Complementary feeding practices and child growth outcomes in Haiti

An analysis of data from Demographic and Health Surveys

Datos Bibliográficos

ID15536147
AutoresRebecca Heidkamp (0000-0003-3146-1320, Johns Hopkins University, autor de correspondencia), Mohamed Ag Ayoya (Université Épiscopale d'Haiti), Ismael Ngnie‐Teta (0000-0002-6126-9148, United Nations Children's Fund), Ismael Ngnie Teta (Nutrition Section UNICEF Country Office Port‐au‐Prince Haiti), Rebecca J Stoltzfus (0000-0002-3191-5372, Cornell University), Joseline Pierre Marhone (Ministry of Agriculture Natural Resources and Rural Development)
Año2013
Volumen11
Número4
Páginas815-828
Fecha de publicación2013-10-07
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMaternal and Child Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1740-8695 • E-ISSN: 1740-8709
EditorialWiley (PUBLISHER • GB)
DOI10.1111/mcn.12090
PMID24118777
OpenAlexW2138377153
IdiomaEN
Citas recibidas13
Referencias citadas26

The Haitian National Nutrition Policy identifies the promotion of optimal complementary feeding (CF) practices as a priority action to prevent childhood malnutrition. We analysed data from the nationally representative 2005-2006 Haiti Demographic Health Survey using the World Health Organization 2008 infant and young child feeding indicators to describe feeding practices among children aged 6-23 months and thus inform policy and programme planning. Multivariate regression analyses were used to identify the determinants of CF practices and to examine their association with child growth outcomes. Overall, 87.3% of 6-8-month-olds received soft, solid or semi-solid foods in the previous 24 h. Minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) were achieved in 29.2%, 45.3% and 17.1% of children aged 6-23 months, respectively. Non-breastfed children were more likely to achieve MDD than breastfed children of the same age (37.3% vs. 25.8%; P < 0.001). The proportion of children achieving MMF varied significantly by age (P < 0.001). Children with overweight mothers were more likely to achieve MDD, MMF and MAD [odds ratio (OR) 2.08, P = 0.012; OR 1.81, P = 0.02; and OR 2.4, P = 0.01, respectively] than children of normal weight mothers. Odds of achieving MDD and MMF increased with household wealth. Among mothers with secondary or more education, achieving MDD or MAD was significantly associated with lower mean weight-for-age z-score and height-for-age z-score (P-value <0.05 for infants and young child feeding indicator × maternal education interaction). CF practices were mostly inadequate and contributed to growth faltering among Haitian children 6-23 months old

Breast feeding · Breastfeeding · Environmental health · Logistic regression · Malnutrition · Multivariate analysis · Obesity · Odds · Odds ratio · Overweight · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Demography · Medicine · Internal Medicine · Pediatrics