Abate Anteneh Demelash, Hassen Seid Legesse, Temesgen Minwuyelet Marru
Amhara Public Health Institute (APHI), Health Research Development Directorate, Dessie, Ethiopia.
Amhara Public Health Institute (APHI), Health Research Development Directorate, Bahir Dar, Ethiopia.
Front Pediatr. 2023 Jun 6;11:1062251. doi: 10.3389/fped.2023.1062251. eCollection 2023.
Ethiopia has one of the highest infant and child mortality rates in the world. Starting from the age of 6 months, breast milk alone is not sufficient to cover all nutritional requirements. Infants and young children are at an increased risk of undernutrition. Complementary feeding must, therefore, begin at the age of 6 months. Infant and young child nutrition is a critical factor in human health, nutrition, survival, growth, and development. Therefore, the aim of this study is to evaluate the timely initiation of complementary feeding practices and associated factors in children aged 6-23 months in the Dessie Zuria District of North Ethiopia.
A community-based cross-sectional study design was used for the period between 16 March and 30 March 2019. The study included 770 mother-child pairs aged 6-23 months. A multistage sampling method was used to choose the study participants. Using a simple random sampling technique, nine kebeles in the district were selected from a total of 31, and from 103 Gotts or villages, 31 were selected with 770 HHs out of 2,329 HHs with children aged 6-23 months. Data were collected using a pretested semistructured interviewer-administered questionnaire, which was then entered into Epi Data version 3.1 statistical software before being transferred to SPSS version 21 for further analysis. To summarize the data, descriptive statistics were used, which included a simple frequency table and figures. To evaluate factors, bivariate and multivariable logistic regression were used. A -value of less than 0.05 was used to determine statistical significance.
The percentage of children who started complementary feeding practices on time was 70.9. Maternal occupation [AOR = 5.51, 95% CI (1.61-18.81)], radio availability [AOR = 2.03, 95% CI (1.32-3.12)], antenatal care follow-up [AOR = 6.19, 95% CI (4.08-9.40)], place of delivery [AOR = 5.06%, CI (3.34-7.68)], and postnatal care follow-up [AOR = 4.32, 95% CI (2.77-6.72)] were found to be the factors for the timely initiation of complementary feeding.
When compared with WHO cutoff points, timely initiation of complementary feeding practice was relatively low in the study area. Maternal occupation, radio availability, ANC follow-up, place of delivery, and postnatal care visit were all significantly associated with the timely initiation of complementary feeding.
埃塞俄比亚是世界上婴幼儿死亡率最高的国家之一。从6个月大开始，仅靠母乳不足以满足所有营养需求。婴幼儿营养不良的风险增加。因此，必须在6个月大时开始添加辅食。婴幼儿营养是人类健康、营养、生存、生长和发育的关键因素。因此，本研究的目的是评估埃塞俄比亚北部德西祖里亚区6至23个月儿童辅食添加的及时启动情况及相关因素。
采用基于社区的横断面研究设计，研究时间为2019年3月16日至3月30日。该研究纳入了770对6至23个月的母婴。采用多阶段抽样方法选择研究参与者。使用简单随机抽样技术，从该地区总共31个行政区中选取了9个行政区，从103个戈特（或村庄）中选取了31个，在2329个有6至23个月儿童的家庭中选取了770个家庭。数据通过预先测试的半结构化访谈式问卷收集，然后输入Epi Data 3.1版统计软件，再转移到SPSS 21版进行进一步分析。为总结数据，使用了描述性统计，包括简单频率表和图表。为评估因素，使用了双变量和多变量逻辑回归。P值小于0.05用于确定统计学意义。
按时开始添加辅食的儿童比例为70.9%。母亲职业[AOR = 5.51，95% CI（1.61 - 18.81）]、收音机拥有情况[AOR = 2.03，95% CI（1.32 - 3.12）]、产前检查随访[AOR = 6.19，95% CI（4.08 - 9.40）]、分娩地点[AOR = 5.06%，CI（3.34 - 7.68）]和产后护理随访[AOR = 4.32，95% CI（2.77 - 6.72）]被发现是辅食添加及时启动的因素。
与世界卫生组织的标准相比，研究地区辅食添加的及时启动率相对较低。母亲职业、收音机拥有情况、产前检查随访、分娩地点和产后护理访视均与辅食添加的及时启动显著相关。
