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

Abstract 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...

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Main Authors: Dev Ram Sunuwar, Anuradha Bhatta, Anjana Rai, Narendra Kumar Chaudhary, Man Kumar Tamang, Suvash Nayaju, Devendra Raj Singh
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s40795-023-00691-3
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author Dev Ram Sunuwar
Anuradha Bhatta
Anjana Rai
Narendra Kumar Chaudhary
Man Kumar Tamang
Suvash Nayaju
Devendra Raj Singh
author_facet Dev Ram Sunuwar
Anuradha Bhatta
Anjana Rai
Narendra Kumar Chaudhary
Man Kumar Tamang
Suvash Nayaju
Devendra Raj Singh
author_sort Dev Ram Sunuwar
collection DOAJ
description Abstract 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.
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spelling doaj.art-b09af85041b549cba84d0729371be8662023-03-22T10:38:59ZengBMCBMC Nutrition2055-09282023-02-019111310.1186/s40795-023-00691-3The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of NepalDev Ram Sunuwar0Anuradha Bhatta1Anjana Rai2Narendra Kumar Chaudhary3Man Kumar Tamang4Suvash Nayaju5Devendra Raj Singh6Department of Nutrition and Dietetics, Nepal Armed Police Force HospitalDepartment of Public Health, Asian College for Advance Studies, Purbanchal UniversitySchool of Public Health and Social Work, Queensland University of TechnologyDepartment of Radiology, Nepal Orthopaedic HospitalQueensland Brain Institute, The University of QueenslandDepartment of Public Health, Asian College for Advance Studies, Purbanchal UniversitySchool of Human and Health Sciences, University of HuddersfieldAbstract 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.https://doi.org/10.1186/s40795-023-00691-3Child cash grantChild feeding practicesCash transfersNutrition allowanceNepal
spellingShingle Dev Ram Sunuwar
Anuradha Bhatta
Anjana Rai
Narendra Kumar Chaudhary
Man Kumar Tamang
Suvash Nayaju
Devendra Raj Singh
The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal
BMC Nutrition
Child cash grant
Child feeding practices
Cash transfers
Nutrition allowance
Nepal
title The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal
title_full The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal
title_fullStr The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal
title_full_unstemmed The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal
title_short The factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the Himalayan region of Nepal
title_sort factors influencing inappropriate child feeding practices among families receiving nutrition allowance in the himalayan region of nepal
topic Child cash grant
Child feeding practices
Cash transfers
Nutrition allowance
Nepal
url https://doi.org/10.1186/s40795-023-00691-3
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