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Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries
Suboptimal complementary feeding practices have a detrimental impact on a child's growth, health and development in the first two years of life. They lead to child malnutrition, which contributes to the high prevalence of stunting (38%) and underweight (28%) reported for children
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| Published in: | Maternal and child nutrition 2015-10, Vol.11 (S1), p.14-30 |
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| container_end_page | 30 |
| container_issue | S1 |
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| container_title | Maternal and child nutrition |
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| creator | Issaka, Abukari I. Agho, Kingsley E. Page, Andrew N. Burns, Penelope L. Stevens, Garry J. Dibley, Michael J. |
| description | Suboptimal complementary feeding practices have a detrimental impact on a child's growth, health and development in the first two years of life. They lead to child malnutrition, which contributes to the high prevalence of stunting (38%) and underweight (28%) reported for children |
| doi_str_mv | 10.1111/mcn.12194 |
| format | article |
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They lead to child malnutrition, which contributes to the high prevalence of stunting (38%) and underweight (28%) reported for children <5 years of age in Sub‐Saharan Africa. This study analysed complementary feeding practices in four anglophone West African countries (Ghana, Liberia, Nigeria and Sierra Leone) using the most recent Demographic and Health Surveys. The study covered 12 623 children aged 6–23 months from four anglophone West African countries (Ghana: 822 children: Liberia: 1458 children, Nigeria: 8786 children and Sierra Leone: 1557 children). Four complementary feeding indicators were examined against a set of individual‐, household‐ and community‐level factors, using multiple regression analysis. Multivariate analyses found that lack of post‐natal contacts with health workers, maternal illiteracy and geographical region were common determinants of delayed introduction of solid, semi‐solid or soft foods across all four countries. Predictors for minimum dietary diversity, minimum meal frequency and minimum acceptable diet included children aged 6–11 months, administrative/geographical region, poorer household income and limited access to media. The authors recommend that the four anglophone West African countries studied should prioritise efforts to improve complementary feeding practices in order to reduce child morbidity and mortality. Interventional studies on complementary feeding should target those from poor and illiterate households.</description><identifier>ISSN: 1740-8695</identifier><identifier>EISSN: 1740-8709</identifier><identifier>DOI: 10.1111/mcn.12194</identifier><identifier>PMID: 26364789</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>acceptable diet ; Adolescent ; Adult ; Africa, Western ; child development ; child growth ; complementary feeding ; Diet ; dietary diversity ; Educational Status ; England ; Feeding Methods - statistics & numerical data ; Female ; Ghana ; Health Education ; Health Surveys ; Humans ; Infant ; Infant Food ; Infant Nutritional Physiological Phenomena - physiology ; Language ; Liberia ; Literacy - statistics & numerical data ; Male ; Mass Media ; Maternal Age ; meal frequency ; Middle Aged ; Nigeria ; nutrition ; Nutritional Requirements ; Nutritional Status ; Nutritive Value ; Original ; paediatric ; Poverty ; Rural Population ; Sierra Leone ; West Africa ; Young Adult</subject><ispartof>Maternal and child nutrition, 2015-10, Vol.11 (S1), p.14-30</ispartof><rights>2015 John Wiley & Sons Ltd</rights><rights>2015 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860259/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6860259/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26364789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Issaka, Abukari I.</creatorcontrib><creatorcontrib>Agho, Kingsley E.</creatorcontrib><creatorcontrib>Page, Andrew N.</creatorcontrib><creatorcontrib>Burns, Penelope L.</creatorcontrib><creatorcontrib>Stevens, Garry J.</creatorcontrib><creatorcontrib>Dibley, Michael J.</creatorcontrib><title>Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries</title><title>Maternal and child nutrition</title><addtitle>Matern Child Nutr</addtitle><description>Suboptimal complementary feeding practices have a detrimental impact on a child's growth, health and development in the first two years of life. They lead to child malnutrition, which contributes to the high prevalence of stunting (38%) and underweight (28%) reported for children <5 years of age in Sub‐Saharan Africa. This study analysed complementary feeding practices in four anglophone West African countries (Ghana, Liberia, Nigeria and Sierra Leone) using the most recent Demographic and Health Surveys. The study covered 12 623 children aged 6–23 months from four anglophone West African countries (Ghana: 822 children: Liberia: 1458 children, Nigeria: 8786 children and Sierra Leone: 1557 children). Four complementary feeding indicators were examined against a set of individual‐, household‐ and community‐level factors, using multiple regression analysis. Multivariate analyses found that lack of post‐natal contacts with health workers, maternal illiteracy and geographical region were common determinants of delayed introduction of solid, semi‐solid or soft foods across all four countries. Predictors for minimum dietary diversity, minimum meal frequency and minimum acceptable diet included children aged 6–11 months, administrative/geographical region, poorer household income and limited access to media. The authors recommend that the four anglophone West African countries studied should prioritise efforts to improve complementary feeding practices in order to reduce child morbidity and mortality. Interventional studies on complementary feeding should target those from poor and illiterate households.</description><subject>acceptable diet</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Africa, Western</subject><subject>child development</subject><subject>child growth</subject><subject>complementary feeding</subject><subject>Diet</subject><subject>dietary diversity</subject><subject>Educational Status</subject><subject>England</subject><subject>Feeding Methods - statistics & numerical data</subject><subject>Female</subject><subject>Ghana</subject><subject>Health Education</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Food</subject><subject>Infant Nutritional Physiological Phenomena - physiology</subject><subject>Language</subject><subject>Liberia</subject><subject>Literacy - statistics & numerical data</subject><subject>Male</subject><subject>Mass Media</subject><subject>Maternal Age</subject><subject>meal frequency</subject><subject>Middle Aged</subject><subject>Nigeria</subject><subject>nutrition</subject><subject>Nutritional Requirements</subject><subject>Nutritional Status</subject><subject>Nutritive Value</subject><subject>Original</subject><subject>paediatric</subject><subject>Poverty</subject><subject>Rural Population</subject><subject>Sierra Leone</subject><subject>West Africa</subject><subject>Young Adult</subject><issn>1740-8695</issn><issn>1740-8709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVUcFu1DAQjRCIlsKBH0A-cklrx44dX5CqBQqiLEICVeJiTZzJriGxUzsB9s6H43bbFczFY897b_T8iuI5o6cs19lo_SmrmBYPimOmBC0bRfXD-17q-qh4ktJ3SvlNPS6OKsmlUI0-Lv68xhnj6Dz4OZHQk7S0YZrdCAOxYZwGHNHPEHekR-yc35Apgp2dxURgDPlut27oInoCG-yILCtO8vu8TcR50oclEvCbIUzb4JFcYZrJeR-dBZ_1Fz9Hh-lp8aiHIeGzu_Ok-Pr2zZfVu_Ly08X71fll6bjSotQIkjOQIIUQnLVWtQ3KvuKoOWAFqtPZK1CFgiGteS-gUa1lloqqbcHyk-LVXnda2hE7m51FGMwUs924MwGc-X_i3dZswk8jG0mrWmeBl3cCMVwv2YsZXbI4DOAxLMkwxaq6qllTZ-iLf3cdltx_fQac7QG_3IC7w5xRc5OpyZma20zNx9X6tsmMcs9wacbfBwbEH0Yqrmpztb4wH-iafvu80obzvznlpnc</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Issaka, Abukari I.</creator><creator>Agho, Kingsley E.</creator><creator>Page, Andrew N.</creator><creator>Burns, Penelope L.</creator><creator>Stevens, Garry J.</creator><creator>Dibley, Michael J.</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201510</creationdate><title>Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries</title><author>Issaka, Abukari I. ; Agho, Kingsley E. ; Page, Andrew N. ; Burns, Penelope L. ; Stevens, Garry J. ; Dibley, Michael J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3794-9ea631a6a644431bc7b8e6f23e93ae2a7d9695a07e41e053f4a87bc1c042bbac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>acceptable diet</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Africa, Western</topic><topic>child development</topic><topic>child growth</topic><topic>complementary feeding</topic><topic>Diet</topic><topic>dietary diversity</topic><topic>Educational Status</topic><topic>England</topic><topic>Feeding Methods - statistics & numerical data</topic><topic>Female</topic><topic>Ghana</topic><topic>Health Education</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant Food</topic><topic>Infant Nutritional Physiological Phenomena - physiology</topic><topic>Language</topic><topic>Liberia</topic><topic>Literacy - statistics & numerical data</topic><topic>Male</topic><topic>Mass Media</topic><topic>Maternal Age</topic><topic>meal frequency</topic><topic>Middle Aged</topic><topic>Nigeria</topic><topic>nutrition</topic><topic>Nutritional Requirements</topic><topic>Nutritional Status</topic><topic>Nutritive Value</topic><topic>Original</topic><topic>paediatric</topic><topic>Poverty</topic><topic>Rural Population</topic><topic>Sierra Leone</topic><topic>West Africa</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Issaka, Abukari I.</creatorcontrib><creatorcontrib>Agho, Kingsley E.</creatorcontrib><creatorcontrib>Page, Andrew N.</creatorcontrib><creatorcontrib>Burns, Penelope L.</creatorcontrib><creatorcontrib>Stevens, Garry J.</creatorcontrib><creatorcontrib>Dibley, Michael J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Maternal and child nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Issaka, Abukari I.</au><au>Agho, Kingsley E.</au><au>Page, Andrew N.</au><au>Burns, Penelope L.</au><au>Stevens, Garry J.</au><au>Dibley, Michael J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries</atitle><jtitle>Maternal and child nutrition</jtitle><addtitle>Matern Child Nutr</addtitle><date>2015-10</date><risdate>2015</risdate><volume>11</volume><issue>S1</issue><spage>14</spage><epage>30</epage><pages>14-30</pages><issn>1740-8695</issn><eissn>1740-8709</eissn><abstract>Suboptimal complementary feeding practices have a detrimental impact on a child's growth, health and development in the first two years of life. They lead to child malnutrition, which contributes to the high prevalence of stunting (38%) and underweight (28%) reported for children <5 years of age in Sub‐Saharan Africa. This study analysed complementary feeding practices in four anglophone West African countries (Ghana, Liberia, Nigeria and Sierra Leone) using the most recent Demographic and Health Surveys. The study covered 12 623 children aged 6–23 months from four anglophone West African countries (Ghana: 822 children: Liberia: 1458 children, Nigeria: 8786 children and Sierra Leone: 1557 children). Four complementary feeding indicators were examined against a set of individual‐, household‐ and community‐level factors, using multiple regression analysis. Multivariate analyses found that lack of post‐natal contacts with health workers, maternal illiteracy and geographical region were common determinants of delayed introduction of solid, semi‐solid or soft foods across all four countries. Predictors for minimum dietary diversity, minimum meal frequency and minimum acceptable diet included children aged 6–11 months, administrative/geographical region, poorer household income and limited access to media. The authors recommend that the four anglophone West African countries studied should prioritise efforts to improve complementary feeding practices in order to reduce child morbidity and mortality. Interventional studies on complementary feeding should target those from poor and illiterate households.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26364789</pmid><doi>10.1111/mcn.12194</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | acceptable diet Adolescent Adult Africa, Western child development child growth complementary feeding Diet dietary diversity Educational Status England Feeding Methods - statistics & numerical data Female Ghana Health Education Health Surveys Humans Infant Infant Food Infant Nutritional Physiological Phenomena - physiology Language Liberia Literacy - statistics & numerical data Male Mass Media Maternal Age meal frequency Middle Aged Nigeria nutrition Nutritional Requirements Nutritional Status Nutritive Value Original paediatric Poverty Rural Population Sierra Leone West Africa Young Adult |
| title | Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries |
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