A COMPARATIVE STUDY OF COMPLEMENTARY FEEDING AND NUTRITIONAL STATUS OF CHILDREN AGED 6-24 MONTHS IN A RURAL AND AN URBAN LGA OF LAGOS STATE.

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A COMPARATIVE STUDY OF COMPLEMENTARY FEEDING AND NUTRITIONAL STATUS OF CHILDREN AGED 6-24 MONTHS IN A RURAL AND AN URBAN LGA OF LAGOS STATE.

Abstract

ABSTRACT
Background: Globally, the peak of under nutrition coincides with the timing of introduction of complementary feeds. This study assessed and compared the knowledge and practices of mothers on child feeding; and the nutritional status of children aged 6-24 months in a rural (Badagry) and an urban (Surulere) LGA of Lagos state.
Materials and methods: A community based, analytical cross-sectional study was conducted between July and September 2014, using quantitative and qualitative methods. Mothers (496) with children aged 6-24 months were selected by a four-stage sampling. Knowledge and practice were graded (poor, fair and good). Wasting, stunting and underweight proportions were determined. Analysis was done using SPSS 22; multivariate analysis was done on factors that were significant on bivariate analysis. Six sessions of Focus Group Discussions were conducted among mothers, fathers and healthcare workers.
Results: The majority [205 (82.7 % – rural) and 231 (93.1%)] knew the meal frequency for a 6-8 month old (p<0.001). Good knowledge was higher among urban [197 (79%)] than rural mothers [183 (74%)] (p=0.321). Exclusive breastfeeding was practiced by more rural (86.7%) than urban (80.6%) mothers; age appropriate breastfeeding was higher in the rural (72%) than the urban (59%, p=0.002); and 124 (50%) urban children and 103 (42%) in the rural (p=0.020) had good ICFI scores. More rural children [96 (39%)) had any malnutrition than urban [77 (31%)] . Stunting and underweight rates were higher in the rural area than urban (p=0.008).
Younger age of mother was a predictor of good knowledge (p=0.016) and lower monthly income was a predictor of good practice (p<0.001) in the rural area. Having a child in the 6-8 month age group was found as a predictor of good practice in both areas (p<0.001). Males were more underweight (p= 0.020) in the urban.
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Conclusion: The majority of mothers had good knowledge on child feeding. Only about half had good child feeding practices in both areas. Higher proportions of malnutrition were found in the rural area. Good feeding practices should be maintained as the children get older and as income increases. These are hoped to reduce the under nutrition rates.

Title Page———i

Certification——–ii

Dedication———iii

Acknowledgement——-iv

Abstract ———vi

Table of Content——–vii

 

Chapter One

1.0 Introduction ——-1

1.1 Statement of Problem——4

1.2 Purpose of the Study——5

1.3 Significance of Study——8

1.4 Limitation——–9

1.5 Scope of Study——-11

 

Chapter Two

2.0 Review of Related Literature —-12

2.6 Summary of Literature Review—- 19

 

Chapter Three

3.0 Research Methodology and Procedure—22

3.1 Population ——–22

3.2 Sample and Sampling Technique—-22

3.3 Validation of the Instrument —-23

3.4 Reliability of the Instrument —–23

3.5 Data Analysis——-23

 

Chapter Four

4.0 Presentation and Discussion of Result—24

4.1 Analysis and interpretaion of Data—25

4.2 Discussion of Results——38

 

Chapter Five

5.0. Summary, Conclusion, and Recommendation  –40

5.1 Summary——–40

5.2 Conclusion——–41

5.3 Recommendation——42

References ———45

Appendix 1——–47

Appendix ———50

A COMPARATIVE STUDY OF COMPLEMENTARY FEEDING AND NUTRITIONAL STATUS OF CHILDREN AGED 6-24 MONTHS IN A RURAL AND AN URBAN LGA OF LAGOS STATE.

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