Determinants of inappropriate complementary feeding practices in children aged 6-23 months in Mosul city


ABSTRACT: Background: Proper feeding practices of children less than 2 years of age is important as it is the most critical period of life for optimal growth and development . Aim: This study aimed to use the newly developed World Health Organization (WHO) infant feeding indicators published in 2008, to assess determinants of complementary feeding practice in children 6-23 months of age in Mosul city, Iraq in 2013 .Patients and methods: A cross-sectional study was conducted in six primary health care (PHC) centers in Mosul city during 3 months period from 11th of February to 11th of May 2013. The study sample consisted of 420 healthy children, aged 6–23 months who attended (PHC) centers for immunization The questionnaires data were based on the consent mother’s recall of foods given to her child in the. 24 hours before the interview. Inquiry also included the sample demographic characteristics. Children’s anthropometric measurements were assessed according to standard techniques. Results: Minimum dietary diversity rate was 45.5 %, minimum meal frequency 79.1% and minimum acceptable diet 40.7%. Determinant of inadequate minimum dietary diversity were: Children aged 6-11 months [P =0.000, adjusted odds ratio (AOR) = 6.28], first born children (P =0.019, AOR =2.46) and monthly income per capita < 100,000 Iraqi Dinars (ID) (P= 0.002, AOR = 3.27 for < 50,000 ID; P= 0.010, AOR = 2.35 for 50,000 -100,000 ID). Determinant of inadequate minimum meal frequency were: Stunting (P = 0.015, AOR= 3.01) and monthly income per capita of 50,000 - 100,000 ID (P = 0.009, AOR = 4.41). Determinants of inadequate minimum acceptable diet included: Children aged 6-11 months (P = 0.000, AOR = 6.50), preceding birth intervals of 12-24 months duration (P = 0.008, AOR =2.58) and monthly income per capita < 100,000ID (P= 0.005, AOR = 3.12 for < 50,000 ID; P= 0.008, AOR = 2.48 for 50,000 - 100,000 ID). Breast milk feeding type (P = 0.001, AOR=0.25) displayed protection against inappropriate minimum acceptable diet achievement.Conclusions: The measured minimum dietary diversity and minimum acceptable diet attainment are not at satisfactory levels among studied children in Mosul city. Attention should focus on aforementioned determinants of inadequate infants feeding practices to prevent their subsequent negative influence on growth parameters .