Sule S S, Onayade A A, Abiona T C, Fatusi A O, Ojofeitimi E O, Esimai O A, Ijadunola K T
Department of Community Health, Obafemi Awolowo University, Ile-Ife 220005, Osun State, Nigeria.
Niger Postgrad Med J. 2009 Jun;16(2):115-25.
This study evaluated the impact of nutritional education on knowledge, attitude and practices (KAP) of mothers concerning infants and young children feeding and their children's nutritional status in two semi-urban communities of south-west Nigeria.
This is a community intervention study. We recruited 150 mothers of children aged 0-18 months independently from the intervention and control communities through a multi-stage sampling technique. We collected data with the aid of an interviewer-administered questionnaire at baseline and at six months after intervention from both communities to obtain information on feeding of infants and young children. In addition, we measured weights and heights of recruited children. Intervention involved group counselling of mothers and food demonstrations at designated health facilities. Data analysis for quantitative data was done using Epi-Info software, and for qualitative data, content analysis of major themes was used.
Before intervention, recruited mothers and their children from the two communities were comparable in terms of all the parameters assessed (P>0.05 in all cases). After six months of intervention, mothers who had nutritional education demonstrated better knowledge and attitudes to key infant and young children feeding recommendations. There was also limited improvement in feeding practices. Mothers from the intervention community exclusively breastfed their infants longer with mean age at introduction of complementary foods at 5.3 months compared to 4.5 months in the control community (P<0.05), breastfed their children longer (P<0.05). However, there was no statistically significant improvement in the weight of their children.
In this study, nutritional education of mothers only had positive impact on their level of KAP on infant and young children feeding.
本研究评估了营养教育对尼日利亚西南部两个半城市社区母亲关于婴幼儿喂养的知识、态度和行为（KAP）及其子女营养状况的影响。
这是一项社区干预研究。我们通过多阶段抽样技术，从干预社区和对照社区独立招募了150名0至18个月儿童的母亲。我们在基线时以及干预后六个月，借助访谈员管理的问卷从两个社区收集数据，以获取有关婴幼儿喂养的信息。此外，我们测量了招募儿童的体重和身高。干预措施包括在指定卫生设施对母亲进行团体咨询和食物示范。定量数据的分析使用Epi-Info软件，定性数据则采用主要主题的内容分析。
干预前，两个社区招募的母亲及其子女在所有评估参数方面具有可比性（所有情况下P>0.05）。干预六个月后，接受营养教育的母亲对关键的婴幼儿喂养建议表现出更好的知识和态度。喂养行为也有有限的改善。干预社区的母亲纯母乳喂养婴儿的时间更长，引入辅食的平均年龄为5.3个月，而对照社区为4.5个月（P<0.05），母乳喂养孩子的时间也更长（P<0.05）。然而，他们孩子的体重没有统计学上的显著改善。
在本研究中，仅对母亲进行营养教育对其关于婴幼儿喂养的KAP水平有积极影响。
