Understanding delays in the introduction of complementary foods in rural Ethiopia

Age-appropriate breastfeeding and introduction to complementary foods can shape child feeding practices, ensure adequate energy and nutrient intake and prevent linear growth faltering. This study aimed to assess mothers' and health workers' knowledge of timely introduction to complementary foods and...

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Main Authors: Hirvonen, Kalle, Wolle, Abdulazize, Laillou, Arnaud, Vinci, Vincenzo, Chitekwe, Stanley, Baye, Kaleab
Format: Journal Article
Language:Inglés
Published: Wiley 2024
Subjects:
Online Access:https://hdl.handle.net/10568/140441
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author Hirvonen, Kalle
Wolle, Abdulazize
Laillou, Arnaud
Vinci, Vincenzo
Chitekwe, Stanley
Baye, Kaleab
author_browse Baye, Kaleab
Chitekwe, Stanley
Hirvonen, Kalle
Laillou, Arnaud
Vinci, Vincenzo
Wolle, Abdulazize
author_facet Hirvonen, Kalle
Wolle, Abdulazize
Laillou, Arnaud
Vinci, Vincenzo
Chitekwe, Stanley
Baye, Kaleab
author_sort Hirvonen, Kalle
collection Repository of Agricultural Research Outputs (CGSpace)
description Age-appropriate breastfeeding and introduction to complementary foods can shape child feeding practices, ensure adequate energy and nutrient intake and prevent linear growth faltering. This study aimed to assess mothers' and health workers' knowledge of timely introduction to complementary foods and evaluate the relationship between delays in complementary feeding and subsequent linear growth. We conducted two rounds of surveys (March/August 2017) among 249 health workers (n = 249) and caregivers (n = 2635) of children 6–23 months of age. We collected information about socio-demographic characteristics, knowledge and practice related to timely introduction to complementary foods. The study was conducted in households from the Productive Safety Net Programme (PSNP) districts, in four highland regions of Ethiopia. Delays in the introduction to complementary feeding were widespread with 53% of children 6–8 months of age not consuming solid, semisolid or soft foods in the past 24 h. After controlling for child, caregiver and household characteristics, children not introduced to complementary foods by 6–8 months had a 0.48 SD lower length-for-age z-score at 12–15 months. Caregivers' knowledge was strongly and inversely correlated with untimely introduction of complementary foods in logistic regressions (OR = 0.55, p < 0.01). In turn, local health extension worker's knowledge was strongly correlated with caregiver's knowledge. Consequently, frequent and timely visits by health extension workers emphasising not only on what to feed but also when and how to feed a child are needed. Innovative ways of increasing reach, intensity and frequency of nutrition messaging by using the PSNP interactions as an additional point of contact would need to be explored further.
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spelling CGSpace1404412025-10-26T13:01:54Z Understanding delays in the introduction of complementary foods in rural Ethiopia Hirvonen, Kalle Wolle, Abdulazize Laillou, Arnaud Vinci, Vincenzo Chitekwe, Stanley Baye, Kaleab breastfeeding complementary foods nutrition health care child development maternal behaviour Age-appropriate breastfeeding and introduction to complementary foods can shape child feeding practices, ensure adequate energy and nutrient intake and prevent linear growth faltering. This study aimed to assess mothers' and health workers' knowledge of timely introduction to complementary foods and evaluate the relationship between delays in complementary feeding and subsequent linear growth. We conducted two rounds of surveys (March/August 2017) among 249 health workers (n = 249) and caregivers (n = 2635) of children 6–23 months of age. We collected information about socio-demographic characteristics, knowledge and practice related to timely introduction to complementary foods. The study was conducted in households from the Productive Safety Net Programme (PSNP) districts, in four highland regions of Ethiopia. Delays in the introduction to complementary feeding were widespread with 53% of children 6–8 months of age not consuming solid, semisolid or soft foods in the past 24 h. After controlling for child, caregiver and household characteristics, children not introduced to complementary foods by 6–8 months had a 0.48 SD lower length-for-age z-score at 12–15 months. Caregivers' knowledge was strongly and inversely correlated with untimely introduction of complementary foods in logistic regressions (OR = 0.55, p < 0.01). In turn, local health extension worker's knowledge was strongly correlated with caregiver's knowledge. Consequently, frequent and timely visits by health extension workers emphasising not only on what to feed but also when and how to feed a child are needed. Innovative ways of increasing reach, intensity and frequency of nutrition messaging by using the PSNP interactions as an additional point of contact would need to be explored further. 2024-07 2024-03-14T18:29:14Z 2024-03-14T18:29:14Z Journal Article https://hdl.handle.net/10568/140441 en Open Access Wiley Hirvonen, Kalle; Wolle, Abdulazize; Laillou, Arnaud; Vinci, Vincenzo; Chitekwe, Stanley; and Baye, Kaleab. 2024. Understanding delays in the introduction of complementary foods in rural Ethiopia. Maternal and Child Nutrition 20 (S5). https://doi.org/10.1111/mcn.13247
spellingShingle breastfeeding
complementary foods
nutrition
health care
child development
maternal behaviour
Hirvonen, Kalle
Wolle, Abdulazize
Laillou, Arnaud
Vinci, Vincenzo
Chitekwe, Stanley
Baye, Kaleab
Understanding delays in the introduction of complementary foods in rural Ethiopia
title Understanding delays in the introduction of complementary foods in rural Ethiopia
title_full Understanding delays in the introduction of complementary foods in rural Ethiopia
title_fullStr Understanding delays in the introduction of complementary foods in rural Ethiopia
title_full_unstemmed Understanding delays in the introduction of complementary foods in rural Ethiopia
title_short Understanding delays in the introduction of complementary foods in rural Ethiopia
title_sort understanding delays in the introduction of complementary foods in rural ethiopia
topic breastfeeding
complementary foods
nutrition
health care
child development
maternal behaviour
url https://hdl.handle.net/10568/140441
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