Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Pediatrics
Published in: BMC Pediatrics 1/2014

Open Access 01-12-2014 | Research article

Infant feeding practices among HIV exposed infants using summary index in Sidama Zone, Southern Ethiopia: a cross sectional study

Authors: Demewoz Haile, Tefera Belachew, Getenesh Birhanu, Tesfaye Setegn, Sibhatu Biadgilign

Published in: BMC Pediatrics | Issue 1/2014

Login to get access

Abstract

Background

Combining various aspects of child feeding into an age-specific summary index provides a first answer to the question of how best to deal with recommended feeding practices in the context of HIV pandemic. The objective of this study is to assess feeding practices of HIV exposed infants using summary index and its association with nutritional status in Southern Ethiopia.

Methods

Facility based cross-sectional study design with cluster random sampling technique was conducted in Sidama Zone, Southern Ethiopia. Bivariate and multivariable linear regression analyses were performed to assess the association between summary index (infant and child feeding index) (CS-ICFI) and nutritional status.

Results

The mean (±standard deviation (SD)) cross-sectional infant and child feeding index (CS-ICFI) score of infants was 9.09 (±2.59), [95% CI: 8.69-9.49]). Thirty seven percent (36.6%) of HIV exposed infants fell in the high CS-ICFI category while 31.4% of them were found in poor feeding index tertile. About forty two percent (41.6%) of urban infants were found in the high index tertile but only 24% of the rural infants were found in high index tertile. Forty six percent (46%) of the rural infants were found in low (poor) feeding index category. The CS-ICFI has a statistically significant association with weight for age z score (WAZ) (ß = 0.168, p = 0.027) and length for age z score (LAZ) (ß = 0.183 p = 0.036). However CS-ICFI was not significantly associated with weight for height z score (WLZ) (p = 0.386).

Conclusion

Majority of HIV exposed infants had no optimum complementary feeding practices according to cross-sectional infant and child feeding index. CS-ICFI was statistically associated especially with chronic indicators of nutritional status (LAZ and WAZ). More rural infants were found in poor index tertile than urban infants. This may suggest that rural infants need more attention than urban infants while designing and implementing complementary feeding interventions.
Appendix
Available only for authorised users
Literature
1.
DeCock K, Fowler M, Mercier E, de VI Saba J, Hoff E, Alnwick D, Rogers M, Shaffer N: Prevention of mother-to-child HIV transmission in resource-poor countries. Translating research into policy and practice. JAMA. 2000, 283: 1175-1182. 10.1001/jama.283.9.1175.CrossRef
2.
Fletcher F, Ndebele P, Kelly M: Infant feeding and HIV in Sub-Saharan Africa: what lies beneath the dilemma?. Theor Med Bioeth. 2008, 29: 307-330. 10.1007/s11017-008-9083-z.CrossRefPubMed
3.
4.
5.
Federal ministry of health(MOH) (HAPCO): Guidelines For Prevention of Mother-to-Child Transmission of HIV In Ethiopia. 2011
6.
Patel D, Bland R, Coovadiad H, Rollinse N, Coutsoudisd A, Newella M: Breastfeeding, HIV status and weights in South African children: a comparison of HIV-exposed and unexposed children. AIDS. 2010, 24: 437-445. 10.1097/QAD.0b013e3283345f91.CrossRefPubMed
7.
Galler J, Ramsey F, Harrison R, Brooks R, Weiskopf-Bock W: Infant feeding practices in Barbados predicts later growth. J Nutr. 1998, 128 (1328): 1328-1325.PubMed
8.
Simondom K, Simondom F, Costes R, Delaunay V, Diallo A: Breast-feeding is associated with improved growth in length, but not weight, in rural Senegalese toddlers. American journal of clinical nutrition. 2001, 73: 959-
9.
Piwoz E, Black R, LopezdeRomana G, CreeddeKanashiro H, Brown K: The relationship between infants’ preceding appetite, illness, and growth performance and mothers’ subsequent feeding practice decisions. Soc Sci Med. 1994, 39: 851-10.1016/0277-9536(94)90047-7.CrossRefPubMed
10.
Mugwaneza P, Umutoni NWS, Ruton H, Rukundo A, Lyambabaje A, Bizimana JdD, Tsague L, Wagner CM, Nyankesha E, Muita J, Mutabazi V, Nyemazi JP, Nsanzimana S, Karema C, Binagwaho A: Under-two child mortality according to maternal HIV status in Rwanda: assessing outcomes within the National PMTCT Program. Pan Afr Med J. 2011, 9: 37-CrossRefPubMedPubMedCentral
11.
Arimond M, Ruel M: Summary Indicators For Infant And Child Feeding Practices: An Example From The Ethiopia Demographicand Health Survey 2000. 2002, Washington, D.C: Food and nutrition technical assistance project, academy for educational development
12.
Yan L, Zeng G, Sun Y, Li Z, Dong W, Pan L, Wang Y, Lai J: Methodology of infant and young child feeding index for children aged 6–24 months in China. Wei Sheng Yan Jiu. 2012, 41 (2): 209-214.PubMed
13.
Srivastava N, Sandhu A: Infant and child feeding index. Indian Journal of Pediatrics. 2007, 73: 767-770.CrossRef
14.
15.
Arimond M, Ruel M: Progress In Developing An Infant And Child Feeding Index: An Example Using The Ethiopia Demographic And Health Survey 2000. Fcnd Discussion Paper No.143. 2002, Washington, DC: International Food Policy Research Institute (IFPRI)
16.
Moursi M, Trèche S, Martin-Prével Y, Maire B, Delpeuch F: Association of a summary index of child feeding with diet quality and growth of 6–23 months children in urban Madagascar. Eur J Clin Nutr. 2009, 63: 718-724. 10.1038/ejcn.2008.10.CrossRefPubMed
17.
Central statistical agency, Ethiopia: Summary and Statistical Report of the 2007 Population and Housing Census, Population Census Commission, Addis Ababa, Federal Democratic Republic of Ethiopia. 2007
18.
19.
Tavakol M, Dennick R: Making sense of Cronbach’s alpha. Int J Med Ed. 2011, 2: 53-55.CrossRef
20.
Condo J, Kayumba J, Mock N, Gage A, Greiner T, Rice J, Zyl CV, Mukaminega M, Mukandagano P, Ubarijoro S: Assessment Of Infant Feeding Practices Using Icfi And Its Association With Nutritional Status Among Hiv-Exposed Infants In Rwanda. Selected Abstracts on HIV and Infant Feeding from the XVIII International AIDS Conference July 18 –23, 2010 Vienna, Austria Abstract number: THPE0811 2010. 2010
21.
Garg A, Chadha R: Index for measuring the quality of complementary feeding practices in rural India. J Health popul nutr. 2009, 27 (6): 763-771.PubMedPubMedCentral
22.
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. 2009, 85: 247-252. 10.1016/j.earlhumdev.2008.10.009.CrossRefPubMed
23.
Jian-qiang L, Shian Y, Xiao-guang Y, Guan-sheng M: Distribution of feeding index and association between feeding index and growth of infants and young child aged 6–24 months. Wei Sheng Yan Jiu. 2005, DOI: cnki:ISSN:1000–8020.0.2005-05-031
24.
Bork K, Cames C, Barigou S, Cournil A, Diallo A: 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. J Nutr. 2012, doi:103945/jn112157602
25.
Sawadogo P, Martin-Pre’vel Y, Savy M, Kameli Y, Traissac P, Traore A: An infant and child feeding index is associated with the nutritional status of 6 to 23 month-old children in Rural Burkina Faso. J Nutr. 2006, 136: 656-663.PubMed
26.
Khatoon T, Mollah A, Choudhury A, Islam M, Rahman K: Association between infant and child feeding index and nutritional status results from a cross-sectional study among children attending an urban hospital in Bangladesh. Open j access. 2011, 29 (4):
27.
Condo J: Assessment Of Infant Feeding Practices Using A Summary Index And Nutritional Status Among Hiv-Exposed Infants In Rwanda. Phd Dissertation, Public Health And Tropical Medicine, Tulane University. 2009, 135p-
28.
Ntab B, Simondon K, Milet J, Cisse B, Sokhna C, Boulanger D, Simondonn F: A young child feeding index is not associated with either height-for-age or height velocity in rural Senegalese children. J Nutr. 2005, 135: 457-466.PubMed
29.
Ruel M, Menon P: Child feeding practices are associated with child nutritional status in Latin America: innovative uses of the demographic and health survey. J Nutr. 2002, 132: 1180-1187.PubMed
30.
Martorell R, Scrimshaw N: The effects of improved nutrition in early childhood: the institute of nutrition of central america and panama (incap) follow-up study. J Nutr. 1995, 125: 4s-
Metadata
Title
Infant feeding practices among HIV exposed infants using summary index in Sidama Zone, Southern Ethiopia: a cross sectional study
Authors
Demewoz Haile
Tefera Belachew
Getenesh Birhanu
Tesfaye Setegn
Sibhatu Biadgilign
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2014
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-14-49

Other articles of this Issue 1/2014

BMC Pediatrics 1/2014 Go to the issue

Research article

The effect of intrapartum antibiotics on early-onset neonatal sepsis in Dhaka, Bangladesh: a propensity score matched analysis

Research article

Comparison of clinical and biochemical markers of dehydration with the clinical dehydration scale in children: a case comparison trial

Research article

Increased risk of major depression subsequent to a first-attack and non-infection caused urticaria in adolescence: a nationwide population-based study

Research article

Factors associated with cognitive achievement in late childhood and adolescence: the Young Lives cohort study of children in Ethiopia, India, Peru, and Vietnam

Research article

Pressure- versus volume-limited sustained inflations at resuscitation of premature newborn lambs

Research article

Comparing early years and childhood experiences and outcomes in Scotland, England and three city-regions: a plausible explanation for Scottish ‘excess’ mortality?