Caregivers Perception, Values and Challenges on Infant and Young Child Feeding in Addis Ababa
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Date
2016-06
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Addis Abeba Universty
Abstract
The nutritional status of children under two years of age is directly affected by infant and
young child feeding (IYCF) practices. To enhance nutrition, health, and development of
children aged 6-23 months, the improvement of IYCF practices is crucial. In Ethiopia
breastfeeding is not adequate, complementary foods Introduced not on time, and the
consumption of animal source food and vitamin A rich food is very low. And inappropriate
IYCF practice has negative impact on their growth. The aim of the study was to explore
mothers or caregivers’ perception on characteristics of IYC foods and to identify the cultural,
behavioral, and psychological aspects of IYCF practice in Addis Ababa, Ethiopia.
The study employed Focused Ethnographic Study (FES) and it was conducted in Bole and
Yeka Sub-Cities. A priory sampling technique was used to recruit study participants and data
was collected in two phases by using in-depth interview and cognitive mapping techniques. A
total of 16 participants were involved and thematic analysis was performed for qualitative data.
Cerifam and porridge were the core IYC foods in both behavioral and cultural perspectives.
Cold/stored foods /left overs are widely considered bad for IYC. Low income coupled with
high-priced IYC foods, raising a child by babysitters, and poor appetite of a child were the
major challenges that parents faced while raising their IYC. From mothers’ perspective, the
health benefit of the food they feed their IYC is crucial and is the main value that influence
their decision on IYC food. Caregivers report valuing foods for their contribution to mental
development and that improves child's weight. They believe all foods are not equally healthy
and foods essential for child health are very expensive.
Currently infants and young children routinely receive cereal based foods. Inappropriate
feeding practice: feeding below recommendation, feeding leftovers, pre-mastication was
identified. Financial problem was the major challenge and the health benefit of food is the
main value that influence caregivers’ food choice. Health education and BCC (behavioral
change communication) intervention is needed to improve caregivers’ perception and
feeding behavior. The government should consider alternative child care. Additional
researches needed to evaluate the effect of IYCF practice on IYC nutritional status in urban
settings.
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Keywords
Caregivers Perception, Values and Challenges