article · BMJ Open
A community-based cross-sectional study in Debre Berhan Town, Ethiopia, assessed the prevalence of a minimum acceptable diet among 531 mother and child pairs with infants and young children aged 6 to 23 months. Overall, 31.6 percent of the children received a minimum acceptable diet, which represents a low rate of adequate feeding. Higher odds of receiving an acceptable diet were associated with mothers holding secondary or college education, fathers having primary education, and children being older, specifically 12 to 23 months. Other positive predictors included the mother attending at least four antenatal care visits, regular utilisation of child growth monitoring, an absence of child illness in the preceding two weeks, and the presence of a household garden. The findings highlight the need for tailored, multi-faceted interventions to support child nutrition in the local setting.
Adequate nutrition between 6 and 23 months is vital for healthy child growth and cognitive development. Demonstrating that fewer than one in three young children meet minimum dietary standards, alongside identifying key factors such as healthcare engagement, parental education, and home food production, provides clear targets for public health authorities to design interventions that reduce malnutrition.
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OBJECTIVE: The main objective of this study was to assess the prevalence of a minimum acceptable diet (MAD) and associated factors. DESIGN: Community-based cross-sectional study SETTING: Debre Berhan Town, Ethiopia. PARTICIPANTS: An aggregate of 531 infants and young children mother/caregiver pairs participated in this study. A one-stage cluster sampling method was used to select study participants and clusters were selected using a lottery method. Descriptive statistics were calculated for all study variables. Statistical analysis was performed on data to determine which variables are associated with MAD and the results of the adjusted OR with 95% CI. P value of <0.05 considered statistically significant. PRIMARY OUTCOME: Prevalence of MAD and associated factors RESULTS: The overall prevalence of MAD was 31.6% (95% CI: 27.7 to 35.2). Having mother attending secondary (adjusted OR, AOR=4.9, 95% CI: 1.3 to 18.9) and college education (AOR=6.4, 95% CI: 1.5 to 26.6), paternal primary education (AOR=1.3, 95% CI: 1.5 to 2.4), grouped in the aged group of 12-17 months (AOR=1.8, 95% CI: (1.0 to 3.4) and 18-23 months (AOR=2.2, 95% CI: 1.2 to 3.9), having four antenatal care (ANC) visits (AOR=2.0, 95% CI: 1.0 to 3.9), utilising growth monitoring (AOR=1.8, 95% CI: 1.1 to 2.9), no history of illness 2 weeks before the survey (AOR=2.9, 95% CI: 1.5 to 6.0) and living in the household with home garden (AOR=2.5, 95% CI: 1.5 to 4.3) were positively associated with increase the odds of MAD. CONCLUSION: Generally, the result of this study showed that the prevalence of minimum acceptable was very low. Parent educational status, ANC visits, infant and young child feeding advice, child growth monitoring practice, age of a child, a child has no history of illness 2 weeks before the survey, and home gardening practice were the predictors of MAD. Therefore, comprehensive intervention strategies suitable to the local context are required to improve the provision of MAD.
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DOI: 10.1136/bmjopen-2020-044284
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