Effect of Infant and Young Child Feeding Practices on the Nutritional Status of Children 0-24 Months of Age in Port Harcourt, Nigeria

Main Article Content

N. S. Tobi
B. A. Alex-Hart
I. O. George

Abstract

Background: Childhood under-nutrition is prevalent in many developing countries including Nigeria, and is an underlying cause for more than half of all childhood deaths. Based on the recent Nigeria Demographic and Health Survey (NDHS), the prevalence of under-nutrition between 2008 and 2013 has risen, despite an increase in exclusive breastfeeding (EBF) rate over the same period.

This study was carried out to assess the effect of infant and young child feeding practices on , nutritional status of children  0 – 24 months in Port Harcourt, Nigeria.

Subjects and Methods:  Data were collected between November and December 2016 from 307 mother-child (aged 0 – 24 months) pairs attending six health centres in Port Harcourt using a pretested self-administered questionnaire. Data collected included maternal and child socio-demographics, mother’s infant feeding practices, 24-hour dietary recall and anthropometric measurements. Data were analysed using SPSS version 20.0.

Results: The mean age of the children was 5.6±6.1 months, 207 (67.4%) were under 6 months of age and 100 (32.6%) between the ages of 6 to 24 months. Three hundred and three (98.7%) children were breastfed. The rate of exclusive breastfeeding was 51.7% among the children aged 0 – 5.9 months. The mean age at which breastfeeding was stopped was 9.3±5.5 months. The average age at which complementary foods were started was 4.4±1.8 months. All the children on complementary feeding met the minimum feeding frequency, but only 43 (33.6%) met the minimum dietary diversity of 4 or more food groups. Overall, 111 (36.2%) children were fed according to WHO recommendation. 10.1% of the children were overweight/obese, 5.5% were wasted, 6.2% were underweight and 8.8% were stunted. Lack of EBF was positively associated with stunting (p = 0.024).

Conclusion: Infant and Young Child Feeding practices among mothers in Port Harcourt fall short of the WHO recommendations, resulting in various types of malnutrition among the children. Therefore, more emphasis should be laid on growth monitoring and promotion services and age-specific nutritional counseling to parents and care-givers.

Keywords:
Young child, feeding practices, care-givers, nutritional status.

Article Details

How to Cite
S. Tobi, N., Alex-Hart, B. A., & O. George, I. (2020). Effect of Infant and Young Child Feeding Practices on the Nutritional Status of Children 0-24 Months of Age in Port Harcourt, Nigeria. Asian Journal of Medicine and Health, 17(4), 1-21. https://doi.org/10.9734/ajmah/2019/v17i430170
Section
Original Research Article

References

World Health Organization. Infant and young child feeding. Lyon, France: World Health Organization; 2009.

Disha AD, Rawat R, Subandoro A, Menon P. Infant and young child feeding practices in Ethiopia and Zambia and their association with child nutrition: Analysis of demographic and health survey data. African Journal of Food, Agriculture and Development. 2012;12(2):5895-5914.

Ecker O, Nene M. Nutrition policies in developing countries: Challenges and highlights. Policy Note. Washington, DC: International Food Policy Research Institute; 2012.

United Nations Children’s Fund, World Health Organisation, World Bank. Levels and trends in child malnutrition. The Joint Child Malnutrition Estimates; 2019.
Available:https://www.who.int/nutgrowthdb/jme-2019-key-findings.pdf?ua=1 (Accessed 30th December 2019)

World Health Organization/UNICEF. Global strategy for infant and young child feeding. Geneva: World Health Organiza-tion; 2003.

Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, et al. Maternal and child undernutrition: Global and regional exposures and health consequences. Lancet 2008;371:243–260.

Agee MD. Reducing child malnutrition in Nigeria: Combined effects of income growth and provision of information about mothers’ access to health care services. Soc Sci Med. 2010;71(11):1973-1980.

Kanjilal B, Mazumdar PG, Mukherjee M, Rahman MH. Nutritional status of children in India: Household socio-economic condition as the contextual determinant. Int J Equity Health. 2010;9(1):19.

Frank-Briggs AI, Grange A. Disease patterns and childhood mortality in the Tropics. In: Azubuike JC, Nkanginieme KEO (editors). Paediatrics and Child Health in a Tropical Region. 2nd ed. Port Harcourt. University of Port Harcourt Press. 2007;12–5.

World Health Organization. WHO factsheet on Infant and Young Child Feeding. Fact sheet N° 342 (Updated February 2014); 2014.

Australian Institute of Health and Welfare. Australian National Infant Feeding Survey: Indicator Results. Canberra: AIHW; 2011.

Ghana Statistical Service, Ministry of Health & ICF Macro. Ghana demographic and health survey 2008. Accra: GSS, MOH and ICF Macro; 2009

Iliyasu Z, Kabir M, Abubakar IS, Galadanchi NA. Current knowledge and practice of exclusive breastfeeding among mothers in Gwale local government area of Kano State. Niger Med Pract. 2005;48:50-55.

Uchendu UO, Ikefuna AN, Emodi IJ. Factors associated with exclusive breast feeding among mothers seen at the University of Nigeria Teaching Hospital, Enugu. J Child Health. 2009;3:14-19.

Ndiokwelu CI, Maduforo AN, Amadi CA, Okwy-Nweke CP. Breastfeeding and complementary feeding practices of mothers of Children (0–24 Months) Attending Infant Welfare Clinic (IWC) at the Institute of Child Health (ICH) University of Nigeria Teaching Hospital (UNTH) Ituku-Ozalla Enugu. Journal of Biology, Agriculture and Healthcare. 2014;4(11):5-15.

Gyampoh S, Otoo GE, Aryeetey RN. Child feeding knowledge and practices among women participating in growth monitoring and promotion in Accra, Ghana. BMC Pregnancy Childbirth 2014;14: 180.
DOI: 10.1186/1471-2393-14-180

Lawan UM, Amole GT, Jahum MG, Sani A. Age-appropriate feeding practices and nutritional status of infants attending child welfare clinic at a Teaching Hospital in Nigeria. J Fam Community Med; 2014.
(Accessed April 8, 2015)

Egbuonu I, Ojukwu JU. Infant feeding. In: Azubuike JC, Nkanginieme KEO (editors). Paediatrics and child health in a tropical region. 2nd ed. Port Harcourt. University of Port Harcourt Press. 2007;224–239.

National Population Commission Abuja, Nigeria. Nigeria Demographic and Health Survey, 2013. Preliminary Report. Calverton, Maryland, USA: MEASURE DHS, ICF International; 2013.

Onah S, Osuorah DI, Ebenebe J, Ezechukwu C, Ekwochi U, Ndukwu I. Infant feeding practices and maternal socio-demographic factors that influence practice of exclusive breastfeeding among mothers in Nnewi South-East Nigeria: a cross-sectional and analytical study. Int Breastfeed J. 2014;9:6.
DOI:10.1186/1746-4358-9-6
(Accessed April 8, 2015)

Sadoh AE, Sadoh WE, Oniyelu P. Breast feeding practice among medical women in Nigeria. Niger Med J. 2011;52(1):7–12.
PMCID: PMC 3180747

National Population Commission of Nigeria. Niger Delta Regional Development Master Plan. Federal Republic of Nigeria: Niger Delta Development Commission (NDDC); 2006.

Lwanga SK, Lemeshow S. Sample size determination in health studies: A practical manual. Geneva, Switzerland: Publication of World Health Organization. 1991;1-3.

World Health Organisation. Indicators for assessing breastfeeding practices. Report of an informal meeting. Geneva: WHO; 1991.

World Health Organization. Indicators for assessing Infant and Young Child Feeding Practices. Washington DC, USA: WHO; 2008.

Pan American Health Organisation (PAHO). 2002 Guiding principles for complementary feeding of the breastfed child. Washington DC: PAHO/WHO; 2003.

Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign IL; Human Kinetics Books. 1991;1-90.

Oyedeji GA. Socio-economic and cultural background of hospitalized children in Ilesha. Nig J Paediatr. 1985;12:111-7.

Central Bureau of Statistics, Ministry of Health, Kenya. Kenya Demographic and Health Survey 2003. Calverton, Maryland: CBS, MOH and ORC Macro. 2004;153-155.

Ukegbu AU, Ukegbu PO, Onyeonoro UU, Ubajaka CF. Determinants of breast feeding patterns among mothers in Anambra State, Nigeria. S Afr J Child Health. 2011;5(4):112.

Anigo KM, Ameh DA, Ibrahim S, Danbauchi SS. Infant feeding practices and nutritional status of children in North Western Nigeria. Asian J Clin Nutr. 2009; 1:12-22.

Agbo KE, Dibley MJ, Odiase JI, Ogbonmwan SM. Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy Childbirth. 2011;11:2.
Published online Jan 11, 2011
DOI:10.1186/1471-2393-11-2
PMCID: PMC3025918
(Accessed April 8, 2015)

Motee A, Ramasawmy D, Pugo-Gunsam P, Jeewon R. An assessment of the breastfeeding practices and infant feeding pattern among mothers in Mauritius. Journal of Nutrition and Metabolism; 2013.
Article ID 243852:8.
DOI:10.1155/2013/243852
(Accessed April 16, 2015)

Tagbo BN, Ughasoro MD. Complementary feeding pattern of infants attending the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu. Nig J Paediatr. 2009; 36(3&4):51-59.

Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: Evidence from 11 Demographic and Health Surveys. J Nutr. 2004;134(10): 2579- 2585.

Sossa CJ, Laleye FT, Agueh VD, Guedegbe J, Azandjeme C, et al. Evaluation of feeding practices in children aged 6 – 23 months in Southern Benin Rural Setting. Int. J of Tropical Dis and Health. 2015;10(4):1-8.

Agbedeyi GO, Eke GK, Nte AR. Nutritional status of day care attendees in Port Harcourt Metropolis. Niger J Paediatr. 2015;42(3):210-213.