Infant and Young Child Feeding (IYCF) practices and it’s determinants in flood-affected communities in Edo State, Nigeria

Abel Onolunosen Abhadionmhen, Zakari Isiaka Osheku, Chinelo Uzoamaka Okoye, Chiamaka Oluoma Enechi, Harrison Onunaeze
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Abstract

The immediate effect of child malnutrition in Africa is morbidity. In the longer term, it limits the child’s potential for life even when the child manages to survive its instantaneous effects. This cross-sectional study focused on investigating the socio-demographic determinants of the components of Infant and Young Child Feeding (IYCF) in flood-affected Local Government Areas (LGAs) in Edo State, Nigeria. A total of 400 mothers were interviewed using a semi-structured questionnaire. Results from this current study indicate that only about 48% of mothers surveyed exclusively breastfed theirs under 5 children. Also, only about 55% of mothers initiated breastfeeding within 1 hour of birth and gave colostrum, and about 45% of the mothers actually adhered strictly to the prescribed complementary feeding practice of giving nutritionally adequate and safe complementary foods alongside breastfeeding at six months up till 2 years of age and even beyond. Education, source of income, marital status, and access to healthcare facilities were strong influencers of misconceptions and other factors impeding the implementation of the core components of IYCF as observed in this study. Flood remains a significant contributing factor depleting household food security structures leading to maternal and infant malnutrition. A concerted governmental coordinated intervention is required to relieve flood-affected families of the burden of malnutrition and infectious diseases. Training and retraining of health workers will be helpful in strengthening community involvement in implementing and monitoring IYCF components in the community. Longer maternity leave for nursing mothers should be strongly advocated for.
尼日利亚埃多州受洪水影响社区的婴幼儿喂养做法及其决定因素
在非洲,儿童营养不良的直接影响是发病率。从长远来看,它限制了孩子的生活潜力,即使孩子设法从它的即时影响中幸存下来。这项横断面研究的重点是调查尼日利亚埃多州受洪水影响的地方政府地区(LGAs)婴幼儿喂养(IYCF)组成部分的社会人口统计学决定因素。共有400名母亲接受了半结构化问卷调查。目前这项研究的结果表明,接受调查的母亲中只有约48%对5岁以下儿童进行纯母乳喂养。此外,只有约55%的母亲在出生后1小时内开始母乳喂养并给予初乳,约45%的母亲实际上严格遵守规定的补充喂养做法,在6个月至2岁甚至更大的时候,在母乳喂养的同时给予营养充足和安全的补充食品。正如本研究所观察到的,教育、收入来源、婚姻状况和获得医疗保健设施的机会是影响误解和其他因素的重要因素,阻碍了IYCF核心组成部分的实施。洪水仍然是破坏家庭粮食安全结构的一个重要因素,导致产妇和婴儿营养不良。需要政府采取协调一致的干预措施,减轻受洪灾影响家庭的营养不良和传染病负担。对保健工作人员进行培训和再培训将有助于加强社区参与在社区执行和监测儿童发展基金的组成部分。应该大力提倡延长哺乳母亲的产假。
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