Does mothers/caregivers‘fasting status affect the dietary diversity of children 6-23 months? A before-after study in Debrebirhan, Ethiopia
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Date
2019-10
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Addis Abeba University
Abstract
Background: Ethiopia has various religions, of which the Orthodox Tewahido Christian religion
accounts for 44% of the population. According to the Ethiopian Orthodox Tewahido tradition
close to 200 days are dedicated to religious fasting annually, at which time all followers who are
above seven years old are expected to abstain from all types of food, including animal source
foods, and water for up to some hours daily. It is possible that such practice by mothers or
caregivers could affect children’s food consumption. However, it is not clear if
mothers/caregivers’ fasting status influences the diversity of food that children are getting during
these periods.
Objective: The objective of this study was to estimate the effect of mothers/caregivers’ fasting
status on dietary diversity of children 6-23 months in Debrebirhan, Ethiopia, 2019
Methods: A community-based longitudnal study was conducted in Debrebirhan, North Shewa
Zone, at randomly selected seven kebeles with a sample size of 218, from January 29 to February
25, 2019 in the pre-fasting period and from March 18 to April 10, 2019, during fasting period on
same participants. Data was entered on Epi data version 4.4.2.1 and analyzed using STATA 15
software. Children’s dietary diversity was measured using the WHO standardized questionnaire
for infant and young child feeding. McNemar paired test was used for comparison of baseline
and end line measurements. Statistical significance was determined at p<0.05.
Result: A total of 218 and 216 mothers/caregivers with children 6-23 months participated in the
study before and during fasting season with a response rate of 100.0% and 99.0% respectively.
The median age of children was 15 months. It was found out that the proportion of children who
ate four or more food groups in the pre-fasting period was 23.4% and it significantly decreased
to 5.5% in the fasting period (p<0.0001).
Conclusion: The study pointed out that mothers/caregivers’ fasting status during the Ethiopian
Orthodox Tewahido fasting periods could negatively affect the dietary diversity of children 6-23
months in the household apparently by decreasing their consumption of animal source food.
Therefore, intervention strategies in promoting children's dietary diversity should be designed in
a way that considers Ethiopian Orthodox Tewahido Christian mothers/caregivers’ fasting
practices.
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Keywords
Infant ,young child ,Dietary diversity