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Paternal Engagement in Infant and Young Child Feeding

A Systematic Review and Meta‐Analysis of Its Extent and Associated Factors

Bibliographic Data

ID15536388
AuthorsMolalign Aligaz Adisu (0009-0003-1685-983X, Woldia University, corresponding author), Bogale Molla (Woldia University), Abraham Dessie Gessesse (0009-0002-8356-4460, Woldia University), Dagnew Tigabu (0009-0002-1821-6865, Woldia University), Tilahun Wodaynew (0000-0001-9512-2382, Woldia University), Akhtar Ali (0009-0009-3415-3586, Woldia University), Abubeker Seid Ali (Department of Nursing, College of Health Sciences Woldia University Woldia Amhara Ethiopia), Tesfaye Engdaw Habtie (0009-0006-7943-3280, Woldia University)
Year2026
Volume22
Issue1
Pagese70174-e70174
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.70174
PMID41739626
OpenAlexW7131675519
LanguageEN
References cited33

Optimal infant and young child feeding (IYCF) is a critical intervention during the first 1000 days of life, yet in Ethiopia, caregiving roles remain heavily gendered, often excluding fathers. This systematic review and meta-analysis quantified the extent of paternal engagement in IYCF across Ethiopia and identified key associated factors. Following PRISMA guidelines, a comprehensive search of major databases and gray literatures identified 11 cross-sectional studies involving 6030 fathers. Using a random-effects model, the pooled prevalence of paternal engagement was 41% (95% CI: 25%-57%). Significant predictors of increased engagement included having an education above secondary level (AOR 4.27), smaller family size (AOR 4.03), first-born child (AOR 3.36), and positive perceptions toward IYCF (AOR 2.68). Other factors included positive cultural beliefs (AOR 2.35), good IYCF knowledge (AOR 2.21), and the child being male (AOR 2.09). This study calls for shifting Ethiopia's nutrition strategies from mother-centric to family-centric models by implementing father-inclusive, culturally sensitive programs. Training health extension workers to challenge gender norms through counseling and community dialog will address socio-cultural barriers, promote shared caregiving, and improve child feeding outcomes

Child development · Child health · Culturally appropriate · Dialog box · Intervention (counseling · Perception · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Global Maternal and Child Health

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