The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal

BMC Nutrition

Research

Dev Ram Sunuwar¹  Suvash Nayaju²  Anuradha Bhatta²  Narendra Kumar Chaudhary³  Man Kumar Tamang⁴  Devendra Raj Singh⁵  Anjana Rai⁶ 

[1] Department of Nutrition and Dietetics, Nepal Armed Police Force Hospital, Kathmandu, Nepal;Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal;Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal;Department of Radiology, Nepal Orthopaedic Hospital, Jorpati, Kathmandu, Nepal;Queensland Brain Institute, The University of Queensland, Brisbane, Australia;School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK;Research Section, Swadesh Development Foundation, Siraha, Nepal;School of Public Health and Social Work, Queensland University of Technology, Brisbane City, Australia;

关键词: Child cash grant;    Child feeding practices;    Cash transfers;    Nutrition allowance;    Nepal;   

DOI  :  10.1186/s40795-023-00691-3

 received in 2022-08-30, accepted in 2023-02-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundChild feeding practices during the first two years of life are crucial to ensure good health and nutrition status. This study aimed to assess the factors influencing inappropriate child feeding practices in children aged 6 − 23 months in families receiving nutrition allowance in the remote Mugu district, Nepal.MethodsA community-based cross-sectional study was conducted among 318 mothers who had children aged 6 − 23 months of age in the seven randomly selected wards. Systematic random sampling technique was used to select the desired number of respondents. Data were collected using pre-tested semi-structured questionnaire. Bivariate and multivariable binary logistic regression was used to estimate crude odds ratio (cOR), and adjusted odds ratio (aOR), and 95% confidence intervals (CIs) to understand factor associated with child feeding practices.ResultsAlmost half of the children aged 6 − 23 months were not consuming a diverse diet (47.2%; 95% CI: 41.7%, 52.7%), did not meet the recommended minimum meal frequency (46.9%; 95% CI: 41.4%, 52.4%) and did not consume minimum acceptable diet (51.7%; 95% CI: 46.1%, 57.1%). Only 27.4% (95% CI: 22.7%, 32.5%) of children met the recommended complementary feeding practices. Multivariable analysis showed maternal characteristics such as mothers who gave birth at home (aOR = 4.70; 95% CI: 1.03, 21.31) and mothers in unpaid employment (aOR = 2.56; 95% CI: 1.06, 6.19) were associated with increased odds of inappropriate child feeding practices. Household economy (i.e. family with < 150 USD monthly income) was also associated with increased odds of inappropriate child feeding practices (aOR = 1.19; 95% CI: 1.05, 2.42).ConclusionDespite the receipt of nutritional allowances, child feeding practices among 6 − 23 months children were not optimal. Additional context-specific behavior change strategies on child nutrition targeting mothers may be required.

【 授权许可】

CC BY   
© The Author(s) 2023

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