Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021
Abstract Background Appropriate Complementary feeding (CF) practices play a crucial role in determining child nutrition, growth, and development. This study seeks to examine CF practices and their predictors among children aged 6 to 23 months in rural Bangladesh according to the most recently update...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-06-01
|
| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-023-01131-1 |
| _version_ | 1797795885666533376 |
|---|---|
| author | Ahmed Jubayer Abira Nowar Saiful Islam Md. Hafizul Islam Md. Moniruzzaman Nayan |
| author_facet | Ahmed Jubayer Abira Nowar Saiful Islam Md. Hafizul Islam Md. Moniruzzaman Nayan |
| author_sort | Ahmed Jubayer |
| collection | DOAJ |
| description | Abstract Background Appropriate Complementary feeding (CF) practices play a crucial role in determining child nutrition, growth, and development. This study seeks to examine CF practices and their predictors among children aged 6 to 23 months in rural Bangladesh according to the most recently updated WHO/UNICEF guidelines for CF. Methods A total of 665 children aged 6 to 23 months from the Bangladesh Integrated Household Survey (BIHS) 2018–2019 dataset were analyzed. The WHO/UNICEF guidelines for CF were followed to evaluate each of the nine CF practice indicators. We also examined the effect of the child, maternal, household, and community-level factors on different CF components using multiple logistic regression analyses. Results Approximately two-thirds of the children initiated complementary feeding on time (63.5%) but had zero vegetable or fruit consumption (63.2%). More than half (52.4%) and the majority (86.5%) of children had minimum meal frequency and minimum milk feeding frequency, respectively. On the other hand, the proportion of minimum dietary diversity was quite low (18.3%), as reflected in the alarming prevalence (16.3%) of minimum acceptable diet. Egg and/or flesh food, sweet beverage, and unhealthy food consumption were 23.3%, 2.5%, and 12.2%, respectively. Child age, mothers’ education level, antenatal care visit, household food security, monthly household income, and place of residence were found to be associated with CF practices. Conclusion When compared to results obtained using the previous guideline, the new one has resulted in a lower prevalence of Introduction of solid, semi-solid, or soft foods (ISSF), Minimum dietary diversity (MDD), Minimum meal frequency (MMF), and Minimum acceptable diet (MAD). It is crucial to convey the new knowledge for better child feeding and nutrition as the country prepares to apply the new guideline. |
| first_indexed | 2024-03-13T03:24:47Z |
| format | Article |
| id | doaj.art-f1a9eea211c14acdb954c91277a49b2d |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-03-13T03:24:47Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-f1a9eea211c14acdb954c91277a49b2d2023-06-25T11:09:47ZengBMCArchives of Public Health2049-32582023-06-0181111410.1186/s13690-023-01131-1Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021Ahmed Jubayer0Abira Nowar1Saiful Islam2Md. Hafizul Islam3Md. Moniruzzaman Nayan4Institute of Nutrition and Food Science, University of DhakaInstitute of Nutrition and Food Science, University of DhakaInstitute of Nutrition and Food Science, University of DhakaInstitute of Nutrition and Food Science, University of DhakaInstitute of Nutrition and Food Science, University of DhakaAbstract Background Appropriate Complementary feeding (CF) practices play a crucial role in determining child nutrition, growth, and development. This study seeks to examine CF practices and their predictors among children aged 6 to 23 months in rural Bangladesh according to the most recently updated WHO/UNICEF guidelines for CF. Methods A total of 665 children aged 6 to 23 months from the Bangladesh Integrated Household Survey (BIHS) 2018–2019 dataset were analyzed. The WHO/UNICEF guidelines for CF were followed to evaluate each of the nine CF practice indicators. We also examined the effect of the child, maternal, household, and community-level factors on different CF components using multiple logistic regression analyses. Results Approximately two-thirds of the children initiated complementary feeding on time (63.5%) but had zero vegetable or fruit consumption (63.2%). More than half (52.4%) and the majority (86.5%) of children had minimum meal frequency and minimum milk feeding frequency, respectively. On the other hand, the proportion of minimum dietary diversity was quite low (18.3%), as reflected in the alarming prevalence (16.3%) of minimum acceptable diet. Egg and/or flesh food, sweet beverage, and unhealthy food consumption were 23.3%, 2.5%, and 12.2%, respectively. Child age, mothers’ education level, antenatal care visit, household food security, monthly household income, and place of residence were found to be associated with CF practices. Conclusion When compared to results obtained using the previous guideline, the new one has resulted in a lower prevalence of Introduction of solid, semi-solid, or soft foods (ISSF), Minimum dietary diversity (MDD), Minimum meal frequency (MMF), and Minimum acceptable diet (MAD). It is crucial to convey the new knowledge for better child feeding and nutrition as the country prepares to apply the new guideline.https://doi.org/10.1186/s13690-023-01131-1Complementary feedingCF predictorsChild feedingMinimum dietary diversityBangladesh |
| spellingShingle | Ahmed Jubayer Abira Nowar Saiful Islam Md. Hafizul Islam Md. Moniruzzaman Nayan Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021 Archives of Public Health Complementary feeding CF predictors Child feeding Minimum dietary diversity Bangladesh |
| title | Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021 |
| title_full | Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021 |
| title_fullStr | Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021 |
| title_full_unstemmed | Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021 |
| title_short | Complementary feeding practices and their determinants among children aged 6–23 months in rural Bangladesh: evidence from Bangladesh Integrated Household Survey (BIHS) 2018–2019 evaluated against WHO/UNICEF guideline -2021 |
| title_sort | complementary feeding practices and their determinants among children aged 6 23 months in rural bangladesh evidence from bangladesh integrated household survey bihs 2018 2019 evaluated against who unicef guideline 2021 |
| topic | Complementary feeding CF predictors Child feeding Minimum dietary diversity Bangladesh |
| url | https://doi.org/10.1186/s13690-023-01131-1 |
| work_keys_str_mv | AT ahmedjubayer complementaryfeedingpracticesandtheirdeterminantsamongchildrenaged623monthsinruralbangladeshevidencefrombangladeshintegratedhouseholdsurveybihs20182019evaluatedagainstwhounicefguideline2021 AT abiranowar complementaryfeedingpracticesandtheirdeterminantsamongchildrenaged623monthsinruralbangladeshevidencefrombangladeshintegratedhouseholdsurveybihs20182019evaluatedagainstwhounicefguideline2021 AT saifulislam complementaryfeedingpracticesandtheirdeterminantsamongchildrenaged623monthsinruralbangladeshevidencefrombangladeshintegratedhouseholdsurveybihs20182019evaluatedagainstwhounicefguideline2021 AT mdhafizulislam complementaryfeedingpracticesandtheirdeterminantsamongchildrenaged623monthsinruralbangladeshevidencefrombangladeshintegratedhouseholdsurveybihs20182019evaluatedagainstwhounicefguideline2021 AT mdmoniruzzamannayan complementaryfeedingpracticesandtheirdeterminantsamongchildrenaged623monthsinruralbangladeshevidencefrombangladeshintegratedhouseholdsurveybihs20182019evaluatedagainstwhounicefguideline2021 |