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An Integrated Enhanced Infant and Young Child Feeding (IYCF) and Micronutrient Powder Intervention Improved Select IYCF Practices Among Caregivers of Children Aged 12–23 Months in Eastern Uganda
| Content Provider | Oxford Academic |
|---|---|
| Author | Ford, Nicole D Ruth, Laird J Ngalombi, Sarah Lubowa, Abdelrahman Halati, Siti Ahimbisibwe, Martin Whitehead, Ralph D Mapango, Carine Jefferds, Maria Elena |
| Copyright Year | 2021 |
| Abstract | Background: There is little evidence of the impact of integrated programs distributing nutrition supplements with behavior change on infant and young child feeding (IYCF) practices.ObjectiveWe evaluated the impact of an integrated IYCF/micronutrient powder intervention on IYCF practices among caregivers of children aged 12–23 mo in eastern Uganda.MethodsWe used pre-post data from 2 population-based, cross-sectional surveys representative of children aged 12–23 mo in Amuria (intervention) and Soroti (nonintervention) districts (n = 2816). Caregivers were interviewed in June/July at baseline in 2015 and 12 mo after implementation in 2016. We used generalized linear mixed models with cluster as a random effect to calculate the average intervention effect on receiving IYCF counseling, ever breastfed, current breastfeeding, bottle feeding, introducing complementary feeding at age 6 mo, continued breastfeeding at ages 1 and 2 y, minimum meal frequency (MMF), minimum dietary diversity, minimum acceptable diet (MAD), and consumption of food groups the day preceding the survey.ResultsControlling for child age and sex, household wealth and food security, and caregiver schooling, the intervention was positively associated with having received IYCF counseling by village health team [adjusted prevalence difference-in-difference (APDiD): +51.6%; 95% CI: 44.0%, 59.2%]; timely introduction of complementary feeding (APDiD: +21.7%; 95% CI: 13.4%, 30.1%); having consumed organs or meats (APDiD: +9.0%; 95% CI: 1.4%, 16.6%) or vitamin A–rich fruits or vegetables (APDiD: +17.5%; 95% CI: 4.5%, 30.5%); and MMF (APDiD: +18.6%; 95% CI: 11.2%, 25.9%). The intervention was negatively associated with having consumed grains, roots, or tubers (APDiD: −4.4%; 95% CI: −7.0%, −1.7%) and legumes, nuts, or seeds (APDiD: −15.6%; 95% CI: −26.2%, −5.0%). Prevalences of some IYCF practices were low in Amuria at endline including MAD (19.1%; 95% CI :16.3%, 21.9%).ConclusionsThe intervention had a positive impact on several IYCF practices; however, endline prevalence of some indicators suggests a continued need to improve complementary feeding practices. |
| Related Links | https://academic.oup.com/cdn/article-pdf/5/2/nzab003/36302003/nzab003.pdf |
| File Format | |
| e-ISSN | 24752991 |
| DOI | 10.1093/cdn/nzab003 |
| Journal | Current Developments in Nutrition |
| Issue Number | 2 |
| Volume Number | 5 |
| Language | English |
| Publisher | Oxford Academic |
| Publisher Date | 2021-03-03 |
| Access Restriction | Open |
| Subject Keyword | Allied Health Professions Dietetics and Nutrition Medicine and Health Breast Feeding Caregivers Child Counseling Infant Micronutrients Powder Dose Form Uganda Food Breastfeeding Child Nutrition Infant and Young Child Feeding (iycf) Impact Evaluation Micronutrient Powders (mnps) |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Nutrition and Dietetics Food Science |
