/
BREASTFEEDING AND COMPLEMENTARY FEEDING PRACTICES OF CAREGIVERS OF UNDER-FIVE CHILDREN BREASTFEEDING AND COMPLEMENTARY FEEDING PRACTICES OF CAREGIVERS OF UNDER-FIVE CHILDREN

BREASTFEEDING AND COMPLEMENTARY FEEDING PRACTICES OF CAREGIVERS OF UNDER-FIVE CHILDREN - PowerPoint Presentation

markes
markes . @markes
Follow
344 views
Uploaded On 2020-08-28

BREASTFEEDING AND COMPLEMENTARY FEEDING PRACTICES OF CAREGIVERS OF UNDER-FIVE CHILDREN - PPT Presentation

Okoro CE 1 Owolabi OA 2 James DB 3 Mbewe AL 4 Maduforo AN 5 1 Nutrition Section Federal Capital Territory Primary Health Care Board Abuja Nigeria 2 3 ID: 807819

children breastfeeding study health breastfeeding children health study figure nigeria child mortality nutrition status initiation cont malnutrition area council

Share:

Link:

Embed:

Download Presentation from below link

Download The PPT/PDF document "BREASTFEEDING AND COMPLEMENTARY FEEDING ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

BREASTFEEDING AND COMPLEMENTARY FEEDING PRACTICES OF CAREGIVERS OF UNDER-FIVE CHILDREN IN KUJE AREA COUNCIL, FEDERAL CAPITAL TERRITORY (FCT) ABUJA, NIGERIA

Okoro C.E.*,1 Owolabi O.A.,2 James D.B.,3 Mbewe A.L.,4 Maduforo A.N.51 Nutrition Section, Federal Capital Territory Primary Health Care Board, Abuja, Nigeria.2, 3 Department of Biochemistry, Faculty of Sciences, Ahmadu Bello University, Zaria, Kaduna State Nigeria.4 Family and Reproductive Health Cluster Lead, World Health Organization, Nigeria.5 Department of Nutrition and Dietetics, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.PAPER DELIVERED AT THE 2ND WORLD BREASTFEEDING CONFERENCE AT JOHANNESBURG, SOUTH AFRICA, 11TH – 14TH DECEMBER, 2016 Corresponding Author 1:Mobile: +234-8023617236Email: eberecee@gmail.com

1

Slide2

INTRODUCTION/1

The challenges of hunger and inadequate intake of food nutrients which hampers the nutritional status of children and women still remains an issue of concern in Nigeria. Worldwide, almost 7 million children die each year before they reach their fifth birthday, while India (24%) and Nigeria (11%) together account for more than one-third of all under-five deaths. Globally, undernutrition is responsible, directly or indirectly, for at least 35% of deaths in children less than 5 years of age (You et al., 2011; UNICEF, 2014). The under – 5 mortality rate in Nigeria is 128 deaths per 1000 live births, which implies that one in every eight children born die before reaching their fifth birthday (NDHS, 2013). Exclusive and optimal breastfeeding as well as proper introduction of complementary foods has remained a key determinant of child’s nutrition status. 2

Slide3

AIM AND OBJECTIVESThe aims and objectives of this study were:

To assess the prevalence of exclusive breastfeeding and breastfeeding practices of mothers.To evaluate the complementary feeding practices of caregivers To evaluate the nutrition status of the under five children. 3

Slide4

SIGNIFICANCE OF STUDY

The role of adequate and sustainable surveillance particularly for nutrition assessment of children in the community cannot be over-emphasized, considering the efforts in promoting optimal childhood nutrition, growth and development. None or little effort has been devoted to examining the key contributors to malnutrition among under-five children in communities of Kuje Area Council of the FCT that will effectively guide nutrition interventions. This study will provide information that can be used for nutritional surveillance and targeting programmes that would focus more on populations most affected. 4

Slide5

MATERIALS AND METHODS

Research Design and Sampling: The study was a cross-sectional survey. Multi stage sampling techniques was used in selecting the populations that were studied. Probability proportion by size was applied in choosing 30 clusters for the survey using ENA for SMART software (2011) (Action Against Hunger (USA), 2011). Study PopulationUnder-five children and their caregivers were chosen in selected clusters to participate in the study.5

Slide6

MATERIALS AND METHODS6

Study AreaThis study was conducted in Kuje Area Council, FCT - Nigeria. Kuje Area Council is one of the six Area Councils in FCTKuje falls within latitude 7° 25’ N and 9° 20’ North of the Equator and longitude 5° 45' and 7° 39' of the equator.

Slide7

Figure 1: Prevalence of Breastfeeding

Figure 2: Prevalence of Exclusive BreastfeedingRESULTS7

Slide8

Figure 3: Breastfeeding Initiation

RESULTS Cont....8

Slide9

Figure 4: Prelacteal Feeding Practices

Figure 5: Feeding of Colostrum9RESULTS Cont....

Slide10

Figure 6: Breastfeeding Duration

Figure 7: Feeding Pattern of children 6 -24 months10RESULTS Cont....

Slide11

11

RESULTS Cont....

Slide12

Figure

9: Adequacy of Food Intake Based on Quantity for Age 12RESULTS Cont....

Slide13

Figure 10

: Frequency of Food Intake For Age13RESULTS Cont....

Slide14

14

RESULTS Cont....Figure 11: Prevalence of Acute Malnutrition Among U5 Children In Kuje Area Council of FCT

Slide15

Figure

12: Educational level of caregivers/mothers and nutrition status of their children15

Slide16

16

RESULTS Cont....Figure 13: Mother’s/Caregiver’s membership of a care support group and nutritional status f the chldren

Slide17

DISCUSSION

Mothers who were members of care group did not record any malnutrition, while about 11% of under-five children whose mothers do not belong to a care group were undernourished. Evidence had shown that lay and peer support are most effective in increasing the initiation and duration of exclusive breastfeeding (Fairbank et al., 2000). It is reported that Social marketing has been established as an effective behavioural change model for a wide variety of public health issues, including breastfeeding (Ling et al., 1992). Increasing evidence reveals the essential impact of early initiation of breastfeeding on neonatal mortality. A study in a rural community in Ghana showed that early initiation within the first hours of birth prevents about 22% of neonatal deaths while initiation within the first day prevents 16% of deaths.Another study in Nepal revealed that about 19.1% and 7.7% of all neo-natal deaths could be avoided with universal initiation of breastfeeding within the first hour and first day of life respectively (Edmond, et al., 2006; Mullany, et al., 2008). 17

Slide18

DISCUSSION

In development of malnutrition framework, the role of socio-economic factors was considered to be of greater importance than mere nutritional and medical factors (Aggarwal, et al., 2005).Socio-economic status has an impact on nutrients needs and food choices. Poor socioeconomic status affects health by altering nutritional status and increasing predisposition to diseases such as malnutrition, hypertension and diabetes. (Aggarwal, et al., 2005).18

Slide19

CONCLUSION19

There is high prevalence of malnutrition among under-five children in Kuje Area Council with multifactorial determinants.These findings reinforce the importance of proper infant and child feeding practices in prevention of malnutrition.

Slide20

THANK YOU

20

Slide21

References

 Action Against Hunger (USA). Integrated SMART Survey Nutrition, WASH, Food Security and Livelihoods, Garbatulla District, Kenya, Action Against Hunger (USA), 2011. Aggarwal, P., Bhasin, S., Sharma, A., Chhabra, P., Aggarwal, K., and Rajoura, O. A New Instrument (Scale) for Measuring the Socioeconomic Status of a Family: Preliminary Study. Indian Journal of Community Medicine 2005; 30, 10-12. Black R. et al. Maternal and child undernutrition: global and regional exposures and health consequences. (Maternal and Child Undernutrition Series 1). The Lancet 2008.Edmond, K et al. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006: 117(3): e380-6.Fairbank L, O’Meara S, Renfrew MJ, Woolridge M, Snowden AJ, Lister-Sharp D. A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. Health Technology Assessment 2000: 4(25):1–171.Ling JC, Franklin BA, Lindsteadt JF, Gearon SA. Social marketing: its place in public health. Annual Review of Public Health 1992:13:341–62.MNCHW Report. Maternal Newborn and Child Health Week. FCT, Abuja Nigeria: Federal Capital Territory Primary Health Care Board. Federal Capital Territory Primary Health Care Board (FCT PHCB). 2014.Mullany L. et al. Breastfeeding patterns, time to Initiation and mortality risk among newborns in southern Nepal. The Journal of Nutrition 2008: 138; 599-603.21

Slide22

References/2

 NDHS. National Population Commission Federal Republic of Nigeria Abuja, Nigeria. MEASURE DHS, ICF Macro Calverton, Maryland, USA. 2013.Singh K, Srivastava P. The effect of colostrum on infant mortality: Urban rural differentials. Health and Population 1992;15(3&4):94–100.United Nations Children’s Fund (UNICEF). The state of the world’s children 2014 in numbers: Revealing disparities, advancing children’s rights: Every child counts. UNICEF 2014.WHO. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Collaborative Study Team on the role of breastfeeding on the prevention of infant mortality. Lancet, 2000, 355:451–455.You, D., New, J. R., & Wardlaw, T. Levels and trends in child mortality. Report 2012. Estimates developed by the UN Inter-agency Group for Child Mortality Estimation 2011. Available from http://www.who.int/maternal_child_adolescent/documents/levels_trends_child_mortality_2012.pdf22