期刊论文详细信息
BMC Public Health
Timely initiation of complementary feeding and associated factors among children aged 6 to 12 months in Northern Ethiopia: an institution-based cross-sectional study
Yemane Berhane2  Meaza Demissie2  Ashenafi Shumey1 
[1] Public Health Department, College of Health Sciences, Mekelle University, Mekelle, Ethiopia;Addis Continental Institute of Public Health, Addis Ababa, Ethiopia
关键词: Ethiopia;    Complementary feeding;    Timely initiation;   
Others  :  1161576
DOI  :  10.1186/1471-2458-13-1050
 received in 2013-02-07, accepted in 2013-10-31,  发布年份 2013
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【 摘 要 】

Background

Exclusive breastfeeding (EBF) for the first six months of life is critical for the wellbeing of the child. In the mean while, timely initiation and starting nutritionally-adequate, safe, age-appropriate complementary feeding at six months is recommended for the better health and development of infants. According to the Ethiopian Demographic and Health Survey 2011, timely initiation of complementary feeding in Ethiopia at the 6th month was only 51%. The purpose of this study is to determine the magnitude of timely initiation of complementary feeding and associated factors in Mekelle town, Northern Ethiopia.

Methods

An institutional based cross-sectional study design was conducted among 422 mothers of infants aged from six months to one year selected from six public health facilities. Sample size proportional to the patient flow rate of each institution was allocated and systematic random sampling method was used to get the study participant. An exit interview using structured questionnaire was conducted about their experience on complementary feeding and related experience. The questionnaire was pretested among 21 mothers. 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 and 95% confidence interval was computed.

Result

The prevalence of timely initiation of complementary feeding at sixth month was 62.8% (265/422, 95% C.I: 58.1, 67.31%). Educational level, occupation of mother, parity, having ANC follow up, and birth preparedness were found to be independent predictor of timely initiation of complementary feeding.

Conclusions

Almost two-third of mothers initiated complementary feeding at six month of child’ age as recommended. This was relatively higher prevalence than most developing countries. However, significant proportion of mothers still did not initiate complementary feeding timely. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make antenatal care follow up.

【 授权许可】

   
2013 Shumey et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]World Health Organization: Complementary Feeding: Summary of Guiding Principles. Report of the Global Consultation, 10–13 December 2001. Geneva, Switzerland: World Health Organization; 2002.
  • [2]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.
  • [3]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.
  • [4]Singer PA, Ansett S, Sagoe-Moses I: What could infant and young child nutrition learn from sweatshops? BMC Public Health 2011, 11:276. BioMed Central Full Text
  • [5]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.
  • [6]World Health Organization: Global strategy for infant and young child feeding. Geneva: World Health Organization; 2003:41.
  • [7]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.
  • [8]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. BioMed Central Full Text
  • [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]Kimani-Murage EW, Madise NJ, Fotso JC, Kyobutungi C, Mutua MK, Gitau TM, Yatich N: Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. Kimani-murage et al. BMC Public Health 2011, 11:396. BioMed Central Full Text
  • [11]Lin JR, Tzeng MS, Kao MD, Yang YH, Pan W: Practice to introduce complementary foods to infants in Taiwan – changes from 1997 to 2008. Asia Pac J Clin Nutr 2011, 20(2):337-345.
  • [12]Sinhababu A, Mukhopadhyay DK, Panja TK, Saren AB, Mandal NK, Biswas AB: Infant- and young child-feeding practices in Bankura District, West Bengal, India. J Health Popul Nutr 2010, 28(3):294-299.
  • [13]Ethiopia Public Health Training Initiative: Essential Nutrition Actions to Improve the Nutrition of Women and Children in Ethiopia, Including Under Situations of Emergencies and HIV/and AIDs; Training Manual, Linkages. Addis Ababa: Ethiopia Public Health Training Initiative; 2004.
  • [14]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.
  • [15]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.
  • [16]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.
  • [17]Prieto CR, Cardenas H, Croxatto HB: Variability of breast sucking, associated milk transfer and the duration of lactational amenorrhea. J Reprod Fertil 1999, 115:193-200.
  • [18]de Onis M, WHO multicentre growth reference study group: Complementary feeding in the WHO multicentre growth reference study. Acta Paediatr 2006, 95:27-37.
  • [19]Tarrant M, Fong DYT, Wu KM, Lee ILY, Wong EM, Sham A, et al.: Breastfeeding and weaning practices among Hong Kong mothers: a prospective study. BMC Pregnancy Childbirth 2010, 10:27. BioMed Central Full Text
  • [20]Laantera S, Polkki T, Ekstrom A, Pietila AM: Breastfeeding attitudes of Finnish parents during pregnancy. BMC Pregnancy Childbirth 2010, 10:79. BioMed Central Full Text
  • [21]Sonia S, Veit G, Silvia S, Veronica L, Francoise M, Anna S, et al.: Introduction of complementary feedong in 5 European countries. J Pediatr Gastroenterol Nutr 2010, 50(1):92-98.
  • [22]Barbara R, Martina K, Ursula S, Berthold VK, Hermann F: Infant feeding practices and associated factors through the first 9 months of life in Bavaria, Germany. J Pediatr Gastroenterol Nutr 2009, 49(4):467-473.
  • [23]Kuti O, Adeyemi AB, Owolabi AT: Breast-feeding pattern and onset of menstruation among Yoruba mothers of South-west Nigeria. Eur J Contracept Reprod Health Care 2007, 12(4):335-339.
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