Does Nutrition Education Improved Complementary Feeding Practices in Ondo State, Nigeria? a Cluster Randomized Controlled Trial

Volume 2 - Issue 2

Akinrinmade Remilekun¹*, Ogada IA², Njogu E³ and Keshinro OO⁴

Received:July 24, 2019;   Published:August 16, 2019

DOI: 10.32474/SJFN.2018.01.000132

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Abstract

This study showed the effect of nutrition education on complementary feeding practices among caregivers in Ondo State, Nigeria. The study was a cluster randomized controlled-trial design. The study participants were in two groups. One was intervention and the other one was the control group in a ratio of 1:1. The sample size was 282; the intervention group was 142 and the control group was 142. Intervention on complementary feeding was carried out inform of nutrition education among the caregivers in the intervention group and the control group received no intervention. The intervention group received four 4 lesson sessions per group. The sessions were based on continued breastfeeding, timely introduction of complementary feeding, minimum meal frequency, minimum dietary diversity, minimum acceptable diet, feeding with iron rich foods, responsive feeding and hygiene. Data were analyzed using SPSS version 22.0. From Kaplan-Meier analysis, continued breastfeeding survival at age 11 months was 94.4% in the intervention group and it was 69.7% in the control group. Adjusted Relative Risk [ARR] was used to determine the effect of nutrition education on the intervention group and control group for variables such as Minimum Acceptable Diet [ARR: 3.13; CI: 2.53-5.16; P<0.001] at the end line. This study concluded that nutrition education based on complementary feeding guidelines improved the feeding practices of the caregivers. Therefore, the study recommends that Ministry of Health in Ondo State should encourage complementary feeding training for caregivers and CHEWs at the various Basic Health Centers in the State.

Abbreviation ARR: Adjusted Relative Risk; BHC: Basic Health Centre; CFP: Complementary Feeding Practices; CHEW: Community Health Extension Workers; EBF: Exclusive Breastfeeding; FAO: Food and Agriculture Organization; HIV: Human Immunodeficiency Virus; ICF: International Classification of Functions, disability and health; IEC: Information Education Communication; IG: Intervention Group; IYCF: Infant and Young Child Feeding; LGA: Local Government Areas; MDD: Minimum Dietary Diversity; MMF: Minimum Meal Frequency; MAD: Minimum Acceptable Diet; NCP: National Population Commission [Nigeria]; NDHS: Nigeria Demographic and Health Survey; NGOs: Non-governmental organizations; NNHS: National Nutrition and Health Survey; OSHREC: Ondo State Health Research Ethics Committee; OSPHCDB: Ondo State Primary Health Care Development Board; SMART: Standardized Monitory and Assessment of Relief and Transition

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