Fathers involvement in child feeding and its associated factors among fathers having children aged 6 to 24 months in Antsokia Gemza Woreda, Ethiopia: Cross-sectional study

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Abstract

Background

Father Involvement is exercising positive influences on child feeding. Mothers are usually the primary caregivers for young children. The role of fathers in the proper child feeding of young children has not been a frequent topic of study. Past research has found low rates and little is known about fathers’ involvement in child feeding for children 6–23 months in Ethiopia. The aim of this study is to assess fathers’ involvement in child feeding children aged 6–24 Months.

Objectives

To assess fathers’ involvement in child feeding and associated factors among fathers having children aged 6 to 24 months.

Methodology

A community-based cross-sectional study design was conducted from Jan 23/2022 to April 07/2022. A systematic random sampling technique was applied to select study participants. A total of 408 respondents participated in the study. Data was entered into EPI data version 3.1 and then exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression was used for analysis.

Result

Father’s involvement in child feeding was 43.1%. Factors that were significantly associated with good fathers involvement in child feeding include urban residence(AOR = 3.878, 95% CI = (1.408–10.678), male sex of the youngest child(AOR = 3.681, 95% CI = (1.678–8.075)), first birth order of the youngest child(AOR = 3.970, 95% CI = (1.212–13.005)), Better(secondary and higher) educational status (AOR = 4.945,95% CI = (1.043–23.454)) and AOR = 5.151, 95% CI = (1.122–23.651)), having ever heard information(AOR = 8.593, 95% CI = (3.044–24.261)), good knowledge (AOR = 3.843,95% CI = (1.318–11.210)), positive attitude (AOR = 8.565, 95% CI = (3.521–20.837)) and good culture (AOR = 10.582,95% CI = (2.818–39.734)).

Conclusions

Father involvement in child feeding was poor in Antsokia Gemza Woreda. Urban residences, male sex of the youngest child, first birth order of the youngest child, better (secondary and higher) educational status, having ever heard information, good knowledge, positive attitude, and good culture were significantly associated with fathers’ involvement in child feeding. Health information dissemination on father involvement in child feeding should be strengthened.

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Most cited references 33

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Maternal and child undernutrition: global and regional exposures and health consequences.

Robert E Black, Lindsay Allen, Zulfiqar Bhutta … (2008)

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What works? Interventions for maternal and child undernutrition and survival.

Sandra Black, Meera Shekar, Elsa R J Giugliani … (2008)

We reviewed interventions that affect maternal and child undernutrition and nutrition-related outcomes. These interventions included promotion of breastfeeding; strategies to promote complementary feeding, with or without provision of food supplements; micronutrient interventions; general supportive strategies to improve family and community nutrition; and reduction of disease burden (promotion of handwashing and strategies to reduce the burden of malaria in pregnancy). We showed that although strategies for breastfeeding promotion have a large effect on survival, their effect on stunting is small. In populations with sufficient food, education about complementary feeding increased height-for-age Z score by 0.25 (95% CI 0.01-0.49), whereas provision of food supplements (with or without education) in populations with insufficient food increased the height-for-age Z score by 0.41 (0.05-0.76). Management of severe acute malnutrition according to WHO guidelines reduced the case-fatality rate by 55% (risk ratio 0.45, 0.32-0.62), and recent studies suggest that newer commodities, such as ready-to-use therapeutic foods, can be used to manage severe acute malnutrition in community settings. Effective micronutrient interventions for pregnant women included supplementation with iron folate (which increased haemoglobin at term by 12 g/L, 2.93-21.07) and micronutrients (which reduced the risk of low birthweight at term by 16% (relative risk 0.84, 0.74-0.95). Recommended micronutrient interventions for children included strategies for supplementation of vitamin A (in the neonatal period and late infancy), preventive zinc supplements, iron supplements for children in areas where malaria is not endemic, and universal promotion of iodised salt. We used a cohort model to assess the potential effect of these interventions on mothers and children in the 36 countries that have 90% of children with stunted linear growth. The model showed that existing interventions that were designed to improve nutrition and prevent related disease could reduce stunting at 36 months by 36%; mortality between birth and 36 months by about 25%; and disability-adjusted life-years associated with stunting, severe wasting, intrauterine growth restriction, and micronutrient deficiencies by about 25%. To eliminate stunting in the longer term, these interventions should be supplemented by improvements in the underlying determinants of undernutrition, such as poverty, poor education, disease burden, and lack of women's empowerment.

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Trends in mild, moderate, and severe stunting and underweight, and progress towards MDG 1 in 141 developing countries: a systematic analysis of population representative data

Gretchen Stevens, Mariel Finucane, Christopher Paciorek … (2012)

Summary Background There is little information on country trends in the complete distributions of children's anthropometric status, which are needed to assess all levels of mild to severe undernutrition. We aimed to estimate trends in the distributions of children's anthropometric status and assess progress towards the Millennium Development Goal 1 (MDG 1) target of halving the prevalence of weight-for-age Z score (WAZ) below −2 between 1990 and 2015 or reaching a prevalence of 2·3% or lower. Methods We collated population-representative data on height-for-age Z score (HAZ) and WAZ calculated with the 2006 WHO child growth standards. Our data sources were health and nutrition surveys, summary statistics from the WHO Global Database on Child Growth and Malnutrition, and summary statistics from reports of other national and international agencies. We used a Bayesian hierarchical mixture model to estimate Z-score distributions. We quantified the uncertainty of our estimates, assessed their validity, compared their performance to alternative models, and assessed sensitivity to key modelling choices. Findings In developing countries, mean HAZ improved from −1·86 (95% uncertainty interval −2·01 to −1·72) in 1985 to −1·16 (–1·29 to −1·04) in 2011; mean WAZ improved from −1·31 (–1·41 to −1·20) to −0·84 (–0·93 to −0·74). Over this period, prevalences of moderate-and-severe stunting declined from 47·2% (44·0 to 50·3) to 29·9% (27·1 to 32·9) and underweight from 30·1% (26·7 to 33·3) to 19·4% (16·5 to 22·2). The largest absolute improvements were in Asia and the largest relative reductions in prevalence in southern and tropical Latin America. Anthropometric status worsened in sub-Saharan Africa until the late 1990s and improved thereafter. In 2011, 314 (296 to 331) million children younger than 5 years were mildly, moderately, or severely stunted and 258 (240 to 274) million were mildly, moderately, or severely underweight. Developing countries as a whole have less than a 5% chance of meeting the MDG 1 target; but 61 of these 141 countries have a 50–100% chance. Interpretation Macroeconomic shocks, structural adjustment, and trade policy reforms in the 1980s and 1990s might have been responsible for worsening child nutritional status in sub-Saharan Africa. Further progress in the improvement of children's growth and nutrition needs equitable economic growth and investment in pro-poor food and primary care programmes, especially relevant in the context of the global economic crisis. Funding The Bill & Melinda Gates Foundation and the UK Medical Research Council.

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Author and article information

Contributors

Solomon Ketema Bogale: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SoftwareRole: ValidationRole: Writing – original draftRole: Writing – review & editing

Niguss Cherie: Role: ConceptualizationRole: Data curationRole: MethodologyRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Eyob Ketema Bogale:

ORCID: https://orcid.org/0000-0002-0010-3750

Role: ConceptualizationRole: Data curationRole: MethodologyRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Khatijah Lim Abdullah: Role: Editor

Journal

Journal ID (nlm-ta): PLoS One

Journal ID (iso-abbrev): PLoS One

Journal ID (publisher-id): plos

Title: PLOS ONE

Publisher: Public Library of Science (San Francisco, CA USA )

ISSN (Electronic): 1932-6203

Publication date (Electronic): 28 November 2022

Publication date Collection: 2022

Volume: 17

Issue: 11

Electronic Location Identifier: e0276565

Affiliations

[1 ] Antsokiya Gemza Wereda Health Office, North Shoa, North East Ethiopia

[2 ] Public Health Nutrition Department, Wollo University, Dessie, Ethiopia

[3 ] Health Promotion and Behavioral Sciences Department, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia

Sunway University, MALAYSIA

Author notes

Competing Interests: The authors have declared that no competing interests exist.

* E-mail: ketema.eyob@ 123456gmail.com

Author information

Eyob Ketema Bogale https://orcid.org/0000-0002-0010-3750

Article

Publisher ID: PONE-D-22-14665

DOI: 10.1371/journal.pone.0276565

PMC ID: 9704664

SO-VID: ab2e80c7-e97c-4ec4-ba19-5df20f802ae5

License:

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

History

Date received : 20 May 2022

Date accepted : 9 October 2022

Page count

Figures: 1, Tables: 6, Pages: 18

Funding

The authors received no specific funding for this work.

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Data Availability All relevant data are within the article and its Supporting Information files.

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Fathers involvement in child feeding and its associated factors among fathers having children aged 6 to 24 months in Antsokia Gemza Woreda, Ethiopia: Cross-sectional study

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Abstract

Background

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PLOS Climate

Most cited references 33

Maternal and child undernutrition: global and regional exposures and health consequences.

What works? Interventions for maternal and child undernutrition and survival.

Trends in mild, moderate, and severe stunting and underweight, and progress towards MDG 1 in 141 developing countries: a systematic analysis of population representative data

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