Environment Health and Health Care Waste Management Section, Management Division, Department of Health Service, Kathmandu, Nepal.
Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
PLoS One. 2024 Mar 6;19(3):e0299969. doi: 10.1371/journal.pone.0299969. eCollection 2024.
Appropriate complementary feeding plays a crucial role in the enhancement of child survival; and promotes healthy growth and development. Evidence has shown that appropriate complementary feeding is effective in preventing malnutrition and child mortality. Thus, the main objective of this study is to assess the prevalence of appropriate complementary feeding practice and associated factors among mothers of children aged 6-23 months.
A community-based cross-sectional study was conducted from August to December 2018. A total of 259 mothers who had children aged 6-23 months were selected randomly from the 714 eligible mothers. A structured questionnaire was used to collect the data from the respondents. The data were collected in a tablet phone-based questionnaire using the Open Data Kit mobile application by face-to-face interview. Data analysis was done in SPSS version 21. Multivariable logistic regression was used to identify the factor associated with appropriate complementary feeding practice.
The prevalence of appropriate complementary feeding practice was 25%. Mother and father with formal education (AOR 6.1, CI: 1.7-22.4 and AOR 5.6 CI: 1.5-21.2 respectively), counseling on IYCF (AOR 4.2, CI: 1.5-12.3), having kitchen garden (AOR 2.4, CI: 1.1-5.2) and food secured family (AOR 3.0, CI: 1.0-8.9) had higher odds of appropriate complementary feeding practice.
This study revealed that a significant proportion of mothers had inappropriate complementary feeding practice for their children aged 6-23 months. This study highlights the need for behavior change communication and promotion of kitchen garden to address the associated factors and promote appropriate complementary feeding practice.
适当的补充喂养对提高儿童生存率至关重要；并促进健康成长和发展。有证据表明，适当的补充喂养可有效预防营养不良和儿童死亡。因此，本研究的主要目的是评估 6-23 个月儿童母亲适当补充喂养实践的流行情况及其相关因素。
这是一项 2018 年 8 月至 12 月进行的基于社区的横断面研究。从 714 名符合条件的母亲中随机选择了 259 名 6-23 个月大孩子的母亲。使用结构化问卷通过面对面访谈从受访者处收集数据。数据是在基于平板电脑的问卷中使用 Open Data Kit 移动应用程序收集的。使用 SPSS 版本 21 进行数据分析。多变量逻辑回归用于确定与适当补充喂养实践相关的因素。
适当补充喂养实践的流行率为 25%。具有正规教育的母亲和父亲（AOR6.1，CI：1.7-22.4 和 AOR5.6 CI：1.5-21.2）、儿童喂养咨询（AOR4.2，CI：1.5-12.3）、拥有菜园（AOR2.4，CI：1.1-5.2）和食物保障家庭（AOR3.0，CI：1.0-8.9）的母亲更有可能进行适当的补充喂养。
本研究表明，相当一部分母亲对其 6-23 个月大的儿童进行了不适当的补充喂养。本研究强调需要进行行为改变沟通和推广菜园，以解决相关因素并促进适当的补充喂养实践。
