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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Caregivers Perception, Values and Challenges

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