背景:婴幼儿喂养实践的问题很普遍;据估计,婴儿在出生后的前六个月并非完全母乳喂养。补充食物经常提供得太快或太晚,他们往往营养不足。甚至,有营养敏感的活动,如灌溉计划,关于灌溉区和非灌溉区之间婴幼儿喂养做法的证据很少或有限。
目的:评估当热拉区灌区和非灌区0-23个月大的儿童中婴儿和幼儿喂养习惯的患病率,埃塞俄比亚西北部,2020年。
方法:从2020年12月1日至2020年6月1日进行了一项基于社区的比较横断面研究。实施了分层抽样技术,从灌溉(411)和非灌溉(412)kebeles中选择823名年龄在0-23个月大的母亲。使用结构化问卷收集数据。采用多变量logistic回归分析婴幼儿喂养行为的相关因素。使用具有95%CI的调整后的优势比来确定独立变量和结果变量之间的关联程度。p值<0.05用作截止点以声明具有统计学意义的变量与结果变量。
结果:在访问的823个家庭中,802名受访者在灌溉地区的回应率为97.8%,在非灌溉地区的回应率为96.11%。良好的IYCF实践的总体患病率为62.5%(95%CI:34.2,41.3),灌区(72.2%)和非灌区(52.8%)之间存在显著差异。此外,该研究确定,教育初级及以上(AOR=1.889,95%CI:1.38,2.648)知识高于平均值(AOR=2.347,95%CI:1.555,3.542),积极态度(AOR=1.716,95%CI:1.139,2.587),PNC随访(AOR=1.606,95%CI:1.154,2.360),女性的决策权(AOR=1.840,95%CI:1.226,2.763),多次分娩(AOR=0.352,95%CI:0.213,0.583)是0-23个月儿童IYCF的重要因素。
结论:灌区0-23个月儿童的婴幼儿喂养习惯优于非灌区。促进灌溉做法,赋予妇女权力,和加强产后护理是建议的干预措施,以增加婴儿,年轻,和研究区域的儿童喂养实践。
BACKGROUND: The issue of Infant and Young Child Feeding practices was widespread; it was estimated that infants were not exclusively breastfed in the first six months of life. Complementary foods were frequently provided too soon or too late, and they were often nutritionally deficient. Even, there are nutrition-sensitive activities like
irrigation schemes, evidence on infant and young child feeding practices between irrigated and non-irrigated areas is scarce or limited.
OBJECTIVE: To assess the prevalence of infant and young child feeding practices among 0-23 months of age children in irrigated and non-irrigated areas of Dangila District, North-west Ethiopia, 2020.
METHODS: A community based comparative cross-sectional
study was conducted from Dec 1, 2020, to Jun 1, 2020. A stratified sampling technique was implemented to select 823 mothers with children age 0-23 months from irrigated (411) and non-irrigated (412) kebeles. Data were collected using structured questionnaires. Multivariable logistic regression was used to identify the associated factors of infant and young child feeding practice. Adjusted odds ratios with a 95% CI were used to determine the degree of association between the independent and outcome variables. A p-value < 0.05 was used as a cutoff point to declare statistically significant variables with the outcome variable.
RESULTS: Among 823 households visited, 802 respondents with a response rate of 97.8% in irrigated and 96.11% in non-irrigated areas gave complete responses. The overall prevalence of good IYCF practice was 62.5% (95% CI: 34.2, 41.3), and it shows a significant difference between irrigated (72.2%) and non-irrigated areas (52.8%). Moreover, the
study identified that education primary and above (AOR = 1.889, 95% CI: 1.38, 2.648) knowledge above mean (AOR = 2.347, 95% CI: 1.555, 3.542), positive attitude (AOR = 1.716, 95% CI: 1.139, 2.587), PNC follow-up (AOR = 1.606, 95% CI: 1.154, 2.360), women\'s decision-making power (AOR = 1.840, 95% CI: 1.226, 2.763), and multiple delivery (AOR = 0.352, 95% CI: 0.213, 0.583) were significant factors for IYCF among 0-23 month-old children.
CONCLUSIONS: The infant and young child feeding practice among 0-23 month-old children was better in an irrigated area than in a non-irrigated area. Promoting
irrigation practices, empowering women, and strengthening postnatal care are recommended interventions to increase infant, young, and child feeding practices in the
study area.