Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study

Ergib Mekbib; Ashenafi Shumey; Semaw Ferede; Fisaha Haile

doi:doi:10.11648/j.jfns.20140202.13

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Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study

Ergib Mekbib, Ashenafi Shumey, Semaw Ferede, Fisaha Haile

Published in Journal of Food and Nutrition Sciences (Volume 2, Issue 2)

Received: 13 February 2014 Published: 20 March 2014

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Abstract

Background- Adequate and appropriate complementary feeding during 6-23 months-of-age, is fundamental to the development of each child’s full human potential. Ethiopian national survey reports showed the minimum acceptable diet was 4.2% in same region. But in most cases only timely initiation is considered as the only indicator of complementary feeding. The aim of this study was to assess the prevalence of appropriate complementary feeding practices and associated factors among mothers having 6 - 23 months of age children in Northern Ethiopia. Methods- A community-based cross-sectional study design was conducted among 428 mothers who had children with 6-23 months of age in Northern Ethiopia. Simple random sampling was used to select the required number of sample. Pretest was done among 22 respondents out of the study area. A face-to-face interview was used to collect data using structured questionnaire. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR with 95% confidence interval was computed to measure the strength of association. Results – The response rate was 98.6%. In this study only 10.75% (95% CI = 8.07, 13.95) children aged 6-23 months received appropriate complementary feeding. Child’s age (AOR=4.21), education level of mother (AOR=3.84), and postnatal care follow up (AOR=2.80) were found to be independent predictor of timely initiation of complementary feeding. Conclusion and recommendations – one out of ten mothers fed complementary foods appropriately to their children aged 6-23 months which was very low. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make postnatal care follow up.

Published in	Journal of Food and Nutrition Sciences (Volume 2, Issue 2)
DOI	10.11648/j.jfns.20140202.13
Page(s)	36-42
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Complementary Feeding, Food Diversity, Meal Frequency, Minimum Acceptable Diet

References

[1]	Federal Ministry of Health, Family Health Department Ethiopia: National strategy for infant and young child feeding. Addis Ababa: Federal Ministry of Health, Family Health Department Ethiopia; 2004.
[2]	Martines J, Paul VK, Bhutta ZA, Koblinsky M, Soucat A, Walker N, et al: Neonatal survival: a call for action. Lancet 2005, 365:1189–1197.
[3]	Singer PA, Ansett S, Sagoe-Moses I: What could infant and young child nutrition learn from sweatshops? BMC Public Health 2011, 11:276.
[4]	PAHO/WHO: Guiding Principles for Complementary Feeding of the Breastfed Child. Division of Health Promotion and Protection. Food and Nutrition Program. Washington/Geneva: Pan American Health Organization/World Health Organization; 2003.
[5]	World Health Organization: Global strategy for infant and young child feeding. Geneva: World Health Organization; 2003:41.
[6]	Imdad A, Yakoob MY, Bhutta ZA: Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health 2011, 11(Suppl 3):S25.
[7]	Chessa K. Lutter, Bernadette M. E. G. Daelmans, Mercedes de Onis, Undernutrition, Poor Feeding Practices, and Low Coverage of Key Nutrition Interventions. Pediatrics 2011; 128; e1418. http://pediatrics.aappblications.org/content/128/6/e1418.full.html.
[8]	Ali D, Tedla M, Subandoro A, Bamezai A, Rawat R, Menon P. Alive & Thrive Baseline Survey Report: Ethiopia. Washington, D.C.: Alive & Thrive, 2011.
[9]	Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro; 2012.
[10]	WHO and UNICEF: Complementary feeding of young children in developing countries: a review of current scientific knowledge. Geneva: World Health Organization, WHO/NUT/98; 1998:1.
[11]	Saha KK, Frongillo EA, Alam DS, Ariffen SE, Persson LA, Rasmussen KM: Appropriate infant feeding practices result in better growth of infants and young children in rural Bangladesh. Am J Clin Nutr 2008, 87:1852–1859.
[12]	World Health Organization, Division of Family Health: The prevalence and duration of breastfeeding in urban population of Chandigarh during adecade. Indian Pediator 1987, 24:879–887.
[13]	Hop LT, Gross R, Giay T, Sastroamidjojo S, Schultink W, Lang NT: Premature complementary feeding is associated with poorer growth of Vietnamese children. J Nutr 2000, 130:2683–2690.
[14]	Gareth J, Richard W, Robert E, et al. How many child deaths can we prevent this year? The lancet 2003; 362:65-67.
[15]	Lutter C. Meeting the challenges to improve complementary feeding. Standard Committee on Nutrition News. 2003; 27:4-9
[16]	Radwan: Patterns and determinants of breastfeeding and complementary feeding practices of Emirati Mothers in the United Arab Emirates. BMC Public Health 2013 13:171.
[17]	Aggrawal A, Verma S, Feridi MA and Chand D. Complementary Feeding–Reasons for Inappropriateness in Timing, Quality and consistency, Indian J Pediatr 2008;75:49-56.
[18]	Shumey A, Demissie M, Berhane Y.: Timely initiation of complementary feeding and associated factors among children aged 6 to 12 months in Northern Ethiopia: an institution-based cross-sectional study. BMC Public Health 2013 13:1050.
[19]	Ethiopia Nutrition Profile of 2008. Nutrition and Consumer Protection Division, FARO, Nutrition Country Profile of the Federal Democratic Republic of Ethiopia. 2008.
[20]	Kume A: Infant and Young Child Feeding Practices among Mothers Living In Harar, Ethiopia. Harar Bulletin of Health Sciences January 2012; Extracts Number 4, 66 -78.
[21]	Senarath U, Sanjeeva S. P. Godakandage, Hiranya J,et al. Determinants of inappropriate complementary feeding practices in young children in Sri Lanka: secondary data analysis of Demographic and Health Survey 2006–2007. Maternal and Child Nutrition 2012; 8 (Suppl. 1): pp. 60–77.
[22]	Upul S, Kingsley E. Agho, Dur-e-Samin A, et al. Comparisons of complementary feeding indicators and associated factors in children aged 6–23 months across five South Asian countries. Maternal and Child Nutrition 2012; 8 (Suppl. 1): pp. 89–106.
[23]	Nira Joshi, Kingsley E. Agho, Michael J. Dibley, et al. Determinants of inappropriate complementary feeding practices in young children in Nepal: secondary data analysis of Demographic and Health Survey 2006. Maternal and Child Nutrition 2012; 8 (Suppl. 1): pp. 45–59.
[24]	Disha A, Rawat R, Subandoro A, et al. Infant and Young Child Feeding (IYCF) Practices in Ethiopia and Zambia and their Association With Child Nutrition. African Scholarly Science Communication Trust April 2012; Volume 12 No.2: 5899-5900.
[25]	Rose V, Surinder K Baines, Kingsley E Agho, Michael J Dibley. Factors associated with inappropriate complementary feeding practices among children aged 6-23 months in Tanzania. Matern Child Nutr. 2012 Aug 23; 22925557.
[26]	Charmaine S Ng, Michael J Dibley, Kingsley E Agho. Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data. Food Nutr Bull. 2010 Jun; 31 (2):366-75.
[27]	Kimani-Murage et al.: Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health 2011 11:396

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APA Style

Ergib Mekbib, Ashenafi Shumey, Semaw Ferede, Fisaha Haile. (2014). Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study. Journal of Food and Nutrition Sciences, 2(2), 36-42. https://doi.org/10.11648/j.jfns.20140202.13

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Ergib Mekbib; Ashenafi Shumey; Semaw Ferede; Fisaha Haile. Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study. J. Food Nutr. Sci. 2014, 2(2), 36-42. doi: 10.11648/j.jfns.20140202.13

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AMA Style

Ergib Mekbib, Ashenafi Shumey, Semaw Ferede, Fisaha Haile. Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study. J Food Nutr Sci. 2014;2(2):36-42. doi: 10.11648/j.jfns.20140202.13

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@article{10.11648/j.jfns.20140202.13,
  author = {Ergib Mekbib and Ashenafi Shumey and Semaw Ferede and Fisaha Haile},
  title = {Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study},
  journal = {Journal of Food and Nutrition Sciences},
  volume = {2},
  number = {2},
  pages = {36-42},
  doi = {10.11648/j.jfns.20140202.13},
  url = {https://doi.org/10.11648/j.jfns.20140202.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20140202.13},
  abstract = {Background- Adequate and appropriate complementary feeding during 6-23 months-of-age, is fundamental to the development of each child’s full human potential. Ethiopian national survey reports showed the minimum acceptable diet was 4.2% in same region. But in most cases only timely initiation is considered as the only indicator of complementary feeding. The aim of this study was to assess the prevalence of appropriate complementary feeding practices and associated factors among mothers having 6 - 23 months of age children in Northern Ethiopia. Methods- A community-based cross-sectional study design was conducted among 428 mothers who had children with 6-23 months of age in Northern Ethiopia. Simple random sampling was used to select the required number of sample. Pretest was done among 22 respondents out of the study area. A face-to-face interview was used to collect data using structured questionnaire. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR with 95% confidence interval was computed to measure the strength of association. Results – The response rate was 98.6%. In this study only 10.75% (95% CI = 8.07, 13.95) children aged 6-23 months received appropriate complementary feeding. Child’s age (AOR=4.21), education level of mother (AOR=3.84), and postnatal care follow up (AOR=2.80) were found to be independent predictor of timely initiation of complementary feeding. Conclusion and recommendations – one out of ten mothers fed complementary foods appropriately to their children aged 6-23 months which was very low. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make postnatal care follow up.},
 year = {2014}
}

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TY - JOUR
T1 - Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study
AU - Ergib Mekbib
AU - Ashenafi Shumey
AU - Semaw Ferede
AU - Fisaha Haile
Y1 - 2014/03/20
PY - 2014
N1 - https://doi.org/10.11648/j.jfns.20140202.13
DO - 10.11648/j.jfns.20140202.13
T2 - Journal of Food and Nutrition Sciences
JF - Journal of Food and Nutrition Sciences
JO - Journal of Food and Nutrition Sciences
SP - 36
EP - 42
PB - Science Publishing Group
SN - 2330-7293
UR - https://doi.org/10.11648/j.jfns.20140202.13
AB - Background- Adequate and appropriate complementary feeding during 6-23 months-of-age, is fundamental to the development of each child’s full human potential. Ethiopian national survey reports showed the minimum acceptable diet was 4.2% in same region. But in most cases only timely initiation is considered as the only indicator of complementary feeding. The aim of this study was to assess the prevalence of appropriate complementary feeding practices and associated factors among mothers having 6 - 23 months of age children in Northern Ethiopia. Methods- A community-based cross-sectional study design was conducted among 428 mothers who had children with 6-23 months of age in Northern Ethiopia. Simple random sampling was used to select the required number of sample. Pretest was done among 22 respondents out of the study area. A face-to-face interview was used to collect data using structured questionnaire. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR with 95% confidence interval was computed to measure the strength of association. Results – The response rate was 98.6%. In this study only 10.75% (95% CI = 8.07, 13.95) children aged 6-23 months received appropriate complementary feeding. Child’s age (AOR=4.21), education level of mother (AOR=3.84), and postnatal care follow up (AOR=2.80) were found to be independent predictor of timely initiation of complementary feeding. Conclusion and recommendations – one out of ten mothers fed complementary foods appropriately to their children aged 6-23 months which was very low. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make postnatal care follow up.
VL - 2
IS - 2
ER -

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Author Information

Ergib Mekbib

Health insurance agency Mekelle branch, Mekelle, Ethiopia
Ashenafi Shumey

Public Health Department, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
Semaw Ferede

Public Health Department, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
Fisaha Haile

Public Health Department, College of Health Sciences, Mekelle University, Mekelle, Ethiopia

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Ergib Mekbib, Ashenafi Shumey, Semaw Ferede, Fisaha Haile. (2014). Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study. Journal of Food and Nutrition Sciences, 2(2), 36-42. https://doi.org/10.11648/j.jfns.20140202.13

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Ergib Mekbib; Ashenafi Shumey; Semaw Ferede; Fisaha Haile. Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study. J. Food Nutr. Sci. 2014, 2(2), 36-42. doi: 10.11648/j.jfns.20140202.13

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AMA Style

Ergib Mekbib, Ashenafi Shumey, Semaw Ferede, Fisaha Haile. Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study. J Food Nutr Sci. 2014;2(2):36-42. doi: 10.11648/j.jfns.20140202.13

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@article{10.11648/j.jfns.20140202.13,
  author = {Ergib Mekbib and Ashenafi Shumey and Semaw Ferede and Fisaha Haile},
  title = {Magnitude and Factors Associated with Appropriate Complementary Feeding among Mothers Having Children 6-23 Months-of-Age in Northern Ethiopia; A Community-Based Cross-Sectional Study},
  journal = {Journal of Food and Nutrition Sciences},
  volume = {2},
  number = {2},
  pages = {36-42},
  doi = {10.11648/j.jfns.20140202.13},
  url = {https://doi.org/10.11648/j.jfns.20140202.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20140202.13},
  abstract = {Background- Adequate and appropriate complementary feeding during 6-23 months-of-age, is fundamental to the development of each child’s full human potential. Ethiopian national survey reports showed the minimum acceptable diet was 4.2% in same region. But in most cases only timely initiation is considered as the only indicator of complementary feeding. The aim of this study was to assess the prevalence of appropriate complementary feeding practices and associated factors among mothers having 6 - 23 months of age children in Northern Ethiopia. Methods- A community-based cross-sectional study design was conducted among 428 mothers who had children with 6-23 months of age in Northern Ethiopia. Simple random sampling was used to select the required number of sample. Pretest was done among 22 respondents out of the study area. A face-to-face interview was used to collect data using structured questionnaire. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR with 95% confidence interval was computed to measure the strength of association. Results – The response rate was 98.6%. In this study only 10.75% (95% CI = 8.07, 13.95) children aged 6-23 months received appropriate complementary feeding. Child’s age (AOR=4.21), education level of mother (AOR=3.84), and postnatal care follow up (AOR=2.80) were found to be independent predictor of timely initiation of complementary feeding. Conclusion and recommendations – one out of ten mothers fed complementary foods appropriately to their children aged 6-23 months which was very low. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make postnatal care follow up.},
 year = {2014}
}

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