Nutrition Education Intervention on maternal knowledge, and perception toward infant and young child feeding in Abakaliki Metropolis, Nigeria

Linda Obianuju Edafioghor; Chinonyelum Thecla Ezeonu; Uzoma Vivian Asiegbu; Gideon Onyedikachi Iheme

doi:10.51745/najfnr.7.16.1-12

Nutrition Education Intervention on maternal knowledge, and perception toward infant and young child feeding in Abakaliki Metropolis, Nigeria

PDF (Full text)

Nutrition Education and Dietetics Infant, Child, and Adolescent Nutrition

DOI https://doi.org/10.51745/najfnr.7.16.1-12

Issue Vol. 7 No. 16 (2023): July - December, 2023

Submitted 2023-01-05

Accepted 2023-07-12

Published 2023-07-22

This work is licensed under a Creative Commons Attribution 4.0 International License.

Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Background: The poor infant and young child feeding (IYCF) practices in developing countries require appropriate interventions targeted towards its improvement. Aims: To assess the impact of child feeding intervention on the maternal IYCF knowledge, perception and intention in Abakaliki Metropolis, Nigeria. Subjects and Methods: This quasi-experimental study adopted a mixed method approach and purposive sampling technique to recruited 100 eligible breastfeeding mother and child (6 – 12 months) pairs. The respondents were subjected to a one-day intervention which comprised 7 – hours detailed nutrition education on IYCF and hands-on-practical demonstration of indigenous complementary foods formulation/processing. Paired t-test was used to investigate the significant differences in the IYCF knowledge and perception before and after the intervention while focus group discussions identified their intended child feeding practices after the intervention. Results: Results reported a mild increase in the mean knowledge (13.71 + 3.67 to 15.79 + 3.97) and perception (16.86 + 4.36 to 17.21+ 2.96) score after the intervention. Qualitative data revealed mothers’ intention to stop; forceful feeding, offering processed drinks and early switching of breast. Furthermore, the respondents affirmed that they were furnished with the right knowledge/skills for enrichment and formulation of new/existing varieties of local complementary foods. Conclusion: The intervention increased maternal IYCF knowledge, perception and promoted good IYCF intentions. Increased nutrition education of the mothers should be encouraged as it facilitates the improvement in maternal IYCF knowledge, perception and feeding behaviors.

Keywords

Complementary feeding , knowledge perception intention nutrition intervention Nigeria

Linda Obianuju Edafioghor

Federal Medical Centre Asaba Department of Nutrition and Dietetics P.M.B 1033, Asaba Delta State.
Chinonyelum Thecla Ezeonu

Alex-Ekwueme Federal University Teaching Hospital, Abakaliki Department of Paediatrics P.M.B 102, Abakaliki Ebonyi State.
Uzoma Vivian Asiegbu

Alex-Ekwueme Federal University Teaching Hospital, Abakaliki Department of Paediatrics P.M.B 102, Abakaliki Ebonyi State.
Gideon Onyedikachi Iheme

Michael Okpara University of Agriculture Umudike, Department of Human Nutrition and Dietetics, P.M.B 7267, Umuahia Abia State.

PDF (Full text)

How to Cite

Edafioghor, L. O., Ezeonu, C. T., Asiegbu, U. V., & Iheme, G. O. (2023). Nutrition Education Intervention on maternal knowledge, and perception toward infant and young child feeding in Abakaliki Metropolis, Nigeria. The North African Journal of Food and Nutrition Research, 7(16), 1-12. https://doi.org/10.51745/najfnr.7.16.1-12

More Citation Formats

Download Citation

References

Black, R.E., Victora, C.G., Walker,S.P.,Bhutta, Z.A., Christian, P., De Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., et al. (2013). Maternal and Child Nutrition Study Group. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 382, 427– 51. https://doi.org/10.1016/s0140-6736(13)60937-x DOI: https://doi.org/10.1016/S0140-6736(13)60937-X

Panjwani, A., & Heidkamp, R. (2017). Complementary Feeding Interventions have a small but Significant Impact on Linear and Ponderal Growth of Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. The Journal of Nutrition, 147, 2169-2178 https://doi.org/10.3945/jn.116.243857 DOI: https://doi.org/10.3945/jn.116.243857

World Health Organization (1998). Programme of Nutrition. Complementary feeding of young children in developing countries: a review of current scientific knowledge. 1998. Retrieved from https://apps.who.int/iris/handle/10665/65932

National Population Commission (NPC) [Nigeria] and ICF (2019). Nigeria Demographic and Health Survey 2018 Key Indicators Report. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF.

Arikpo, D., Edet, E.S., Chibuzor, M.T., Odey, F., & Caldwell, D.M. (2018). Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under. Cochrane Database of Systematic Reviews, 18 (5), CD011768. https://doi.org/10.1002%2F14651858.CD011768.pub2 DOI: https://doi.org/10.1002/14651858.CD011768.pub2

Krebs, N.F., Hambidge, K.M., Mazariegos, M., Westcott, J., Goco, N., & Wright, LL. (2011). Complementary feeding: a global network cluster randomized controlled trial. BMC Pediatrics, 11(4), 4. https://doi.org/10.1186/1471-2431-11-4 DOI: https://doi.org/10.1186/1471-2431-11-4

Dewey, K.G. &Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal and Child Nutrition, 4, 24-85. https://doi.org/10.1111/j.1740-8709.2007.00124.x DOI: https://doi.org/10.1111/j.1740-8709.2007.00124.x

Plessis, L.M., Kruger, H.S., & Sweet, L. (2013) Complementary feeding: a critical window of opportunity from six months onwards. South African Journal of Clinical Nutrition, 26, 129–140. DOI: https://doi.org/10.1080/16070658.2013.12519349

Onoja, U.S., & Obizoba, I.C. (2009). Nutrient composition and organoleptic attributes of gruel based on fermented cereal, legume, tuber and root flour. Agro-Science Journal of Tropical Agriculture, Food, Environment and Extension. 8, 162-168. DOI: https://doi.org/10.4314/as.v8i3.51735

Yusuf, P.A., Egbunu, F.A., Egwujeh, S.I.D., Opega, G.L., & Adikwu, M.O. (2013). Evaluation of Complementary Food Prepared from Sorghum, African Yam Bean (Sphenostylisstenocarpa) and Mango Mesocarp Flour Blends. Pakistan Journal of Nutrition, 12: 205-208. https://dx.doi.org/10.3923/pjn.2013.205.208 DOI: https://doi.org/10.3923/pjn.2013.205.208

Higgins, J.P.T., Thompson, S.G., Deeks, J.J., & Altman D.G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327, 557‐560 https://doi.org/10.1136/bmj.327.7414.557 DOI: https://doi.org/10.1136/bmj.327.7414.557

Shah, A., Blackhall, K., Ker, K., & Patel, D. (2009). Educational interventions for the prevention of eye injuries. Cochrane Database of Systematic Reviews, https://doi.org/10.1002%2F14651858.CD006527.pub3 DOI: https://doi.org/10.1002/14651858.CD006527.pub3

Brunello, G., Fort, M., Schneeweis, N., & Winter‐Ebmer, R. (2012). The causal effect of education on health what is the role of health behaviours? Working Paper Series 08‐2012 https://doi.org/10.1002/hec.3141 DOI: https://doi.org/10.2139/ssrn.2020147

Ajzen, I. (1991). The Theory of Planned Behaviour. Organizational Behaviour and Human Decision Processes, 50, 179-211. DOI: https://doi.org/10.1016/0749-5978(91)90020-T

Swanson, V., & Power, K. (2005). Initiation and continuation of breastfeeding: theory of planned behaviour. Journal of Advanced Nursing, 50: 272‐282 https://doi.org/10.1111/j.1365-2648.2005.03390.x DOI: https://doi.org/10.1111/j.1365-2648.2005.03390.x

Zhang, Y., Wu, Q., Wang, W., Velthoven, M.H., Chang, S., Han, H., et al. (2016). Effectiveness of complementary food supplements and dietary counselling on anaemia and stunting in children aged 6‐23 months in poor areas of Qinghai Province, China: a controlled interventional study. BMJ Open, 6: e011234. http://dx.doi.org/10.1136/bmjopen-2016-011234 DOI: https://doi.org/10.1136/bmjopen-2016-011234

Hamilton, K., Daniels, L., White, K.M., Murray, N. & Walsh, A. (2011). Predicting mothers’ decisions to introduce complementary feeding at 6 months. An investigation using an extended theory of planned behaviour. Appetite 56: 674‐681 http://dx.doi.org/10.1016/j.appet.2011.02.002. DOI: https://doi.org/10.1016/j.appet.2011.02.002

Walingo, M.K., &Mutuli, L.A. (2014). Influence of maternal beliefs, attitude, perceived behavior on breast‐feeding among post-partum mothers in Western Kenya. Pakistan Journal of Nutrition, 13, 250‐254 https://dx.doi.org/10.3923/pjn.2014.250.254. DOI: https://doi.org/10.3923/pjn.2014.250.254

World Health Organization (2002). Global strategy for infant and young child feeding, Annex 2. Geneva: Retrieved from http://apps.who.int/iris/bitstream/handle/10665/42590/9241562218.

Freed, G.L., Clark, S.J., Lohr, J.A., & Sorenson, J.R. (1995). Pediatrician Involvement in Breast-Feeding Promotion: A National Study of Residents and Practitioners. Pediatrics, 96, 490-494. DOI: https://doi.org/10.1542/peds.96.3.490

Haider, R., Ashworth, A., Kabir, I., & Huttly, S.R. (2000). Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomized controlled trial. Lancet, 356, 1643–1647 https://doi.org/10.1016/s0140-6736(00)03159-7. DOI: https://doi.org/10.1016/S0140-6736(00)03159-7

Pelto, G. H., SantosI., Gonçalves H., Victora, C., Martines J., & Habicht, J.-P. (2004). Nutrition Counseling Training Changes Physician Behavior and Improves Caregiver Knowledge Acquisition. The Journal of Nutrition, 134(2), 357–362. https://doi.org/10.1093/jn/134.2.357 DOI: https://doi.org/10.1093/jn/134.2.357

Penny, M. E., Creed-Kanashiro, H. M., Robert, R. C., Narro, M. R., Caulfield, L. E., & Black, R. E. (2005). Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: a cluster-randomised controlled trial. The Lancet, 365(9474), 1863–1872. https://doi.org/10.1016/s0140-6736(05)66426-4 DOI: https://doi.org/10.1016/S0140-6736(05)66426-4

Ebonyi State (2015) Profile. Retrieved from https://www.ebonyistate.gov.ng/profile.aspx

Hoiberg, D.H. (2010). "Abakaliki". Encyclopedia Britannica. 1: A-ak Bayes (15th ed.). Chicago, IL: Encyclopedia Britannica, Inc; ed. 2010. ISBN 0-85229-961-3. LCCN 200211398

WHO and UNICEF (2021). Indicators for assessing infant and young child feeding practices: definitions and measurement methods; Retrieved from https://apps.who.int/iris/rest/bitstreams/1341846/retrieve .

Ulin, P.R., Robinson, E.T., & Tolley, E.E. (2005). Qualitative methods in public health: a field guide for applied research. San Frocisico: Jossey-Bass. DOI: https://doi.org/10.1249/01.mss.0000172593.20181.14

Khanal, V., Sauer, K., & Zhao, Y. (2013). Determinants of complementary feeding practices among Nepalese children aged 6–23 months: findings from demographic and health survey 2011. BMC Pediatrics, 13(1). https://doi.org/10.1186/1471-2431-13-131 DOI: https://doi.org/10.1186/1471-2431-13-131

Ng, C. S., Dibley, M. J., & Agho, K. E. (2011). Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey data. Public Health Nutrition, 15(5), 827–839. https://doi.org/10.1017/s1368980011002485 DOI: https://doi.org/10.1017/S1368980011002485

Sika-Bright, S. (2010). Socio-cultural factors influencing infant feeding practices of mothers attending welfare clinic in Cape Coast, Ghana. Department of Sociology and Anthropology, University of Cape Coast.

Ajibade, B., Okunlade, J., Makinde, O., Amoo, P., &Adeyemo, M. (2013). Factors influencing the practice of exclusive breastfeeding in rural communities of Osun State, Nigeria. European Journal of Business and Management, 5, 49-53.

Adelekan, D. A. (2003). Childhood nutrition and malnutrition in Nigeria. Nutrition, 19(2), 179–181. https://doi.org/10.1016/s0899-9007(02)01101-2 DOI: https://doi.org/10.1016/S0899-9007(02)01101-2

Oche, M. & Umar, A. (2011). Ahmed H. Knowledge and practice of exclusive breastfeeding in Kware. Nigeria. African Health Sciences, 11:518–552.

Nukpezah, R. N., Nuvor, S. V., & Ninnoni, J. (2018). Knowledge and practice of exclusive breastfeeding among mothers in the tamale metropolis of Ghana. Reproductive Health, 15(1). https://doi.org/10.1186/s12978-018-0579-3 DOI: https://doi.org/10.1186/s12978-018-0579-3

Mohammed, E., Ghazawy, E., & Hassan, E. (2014). Knowledge, attitude, and practices of breastfeeding and weaning among mothers of children up to 2 years old in a rural area in el-minia governorate, Egypt. Journal of Family Medicine and Primary Care, 3(2), 136. https://doi.org/10.4103/2249-4863.137639 DOI: https://doi.org/10.4103/2249-4863.137639

Chaudhary, R., Shah, T., & Raja, S. (1970). Knowledge and practice of mothers regarding breast feeding: a hospital based study. Health Renaissance, 9(3), 194–200. https://doi.org/10.3126/hren.v9i3.5590 DOI: https://doi.org/10.3126/hren.v9i3.5590

Hasnain, S., Majrooh, M.A., &Anjum R. (2013). Knowledge and practices of mothers for complementary feeding in babies visiting pediatrics outpatient department of Jinnah hospital, Lahore. Biomedical Journal,29, 221–230.

Mohsin, S.S., Shaikh, A.S., Shaikh, R., Haider, N., &Parkash, A. (2014). Knowledge attitude and practice of mothers regarding complementary feeding. Journal of the Dow University of Health Sciences Karachi, 8(1), 21–25.

Gyampoh, S., Otoo, G. E., & Aryeetey, R. N. O. (2014). Child feeding knowledge and practices among women participating in growth monitoring and promotion in Accra, Ghana. BMC Pregnancy and Childbirth, 14(1). https://doi.org/10.1186/1471-2393-14-180 DOI: https://doi.org/10.1186/1471-2393-14-180

Otaigbe, B., Alikor, E., & Nkanginieme, K. (2008). Growth Pattern Of Exclusively Breastfed Infants In The First Six Months Of Life: A Study Of Babies Delivered At The University Of Portharcourt Teaching Hospital, Rivers State, Nigeria. Nigerian Journal of Medicine, 17(3). https://doi.org/10.4314/njm.v17i3.37402 DOI: https://doi.org/10.4314/njm.v17i3.37402

WHO (2009) Infant and Young Child Feeding Model Chapter for Textbooks for Medical Students and Allied Health Professionals; 2009. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/44117/9789241597494_eng.pdf?sequence=1

Safaa, M., Mohamed, A.G., Mohamed, E.M., &Khalek, E.M. (2012). Knowledge and practices of working mother about breastfeeding and weaning in Assiut city, Egypt. Life Science Journal, 9, 803–808.

Walker, R.B., Conn, J.A., Davies, M.J., Moore, V.M. (2006). Mothers' views on feeding infants around the time of weaning. Public Health Nutrition, 9, 707–713. https://doi.org/10.1079/phn2005915 DOI: https://doi.org/10.1079/PHN2005915

Egyir, B. K., Ramsay, S. A., Bilderback, B., & Safaii, S. (2016). Complementary Feeding Practices of Mothers and Their Perceived Impacts on Young Children: Findings from KEEA District of Ghana. Maternal and Child Health Journal, 20(9), 1886–1894. https://doi.org/10.1007/s10995-016-1994-0 DOI: https://doi.org/10.1007/s10995-016-1994-0

Henderson, L., McMillan, B., Green, J. M., & Renfrew, M. J. (2011). Men and Infant Feeding: Perceptions of Embarrassment, Sexuality, and Social Conduct in White Low-Income British Men. Birth, 38(1), 61–70. https://doi.org/10.1111/j.1523-536x.2010.00442.x DOI: https://doi.org/10.1111/j.1523-536X.2010.00442.x

Wambach, K. A., & Cohen, S. M. (2009). Breastfeeding Experiences of Urban Adolescent Mothers. Journal of Pediatric Nursing, 24(4), 244–254. https://doi.org/10.1016/j.pedn.2008.03.002 DOI: https://doi.org/10.1016/j.pedn.2008.03.002

Factors Associated With Exclusive Breastfeeding in the United States. (2011). Pediatrics, 128(6), peds.2011-0841dpeds.2011-0841d. https://doi.org/10.1542/peds.2011-0841d DOI: https://doi.org/10.1542/peds.2011-0841d

Brown, A., Raynor, P., & Lee, M. (2011). Young mothers who choose to breast feed: the importance of being part of a supportive breast-feeding community. Midwifery, 27(1), 53–59. https://doi.org/10.1016/j.midw.2009.09.004

Abdulraheem, I.S., Onajole, A.T., Jimoh, A.A.G., &Oladipo, A.R. Reasons for Incomplete Vaccination and Factors for Missed Opportunities among Rural Nigerian Children. Journal of Public Health and Epidemiology, 3, 194–203.

Brown, A., Raynor, P., & Lee, M. (2011). Young mothers who choose to breast feed: the importance of being part of a supportive breast-feeding community. Midwifery, 27(1), 53–59. https://doi.org/10.1016/j.midw.2009.09.004 DOI: https://doi.org/10.1016/j.midw.2009.09.004

Antai, D. (2009). Inequitable childhood immunization uptake in Nigeria: a multilevel analysis of individual and contextual determinants. BMC Infectious Diseases, 9(1). https://doi.org/10.1186/1471-2334-9-181 DOI: https://doi.org/10.1186/1471-2334-9-181

Wiysonge, C. S., Uthman, O. A., Ndumbe, P. M., & Hussey, G. D. (2012). Individual and contextual factors associated with low childhood immunisation coverage in sub-Saharan Africa: a multilevel analysis. PloS One, 7(5), e37905. https://doi.org/10.1371/journal.pone.0037905 DOI: https://doi.org/10.1371/journal.pone.0037905

Duru, C. B., Uwakwe, K. A., Nnebue, C. C., Diwe, K. C., Merenu, I. A., Emerole, C. O., Iwu, C. A., & Duru, C. A. (2016). Tuberculosis Treatment Outcomes and Determinants among Patients Treated in Hospitals in Imo State, Nigeria. OALib, 03(06), 1–17. https://doi.org/10.4236/oalib.1102754 DOI: https://doi.org/10.4236/oalib.1102754

Kio, O., Agbede, O., &Mkpuruoma, J. (2016) Knowledge beliefs and practices regarding immunization among nursing mothers in Nigeria. Journal of Health Medicine and Nursing, 24, 145–149.

Kwataghibe, N. N., Ogunsola, E. A., Broerse, J. E. W., Popoola, O. A., Agbo, A. I., & Dieleman, M. A. (2019). Exploring Factors Influencing Immunization Utilization in Nigeria—A Mixed Methods Study. Frontiers in Public Health, 7. https://doi.org/10.3389/fpubh.2019.00392. DOI: https://doi.org/10.3389/fpubh.2019.00392

Appoh, L. Y., & Krekling, S. (2005). Maternal nutritional knowledge and child nutritional status in the Volta Region of Ghana. Maternal and Child Nutrition, 1(2), 100–110. https://doi.org/10.1111/j.1740-8709.2005.00016.x DOI: https://doi.org/10.1111/j.1740-8709.2005.00016.x

Lindsay, A. C., Machado, M. T., Sussner, K. M., Hardwick, C. K., & Peterson, K. E. (2008). Infant-Feeding Practices and Beliefs about Complementary Feeding among Low-Income Brazilian Mothers: A Qualitative Study. Food and Nutrition Bulletin, 29(1), 15–24. https://doi.org/10.1177/156482650802900102 DOI: https://doi.org/10.1177/156482650802900102

Paul, K. H., Muti, M., Khalfan, S. S., Humphrey, J. H., Caffarella, R., & Stoltzfus, R. J. (2011). Beyond Food Insecurity: How Context Can Improve Complementary Feeding Interventions. Food and Nutrition Bulletin, 32(3), 244–253. https://doi.org/10.1177/156482651103200308 DOI: https://doi.org/10.1177/156482651103200308

Shi, L., & Zhang, J. (2010). Recent Evidence of the Effectiveness of Educational Interventions for Improving Complementary Feeding Practices in Developing Countries. Journal of Tropical Pediatrics, 57(2), 91–98. https://doi.org/10.1093/tropej/fmq053 DOI: https://doi.org/10.1093/tropej/fmq053

Coppoolse, H. L., Seidell, J. C., & Dijkstra, S. C. (2020). Impact of nutrition education on nutritional knowledge and intentions towards nutritional counselling in Dutch medical students: an intervention study. BMJ Open, 10(4), e034377. https://doi.org/10.1136/bmjopen-2019-034377 DOI: https://doi.org/10.1136/bmjopen-2019-034377

Rajikan, R., & Esmail, S. (2020). Nutrition Education to Improve Nutrition Knowledge, Attitude and Practice among Yemeni School Children. Trends in Applied Sciences Research, 15(3), 207–213. https://doi.org/10.3923/tasr.2020.207.213 DOI: https://doi.org/10.3923/tasr.2020.207.213

More

Nutrition Education Intervention on maternal knowledge, and perception toward infant and young child feeding in Abakaliki Metropolis, Nigeria

Keywords

How to Cite

Similar Articles

Downloads 893

Views 1719

Country (Top 10)

Make a Submission

Journal Issue

Keywords

Browse by Category

Information

Highly Accessed

Published by

Useful Links

Connect

Contact Us