Hasen Habtamu, Kusheta Samuel, Abuhay Efrata, Tumiso Hamdela, Leuel Yenatfanta, Daniel Dinku, Amare Mesganew, Samuel Abraham, Habtu Yitagesu
Department of Public Health, Hossana College of Health Science, Hossana, Ethiopia.
Department of midwifery, Hossana College of Health Science, Hossana, Ethiopia.
BMC Nutr. 2024 Apr 2;10(1):54. doi: 10.1186/s40795-024-00862-w.
Baby-friendly workplace is an effective evidence based initiative developed by the World Health Organization to protect and support maternal knowledge, beliefs, and confidence in infant and young child feeding practices. However, studies that show the effect of the baby-friendly workplace initiative on the nutritional status of infant and young children are not available in Ethiopia. Therefore, this study aimed to assess the nutritional status among baby friendly initiatives service utlizers and non utlizers children age 6-24 months in public health facilities of Southern Ethiopia.
We conducted a comparative cross-sectional study from 1 to 30 June 2022 among 220 mothers with children aged 6-24 months. Data were collected through face-to-face interviews using a structured questionnaire. Data were entered into Epidata Software version 4.2 and then exported to IBM SPSS version 26 software for analysis. Chi-square and Fisher exact test were used to assess the differences between users and non-users of the baby friendly workplace initiative. Logistic regression model was used to determine the association between dependent and independent variables. Adjusted odds ratio (AOR) with a 95% confidence interval was computed. P-values < 0.05 at a 95% confidence level were considered statistically significant.
The mean (SD) scores of weight for age (WAZ), height for age (HAZ), and weight for height (WHZ) were - 0.38 (1.34),-0.17(2.62) and-0.35 (1.84) respectively. After adjusting for covariates, children aged 6-24 months who did not use baby friendly workplace initiatives were 2.26 times more likely to have stunting compared to the users of baby friendly workplace initiative (AOR 2.26, 95% CI: 1.05, 4.88). However, both wasting (AOR: 0.42; 95% CI:0.13, 1.37) and underweight (AOR: 1.09; 95% CI: 0.45, 2.60) were not significantly associated with the use of baby friendly workplace initiatives.
The use of baby friendly work place initiatives was successful in improving nutritional status, specifically chronic malnutrition in children. Strengthening and scaling up the baby friendly work place initiative program has the potential to reduce chronic malnutrition in Ethiopia and other similar settings with high burden of malnutrition areas, by implementing it in public facilities.
爱婴工作场所是世界卫生组织制定的一项基于证据的有效倡议，旨在保护和支持母亲在婴幼儿喂养实践方面的知识、信念和信心。然而，在埃塞俄比亚，尚无研究表明爱婴工作场所倡议对婴幼儿营养状况的影响。因此，本研究旨在评估埃塞俄比亚南部公共卫生设施中，6至24个月大的参与和未参与爱婴倡议服务的儿童的营养状况。
2022年6月1日至30日，我们对220名有6至24个月大孩子的母亲进行了一项比较横断面研究。通过面对面访谈，使用结构化问卷收集数据。数据录入Epidata软件4.2版本，然后导出到IBM SPSS软件26版本进行分析。采用卡方检验和Fisher精确检验评估爱婴工作场所倡议使用者和非使用者之间的差异。使用逻辑回归模型确定因变量和自变量之间的关联。计算调整后的比值比（AOR）及其95%置信区间。在95%置信水平下，P值<0.05被认为具有统计学意义。
年龄别体重（WAZ）、年龄别身高（HAZ）和身高别体重（WHZ）的平均（标准差）得分分别为-0.38（1.34）、-0.17（2.62）和-0.35（1.84）。在对协变量进行调整后，6至24个月大未参与爱婴工作场所倡议的儿童发育迟缓的可能性是参与爱婴工作场所倡议儿童的2.26倍（AOR 2.26，95%置信区间：1.05，4.88）。然而，消瘦（AOR：0.42；95%置信区间：0.13，1.37）和体重不足（AOR：1.09；95%置信区间：0.45，2.60）与爱婴工作场所倡议的使用均无显著关联。
爱婴工作场所倡议的实施成功改善了营养状况，特别是儿童的慢性营养不良。通过在公共设施中实施，加强和扩大爱婴工作场所倡议项目有可能在埃塞俄比亚以及其他营养不良负担较重的类似地区减少慢性营养不良。
