Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia

Abstract Background One of the contributing factors for malnutrition among children aged 6–23 months is inappropriate complementary feeding. Appropriate complementary feeding practices have the potential to prevent 6% of all deaths among children 6–23 months, particularly in developing countries. Th...

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Main Authors: Abdurehman Kalu Tololu, Bekele Teshome, Hiwot Zelalem Fessaha, Abdene Weya Kaso
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05443-9
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author Abdurehman Kalu Tololu
Bekele Teshome
Hiwot Zelalem Fessaha
Abdene Weya Kaso
author_facet Abdurehman Kalu Tololu
Bekele Teshome
Hiwot Zelalem Fessaha
Abdene Weya Kaso
author_sort Abdurehman Kalu Tololu
collection DOAJ
description Abstract Background One of the contributing factors for malnutrition among children aged 6–23 months is inappropriate complementary feeding. Appropriate complementary feeding practices have the potential to prevent 6% of all deaths among children 6–23 months, particularly in developing countries. Thus, this study aimed to determine the prevalence of appropriate complementary feeding practices and associated factors among mothers aged 6–23 months in Bokoji Town, Oromia Region, Ethiopia. Method A community-based cross-sectional study was carried out among 6–23 aged children in Bokoji town from May 1–30, 2023. A total of 434 mothers of children aged 6–23 months were recruited by simple random sampling technique using computer-generated random numbers. The Collected data were entered into Epi Info version 7 and exported into SPSS version 25 for analysis. Bivariable and multivariable Logistic regression model was used to determine factors associated with appropriate complementary feeding practice. A p-value of < 0.05 and an Adjusted Odds Ratio (AOR) with 95% CI were used to declare the factors associated with the outcome variable. Results The study found that 80.0% (95% CI: 76.0%, 83.5%) of children had a timely introduction of complementary feeding, 19.8% (95% CI: 16.3%, 23.8%) had minimum dietary diversity, 93.8%(95% CI: 91.2%, 95.8%) had minimum meal frequency and 19.4%(95% CI: 15.8%, 23.3%) had minimum acceptable diet. The level of appropriate complementary feeding practice in this study was 13.1%,(95% CI: 10.1%, 16.6%). Husband education level [AOR = 4.32:95% CI:1.68,11.11], Mothers education level [AOR: 3.98, 95% CI:1.64–9.67], birth order [AOR = 13.65:95% CI:3.56, 52.34], Postnatal care visit[AOR: 4.35, 95% CI:1.52,12.49], and place of birth [AOR: 2.97, 95% CI:1.26,6.98] and mothers knowledge of Infant and Youth Child feeding services [AOR: 10.03, 95% CI:2.66, 37.81] were significantly associated with appropriate complementary feeding practice. Conclusion The study found the prevalence of mothers who practiced appropriate complementary feeding is low in the study area. Factors such as the education level of husband and mother, birth order, postnatal care visit, place of birth, and mothers’ knowledge of Infant and Youth Child feeding services were significantly associated with appropriate complementary feeding practice. Thus, healthcare providers should provide continuous health education on complementary feeding during antenatal care visits, postnatal care visits, and child immunization services.
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spelling doaj-art-6b91395cd6b4456f9af1a77057e09aba2025-02-02T12:42:50ZengBMCBMC Pediatrics1471-24312025-01-0125111010.1186/s12887-025-05443-9Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, EthiopiaAbdurehman Kalu Tololu0Bekele Teshome1Hiwot Zelalem Fessaha2Abdene Weya Kaso3Department of Public Health, College of Health Science, Arsi UniversityOromia Health Bureau, Bokoji Town Health OfficeDepartment of Public Health, College of Health Science, Arsi UniversityDepartment of Public Health, College of Health Science, Arsi UniversityAbstract Background One of the contributing factors for malnutrition among children aged 6–23 months is inappropriate complementary feeding. Appropriate complementary feeding practices have the potential to prevent 6% of all deaths among children 6–23 months, particularly in developing countries. Thus, this study aimed to determine the prevalence of appropriate complementary feeding practices and associated factors among mothers aged 6–23 months in Bokoji Town, Oromia Region, Ethiopia. Method A community-based cross-sectional study was carried out among 6–23 aged children in Bokoji town from May 1–30, 2023. A total of 434 mothers of children aged 6–23 months were recruited by simple random sampling technique using computer-generated random numbers. The Collected data were entered into Epi Info version 7 and exported into SPSS version 25 for analysis. Bivariable and multivariable Logistic regression model was used to determine factors associated with appropriate complementary feeding practice. A p-value of < 0.05 and an Adjusted Odds Ratio (AOR) with 95% CI were used to declare the factors associated with the outcome variable. Results The study found that 80.0% (95% CI: 76.0%, 83.5%) of children had a timely introduction of complementary feeding, 19.8% (95% CI: 16.3%, 23.8%) had minimum dietary diversity, 93.8%(95% CI: 91.2%, 95.8%) had minimum meal frequency and 19.4%(95% CI: 15.8%, 23.3%) had minimum acceptable diet. The level of appropriate complementary feeding practice in this study was 13.1%,(95% CI: 10.1%, 16.6%). Husband education level [AOR = 4.32:95% CI:1.68,11.11], Mothers education level [AOR: 3.98, 95% CI:1.64–9.67], birth order [AOR = 13.65:95% CI:3.56, 52.34], Postnatal care visit[AOR: 4.35, 95% CI:1.52,12.49], and place of birth [AOR: 2.97, 95% CI:1.26,6.98] and mothers knowledge of Infant and Youth Child feeding services [AOR: 10.03, 95% CI:2.66, 37.81] were significantly associated with appropriate complementary feeding practice. Conclusion The study found the prevalence of mothers who practiced appropriate complementary feeding is low in the study area. Factors such as the education level of husband and mother, birth order, postnatal care visit, place of birth, and mothers’ knowledge of Infant and Youth Child feeding services were significantly associated with appropriate complementary feeding practice. Thus, healthcare providers should provide continuous health education on complementary feeding during antenatal care visits, postnatal care visits, and child immunization services.https://doi.org/10.1186/s12887-025-05443-9Appropriate complementary feedingBreastfeedingChildren aged 6–23 months
spellingShingle Abdurehman Kalu Tololu
Bekele Teshome
Hiwot Zelalem Fessaha
Abdene Weya Kaso
Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia
BMC Pediatrics
Appropriate complementary feeding
Breastfeeding
Children aged 6–23 months
title Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia
title_full Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia
title_fullStr Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia
title_full_unstemmed Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia
title_short Determinants of appropriate complementary feeding practices among mothers of children aged 6–23 months in Bokoji town, Oromia region, Ethiopia
title_sort determinants of appropriate complementary feeding practices among mothers of children aged 6 23 months in bokoji town oromia region ethiopia
topic Appropriate complementary feeding
Breastfeeding
Children aged 6–23 months
url https://doi.org/10.1186/s12887-025-05443-9
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