营养干预和母亲知识在婴幼儿喂养中的作用:坦桑尼亚Njombe和Geita地区的测绘研究

Hassan Tearish Berenge, Happiness Samuel Muhimbula
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摘要

五岁以下儿童面临营养不良的风险,特别是在发展中国家。研究发现,母亲的营养知识是决定5岁以下儿童是否具有最佳营养状况的最重要因素之一。本研究的目的是研究营养干预措施和孕产妇知识在发育迟缓高发地区的IYCF实践和儿童营养状况方面的作用。这是一项从社区角度在坦桑尼亚Njombe和Geita地区开展的横断面研究,研究了当前和最近结束的(过去3个月内)营养干预措施。有目的地选择了150位带着孩子的母亲参与这项研究。有目的地选择妇女和她们五岁以下的孩子参加这项研究。采用卡方检验(p 0.05)比较IYCF实践、孕产妇知识与营养状况,以及营养相关干预措施较少和较多地区之间的差异。根据本研究的结果,当营养干预措施易于获得和使用时,母亲的IYCF实践(p = 0.014)和孩子的营养状况(p = 0.048)显著改善。P = 0.005显示90.5%的少女母亲(15 ~ 20岁)营养知识不足。在Njombe地区,大约68%[49.7-86.3]的发育迟缓婴儿是男性,而且几乎没有采取干预措施,而Bukombe地区的发育迟缓婴儿率为38.9%。多成分营养干预措施对于加强解决孕产妇知识贫乏问题的规划,改善慢性营养不良高发区的国际青少年发展基金做法和营养状况至关重要。
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The Role of Nutrition Interventions and Mothers Knowledge on Infant and Young Child Feeding: Mapping Study in Njombe and Geita Regions, Tanzania
Children under the age of five are at risk of undernutrition particularly in developing countries. It was discovered that mothers' nutrition knowledge was one of the most influential factors in determining whether or not children under the age of five had an optimal nutritional status. The purpose of this study was to examine the roles of nutrition interventions and maternal knowledge regarding IYCF practices and child nutrition status in regions with high rates of stunting. This was a cross-sectional study conducted in the Tanzanian regions of Njombe and Geita from a community-based perspective and examining current and recently ended (within previous 3 months) nutrition interventions. A sample of 150 mothers with their children were selected purposefully to participate in the study. Women and their children younger than five years old were chosen purposively to participate in the study. The Chi-square test (p 0.05) was used to compare IYCF practices, maternal knowledge with nutrition status, and differences between areas with few and many nutrition-related interventions. According to the results of this study, mothers' IYCF practices (p = 0.014) and their children's nutritional status (p = 0.048) improved significantly when nutrition interventions were easily accessible and readily usable. P = 0.005 revealed that 90.5% of teenage mothers (15–20 years old) had inadequate nutrition knowledge. Approximately, 68 % [49.7-86.3] of stunted infants in Njombe district were male, and there were few interventions in place, whereas the Bukombe district had a stunted infant rate of 38.9 % Multicomponent nutrition interventions are essential to strengthen programmes that address poor maternal knowledge, improve IYCF practices and nutrition status in regions with high chronic malnutrition.
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