Assessment of complementary feeding practice in children 6-23 months of age in Mosul city

AL-Waly, Luay Amjed; AL- Hafidh, Nashwan Mustfa

doi:10.33899/mjn.2019.162923

	Assessment of complementary feeding practice in children 6-23 months of age in Mosul city
Mosul Journal of Nursing (Print ISSN: 2311-8784 Online ISSN: 2663-0311)
Article 3, Volume 2, Issue 1, January 2014, Pages 13-18 PDF (532.61 K)
Document Type: Original Articles
DOI: 10.33899/mjn.2019.162923
Authors
Luay Amjed AL-Waly; Nashwan mustfa AL- Hafidh
Abstract
Background and Objectives: Proper feeding practices of children less than 2 years of age is important because it is the most critical period of life for optimal growth and development. This study aims to use the newly developed World Health Organization (WHO) infant feeding Indicators published in 2008, to assess complementary feeding practice in children 6-23 months of age in Mosul city. Materials and Methods: A cross-sectional study was conducted in six primary health care (PHC) centers in Mosul city during 3 months period from 11th of February to 11th of May 2013. The study sample consists of (422) healthy convenient children who attended (PHC) centers for immunization. The questionnaire data filled by the researcher in a direct interview with consent mothers, utilizing the key indicators recommended by the WHO (2008) used to assess infant and young child feeding (IYCF) practices which include minimum dietary diversity, minimum meal frequency and minimum acceptable diet calculated for the age ranges 6 –23 months of age, and based on the mother’s recall of foods given to her child in the 24 hours before the interview. The questionnaire subsumed inquires about source of feeding advice practiced by the studied mother. Statistical processing was conducted by the use of version 17 SPSS statistical package. Results: A total of 422 children were enrolled in this study; 231(54.7 %) boys and 191 (45.3%) girls. The mean age of the studied children is 12.4 ± 4.97 months. Less than half 192(45.5 %) of the children 6–23 months of age met the minimum dietary diversity criteria whereas 334(79.1%) met the minimum meal frequency criteria and only 172(40.8%) of the sample achieve the minimum acceptable diet criteria. Grain is the most frequent type of food consumed by 6-23 months aged children followed by dairy products, fruits and vegetables, egg, vitamin A-rich fruits and vegetables, and finally meat and legumes in decreasing frequency. Conclusion: the family was the principal source of advice on child feeding practice. Key words: Complementary feeding, Mosul, new WHO indicators, infant and young child feeding, dietary diversity, meal frequency and minimum acceptable diet.
Keywords
Complementary Feeding; Mosul; new WHO indicators; infant and young child feeding; dietary diversity; meal frequency and minimum acceptable diet

References
Batal, M., Boulghourjian, C., Akik, C. (2010). Complementary feeding patterns in a developing country: a cross-sectional study across Lebanon. Eastern Mediterranean Health Journal. EMHJ. 16(2). P.p.180-186. Black, RE., Allen, LH., Bhutta, Z A., Caulfield, LE. (2008). Maternal and child undernutrition: Global and regional exposures and health consequences. Lancet. 371(9608). P.p. 243–60. Caetano, MC., Ortiz, TT., da Silva, SG., de Souza, FI., Sarni, RO. (2010). Complementary feeding: inappropriate practices in infants. Brazil, J Pediatr. 86(3). P.p.196-201. Caulfield, LE., DeOnis, M., Blössner, M., Black, RE. (2004). Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria and measles. American Journal of Clinical Nutrition. 80. P.p193-198. Charmaine, SN., Michael, JD., Kingsley, EA. (2012). Complementary feeding indicators and determinants of poor feeding practices in Indonesia. a secondary analysis of 2007 Demographic and Health Survey data , Public Health Nutrition. 15(5). P.p.827–839. Dang, S., Yan, H., Yamamoto, S., Wang, X., Zeng, L. (2005). Feeding practices among younger Tibetan children living at high altitudes. Eur J Clin Nutr. 59(9). P.p1022-29. El-Zanaty, F., Ann Way. (2009). Egypt Demographic and Health Survey 2008. Cairo, Egypt. Ministry of Health, El-Zanaty and Associates, and Macro International . Hope, LT., Gross, R., Giay, T., Sastroamidjojo, S., Schultink, W., Lang, NT. (2000). Premature Complementary Feeding Is associated with Poorer Growth of Vietnamese Children. J Nutr. 130(11). P.p. 2683-90. Hotz, C., Gibson, RS. (2001). Complementary feeding practices and dietary intakes from complementary foods amongst weanlings in rural Malawi. European J Clin Nutr. 55(10). P.p841-49. Imdad, A., Yakoob, MY., Bhutta, ZA. (2011). Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health. P.p.3-25. Joshi, N., Agho, KE., Dibley, MJ., Senarath, U., Tiwari, K. (2012). Determinants of complementary feeding practices in young children in Nepal: secondary data analysis of Demographic and Health Survey 2006. Maternal and Child Nutrition. 8(1). P.p. 45-59. Kabir, I., Khanam, M., Agho, KE., Mihrshahi, S., Dibley, MJ., Roy, SK. (2012). Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: secondary data analysis of Demographic and Health Survey 2007. Maternal & Child Nutrition. 8(1). P.p11-27. Krebs, NF., Mazariegos, M., Tshefu, A., Bose, C., Sami, N., Chomba, E.,(2011) . Meat consumption is associated with less stunting among toddlers in four diverse low-income settings .Food & Nutrition Bulletin ; 32(3):p185-191. Kuriyan, R., Kurpad, AV.,(2012). Complementary feeding patterns in India. Nutrition, Metabolism & Cardiovascular Diseases ;22(10):p799-805. Macharia-Mutie, CW., Brouwer, ID., Mwangi, AM., Kok, FJ. (2010). Complementary feeding practices and dietary intake among children 12-23 months in Mwingi district, Kenya. Journal of Food Safety. P.p 45-56. Nasmah, NA., Mohammed, M. (2001). Malnutrition in children in Qadisyah. Iraqi J Commun. Med 2001. 14 (2). P.p.109- 11. Nsour, F., Saleh, K., Aranki, I., Akeel, W., Alomari, Y., et al. (2008) . Jordan population and Family Health Survey 2007. Department of Statistics [Jordan] and Macro International Inc. PAHO and WHO. (2003). Guiding Principles for Complementary Feeding of the Breastfed child . Washington, D.C. Pan American Health Organization / World Health Organization . Patel, A., Pusdekar, Y., Badhoniya, N., Borkar, J., Agho, KE., Dibley, MJ. (2012). Determinants of inappropriate complementary feeding practices in young children in India: secondary analysis of National Family Health Survey 2005-2006. Maternal & Child Nutrition. 8(1). P.p.28-44. Paul, KH., Muti, M., Khalfan, SS., Humphrey, JH., Caffarella, R., Scoltzfus, RJ. (2011). Beyond food insecurity: how context can improve complementary feeding interventions. Food Nutr Bull. 32(3). P.p244-53. Saleem, MB. (2006). Complementary foods for children under two years of age and its relation to nutritional status and selected socio-demographic factors in Basrah . Medical Journal of Basrah University. MJBU. 24(1&2). P.p34-44 . Senarath, U., Godakandage, SSP., Jayawickrama, H., Siriwardena, I., Dibley, MJ. (2012). Determinants of inappropriate complementary feeding practices in young children in Sri Lanka: secondary data analysis of Demographic and Health Survey 2006-2007. Maternal and Child Nutrition. 8(1). P.p. 60-77. Shaker, NZ., Hussein, KA., AL-Azzawi, SI. (2009). Knowledge, Attitude and Practices (KAP) of Mothers toward Infant and Young Child Feeding in Primary Health Care (PHC) Centers, Erbil City. Hawler Medical University. P.p. 1-10. Tarrant, RC., Younger, KM., Sheridan, PM., White, MJ., Kearney, JM. (2010). Factors associated with weaning practices in term infants: a prospective observational study in Ireland. Br J Nutr. 104(10). P.p.1544-54. WHO. (1998). Complementary feeding of young children in developing countries: a review of current scientific knowledge. Geneva, Switzerland: World Health Organization. Retrieved from www.whqlibdoc.who.int/hq/ 1998/WHO_NUT_ 98.1.pdf on 12 Dec. 2012. WHO.,(2000) .Nutrition throughout life. 4^th Report on The World Nutrition Situation. ACC/SCN(Administrative Committee on Coordination, sub-Committee on Nutrition). WHO. Geneva. WHO. (2006). Complementary feeding in the WHO Multicentre Growth Reference Study.WHO Multicentre Growth Reference Study Group. Acta Pediatric. 450. P.p. 27-37. WHO. (2008). Indicators for assessing infant and young child feeding practices. Part I: Definitions. Conclusion of a consensus meeting held 6-8 November 2007 in Washington, DC, USA. Geneva WHO. Retrieved from http://www.who.int/nutrition/ publications/infantfeeding/9789241596664/en/index.html on 25 Dec. 2012 WHO. (2010). Indicators for assessing infant and young child feeding practices. Part 3: Country Profile. Geneva WHO. Retrieved from http://whqlibdoc.who.int/publications /2010/9789241599290_eng. on 25 Dec. 2012. World Bank. (2006). Repositioning Nutrition as Central to Development: A Strategy for Large Scale Action. The World Bank :Washington, DC.
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