The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal.

Autor: Sunuwar DR; Department of Nutrition and Dietetics, Nepal Armed Police Force Hospital, Kathmandu, Nepal. devramsunuwar@gmail.com.; Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal. devramsunuwar@gmail.com., Bhatta A; Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal., Rai A; School of Public Health and Social Work, Queensland University of Technology, Brisbane City, Australia., Chaudhary NK; Department of Radiology, Nepal Orthopaedic Hospital, Jorpati, Kathmandu, Nepal., Tamang MK; Queensland Brain Institute, The University of Queensland, Brisbane, Australia., Nayaju S; Department of Public Health, Asian College for Advance Studies, Purbanchal University, Lalitpur, Nepal., Singh DR; School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.; Research Section, Swadesh Development Foundation, Siraha, Nepal.
Jazyk: angličtina
Zdroj: BMC nutrition [BMC Nutr] 2023 Feb 20; Vol. 9 (1), pp. 33. Date of Electronic Publication: 2023 Feb 20.
DOI: 10.1186/s40795-023-00691-3
Abstrakt: Background: Child feeding practices during the first two years of life are crucial to ensure good health and nutrition status. This study aimed to assess the factors influencing inappropriate child feeding practices in children aged 6 - 23 months in families receiving nutrition allowance in the remote Mugu district, Nepal.
Methods: A community-based cross-sectional study was conducted among 318 mothers who had children aged 6 - 23 months of age in the seven randomly selected wards. Systematic random sampling technique was used to select the desired number of respondents. Data were collected using pre-tested semi-structured questionnaire. Bivariate and multivariable binary logistic regression was used to estimate crude odds ratio (cOR), and adjusted odds ratio (aOR), and 95% confidence intervals (CIs) to understand factor associated with child feeding practices.
Results: Almost half of the children aged 6 - 23 months were not consuming a diverse diet (47.2%; 95% CI: 41.7%, 52.7%), did not meet the recommended minimum meal frequency (46.9%; 95% CI: 41.4%, 52.4%) and did not consume minimum acceptable diet (51.7%; 95% CI: 46.1%, 57.1%). Only 27.4% (95% CI: 22.7%, 32.5%) of children met the recommended complementary feeding practices. Multivariable analysis showed maternal characteristics such as mothers who gave birth at home (aOR = 4.70; 95% CI: 1.03, 21.31) and mothers in unpaid employment (aOR = 2.56; 95% CI: 1.06, 6.19) were associated with increased odds of inappropriate child feeding practices. Household economy (i.e. family with < 150 USD monthly income) was also associated with increased odds of inappropriate child feeding practices (aOR = 1.19; 95% CI: 1.05, 2.42).
Conclusion: Despite the receipt of nutritional allowances, child feeding practices among 6 - 23 months children were not optimal. Additional context-specific behavior change strategies on child nutrition targeting mothers may be required.
(© 2023. The Author(s).)
Databáze: MEDLINE
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