Infant and Young Child Feeding Practices and Associated Factors Among Mothers of Children Aged 0-23 Months in Kalu District, North-East Ethiopia: Community Based Cross-Sectional Study

Seid Legesse, M. Marru, Tefera Alemu, D. Dagne, Birtukan Shiferaw, Seid Ali
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Abstract

Background: Infant and young child feeding (IYCF) is a cornerstone of care for ensuring optimal child growth and development during the first 2 years of life. Scientific evidence indicates that various poor IYCF practices have been shown to have numerous negative effects on children’s health. Therefore, Improving IYCF practice is critical to improved nutrition, health, and development of these age group children. This study aims to assess IYCF practices and associated factors among mothers of children aged 0-23 months in Kalu district, Northeast Ethiopia. Methods: A community based cross-sectional study was conducted from 15 to 05/2019-15/06/2019. A total of 605 mothers who had a child aged 0-23 months were included in the study using multi-stage sampling followed by a simple random sampling technique. Data were collected using a pretested semi-structured interviewer-administered questionnaire. Bi-variate and multivariate logistic regression models were used to identify factors associated with IYCF practices. Statistical significance was determined at the p-value < 0.05 Result: Of six hundred five (605) sampled mothers having an IYC age 0 to 23 months, 589 were successfully included in the study making the response rate of 97.35 %. The overall prevalence of appropriate complementary and breastfeeding practices was 9.6% and 32.1% respectively. Place of delivery (AOR=1.653; 95% Cl (1.044, 2.615)), fathers occupation (AOR =2.278; 95% Cl:(1.156, 4.489)) and age of child (AOR =0.634 95% CI: (0.409, 0.983) were independently associated with appropriate breastfeeding practice. On the other hand,PNC service (AOR =2.972; 95% CI: (1.229, 7.186), place of residence(AOR =2.473; 95% CI: (1.275, 4.797), age of child (AOR =3.015; 95% CI: (1.282, 7.092) and household family size (AOR=2.398; 95% CI (1.062, 5.416) were factors significantly associated with appropriate complementary feeding practices in Kalu district. Conclusion: Both the breastfeeding and complementary feeding practices were inappropriate (sub-optimal) in Kalu district. As a result, interventional initiatives should focus on improving the coverage of PNC, institutional delivery service are crucial to implementing appropriate IYCF practice. Standardizing the basic health care elements and PNC package are also critical in addition to increasing service utilization.
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埃塞俄比亚东北部卡鲁地区0-23个月儿童母亲的婴幼儿喂养做法及相关因素:基于社区的横断面研究
背景:婴幼儿喂养(IYCF)是确保儿童在生命最初2年最佳生长和发育的护理基石。科学证据表明,各种不良的家庭与家庭基金做法已被证明对儿童健康有许多负面影响。因此,改进IYCF做法对于改善这些年龄组儿童的营养、健康和发展至关重要。本研究旨在评估埃塞俄比亚东北部Kalu地区0-23个月儿童母亲的IYCF做法及其相关因素。方法:于2019年5月15日至5月15日- 6月15日进行以社区为基础的横断面研究。采用多阶段抽样和简单随机抽样的方法,对605名育有0-23个月孩子的母亲进行了研究。数据收集使用预先测试的半结构化访谈者管理的问卷。使用双变量和多变量逻辑回归模型来确定与IYCF实践相关的因素。结果:在655例(605例)龄为0 ~ 23月龄的产妇中,成功纳入589例,有效率为97.35%。适当补充和母乳喂养做法的总体流行率分别为9.6%和32.1%。交货地点(AOR=1.653;95% Cl(1.044, 2.615))、父亲职业(AOR =2.278;95% Cl:(1.156, 4.489))和儿童年龄(AOR =0.634, 95% CI:(0.409, 0.983)与适当的母乳喂养行为独立相关。PNC业务(AOR =2.972;95% CI:(1.229, 7.186),居住地(AOR =2.473;95% CI:(1.275, 4.797),儿童年龄(AOR =3.015;95% CI:(1.282, 7.092)和家庭规模(AOR=2.398;95% CI(1.062, 5.416)是与卡鲁地区适当的补充喂养方式显著相关的因素。结论:卡鲁地区母乳喂养和补充喂养均不适宜(次优)。因此,干预举措应侧重于改善PNC的覆盖面,机构提供服务对于实施适当的IYCF做法至关重要。除了提高服务利用率外,基本保健要素和PNC一揽子标准的标准化也至关重要。
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