Child factors associated with complementary feeding practices in Uganda

Objectives: The objective of the study was to identify child factors that influenced complementary feeding practices in 2006 and 2011 in Uganda.Design: Trend analysis of Uganda Demographic and Health Surveys (UDHS) from 2006 and 2011.Subjects and setting: Children aged 6 to 23 months, Uganda.Results: Between 2006 and 2011, the percentage of children in Uganda consuming an adequate complementary diet increased by 3.1%. Duration of breastfeeding increased in this time from 11 months to 12 months, with the percentage of mothers who were still breastfeeding their children at two years decreasing from 55.2% to 46.5%. Factors such as child’s age, deworming for intestinal parasites and receiving DPT3 and measles vaccines, increased the likelihood of caregivers providing children with a minimum acceptable diet. Children aged 6 to 8 months and 12 to 17 months tended to receive adequate complementary in both 2006 and 2011. Although bottle-feeding was highest among the children aged 6 to 11 months, amongst those reported with a fever, acute respiratory infection (ARI) or diarrhoea, it had no statistically significant effect in either 2006 or 2011.Conclusion: Caregivers who take their children for deworming and DPT3 and measles vaccinations are more likely to feed them adequate diets, especially those aged 6 to 17 months. This is probably due to the mothers’ interaction with healthcare practitioners who teach and support complementary feeding. Telling caregivers about complementary feeding practices during immunisation and deworming consultations is likely to encourage beneficial complementary feeding practices in Uganda.Keywords: child age, complementary feeding, deworming, immunisation, Uganda Demographic and Health Surve

Child factors associated with complementary feeding practices in Uganda

OBJECTIVES : The objective of the study was to identify child factors that influenced complementary feeding practices in 2006 and 2011 in Uganda. DESIGN : Trend analysis of Uganda Demographic and Health Surveys (UDHS) from 2006 and 2011. SUBJECTS AND SETTING : Children aged 6 to 23 months, Uganda. RESULTS : Between 2006 and 2011, the percentage of children in Uganda consuming an adequate complementary diet increased by 3.1%. Duration of breastfeeding increased in this time from 11 months to 12 months, with the percentage of mothers who were still breastfeeding their children at two years decreasing from 55.2% to 46.5%. Factors such as child’s age, deworming for intestinal parasites and receiving DPT3 and measles vaccines, increased the likelihood of caregivers providing children with a minimum acceptable diet. Children aged 6 to 8 months and 12 to 17 months tended to receive adequate complementary in both 2006 and 2011. Although bottle-feeding was highest among the children aged 6 to 11 months, amongst those reported with a fever, acute respiratory infection (ARI) or diarrhoea, it had no statistically significant effect in either 2006 or 2011. CONCLUSION : Caregivers who take their children for deworming and DPT3 and measles vaccinations are more likely to feed them adequate diets, especially those aged 6 to 17 months. This is probably due to the mothers’ interaction with healthcare practitioners who teach and support complementary feeding. Telling caregivers about complementary feeding practices during immunisation and deworming consultations is likely to encourage beneficial complementary feeding practices in Uganda.http://www.sajcn.co.za/index.php/SAJCNam2017Agricultural Economics, Extension and Rural DevelopmentAnimal and Wildlife Science

Effects of Implementing the Timed and Targeted Counselling Model on Pregnancy Outcomes and Newborn Survival in Rural Uganda: Protocol for a Quasi-Experimental Study

BACKGROUND: Although mortality rates have declined in Uganda over the last decade, maternal mortality is still high at 336 deaths per 100,000 live births, as is infant mortality at 43 deaths per 1000 live births. One in every 19 babies born in Uganda does not live to celebrate their first birthday. Many of these deaths occur within the first 28 days of life, forming the single largest category of death. Promising effects for preventing death are expected from timed and targeted counselling (ttC), an intervention package of key messages and actions that address integrated health and nutrition needs of the mothers and children, barriers and negotiation agreement, to cause sustainable behavioural change at specific timelines in the first 1000 days. METHODS: The study has a quasi-experimental design in order to evaluate the implementation and effectiveness of the ttC intervention. Participants are pregnant women who have been registered by village health team (VHT) members and who live in Hoima (intervention region) or Masindi (control region) districts, who will be monitored throughout their pregnancy up to at least six weeks after delivery. A multi-stage sampling technique will be employed to select participants, the study sites being purposively chosen. Sample size is determined using the pregnancy rate from the population estimates, resulting in a total required sample of 1218 (609 each in the intervention and control group). Study instruments that will be used include the Ugandan VHT household register (in which all mothers to be studied will be registered), the ttC register (an additional tool for the study area), and a study questionnaire, to collect data at outcome level. Univariate, bivariate and multivariate analyses will be performed using SPSS to evaluate intervention effects on outcomes (e.g., relationship between pregnancy outcomes and antenatal attendance). In addition, quantitative findings will be triangulated with qualitative data, and collected through interviews and focus group discussions with participants and implementers. DISCUSSION: The proposed study will examine the effectiveness of implementing ttC to improve maternal and child outcomes in Uganda. If ttC is effective, broader implementation of appropriate antenatal services can be advised as essential newborn care improvements. TRIAL REGISTRATION: PACTR, PACTR202002812123868. Registered on 25 February 2020

Inventory on the dietary assessment tools available and needed in Africa : a prerequisite for setting up a common methodological research infrastructure for nutritional surveillance, research, and prevention of diet-related non-communicable diseases

Objective: To carry out an inventory on the availability, challenges, and needs of dietary assessment (DA) methods in Africa as a pre-requisite to provide evidence, and set directions (strategies) for implementing common dietary methods and support web-research infrastructure across countries. Methods: The inventory was performed within the framework of the " Africa's Study on Physical Activity and Dietary Assessment Methods" (AS-PADAM) project. It involves international institutional and African networks. An inventory questionnaire was developed and disseminated through the networks. Eighteen countries responded to the dietary inventory questionnaire. Results: Various DA tools were reported in Africa; 24-Hour Dietary Recall and Food Frequency Questionnaire were the most commonly used tools. Few tools were validated and tested for reliability. Face-to-face interview was the common method of administration. No computerized software or other new (web) technologies were reported. No tools were standardized across countries. Conclusions: The lack of comparable DA methods across represented countries is a major obstacle to implement comprehensive and joint nutrition-related programmes for surveillance, programme evaluation, research, and prevention. There is a need to develop new or adapt existing DA methods across countries by employing related research infrastructure that has been validated and standardized in other settings, with the view to standardizing methods for wider use.Peer reviewe

Inventory on the dietary assessment tools available and needed in africa: a prerequisite for setting up a common methodological research infrastructure for nutritional surveillance, research, and prevention of diet-related non-communicable diseases

<p><i>Objective:</i> To carry out an inventory on the availability, challenges, and needs of dietary assessment (DA) methods in Africa as a pre-requisite to provide evidence, and set directions (strategies) for implementing common dietary methods and support web-research infrastructure across countries. <i>Methods:</i> The inventory was performed within the framework of the “Africa's Study on Physical Activity and Dietary Assessment Methods” (AS-PADAM) project. It involves international institutional and African networks. An inventory questionnaire was developed and disseminated through the networks. Eighteen countries responded to the dietary inventory questionnaire. <i>Results:</i> Various DA tools were reported in Africa; 24-Hour Dietary Recall and Food Frequency Questionnaire were the most commonly used tools. Few tools were validated and tested for reliability. Face-to-face interview was the common method of administration. No computerized software or other new (web) technologies were reported. No tools were standardized across countries. <i>Conclusions:</i> The lack of comparable DA methods across represented countries is a major obstacle to implement comprehensive and joint nutrition-related programmes for surveillance, programme evaluation, research, and prevention. There is a need to develop new or adapt existing DA methods across countries by employing related research infrastructure that has been validated and standardized in other settings, with the view to standardizing methods for wider use.</p