Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana
Introduction: HIV-exposed children, even when uninfected, have a greater risk of malnutrition than unexposed counterparts. WHO guidelines recommend children aged 6–23 months be fed a variety of foods to meet nutrient requirements. This study aimed to determine infant and young child feeding (IYCF) p...
| Autores principales: | , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Frontiers Media
2024
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| Acceso en línea: | https://hdl.handle.net/10568/155321 |
| _version_ | 1855526997597356032 |
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| author | Folson, Gloria K. Bannerman, Boateng Asante, Millicent Tokor, Grace Siba Ador, Gabriel Atadze, Vicentia Puplampu, Peter Dame, Joycelyn Assimeng Neizer, Margaret Yamauchi, Futoshi |
| author_browse | Ador, Gabriel Asante, Millicent Atadze, Vicentia Bannerman, Boateng Dame, Joycelyn Assimeng Folson, Gloria K. Neizer, Margaret Puplampu, Peter Tokor, Grace Siba Yamauchi, Futoshi |
| author_facet | Folson, Gloria K. Bannerman, Boateng Asante, Millicent Tokor, Grace Siba Ador, Gabriel Atadze, Vicentia Puplampu, Peter Dame, Joycelyn Assimeng Neizer, Margaret Yamauchi, Futoshi |
| author_sort | Folson, Gloria K. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Introduction: HIV-exposed children, even when uninfected, have a greater risk of malnutrition than unexposed counterparts. WHO guidelines recommend children aged 6–23 months be fed a variety of foods to meet nutrient requirements. This study aimed to determine infant and young child feeding (IYCF) practices among HIV-exposed children under 2 years old enrolled in a dietary intervention and to explore correlates of the IYCF indicators and associations between IYCF and nutritional status.
Methodology: Six hundred and eighty mother–child pairs were recruited from 19 health facilities from the Greater Accra Region. The sociodemographic data, anthropometry, hemoglobin, and dietary intake were recorded.
Results: Ninety-five percent of HIV-positive mothers breastfed their babies, and 53% initiated breastfeeding in a timely manner. Around one in five mothers (21%) introduced liquids other than breastmilk to their children within the first 2 days of birth, and only around one in four children (26%) aged 12–23 months had received breast milk on the day before assessment. Ninety-three percent of babies between 6 and 8 months had been introduced to solid, semi-solid, or soft foods. Eighteen percent of children reached the threshold for Minimum Dietary Diversity (MDD) by eating from over five of eight food groups. Fifty-four percent received Minimum Meal Frequency (MMF), eating between 2 and 4 meals in a day. Eleven percent received the Minimum Acceptable Diet (MAD). Thirty-two percent were anemic. Underweight and stunting were 12 and 11%, respectively. Children of mothers aged 31–40 years were more likely to meet the MDD and MAD [OR = 2.8, 95%CI (1.185, 6.519), p < 0.05 and OR = 2.8, 95%CI (1.256, 6.279), p < 0.05] compared to children of mothers aged 30 years or less or aged above 40 years. Children from households earning more than GHS 500 were more likely to meet MMF than those from households earning less. No associations were found between IYCF and nutritional status.
Conclusion: Findings highlight the need for nutrition programs to educate HIV-exposed children’s caregivers on optimal feeding practices. The importance of continued breastfeeding and dietary diversity needs to be highlighted. Affordable, iron-rich foods should be promoted. Special attention should be paid to younger, less educated, and lower socioeconomic status mothers.
This article is part of the Research Topic: New Challenges and Future Perspectives in Nutrition and Sustainable Diets in Africa |
| format | Journal Article |
| id | CGSpace155321 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Frontiers Media |
| publisherStr | Frontiers Media |
| record_format | dspace |
| spelling | CGSpace1553212025-12-08T10:29:22Z Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana Folson, Gloria K. Bannerman, Boateng Asante, Millicent Tokor, Grace Siba Ador, Gabriel Atadze, Vicentia Puplampu, Peter Dame, Joycelyn Assimeng Neizer, Margaret Yamauchi, Futoshi capacity development children diet quality Human immunodeficiency virus nutrition Introduction: HIV-exposed children, even when uninfected, have a greater risk of malnutrition than unexposed counterparts. WHO guidelines recommend children aged 6–23 months be fed a variety of foods to meet nutrient requirements. This study aimed to determine infant and young child feeding (IYCF) practices among HIV-exposed children under 2 years old enrolled in a dietary intervention and to explore correlates of the IYCF indicators and associations between IYCF and nutritional status. Methodology: Six hundred and eighty mother–child pairs were recruited from 19 health facilities from the Greater Accra Region. The sociodemographic data, anthropometry, hemoglobin, and dietary intake were recorded. Results: Ninety-five percent of HIV-positive mothers breastfed their babies, and 53% initiated breastfeeding in a timely manner. Around one in five mothers (21%) introduced liquids other than breastmilk to their children within the first 2 days of birth, and only around one in four children (26%) aged 12–23 months had received breast milk on the day before assessment. Ninety-three percent of babies between 6 and 8 months had been introduced to solid, semi-solid, or soft foods. Eighteen percent of children reached the threshold for Minimum Dietary Diversity (MDD) by eating from over five of eight food groups. Fifty-four percent received Minimum Meal Frequency (MMF), eating between 2 and 4 meals in a day. Eleven percent received the Minimum Acceptable Diet (MAD). Thirty-two percent were anemic. Underweight and stunting were 12 and 11%, respectively. Children of mothers aged 31–40 years were more likely to meet the MDD and MAD [OR = 2.8, 95%CI (1.185, 6.519), p < 0.05 and OR = 2.8, 95%CI (1.256, 6.279), p < 0.05] compared to children of mothers aged 30 years or less or aged above 40 years. Children from households earning more than GHS 500 were more likely to meet MMF than those from households earning less. No associations were found between IYCF and nutritional status. Conclusion: Findings highlight the need for nutrition programs to educate HIV-exposed children’s caregivers on optimal feeding practices. The importance of continued breastfeeding and dietary diversity needs to be highlighted. Affordable, iron-rich foods should be promoted. Special attention should be paid to younger, less educated, and lower socioeconomic status mothers. This article is part of the Research Topic: New Challenges and Future Perspectives in Nutrition and Sustainable Diets in Africa 2024-04-29 2024-10-11T18:52:38Z 2024-10-11T18:52:38Z Journal Article https://hdl.handle.net/10568/155321 en Open Access Frontiers Media Folson, Gloria K.; Bannerman, Boateng; Asante, Millicent; Tokor, Grace Siba; Ador, Gabriel; Atadze, Vicentia; et al. 2024. Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana. Frontiers in Sustainable Food Systems 8: 1251611. https://doi.org/10.3389/fsufs.2024.1251611 |
| spellingShingle | capacity development children diet quality Human immunodeficiency virus nutrition Folson, Gloria K. Bannerman, Boateng Asante, Millicent Tokor, Grace Siba Ador, Gabriel Atadze, Vicentia Puplampu, Peter Dame, Joycelyn Assimeng Neizer, Margaret Yamauchi, Futoshi Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana |
| title | Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana |
| title_full | Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana |
| title_fullStr | Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana |
| title_full_unstemmed | Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana |
| title_short | Diet quality and nutritional status of HIV-exposed children aged between 6 and 18 months in the Greater Accra Region of Ghana |
| title_sort | diet quality and nutritional status of hiv exposed children aged between 6 and 18 months in the greater accra region of ghana |
| topic | capacity development children diet quality Human immunodeficiency virus nutrition |
| url | https://hdl.handle.net/10568/155321 |
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