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Associated Factors to Nutritional Status and Infant and Young Child Feeding (IYCF) Practices in Rural Area of Burkina Faso: A Study in Ouargaye Health District

Received: 13 May 2019    Accepted: 19 June 2019    Published: 1 July 2019
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Abstract

Although the global trend of malnutrition among children under five is declining, it remains a major public health problem in developing countries such as Burkina Faso. IYCF are major determinants of nutritional status and hence health and child survival. Material and Method: We carried out a cross-sectional study in primary health care centers randomly selected. The objectives of this work were to analyze associated factors to children’s nutritional status and child feeding. The Z-scores (WHO, 2006) were used to determine nutritional’s status of the children. The quality of feeding practices was assessed according to IYCF index. Results: In total, we surveyed 287 children. The average age of children was 10.87 months. The sex ratio was at 1:11. Among children, the prevalence of underweight was 19.2%, that of stunting 31.2% and that of wasting 10.1%. Multigravidity was the predictive risk factor related to underweight in children. Practice of EBF was associated with Z-score Height/Age (p=0.04). The majority (70%) of children had a good score of IYCF index. Among children aged 9–12 months, the Z-score Height/Age (p=0.04) and Z-score Weight/Height (p=0.001) were associated with IYCF index in univariate analysis. For those with at least 12 months of age, sex ant type of habit was the predictive risk factors associated to IYCF index. Conclusion: Malnutrition is common in children. Feeding practices are good and are not associated with sociodemographic characteristics of mothers. IYCF index score decreases with age and is lower after 12 months.

Published in American Journal of Pediatrics (Volume 5, Issue 3)
DOI 10.11648/j.ajp.20190503.12
Page(s) 82-90
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Child, Nutritional Status, Infant and Young Child Feeding (IYCF)

References
[1] UNICEF, WHO and World Bank Group. Levels and trends in child malnutrition. Key findings of the 2015 edition. 2015. [Cited 13 July 2013]. Available from: https://data.unicef.org/resources/levels-and-trends-in-child-malnutrition-2015-edition/jme-2015-edition-sept-2015_203-3/.
[2] Ministère de la Santé., 2015. Rapport de l’Enquête nutritionnelle nationale 2015 du Burkina Faso.
[3] Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. Janv 2016; 387 (10,017):475‑90.
[4] Roya Kelishadi and Sanam Farajian. The protective effects of breastfeeding on chronic non-communicable diseases in adulthood: A review of evidence. Adv Biomed Res. 2014; 3:3.
[5] Davis MK. Breastfeeding and chronic disease in childhood and adolescence. Pediatr Clin North Am. 2011; 48:125–41.
[6] Ip S, Chung M, Raman G, Chew P, Magula N, DeVine D, Trikalinos T, Lau J. Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries. Evidence Report/Technology Assessment No. 153 (Prepared by Tufts-New England Medical Center Evidence-based Practice Center, under Contract No. 290-02-0022). AHRQ Publication No. 07-E007. Rockville, MD: Agency for Healthcare Research and Quality. April 2007.
[7] Quigley AM, Hockley C, Carson C, Kelly Y, Renfrew MJ, Sacker A. Breastfeeding is Associated with Improved Child Cognitive Development: A Population-Based Cohort Study. J Pediatr 2012; 160:25–32.
[8] Renfrew, M. J., Pokhrel, S., Quigley, M., et al. (2012). Preventing disease and saving resources: the potential contribution of increasing breastfeeding rates in the UK. London: UNICEF UK.
[9] Desclaux A et Taverne B., 2000. Allaitement et VIH en Afrique de l’Ouest : De l’anthropologie à la santé publique. Collection Médecines du monde, Paris, Les Éditions Karthala, 556 pp.
[10] Sawadogo PS; Martin-Prével Y; Savy M; Kameli Y; Traissac P. An infant and child feeding index is associated with the nutritional status of 6- to 23-month-old children in rural Burkina Faso. Journal of Nutrition. 2006 Mar; 136 (3):656–663.
[11] Chin, A. C., Myers, L., & Magnus, J. H., 2008. Race, education, and breastfeeding initiation in Louisiana. Journal of Human Lactation, 24, 175–185.
[12] Chalmers, B, Levitt C, Heaman M, O’Brien B, Suave R & Kaczorowski J., 2009. For the Maternity Experiences Study Group of the Canadian Surveillance System. Breastfeeding rates and hospital breastfeeding practices in Canada: A national survey of women. Birth, 36, 122–132
[13] Oakley LL, Renfrew MJ, Kurinczuk JJ, et al., 2013. Factors associated with breastfeeding in England: an analysis by primary care trust. BMJ Open, 3: e002765.
[14] Karimi B, Sani MZ, Ghorbani R, Danai N. The Pregnant Mothers’ Knowledge about Breastfeeding in Semnan, Iran. Middle East J Rehabil Health. 2014 July; 1 (1): e20833.
[15] Jones G, Steketee RW, Black RE, Bhutta ZA and al., 2003. Child Survival Study Group. How many child deaths can we prevent this year? Lancet, 362:65-7.
[16] Institut National de la Statistique et de la Démographie (INSD) et ICF International, 2012. Enquête Démographique et de Santé et à Indicateurs Multiples du Burkina Faso 2010. Calverton, Maryland, USA: INSD et ICF International.
[17] Ruel MT, Menon P., 2002. Child feeding practices are associated with child nutritional status in Latin America: innovative uses of the demographic and health surveys. J Nutr, 132 (6):1180-7.
[18] WHO/UNICEF. Global Strategy on Infant and Young Child Feeding [Internet]. Geneva, World Health Organization 2003. Available from http://apps.who.int/iris/bitstream/handle/10665/42590/9241562218.pdf.
[19] Inoue M, Binns CW, Otsuka K, Jimba M and Matsubara M., 2012. Infant feeding practices and breastfeeding duration in Japan: A review. International Breastfeeding Journal, 7:15.
[20] Siri Baperman AA, Bengaly Marcel, Garanet Franck, Kouanda Zeynab, Coulibaly Soumaila, Catraye D Joseph, Sorgho Evrard. Knowledge, Opinions and Attitudes of Mothers About Breastfeeding and Child Feeding in Rural Areas of Burkina Faso: A Study in Ouargaye’s District Health Facilities. Journal of Family Medicine and Health Care. Vol. 4, No. 3, 2018, pp. 13–19.
[21] Lee AC, Katz J, Blencowe H, Cousens S, Kozuki N, Vogel JP, et al.; CHERG SGA-Preterm Birth Working Group. National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. Lancet Glob Health. 2013 Jul; 1 (1): e26–36. http://dx.doi.org/10.1016/S2214-109X (13)70006-8 pmid: 25,103,583.
[22] Maureen O’Leary a, Karen Edmond b, Sian Floyd a, Sam Newton c, Gyan Thomas d & Sara L Thomas. A cohort study of low birth weight and health outcomes in the first year of life, Ghana. Bulletin of the World Health Organization 2017; 95:574–583. doi: http://dx.doi.org/10.2471/BLT.16.180273.
[23] Barker DJ. The developmental origins of adult disease. J Am Coll Nutr. 2004; 23:588S95S.
[24] Maïga EWH. The Impact of Mother’s Education on Child Health and Nutrition in Developing Countries: Evidence from a Natural Experiment in Burkina Faso. African Center for Economic Transformation. Accra, Ghana; 2011. Report No.: I15, I25, I28.
[25] Makoka. Donald. The Impact of Maternal Education on Child Nutrition: Evidence from Malawi, Tanzania, and Zimbabwe. DHS working papers. February 2013 No. 84. ICF International Calverton, Maryland, USA
[26] Olusanya, B. O.; Wirz, S. L.; Renner, J. K. Prevalence, pattern and risk factors for undernutrition in early infancy using the WHO Multicentre Growth Reference: A community-based study. Paediatr. Périnat. Epidemiol. 2010, 24, 572–583.
[27] Fishman SM, Caul fi eld L, de Onis M, et al. Childhood and maternal underweight. In: Ezzati M, Lopez AD, Rodgers A, Murray CLJ, eds. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Geneva: World Health Organization, 2004: 39–161.
[28] Akombi, B. J.; Agho, K. E.; Hall, J. J.; Merom, D.; Astell-Burt, T.; Renzaho, A. M. Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatr. 2017, 17, 15.
[29] Yisak, H.; Gobena, T.; Mesfin, F. Prevalence and risk factors for under nutrition among children under five at Haramaya district, Eastern Ethiopia. BMC Pediatr. 2015, 15, 212.
[30] Chirande, L.; Charwe, D.; Mbwana, H.; Victor, R.; Kimboka, S.; Issaka, A. I.; Agho, K. E. Determinants of stunting and severe stunting among under-fives in Tanzania: Evidence from the 2010 cross-sectional household survey. BMC Pediatr. 2015, 15, 165. [CrossRef] [PubMed]
[31] Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J: Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 2008, 371:243–260.
[32] Bork K, Cames C, Barigou Sabah, Cournil Amandine, and Diallo Aldiouma., 2012. A Summary Index of Feeding Practices Is Positively Associated with Height-for-Age, but Only Marginally with Linear Growth, in Rural Senegalese Infants and Toddlers. The Journal of Nutrition [25 Apr 2012, 142 (6):1116–1122].
[33] Zhang J, Shi L, Wang J, Wang Y. An infant and child feeding index is associated with child nutritional status in rural China. Early Hum Dev. 2009Apr; 85 (4):247-52.
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    Siri Baperman Abdel Aziz, Bengaly Marcel, Konkonbo/Kouanda Zenab, Coulibaly Soumaila, Garanet Franck, et al. (2019). Associated Factors to Nutritional Status and Infant and Young Child Feeding (IYCF) Practices in Rural Area of Burkina Faso: A Study in Ouargaye Health District. American Journal of Pediatrics, 5(3), 82-90. https://doi.org/10.11648/j.ajp.20190503.12

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    ACS Style

    Siri Baperman Abdel Aziz; Bengaly Marcel; Konkonbo/Kouanda Zenab; Coulibaly Soumaila; Garanet Franck, et al. Associated Factors to Nutritional Status and Infant and Young Child Feeding (IYCF) Practices in Rural Area of Burkina Faso: A Study in Ouargaye Health District. Am. J. Pediatr. 2019, 5(3), 82-90. doi: 10.11648/j.ajp.20190503.12

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    AMA Style

    Siri Baperman Abdel Aziz, Bengaly Marcel, Konkonbo/Kouanda Zenab, Coulibaly Soumaila, Garanet Franck, et al. Associated Factors to Nutritional Status and Infant and Young Child Feeding (IYCF) Practices in Rural Area of Burkina Faso: A Study in Ouargaye Health District. Am J Pediatr. 2019;5(3):82-90. doi: 10.11648/j.ajp.20190503.12

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  • @article{10.11648/j.ajp.20190503.12,
      author = {Siri Baperman Abdel Aziz and Bengaly Marcel and Konkonbo/Kouanda Zenab and Coulibaly Soumaila and Garanet Franck and Catraye Dossou Joseph},
      title = {Associated Factors to Nutritional Status and Infant and Young Child Feeding (IYCF) Practices in Rural Area of Burkina Faso: A Study in Ouargaye Health District},
      journal = {American Journal of Pediatrics},
      volume = {5},
      number = {3},
      pages = {82-90},
      doi = {10.11648/j.ajp.20190503.12},
      url = {https://doi.org/10.11648/j.ajp.20190503.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20190503.12},
      abstract = {Although the global trend of malnutrition among children under five is declining, it remains a major public health problem in developing countries such as Burkina Faso. IYCF are major determinants of nutritional status and hence health and child survival. Material and Method: We carried out a cross-sectional study in primary health care centers randomly selected. The objectives of this work were to analyze associated factors to children’s nutritional status and child feeding. The Z-scores (WHO, 2006) were used to determine nutritional’s status of the children. The quality of feeding practices was assessed according to IYCF index. Results: In total, we surveyed 287 children. The average age of children was 10.87 months. The sex ratio was at 1:11. Among children, the prevalence of underweight was 19.2%, that of stunting 31.2% and that of wasting 10.1%. Multigravidity was the predictive risk factor related to underweight in children. Practice of EBF was associated with Z-score Height/Age (p=0.04). The majority (70%) of children had a good score of IYCF index. Among children aged 9–12 months, the Z-score Height/Age (p=0.04) and Z-score Weight/Height (p=0.001) were associated with IYCF index in univariate analysis. For those with at least 12 months of age, sex ant type of habit was the predictive risk factors associated to IYCF index. Conclusion: Malnutrition is common in children. Feeding practices are good and are not associated with sociodemographic characteristics of mothers. IYCF index score decreases with age and is lower after 12 months.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Associated Factors to Nutritional Status and Infant and Young Child Feeding (IYCF) Practices in Rural Area of Burkina Faso: A Study in Ouargaye Health District
    AU  - Siri Baperman Abdel Aziz
    AU  - Bengaly Marcel
    AU  - Konkonbo/Kouanda Zenab
    AU  - Coulibaly Soumaila
    AU  - Garanet Franck
    AU  - Catraye Dossou Joseph
    Y1  - 2019/07/01
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ajp.20190503.12
    DO  - 10.11648/j.ajp.20190503.12
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 82
    EP  - 90
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20190503.12
    AB  - Although the global trend of malnutrition among children under five is declining, it remains a major public health problem in developing countries such as Burkina Faso. IYCF are major determinants of nutritional status and hence health and child survival. Material and Method: We carried out a cross-sectional study in primary health care centers randomly selected. The objectives of this work were to analyze associated factors to children’s nutritional status and child feeding. The Z-scores (WHO, 2006) were used to determine nutritional’s status of the children. The quality of feeding practices was assessed according to IYCF index. Results: In total, we surveyed 287 children. The average age of children was 10.87 months. The sex ratio was at 1:11. Among children, the prevalence of underweight was 19.2%, that of stunting 31.2% and that of wasting 10.1%. Multigravidity was the predictive risk factor related to underweight in children. Practice of EBF was associated with Z-score Height/Age (p=0.04). The majority (70%) of children had a good score of IYCF index. Among children aged 9–12 months, the Z-score Height/Age (p=0.04) and Z-score Weight/Height (p=0.001) were associated with IYCF index in univariate analysis. For those with at least 12 months of age, sex ant type of habit was the predictive risk factors associated to IYCF index. Conclusion: Malnutrition is common in children. Feeding practices are good and are not associated with sociodemographic characteristics of mothers. IYCF index score decreases with age and is lower after 12 months.
    VL  - 5
    IS  - 3
    ER  - 

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Author Information
  • Minsitry of Health, Ouagadougou, Burkina Faso

  • Department of Life and Earth Sciences, University of Ouaga I Pr Joseph Ki-Zerbo, Ouagadougou, Burkina Faso

  • World Bank, Ouagadougou, Burkina Faso

  • Minsitry of Health, Ouagadougou, Burkina Faso

  • Institute of Research in Health Sciences, Ouagadougou, Burkina Faso

  • Private Department of Public Health Support, Ouagadougou, Burkina Faso

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