved (87.1%).…”

Section: Discussioncontrasting

confidence: 57%

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2023

JANS

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COVID-19 pandemic worsens mothers' socioeconomic status and indirectly affects infant feeding in developing countries. This study aimed to determine the effects of mothers' socioeconomic status on complementary feeding practices during COVID-19 pandemic. Mothers with infants aged 5-11 months (n=423) were interviewed at selected Basic Health Centers (BHCs) in Ondo State. Structured questionnaires were used to collect data on complementary feeding (CF) practices and socioeconomic status during routine immunization visits to the BHCs. The socioeconomic characteristics revealed that only 21.7% of mothers had no formal education. Most (75.2%) lived below ₦100,000 ($140) monthly income. The feeding indicators showed that 27.1% had timely initiation of CF. Minimum Meal Frequency (MMF) was achieved by 16.8% of the mothers. Only 12.3% could achieve Minimum Dietary Diversity (MDD), and 11.3% were able to achieve Minimum Adequate Diet (MAD). Moreover, the mother's employment status influenced the timely initiation of CF (OR=5.6, P<0.001) and spouse support (OR=5.7, P<0.001). There is a statistical relationship between MMF and mothers' tertiary education status (OR=10.5, P<0.001), mothers' monthly income (OR=7.6, P<0.001), mothers employment status (OR=6.3, P<0.001) and spouse support (OR=7.2, P<0.001). The result showed that MDD was influenced by mothers' level of income (OR=4.1. P<0.05) and spouse support (OR=4.2, P<0.01). The determinants of MAD were the tertiary education status of the mother (OR=9.3, P<0.001), income ₦100 (OR=6.7, P<0.001), self-employment (OR=4.9, P<0.01) and spouse support (OR=8.7, P<0.001). In conclusion, COVID-19 pandemic impacted CF practices primarily due to the influence of maternal socioeconomic status on the achievement of feeding indicators.

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Section: Discussioncontrasting

confidence: 57%

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2023

JANS

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“…Previous studies which were conducted to assess dietary diversity among children in Ethiopia investigated the consumption of fruits and vegetables rich in Vitamin A as a single food group, and other fruits and vegetables as another food group and, among other food groups as part of the overall diet. Most of these studies demonstrate low consumption of fruits and vegetables among children age 6-23 months [17][18][19][20][21][22]. For example a study conducted in southern Ethiopia reported 7.2% and 39.1% respectively of children who consumed Vitamin A rich, and other fruits and vegetables the day prior to the survey [18].…”

Section: Introductionmentioning

confidence: 99%

Zero fruits/vegetables consumption and associated factors among Children aged 6–23 months in Ethiopia: Mixed effect logistic regression analysis

Semagn

Abubakari

2023

PLoS ONE

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Background The first two years of life is a vital period for promoting optimal growth, development and health. The lifelong nutritional habit and overall health of children is influenced by their early age feeding practice. Ethiopia is among the top five countries in Sub-Saharan Africa with the highest burden of zero fruits/vegetables consumption. This study aims to access factors associated with zero fruits/vegetables consumption among children aged 6–23 months in Ethiopia. Methods The study analyzed Ethiopian Mini Demographic and Health Survey 2019 dataset with a total weighted sample of 1459 young children aged between 6–23 months and who were living with their mothers. Data cleaning, coding and labeling were done using STATA version 14 software. Multilevel mixed effect logistic regression model was employed to identify associated factors. Results Exactly 69.3% of children aged 6–23 months in Ethiopia had zero fruits/vegetables consumption. In the multivariable multilevel binary logistic regression analysis a child from household with middle (AOR = 0.55, 95% CI: 0.35, 0.86) and rich (AOR = 0.37, 95% CI: 0.23, 0.60) wealth index, mothers who aged between 25–34 years old (AOR = 0.44; 95%CI = 0.29–0.69), mothers who were married/living with partner (AOR = 3.21; 95%CI: 1.58–6.52), children of mothers who follow Islamic religion (AOR = 0.34, 95% CI: 0.19, 0.61), mothers who had more than four ANC visits during their most recent pregnancy (AOR = 0.57; 95%CI: 0.39–0.83), children in age group of 12–18 month(AOR = 0.41, 95% CI: 0.28, 0.59), and 19–23 months (AOR = 0.26, 95% CI: 0.17, 0.40), health facility delivery (AOR = 1.52, 95% CI; 1.00–2.30), and small peripheral regions (AOR = 4.40, 95% CI; 1.39–13.97) were found to be significant factors associated with children’s zero fruits /vegetables consumption. The Interclass correlation coefficient (ICC) value in the null model was 0.34, which indicates that 34% of the variation in children’s zero fruits /vegetables consumption was attributed to the variation between clusters. Conclusion This study found that zero fruits/vegetables consumption among children aged 6–23 months in Ethiopia is high. Therefore, efforts should be made by stakeholders who are concerned about optimal diet and health of children to improve fruits/vegetables consumption of children particularly those from poor households, young mothers (15–24), and peripheral regions of Ethiopia. This could be done during ANC follow up visits and during nutrition counseling.

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“…Maternal feeding practices were assessed using a threecomponents based system based on WHO/UNICEF recommendations 25,26 . These components included:…”

Section: Assessment Of Maternal Feeding Practicesmentioning

confidence: 99%

Participatory cooking demonstrations for mothers improve feeding practices of young children in southern Benin

Mizehoun-Adissoda,

Morou,

Edjrokinto

et al. 2024

Nor. Afr. J. Food Nutr. Res.

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Background: Ensuring adequate nutrition for young children is crucial for their long-term health and development. Aim: This pilot interventional study aimed to assess feeding practices and the nutrient content of meals consumed by children aged 12 – 23 months during supervised cooking demonstrations (CDs). Methods: Thirty-seven mother-child dyads (including one set of twins) were recruited from 10 sites in Southern Benin. Mothers purchased ingredients from local markets and researchers documented cooking methods, recipes, and the weight of all consumed foods. Nutrient densities of prepared meal were estimated using the FAO/INFOODS database. A questionnaire was used to evaluate child feeding practices against World Health Organization (WHO) recommendations. Results: The average nutrient density per 100 kcal of the prepared meals was 2.17 ± 0.51 g for protein, 2.85 ± 0.92 mg for vitamin C, 0.79 ± 0.24 mg for iron, and 0.51 ± 0.09 mg for zinc. While protein and vitamin C content met recommendations, iron and zinc levels fell short. Notably, 53% of mothers adhered to the best practices for child feeding outlined by the WHO. However, there was potential for further meal diversification, especially for children who were not breastfed, or consuming fewer than four meals daily. Conclusions: This study suggests that while the CD-prepared meals provided adequate energy, they lacked essential micronutrients. These findings highlight the need for educational interventions targeted towards parents of young children to promote optimal feeding practices. Keywords: Feeding practice, infant, cooking demonstration, complementary food, nutrient.

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Minimum dietary diversity and associated factors among children under the age of five attending public health facilities in Wolaita Soddo town, Southern Ethiopia, 2021: a cross-sectional study

Cited by 10 publications

References 31 publications

Untitled

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Zero fruits/vegetables consumption and associated factors among Children aged 6–23 months in Ethiopia: Mixed effect logistic regression analysis

Participatory cooking demonstrations for mothers improve feeding practices of young children in southern Benin

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