Timely Initiation of Complementary Feeding and Associated Factors among Children Aged 6 to 12 Months in Addis Ababa Ethiopia, 2015

Sako

2022

Sci Rep

Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93–37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62–1.39), primary education (AOR = 2.26 95% CI 1.40–3.62), secondary above education (AOR = 1.62 95% CI 1.10–2.38), and rich wealth index (AOR = 1.25 95% CI 1.03–1.52) were some of the associated factors. The magnitude of timely initiation of complementary feeding was diminutive. Authors suggest that interventions considering maternal education, empowering mothers economically, equity access to health services, and birth planning a good remedy.

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

Determinants of timely initiation of complementary feeding among children aged 6–23 months in Ethiopia

Sako

2022

Sci Rep

Journal of Nutrition and Metabolism

“…Failure to give a great attention to timely initiation of complementary feeding puts the children at risk for malnutrition. Malnutrition has been responsible, directly or indirectly 10.9 million deaths annually among children under five due to lack of timely initiation of complementary feeding [ 18 , 19 ]. Despite its serious socioeconomic and health impact on children and community, it is not well studied in Ethiopia specifically in the study area.…”

Section: Introductionmentioning

confidence: 99%

Timely Initiation of Complementary Feeding and Associated Factors among Mothers of Children Aged 6–24 Months in Dessie Referral Hospital, Northeast Ethiopia, 2019

Andualem

Edmealem

Tegegne

et al. 2020

Background. Timely, appropriate, safe, adequate, and frequent feeding is essential during the transition period for optimal growth and development as well as vulnerability of the child. The age of initiation of complementary feeding needs to be strongly addressed. Thus, the aim of this study was to determine timely initiation of complementary feeding and associated factors among mothers of children aged 6–24 months in Dessie Referral Hospital. Methods. Institutional-based cross-sectional study was conducted among 280 mothers of children aged 6–24 months. A systematic random sampling technique was employed for selection of study participants by considering the 1st comer as a starting point and then at every 5th interval till the sample size was saturated at exit time. Data were collected using pretested and validated structured interviewer-administered questionnaire. Data were entered to Epi data version 3.1 and exported to SPSS version 20.0 software for analysis. Descriptive statistics and binary logistic regression model were used. Results. Overall response rate was 98.2%. Among 275 mothers with children aged 6–24 months, 36 (13.1%), 179 (65.1%), and 60 (21.8%) mothers started giving complementary feeding for their children early (before six months), timely (at six months), and late (after six months), respectively. Mothers’ educational status of grade 9–12 and college and above [AOR = 3.03; 95% CI (1.13–8.14), and AOR = 3.74; 95% CI (1.19–11.70), respectively], getting counsel [AOR = 2.83; 95% CI (1.54–5.21)], and poor knowledge [AOR = 0.37; 95% CI (0.19–0.72)] were found to be independent predictors. Conclusions. Prevalence of timely initiation of complementary feeding was high as compared to the national prevalence. Mothers’ educational status, getting counsel about complementary feeding, and knowledge were factors associated with timely initiation of complementary feeding. Therefore, awareness creation, counseling, and health education should be done on society by concerned bodies to improve timely introduction of complementary feeding level more than this result.

Maternal & Child Nutrition

“…However, the proportion of Ethiopian children starting complementary food within the appropriate age range (6-8 months) remains a problem, with a pooled national prevalence of 62.5%, which increases with women giving birth at health care institutions and lower among working women (Habtewold et al, 2019;Yeheyis et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…At 6 months of age, breast milk alone can no longer meet child nutritional requirements, and early and late introduction of solid food carries growth and development risks (WHO, 2008 ). However, the proportion of Ethiopian children starting complementary food within the appropriate age range (6–8 months) remains a problem, with a pooled national prevalence of 62.5%, which increases with women giving birth at health care institutions and lower among working women (Habtewold et al, 2019 ; Yeheyis et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

The influence of household structure and composition on the introduction of solid, semisolid and soft foods among children aged 6–8 months: An analysis based on Ethiopia Demographic and Health Surveys

Irenso

Zheng

Campbell

et al. 2022

The early and late introduction of complementary food, both prevalent in Ethiopia, are associated with morbidities, growth faltering and developmental risks in children. The interhousehold network around the primary caregiver's intrahousehold network is critical in influencing the age of introducing complementary foods. This study examined the influence of household composition and structures on complementary food introduction. This is a secondary data analysis of four Ethiopian Demographic and Health Surveys conducted between 2000 and 2016. The household structure and composition variables were calculated from household members' kinship status and attribute, respectively. The introduction of solid, semisolid or soft foods was dichotomised as whether the children within 6 to 8 months have been given complementary foods.Multivariable logistic regression with adjustment for the primary caregiver and household characteristics was run to examine the associations between household structure and composition variables and the introduction of complementary foods. The marginal effects (ME) were calculated to facilitate the practical interpretation of the study findings. Large households (>3 nonredundant contacts) with extended family or unrelated people (high effective size, ME = 6.01%, 95% confidence interval [CI]: −8.53, −3.49) lowered the proportion of children starting food within the recommended 6-8 months. Households with close kins (high constraint) (ME = 7.22%, 95% CI: −13.65, 28.09) and greater age diversity (ME = 0.65%, 95% CI: 0.15, 1.15) increased the proportion of children receiving complementary food at an appropriate age. This study revealed that interhousehold structure and composition influence the age of introduction of complementary foods.