Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis

Background. Appropriate complementary feeding practices prevent malnutrition among children. The proportion and determinant factors of appropriate complementary feeding practices identified by different studies were inconsistent in Ethiopia. Therefore, this systematic review and meta-analysis aimed...

Full description

Saved in:
Bibliographic Details
Main Authors: Asrat Hailu Dagne, Shimeles Biru Zewude, Abenezer Melkie Semahegn
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2022/1548390
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563242617012224
author Asrat Hailu Dagne
Shimeles Biru Zewude
Abenezer Melkie Semahegn
author_facet Asrat Hailu Dagne
Shimeles Biru Zewude
Abenezer Melkie Semahegn
author_sort Asrat Hailu Dagne
collection DOAJ
description Background. Appropriate complementary feeding practices prevent malnutrition among children. The proportion and determinant factors of appropriate complementary feeding practices identified by different studies were inconsistent in Ethiopia. Therefore, this systematic review and meta-analysis aimed to assess the pooled proportion and determinants of appropriate complementary feeding practices among mothers. Methods. Databases (PubMed, HINARI, Google Scholar, Cochrane Library, and Web of Science) and university repositories were used to search for important articles. A critical appraisal of the studies was conducted. Data analysis was conducted using STATA version 11. Cochran (Q test) and I2 test were used to test the heterogeneity of the studies. Publication bias was checked using the funnel plot for asymmetry and Egger’s regression test. Results. Seventeen primary studies with a total sample size of 9166 mothers were involved in this study. The pooled proportion of appropriate complementary feeding practices among mothers who had infants and young children aged between 6 and 24 months was 21.77 (with a 95% CI: 14.07–29.48). Mothers’ educational status of secondary school and above (OR = 3.36 with a 95% CI: 3.03–3.69), having repeated antenatal care visits (OR = 4.77 with a 95% CI: 3.49–6.05), child’s age between 12 and 24 months (OR = 3.7 with a 95% CI: 2.75–4.65), having repeated postnatal care visits (OR = 3.17 with a 95% CI: 1.96–4.38), health education (OR = 4.88 with a 95% CI: 3.86–5.9), knowledge of mothers (OR = 4.85 with a 95% CI: 3.77–5.93), maternal age between 18 and 35 years (AOR = 2.67 with a 95% CI: 1.64–3.72), institutional delivery (OR = 2.23 with a 95% CI: 1.79–2.68), and higher household wealth (OR = 2.65 with a 95% CI: 1.46–3.84) were found to be statistically significant associated factors of appropriate complementary feeding practices among mothers. Conclusions. The pooled proportion of appropriate complementary feeding practices was low in Ethiopia. Knowledge of mothers and maternal health service uptake such as antenatal care, postnatal care, and institutional delivery increase appropriate complementary feeding practices. More focus is required for mothers who have children aged less than 12 months, mothers aged above 35 years and less than 18 years, lower mothers’ educational status, and lower household wealth. Therefore, integrated interventions are still required to improve appropriate complementary feeding practices.
format Article
id doaj-art-beaadd31e29d4a71a6e9d7b627019d94
institution Kabale University
issn 2090-0732
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Journal of Nutrition and Metabolism
spelling doaj-art-beaadd31e29d4a71a6e9d7b627019d942025-02-03T01:20:36ZengWileyJournal of Nutrition and Metabolism2090-07322022-01-01202210.1155/2022/1548390Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-AnalysisAsrat Hailu Dagne0Shimeles Biru Zewude1Abenezer Melkie Semahegn2Department of MidwiferyDepartment of MidwiferyDepartment of MidwiferyBackground. Appropriate complementary feeding practices prevent malnutrition among children. The proportion and determinant factors of appropriate complementary feeding practices identified by different studies were inconsistent in Ethiopia. Therefore, this systematic review and meta-analysis aimed to assess the pooled proportion and determinants of appropriate complementary feeding practices among mothers. Methods. Databases (PubMed, HINARI, Google Scholar, Cochrane Library, and Web of Science) and university repositories were used to search for important articles. A critical appraisal of the studies was conducted. Data analysis was conducted using STATA version 11. Cochran (Q test) and I2 test were used to test the heterogeneity of the studies. Publication bias was checked using the funnel plot for asymmetry and Egger’s regression test. Results. Seventeen primary studies with a total sample size of 9166 mothers were involved in this study. The pooled proportion of appropriate complementary feeding practices among mothers who had infants and young children aged between 6 and 24 months was 21.77 (with a 95% CI: 14.07–29.48). Mothers’ educational status of secondary school and above (OR = 3.36 with a 95% CI: 3.03–3.69), having repeated antenatal care visits (OR = 4.77 with a 95% CI: 3.49–6.05), child’s age between 12 and 24 months (OR = 3.7 with a 95% CI: 2.75–4.65), having repeated postnatal care visits (OR = 3.17 with a 95% CI: 1.96–4.38), health education (OR = 4.88 with a 95% CI: 3.86–5.9), knowledge of mothers (OR = 4.85 with a 95% CI: 3.77–5.93), maternal age between 18 and 35 years (AOR = 2.67 with a 95% CI: 1.64–3.72), institutional delivery (OR = 2.23 with a 95% CI: 1.79–2.68), and higher household wealth (OR = 2.65 with a 95% CI: 1.46–3.84) were found to be statistically significant associated factors of appropriate complementary feeding practices among mothers. Conclusions. The pooled proportion of appropriate complementary feeding practices was low in Ethiopia. Knowledge of mothers and maternal health service uptake such as antenatal care, postnatal care, and institutional delivery increase appropriate complementary feeding practices. More focus is required for mothers who have children aged less than 12 months, mothers aged above 35 years and less than 18 years, lower mothers’ educational status, and lower household wealth. Therefore, integrated interventions are still required to improve appropriate complementary feeding practices.http://dx.doi.org/10.1155/2022/1548390
spellingShingle Asrat Hailu Dagne
Shimeles Biru Zewude
Abenezer Melkie Semahegn
Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis
Journal of Nutrition and Metabolism
title Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis
title_full Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis
title_fullStr Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis
title_full_unstemmed Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis
title_short Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis
title_sort appropriate complementary feeding practice and its associated factors among mothers who have children aged between 6 and 24 months in ethiopia systematic review and meta analysis
url http://dx.doi.org/10.1155/2022/1548390
work_keys_str_mv AT asrathailudagne appropriatecomplementaryfeedingpracticeanditsassociatedfactorsamongmotherswhohavechildrenagedbetween6and24monthsinethiopiasystematicreviewandmetaanalysis
AT shimelesbiruzewude appropriatecomplementaryfeedingpracticeanditsassociatedfactorsamongmotherswhohavechildrenagedbetween6and24monthsinethiopiasystematicreviewandmetaanalysis
AT abenezermelkiesemahegn appropriatecomplementaryfeedingpracticeanditsassociatedfactorsamongmotherswhohavechildrenagedbetween6and24monthsinethiopiasystematicreviewandmetaanalysis