Stability of infant and child feeding index over time and its association with nutritional status of HIV exposed infants in Sidama Zone, Southern Ethiopia: A longitudinal study

Haile, Demewoz; Belachew, Tefera; Berhanu, Getenesh; Setegn, Tesfaye; Biadgilign, Sibhatu

doi:10.1016/j.earlhumdev.2014.08.008

Cited by 3 publications

(4 citation statements)

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“…More than two third of these deaths were often associated with inappropriate feeding practices during the first year of life. In order to reduce infant and young child mortality, exclusive breastfeeding has been recognized as one of the major interventions worldwide [2–5]. …”

Section: Introductionmentioning

confidence: 99%

Determinants of exclusive breastfeeding practice to infants aged less than six months in Offa district, Southern Ethiopia: a cross-sectional study

et al. 2016

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BackgroundWorld Health Organization (WHO) recommends timely initiation of breastfeeding after birth and only feeding breast milk to infants during the first 6 months of life. It was estimated that exclusive breastfeeding can reduce infant deaths by 13%. The practice of exclusive breastfeeding is suboptimal in many parts of Ethiopia to a varied extent. Factors associated with exclusive breastfeeding practice and the proportion of its practice was not well documented in Offa district. Therefore, this study was aimed to assess the determinants of exclusive breastfeeding in the first 6 months of life in Offa district, Southern Ethiopia.MethodsA community-based cross-sectional study was carried out in 396 mothers of infants younger than 6 months using random sampling. Data were collected from mothers of the infants by trained interviewers. Exclusive breastfeeding was measured by the history of infant feeding in the prior 24 h. Pretested and structured questionnaires adopted from standard questionnaires and Ethiopia linkages modules were used. Multivariate logistic regression was used to identify factors significantly influencing exclusive breastfeeding practice.ResultsBased on findings of this study of 396 participants, the proportion of exclusive breastfeeding was 78.0% and awareness of exclusive breastfeeding and bottle feeding were 85.6 and 6.1% respectively. About 6% of infants were given prelacteal feeds. The number of infants fed cow milk was 12.9%, formula 7.8%, water 8.5%, fruits and semisolids 1.5%, over 24 h prior to the survey. The initiation of breastfeeding within one h (AOR 2.2; 95% CI 1.1, 4.27), attending formal education (AOR 4; 95% CI 2.20, 7.25), having an awareness on the benefits of exclusive breastfeeding (AOR 6; 95% CI 3.10, 11.70) and knowledge of colostrum feeding (AOR 2.1; 95% CI 1.11, 4.27) had a statistically significant association with exclusive breastfeeding in the study area.ConclusionsThe practice of exclusive breastfeeding as well as awareness was worthy in Offa district. Additionally the proportion of bottle feeding use was small. However, feeding other than breast milk was associated with the perception that breast milk alone was insufficient for their child. Strategies on promoting exclusive breastfeeding practice must focus on strengthening women’s education and awareness creation activities further.

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Section: Introductionmentioning

confidence: 99%

Determinants of exclusive breastfeeding practice to infants aged less than six months in Offa district, Southern Ethiopia: a cross-sectional study

et al. 2016

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“…Previous studies have reported that low ICFI scores were associated with poor nutritional status in general pediatric populations (11, 13, 15, 17) and among HIV-exposed children (35–37) . It is noteworthy that children with low ICFI scores in this cohort were more likely to be stunted and underweight.…”

Section: Discussionmentioning

confidence: 93%

Complementary Feeding and Diarrhea and Respiratory Infection Among HIV-Exposed Tanzanian Infants

Kamenju¹,

Liu²,

Hertzmark³

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Objective-To examine the association between complementary feeding (CF) and risks of diarrhea and acute respiratory infection (ARI) among HIV-exposed infants aged 6-24 months.Design-We prospectively employed an Infant and Child Feeding Index (ICFI) to measure CF practices (breastfeeding status, food consistency, dietary diversity, food group frequency and meal frequency). We determined the association of ICFI and each of its components with the risk of diarrhea and ARI. Generalized estimating equations (GEE) were used to estimate the relative risks for morbidity episodes. Setting-Dar es Salaam, Tanzania.Subjects-2092 HIV-exposed infants followed from 6 months of age to 24 months of age. Authors Contributions: PK: analysis plan, data analysis, interpretation of analysis results, and writing this article; CD, KPM, DS, WWF (Principal Investigator): contributed to the study design of the original trial of multivitamins study, the present study being a secondary analysis of data collected in the trial of multivitamins; EL, EH, DS, WWF: provided statistical guidance in data analysis; RK, RRK: study design, data collection and daily management of the field study; SA: contributed to the study implementation in the field, in the laboratory. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptResults-The ICFI score ranged from 0 to 9; the median score was 6 (Inter-Quartile Range; IQR=4, 7 Conclusions-In this setting, low ICFI, dietary diversity and food consistency scores were likely associated with increased risk of diarrhea and acute respiratory infection among HIVexposed infants.

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“…Investigators in Southern Ethiopia (Haile et al . ; Haile et al . ) used both a cross‐sectional and longitudinal ICFI and found significant protective associations between both measures of the ICFI with stunting and underweight but not with wasting.…”

Section: Discussionmentioning

confidence: 99%

“…Of these studies, three were based on HIV exposed infants data. Investigators in Southern Ethiopia (Haile et al 2014a;Haile et al 2014b) used both a cross-sectional and longitudinal ICFI and found significant protective associations between both measures of the ICFI with stunting and underweight but not with wasting. Another prospective study among a cohort of HIV exposed infants in an urban setting in Cote d'Ivoire (Becquet et al 2006) found a significant association between a low ICFI at 6 months and increased risk of stunting occurrence in the subsequent 12 months.…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and complementary feeding among HIV‐exposed infants: a prospective cohort study

Kamenju

Liu

Hertzmark

et al. 2016

Maternal & Child Nutrition

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Complementary feeding is crucial for improving child survival and promoting growth and development, particularly among HIV-exposed children who have higher risk of morbidity and mortality than their un-exposed peers. This prospective study employed an infant and child feeding index (ICFI) to measure complementary feeding and determine its association with nutritional status among 2092 HIV-exposed infants followed from 6 to 24 months of age in Dar es Salaam, Tanzania. The ICFI measured both quality and quantity of complementary feeding, including current breastfeeding status, food consistency, dietary diversity scores (DDS), food group frequency score, and meal frequency. The ICFI score ranged from 0 to 9; the median score was 6 (Inter-Quartile Range, IQR = 4–7). After adjusting for potential confounders, high ICFI scores were associated with reduced risk of stunting (high vs. low tertile hazard ratio, HR: 0.72; 95% confidence interval, CI: 0.57, 0.91; P< 0.01) and underweight (high vs. low tertile HR: 0.79; 95% CI: 0.61, 1.02; P= 0.07). Low DDS were associated with higher risk of stunting (low vs. high tertile HR: 1.59; 95% CI: 1.23, 2.07; P< 0.01) and underweight (low vs. high tertile HR: 1.48; 95% CI: 1.12, 1.96; P = 0.01). In this setting, high DDS and ICFI scores were protective of stunting and underweight. We recommend for nutrition programs in low-income countries to emphasize educating HIV-exposed children’s caregivers on the importance of dietary diversity and optimal complementary feeding to improve nutritional status in this important subpopulation.

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Stability of infant and child feeding index over time and its association with nutritional status of HIV exposed infants in Sidama Zone, Southern Ethiopia: A longitudinal study

Cited by 3 publications

References 16 publications

Determinants of exclusive breastfeeding practice to infants aged less than six months in Offa district, Southern Ethiopia: a cross-sectional study

Determinants of exclusive breastfeeding practice to infants aged less than six months in Offa district, Southern Ethiopia: a cross-sectional study

Complementary Feeding and Diarrhea and Respiratory Infection Among HIV-Exposed Tanzanian Infants

Nutritional status and complementary feeding among HIV‐exposed infants: a prospective cohort study

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