Feeding Patterns of Infants and its Determinants among Mothers Attending Infant Welfare Clinic in a Tertiary Healthcare Institution in Southwestern Nigeria
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Abstract
Background: Adequate nutrition in infancy is important to every individual to have a healthy head-start in life for growth, development, and survival. This study assessed the feeding patterns of infants (among infant ˂ or ≥6month) and its determinants among mothers attending infant welfare clinic in a tertiary hospital.
Methodology: This institutional-based, cross-sectional study included 320 infants, and their mothers/caregivers recruited at the infant welfare clinics of a tertiary hospital in Ekiti State, Nigeria using systematic sampling technique. Ethical clearance was obtained from the Ethical and research committee of the institution. Data was collected with an adapted pre-tested semi-structured questionnaire. Binary logistic regression was used to assess determinants of timely infant complementary feeding. Statistical significance was set at p<0.05.
Results: Findings showed that in infants ˂ 6months, the prevalence of exclusive breastfeeding was 169 (85%). Also, 146 (73.4%) of infants breastfed in the first hour of life, while 170(85.4%) of the mothers gave colostrum. Furthermore, among infants (≥ 6month) the prevalence of timely introduction of complementary feeding was 88 (73%). The only independent predictor of timely introduction of complementary feeding was the mothers who attended any counselling on breastfeeding by the healthcare worker (OR: 4.26, 95% CI:1.21–15.00; p=0.024).
Conclusions: The prevalence of exclusive breastfeeding and timely introduction of complementary feeding was high. The only identified predictor of timely introduction of complementary feeding was the counselling of mothers on breastfeeding by the healthcare workers. It is recommended that healthcare workers should counsel mothers who attends health clinic.
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References
World Health Organization. Infant mortality. (World Health Organization, 2022) https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/ infant-mortality. (Accessed last 2nd August 2023)
National Population Commission (NPC) [Nigeria] and ICF. 2019. 2018 Nigeria DHS Key Findings. Abuja, Nigeria and Rockville, Maryland, USA: NPC and ICF (Accessed last 12th October, 2022)
Esan DT, Adegbilero-Iwari OE, Hussaini, A. & Adetunji AJ. Complementary feeding pattern and its determinants among mothers in selected primary health centers in the urban metropolis of Ekiti State, Nigeria. Sci Rep 2022; 12: 6252. https://doi.org/10.1038/s41598-022-10308-7
Akeredolu IA, Osisanya JO, Seriki-Mosadolorun JS. & Okorafor U. Mothers’ nutritional knowledge, infant feeding practices and nutritional status of children (0–24 months) in Lagos State, Nigeria. Eur. J. Nutrit. Food Saf.2014; 4(4), 364–374. https://doi.org/10. 9734/EJNFS/2014/ 604 (2014).
Ogbo FA, Ogeleka P, & Awosemo AO. Trends and determinants of complementary feeding practices in Tanzania, 2004–2016. Trop Med Health 2018; 46: 40. https://doi.org/10.1186/s41182-018-0121-x.
Bhandari S, Thorne-Lyman AL, Shrestha B, Neupane S, Nonyane BAS, Manohar S. et al. Determinants of infant breastfeeding practices in Nepal: a national study. Int Breastfeed J, 2019;14: 14. https://doi.org/10.1186/s13006-019-0208-y.
Khan GN, Ariff S, Khan U, Habib A, Umer M, Suhag Z et al. Determinants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: a cross-sectional survey. Int Breastfeed J. 2017; 12:40. doi: 10.1186/s13006-017-0131-z. PMID: 28936229; PMCID: PMC5603092.
Demilew YM, Tafere TE, Abitew DB. Infant and young child feeding practice among mothers with 0-24 months old children in Slum areas of Bahir Dar City, Ethiopia. Int Breastfeed J. 2017; 12:26. doi: 10.1186/s13006-017-0117-x. PMID: 28630642; PMCID: PMC5471997.
United nation children fund. Infant and young child feeding (UNICEF 2021) https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/. (Accessed last 12th October, 2022)
United nation children fund, West and Central Africa. Only 3 out of every 10 babies under six months exclusively breastfed in West and Central Africa, water the main barrier (UNICEF 2019) https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/(Accessed on 12th October, 2022).
Dukuzumuremyi, JPC, Acheampong, K., Abesig, J, & Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. Int Breastfeed J ,2020;15: 70. https://doi.org/10.1186/s13006-020-00313-9.
Eke C, Okafor, V, Tagbo B, Onyire N, Ukekwe F. and Muoneke, U. Predictors of Exclusive Breastfeeding Duration among Mothers Attending Immunization Clinic in a Tertiary Health Facility in Enugu, Nigeria. Open Journal of Pediatrics, 2019;9:62-74. doi: 10.4236/ojped.2019.91007.
Saxena V, Verma N, Mishra A, Jain B. Assessment of Infant and Young Child Feeding (IYCF) practices in rural areas of Dehradun, Uttarakhand. J Family Med Prim Care. 2022;11(7):3740-3745. doi: 10.4103/jfmpc.jfmpc_2502_21. Epub 2022 Jul 22. PMID: 36387640; PMCID: PMC9648332.
Mava Y, Ahmadu BU, Maryam S, Okolo SN, Yakubu AM. Current breastfeeding practices of mothers attending child welfare clinic at Bingham University Teaching Hospital Jos Central Nigeria, Annals of basic & clinical sciences,2019; 2: ISBN 2645 – 2472
Ajayi EA, Ajayi OA, Adeoti OA, Raimi TH, Fadare JO, Dada SA, Akolawole MA. A five‑year review of the pattern and outcome of cardiovascular diseases admissions at the Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria. Nigerian Journal of Cardiology, 2014;11(1):34-
Kirkwood BR, Sterne JAC. Calculating the required sample size. Essential medical statistics, 2nd Ed Massachusetts: Blackwell science; 2003: 413-428. Essential Medical Statistics, 2nd Edition | Wiley.
Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. Int Breastfeed J,2012; 7:12. https://doi.org/10.1186/1746-4358-7-12.
Issaka AI, Agho KE, Renzaho AM. Prevalence of key breastfeeding indicators in 29 sub-Saharan African countries: a meta-analysis of demographic and health surveys (2010–2015) BMJ Open 2017;7:e014145. doi: 10.1136/bmjopen-2016-014145.
Nwabueze SA, Azuike EC, Egenti BN, Okafor KC, Aniemena RC, Udedibia IN et al. Assessment of infant feeding patterns among nursing mothers in Aguata and Anaocha Local Government Areas in Anambra State, Nigeria. International Research Journal of Public and Environmental Health, 2015; 2 (12):238-249. http://dx.doi.org/10.15739/irjpeh.044.
Maciel BLL, Moraes ML, Soares AM, Cruz IFS, De Andrade MIR, Filho JQ et al. Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the Brazilian MAL-ED cohort site. Public Health Nutrition, 2018; 21(13): 2462–2470. doi:10.1017/S136898001800099X.
Gonzalez-Cossıo T, Rivera-Dommarco J, Moreno-Macıas H, Monterrubio E, and Sepulveda J. Poor Compliance with Appropriate Feeding Practices in Children under 2 y in Mexico. The Journal of Nutrition Community and International Nutrition, 2006;136(11):2928-33. doi: 10.1093/jn/136.11.2928.
Afolabi KA, Afolabi AO, Omishakin M YJ. Complementary feeding and associated factors: Assessing compliance with recommended guidelines among postpartum mothers in Nigeria. Population Medicine. 2021; 3:17. https://doi.org/10.18332/popmed/138939.
Solomon OA, Akinwumi AF, Solomon OO, Ajayi PO, Deji SA, Oluyide OP et al. Practice of Breastfeeding among Mothers Attending Immunization Clinics in Primary Health Care Centres, Southwest-Nigeria: A Cross-sectional Study, European Journal of Health Sciences, 2023;8(2): 20 – 31.
Shumey, A., Demissie, M. and Berhane, Y. Timely initiation of complementary feeding and associated factors among children aged 6 to 12 months in Northern Ethiopia: an institution-based cross-sectional study. BMC Public Health 2013;13:1050. https://doi.org/10.1186/1471-2458-13-1050.
Semahegn A, Tesfaye G, Bogale A. Complementary feeding practice of mothers and associated factors in Hiwot Fana Specialized Hospital, Eastern Ethiopia. Pan Afr Med J. 2014; 18:143. doi: 10.11604/pamj.2014.18.143.3496. PMID: 25419281; PMCID: PMC4236776.
Chane T, Bitew S, Mekonen T, Fekadu W. Initiation of Complementary Feeding and Associated Factors Among Children of Age 6-23 Months in Sodo Town, Southern Ethiopia: Cross-Sectional Study. Pediatr. Rep. 2017; 9:7240. https://doi.org/10.4081/pr.2017.7240.
Ferreira SS, Marchioni DML, Wall CR, Gerritsen S, Teixeira JA, Grant CC et al. Prevalence and maternal determinants of early and late introduction of complementary foods: results from the Growing Up in New Zealand cohort study. Br J Nutr. 2023;129(3):491-502. doi: 10.1017/S000711452200112X. Epub 2022 Apr 11. PMID: 35403582; PMCID: PMC9876814.
Yeheyis T, Berhanie E, Yihun M and Workineh Y. Timely Initiation of Complementary Feeding and Associated Factors among Children Aged 6 to 12 Months in Addis Ababa Ethiopia, 2015. Epidemiology (Sunnyvale) 2016, 6:5. DOI: 10.4172/2161-1165.1000272.