Minimum Acceptable Diet Among Children Aged 6-23 months in South Kivu, Democratic Republic of Congo: a Community-based Cross-sectional Study

Overview

Journal BMC Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2021 May 20

PMID 34011304

Citations 28

Authors

Richard Mbusa Kambale

Gaylord Amani Ngaboyeka

Joe Bwija Kasengi

Sarah Niyitegeka

Boss Rutakaza Cinkenye

Armand Baruti

Kizito Chentwali Mutuga

Dimitri Van der Linden

Affiliations

Soon will be listed here.

Abstract

Background: Suboptimal child nutrition remains the main factor underlying child undernutrition in Democratic Republic of Congo (DRC). This study aimed to assess the prevalence of minimum acceptable diet and associated factors among children aged 6-23 months old.

Methods: Community-based cross-sectional study including 742 mothers with children aged 6-23 months old was conducted in 2 Health Zones of South Kivu, Eastern DRC. WHO indicators of Infant and Young Child Feeding (IYCF) regarding complementary feeding practices were used. Logistic regression analysis was used to quantify the association between sociodemographic indicators and adequate minimum acceptable diet for both univariate and multivariate analysis.

Results: Overall, 33% of infants had minimum acceptable diet. After controlling for a wide range of covariates, residence urban area (AOR 2.39; 95% CI 1.43, 3.85), attendance postnatal care (AOR 1.68; 95% CI 1.12, 2.97), education status of mother (AOR 1.83; 95% CI 1.20, 2.77) and household socioeconomic status (AOR 1.72; 95% CI 1.14, 2.59) were factors positively associated with minimum acceptable diet.

Conclusion: Actions targeting these factors are expected to improve infant feeding practices in South Kivu.

Citing Articles

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Dhami B, Nath D, Lamichhane R BMC Public Health. 2025; 25(1):237.

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Minimum Acceptable Diet and Associated Factors among 6-23 Months Age Children in Wondo Genet District, Sidama Region, Ethiopia.

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Zemene M, Kebede N, Anteneh R, Moges N, Tsega S, Dessie A Sci Rep. 2024; 14(1):26294.

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Merid M, Aragaw F, Godana T, Kibret A, Alem A, Asratie M PLoS One. 2024; 19(10):e0302368.

PMID: 39378195 PMC: 11460695. DOI: 10.1371/journal.pone.0302368.

Minimum acceptable diet use and its associated factors among children aged 6-23 in Ghana: a mixed effect analysis using Ghana Demographic and Health Survey.

Tekeba B, Workneh B, Zegeye A, Gonete A, Zeleke G, Tamir T Front Public Health. 2024; 12:1402909.

PMID: 39296848 PMC: 11408242. DOI: 10.3389/fpubh.2024.1402909.

References

Imdad A, Yakoob M, Bhutta Z . Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health. 2011; 11 Suppl 3:S25. PMC: 3231899. DOI: 10.1186/1471-2458-11-S3-S25. View

Gewa C, Leslie T . Distribution and determinants of young child feeding practices in the East African region: demographic health survey data analysis from 2008-2011. J Health Popul Nutr. 2016; 34:6. PMC: 5026023. DOI: 10.1186/s41043-015-0008-y. View

Campbell R, Aguayo V, Kang Y, Dzed L, Joshi V, Waid J . Infant and young child feeding practices and nutritional status in Bhutan. Matern Child Nutr. 2017; 14(3):e12580. PMC: 6866121. DOI: 10.1111/mcn.12580. View

Black R, Victora C, Walker S, Bhutta Z, Christian P, de Onis M . Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013; 382(9890):427-451. DOI: 10.1016/S0140-6736(13)60937-X. View

Dewey K, Adu-Afarwuah S . Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr. 2008; 4 Suppl 1:24-85. PMC: 6860813. DOI: 10.1111/j.1740-8709.2007.00124.x. View

Batal M, Boulghourjian C, Akik C . Complementary feeding patterns in a developing country: a cross-sectional study across Lebanon. East Mediterr Health J. 2010; 16(2):180-6. View

Kandala N, Emina J, Nzita P, Cappuccio F . Diarrhoea, acute respiratory infection, and fever among children in the Democratic Republic of Congo. Soc Sci Med. 2009; 68(9):1728-36. DOI: 10.1016/j.socscimed.2009.02.004. View

Bangirana P, John C, Idro R, Opoka R, Byarugaba J, Jurek A . Socioeconomic predictors of cognition in Ugandan children: implications for community interventions. PLoS One. 2009; 4(11):e7898. PMC: 2774512. DOI: 10.1371/journal.pone.0007898. View

Ahmed K, Page A, Arora A, Ogbo F . Trends and factors associated with complementary feeding practices in Ethiopia from 2005 to 2016. Matern Child Nutr. 2019; 16(2):e12926. PMC: 7083482. DOI: 10.1111/mcn.12926. View

10.

Duan Y, Yang Z, Lai J, Yu D, Chang S, Pang X . Exclusive Breastfeeding Rate and Complementary Feeding Indicators in China: A National Representative Survey in 2013. Nutrients. 2018; 10(2). PMC: 5852825. DOI: 10.3390/nu10020249. View

11.

Lamichhane D, Leem J, Kim H, Park M, Lee J, Moon S . Association of infant and young child feeding practices with under-nutrition: evidence from the Nepal Demographic and Health Survey. Paediatr Int Child Health. 2016; 36(4):260-269. DOI: 10.1080/20469047.2015.1109281. View

12.

Zongrone A, Winskell K, Menon P . Infant and young child feeding practices and child undernutrition in Bangladesh: insights from nationally representative data. Public Health Nutr. 2012; 15(9):1697-704. DOI: 10.1017/S1368980012001073. View

13.

Vikram K, Vanneman R, Desai S . Linkages between maternal education and childhood immunization in India. Soc Sci Med. 2012; 75(2):331-9. PMC: 3495071. DOI: 10.1016/j.socscimed.2012.02.043. View

14.

Henry Mosley W, Chen L . An analytical framework for the study of child survival in developing countries. 1984. Bull World Health Organ. 2003; 81(2):140-5. PMC: 2572391. View

15.

Joshi N, Agho K, Dibley M, Senarath U, Tiwari K . Determinants of inappropriate complementary feeding practices in young children in Nepal: secondary data analysis of Demographic and Health Survey 2006. Matern Child Nutr. 2011; 8 Suppl 1:45-59. PMC: 6860874. DOI: 10.1111/j.1740-8709.2011.00384.x. View

16.

Kabir I, Khanam M, Agho K, Mihrshahi S, Dibley M, Roy S . Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: secondary data analysis of Demographic Health Survey 2007. Matern Child Nutr. 2011; 8 Suppl 1:11-27. PMC: 6860519. DOI: 10.1111/j.1740-8709.2011.00379.x. View

17.

Ng C, Dibley M, Agho K . Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data. Public Health Nutr. 2011; 15(5):827-39. DOI: 10.1017/S1368980011002485. View

18.

Lassi Z, Das J, Zahid G, Imdad A, Bhutta Z . Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: a systematic review. BMC Public Health. 2014; 13 Suppl 3:S13. PMC: 3847349. DOI: 10.1186/1471-2458-13-S3-S13. View

19.

Tessema M, Belachew T, Ersino G . Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. Pan Afr Med J. 2013; 14:75. PMC: 3641921. DOI: 10.11604/pamj.2013.14.75.1630. View

20.

Kandala N, Madungu T, Emina J, Nzita K, Cappuccio F . Malnutrition among children under the age of five in the Democratic Republic of Congo (DRC): does geographic location matter?. BMC Public Health. 2011; 11:261. PMC: 3111378. DOI: 10.1186/1471-2458-11-261. View