Assessment of infant feeding knowledge among mothers in the cabinda integrated project.
Resumen
El conocimiento nutricional de las madres desempeña un papel fundamental en la lucha contra la desnutrición infantil, especialmente en lo que respecta a las prácticas de alimentación de los bebés. La falta de conocimiento está asociada a altas tasas de mortalidad neonatal. Por otro lado, las madres con mayor conocimiento pueden contribuir a mejorar las prácticas alimentarias, reduciendo potencialmente la prevalencia de esta enfermedad y sus consecuencias negativas. Este estudio tuvo como objetivo evaluar el nivel de conocimiento nutricional entre las madres participantes del Proyecto Integrado de Cabinda. Utilizando un diseño transversal cuantitativo, el estudio involucró a 372 madres de niños menores de cinco años durante un período de cuatro meses (enero a abril de 2023). Una técnica de muestreo probabilístico con una calculadora de tamaño muestral Raosoft garantizó la representatividad. La recolección de datos utilizó dos cuestionarios: el Cuestionario de Variables Sociodemográficas y el Cuestionario de Evaluación del Conocimiento de los Padres sobre Alimentación Complementaria Infantil. Las pruebas de chi-cuadrado (p < 0,05) analizaron las relaciones entre las variables. El análisis reveló que la mayoría (51,34%) de las madres demostró un conocimiento nutricional adecuado. Curiosamente, surgió una disparidad estadísticamente significativa entre los ingresos, el área de residencia y el conocimiento. Las madres de origen socioeconómico más bajo demostraron un mayor conocimiento (60,87%) en comparación con las madres de mayor ingreso (p = 0,0001). De la misma manera, las madres en áreas rurales (75,80%) demostraron un conocimiento superior en comparación con las madres urbanas (33,49%) (p = 0,0001). Cabe destacar que no se encontró ninguna asociación significativa entre el conocimiento nutricional y el nivel educativo o la edad. El estudio concluye que casi la mitad de las madres posee un conocimiento nutricional adecuado. Sin embargo, los ingresos y el área de residencia parecen tener una influencia más fuerte que la escolaridad o la edad. Esto sugiere que enfocarse solo en la escolaridad y la edad puede ser insuficiente para mejorar el conocimiento nutricional de las madres
Palabras clave:
Proyecto Integrado de Cabinda, desnutrición infantil, prácticas de alimentación infantil,, mortalidad neonatal, conocimiento nutricional, madres
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Lamber, U. K. (2024). Assessment of infant feeding knowledge among mothers in the cabinda integrated project. MLS Health and Nutrition Research, 3(2). https://doi.org/10.60134/v3i2.2854
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15. Okari TG, Aitafo JE, Onubogu U, West BA. Knowledge, Practice and Problems of Exclusive Breastfeeding among Mothers Attending the Outpatient Clinic of a Baby Friendly Hospital Initiative Designated Hospital in Port Harcourt, Nigeria. Eur J Nutr Food Saf [Internet]. 2020 Sep 18 [cited 2024 May 21];103–15. Available from: https://journalejnfs.com/index.php/EJNFS/article/view/510/1025
16. Najam W, Walsh C, Oldewage-Theron W. Nutrition knowledge, attitudes, beliefs and prac-tices: a comparison of urban and rural adults in the Free State province of South Africa. SAJCN [Internet]. 2023 [cited 2024 May 21];36(4):154–61. Available from: https://www.tandfonline.com/doi/full/10.1080/16070658.2023.2175456
17. Indris A, Shaleka D, Ashenafi M. Child nutritional status, mothers’ nutritional knowledge and practice and Household food security status in Tehuledere Woreda, South Wollo, Ethi-opia. SINET: Ethiop. J. Health Sci [Internet]. 2021 Dec 30 [cited 2024 May 21];44(2):161–71. Available from: https://www.ajol.info/index.php/sinet/article/view/219300
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20. Ismail MB. Maternal nutrition knoweldge, infant feeding practices and young child nutrition: a case of bosaso district, Somalia. Thesis (Master of Science in Aplied Human Nutrition) Univ. of Nairobi Res. Arch. [Internet]. 2020 [cited 2024 May 7]. Available from: http://erepository.uonbi.ac.ke/handle/11295/154243
21. Aude-Hélène ATK, Honorine ASC, Roland YK, Christian YK, Iburaima A, Roméo AL, et al. Knowledge, Attitudes and Practices of Mothers Regarding Exclusive Breastfeeding in Rural Areas of Brobo (Côte d’Ivoire). Open J Pediatr [Internet]. 2021 [cited 2024 May 21];11(04):694–705. Available from: https://www.scirp.org/pdf/ojped_2021120715151328.pdf
22. Fazal A, Lasi F, Khan SA. Mothers’ knowledge about infant and young child feeding practic-es and their health impacts. Int. J. Health Sci. [In-ternet]. 2022 Feb 23 [cited 2024 May 21];10(1):55–63. Available from: https://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/774/801
23. Esan DT, Adegbilero-Iwari OE, Hussaini A, Adetunji AJ. Complementary feeding pattern and its determinants among mothers in selected primary health centers in the urban metropo-lis of Ekiti State, Nigeria. Sci Rep [Internet]. 2022 Dec 1 [cited 2024 May 21];12(1):6252. Available from: https://www.nature.com/articles/s41598-022-10308-7.pdf
24. Rana MM, Islam MR, Karim MR, Islam AZ, Haque MA, Shahiduzzaman M, et al. Knowledge and practices of exclusive breastfeeding among mothers in rural areas of Rajshahi district in Bangladesh: A community clinic based study. PLoS One [Internet]. 2020 May 1 [cited 2024 May 21];15(5):e0232027. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209213/pdf/pone.0232027.pdf
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26. H. Tawfilis W, Q. Hasan M, M. Mohamed E, E. El-Gazzar A. Knowledge, attitude, and prac-tice of breastfeeding and weaning among mothers of children under 2 years of age in a vil-lage in Assiut Governorate, Egypt. j. curr. med. res. pract. [Inter-net]. 2023 [cited 2024 May 21];8(1):1–6. Available from: doi: 10.4103/jcmrp.jcmrp_80_22
2. Stepniewska K, Allan R, Anvikar AR, Anyorigiya TA, Ashley EA, Bassat Q, et al. Does acute malnutrition in young children increase the risk of treatment failure following artemisinin-based combination therapy? A WWARN individual patient data meta-analysis. Lancet Glob Health [Internet]. 2024 Apr 1 [cited 2024 May 21];12(4):e631–40. Available from: https://doi.org/10.1016/S2214-109X(24)00003-2.
3. United Nations Children’s Fund (UNICEF). A look at health and nutrition in Angola [Inter-net]. UNICEF. 2021 [cited 2024 May 5]. Available from: https://www.unicef.org/angola/relatorios/um-olhar-sobre-sa%C3%BAde-e-nutri%C3%A7%C3%A3o-em-angola
4. Hug L, Sharrow D, Zhong K, You D, Ho J, Retno Mahanani W, et al. Special thanks to the Technical Advisory Group of the UN IGME for providing technical guidance on methods for child mortality estimation. UNICEF. [Internet]. 2018 [cited 2024 May 7]. Available from: https://www.unicef.org/media/47626/file/UN-IGME-Child-Mortality-Report-2018.pdf
5. Dipasquale V, Cucinotta U, Romano C. Acute malnutrition in children: Pathophysiology, clinical effects and treatment. Nutrients [Internet]. 2020 Aug 1 [cited 2024 May 21];12(8):1–9. Available from: https://doi.org/10.3390/nu12082413
6. Acharya SD, Mukhtar Q, Richter P. Advancing Cardiovascular Disease Prevention, Man-agement, and Control Through Field Epidemiology Training Programs in Noncommunica-ble Diseases in Low and Middle-Income Countries. Prev Chronic Dis [Internet]. 2023 [cited 2024 May 21];20(E31):1–6. Available from: https://doi.org/10.5888/pcd20.220215
7. Shakhshir M, Alkaiyat A. Healthcare providers’ knowledge, attitude, and practice on quali-ty of nutrition care in hospitals from a developing country: a multicenter experience. J Health Popul Nutr [Internet]. 2023 Dec 1 [cited 2024 May 21];42(1):1–14. Available from: https://doi.org/10.1186/s41043-023-00355-9
8. Mohta A, Mohta A, Nai R, Arora A, Aggrawal A, Jain S, et al. Evaluation of the Knowledge, Attitude and Practice of Patients on Immunosuppressive Drugs towards COVID-19 Attend-ing Dermatology Department-A Multicentric Cross-Section Study. Indian J Dermatol [Inter-net]. 2021 Jul 1 [cited 2024 May 21];66(4):446. Available from: https://doi.org/10.4103/ijd.IJD_92_21
9. Oliveira ES. Evidências de validade do questionário para avaliação do conhecimento dos pais sobre alimentação complementar do lactente (QPAC) à luz da teoria da resposta ao item. Tese (Doutorado em Enfermagem) FFOE-UFC. [Internet]. 2022 [cited 2024 May 21]. Available from: http://www.repositorio.ufc.br/handle/riufc/68372
10. Toledano-Toledano F, Rodríguez-Rey R, Moral De La Rubia J, Luna D. A Sociodemographic variables questionnaire (Q-SV) for research on family caregivers of children with chronic disease. BMC Psychol [Internet]. 2019 Dec 21 [cited 2024 May 21];7(1):1–11. Available from: https://doi.org/10.1186/s40359-019-0350-8
11. Pizzatto P, Dalabona CC, Correa ML, Neumann NA, Cesar JA. Maternal knowledge on infant feeding in São Luís, Maranhão, Brazil. RBSMI [Inter-net]. 2020 [cited 2024 May 21];20(1):169–79. Available from: https://www.scielo.br/j/rbsmi/a/ZGMzxjV5tp8frrjQgQqK6Rf/?lang=pt&format=pdf
12. Zakaria NS, Asma’ A, Zakaria NS, Abd Wahab MR, Lani MN, Meli AM. Association of moth-ers’ child feeding knowledge, attitude, and practices with nutritional status of children un-der the age of five in a Malaysian fishing community: a cross-sectional study. Food Res. [In-ternet]. 2022 Oct 1 [cited 2024 May 21];6(5):48–55. Available from: https://www.myfoodresearch.com/uploads/8/4/8/5/84855864/_4__fr-2021-640_zakaria.pdf
13. Aleixo TCSE, Carleto EC, Pires FC, Nascimento J da SG. Knowledge and analysis of the process of orientation of puerperal women about breastfeeding. Rev Enferm UFSM [Internet]. 2019 [cited 2024 May 6];9(e59):1–18. Available from: https://periodicos.ufsm.br/reufsm/article/view/36423
14. Cascone D, Tomassoni D, Napolitano F, Di Giuseppe G. Evaluation of knowledge, attitudes, and practices about exclusive breastfeeding among women in Italy. Int J Environ Res Public Health [Internet]. 2019 Jun 2 [cited 2024 May 21];16(12):2118. Available from: https://www.mdpi.com/1660-4601/16/12/2118
15. Okari TG, Aitafo JE, Onubogu U, West BA. Knowledge, Practice and Problems of Exclusive Breastfeeding among Mothers Attending the Outpatient Clinic of a Baby Friendly Hospital Initiative Designated Hospital in Port Harcourt, Nigeria. Eur J Nutr Food Saf [Internet]. 2020 Sep 18 [cited 2024 May 21];103–15. Available from: https://journalejnfs.com/index.php/EJNFS/article/view/510/1025
16. Najam W, Walsh C, Oldewage-Theron W. Nutrition knowledge, attitudes, beliefs and prac-tices: a comparison of urban and rural adults in the Free State province of South Africa. SAJCN [Internet]. 2023 [cited 2024 May 21];36(4):154–61. Available from: https://www.tandfonline.com/doi/full/10.1080/16070658.2023.2175456
17. Indris A, Shaleka D, Ashenafi M. Child nutritional status, mothers’ nutritional knowledge and practice and Household food security status in Tehuledere Woreda, South Wollo, Ethi-opia. SINET: Ethiop. J. Health Sci [Internet]. 2021 Dec 30 [cited 2024 May 21];44(2):161–71. Available from: https://www.ajol.info/index.php/sinet/article/view/219300
18. Richards S, Kulkarni P, Shabadi N, Hill DR. Comparative study of knowledge, attitudes, and practices of maternal health care utilization in rural and urban areas of Mysuru, India. Int J Community Med Public Health [Internet]. 2021 Aug 27 [cited 2024 May 21];8(9):4255. Available from: https://www.ijcmph.com/index.php/ijcmph/article/view/8646/5233
19. Tesfa S, Aderaw Z, Tesfaye A, Abebe H, Tsehay T. Maternal nutritional knowledge, practice and their associated factors during pregnancy in Addis sub city health centers, Addis Aba-ba, Ethiopia. Int J Afr Nurs Sci [Internet]. 2022 Jan 1 [cited 2024 May 21];17:00482. Avail-able from: https://www.sciencedirect.com/science/article/pii/S2214139122000890/pdfft?md5=978094eff2bfee15b09b0310cd4d699f&pid=1-s2.0-S2214139122000890-main.pdf
20. Ismail MB. Maternal nutrition knoweldge, infant feeding practices and young child nutrition: a case of bosaso district, Somalia. Thesis (Master of Science in Aplied Human Nutrition) Univ. of Nairobi Res. Arch. [Internet]. 2020 [cited 2024 May 7]. Available from: http://erepository.uonbi.ac.ke/handle/11295/154243
21. Aude-Hélène ATK, Honorine ASC, Roland YK, Christian YK, Iburaima A, Roméo AL, et al. Knowledge, Attitudes and Practices of Mothers Regarding Exclusive Breastfeeding in Rural Areas of Brobo (Côte d’Ivoire). Open J Pediatr [Internet]. 2021 [cited 2024 May 21];11(04):694–705. Available from: https://www.scirp.org/pdf/ojped_2021120715151328.pdf
22. Fazal A, Lasi F, Khan SA. Mothers’ knowledge about infant and young child feeding practic-es and their health impacts. Int. J. Health Sci. [In-ternet]. 2022 Feb 23 [cited 2024 May 21];10(1):55–63. Available from: https://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/774/801
23. Esan DT, Adegbilero-Iwari OE, Hussaini A, Adetunji AJ. Complementary feeding pattern and its determinants among mothers in selected primary health centers in the urban metropo-lis of Ekiti State, Nigeria. Sci Rep [Internet]. 2022 Dec 1 [cited 2024 May 21];12(1):6252. Available from: https://www.nature.com/articles/s41598-022-10308-7.pdf
24. Rana MM, Islam MR, Karim MR, Islam AZ, Haque MA, Shahiduzzaman M, et al. Knowledge and practices of exclusive breastfeeding among mothers in rural areas of Rajshahi district in Bangladesh: A community clinic based study. PLoS One [Internet]. 2020 May 1 [cited 2024 May 21];15(5):e0232027. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209213/pdf/pone.0232027.pdf
25. Al-Mutairi W, Sulaiman A. Knowledge, attitude, and practices regarding complementary feeding among mothers of children aged 6-24 months in primary healthcare centers in Un-aizah city, Saudi Arabia. J Health Inform Dev Ctries [Inter-net]. 2021 [cited 2024 May 21];5(5):1134–41. Available from: https://ijmdc.com/index.php?fulltxt=56772&fulltxtj=51&fulltxtp=51-1613562021.pdf
26. H. Tawfilis W, Q. Hasan M, M. Mohamed E, E. El-Gazzar A. Knowledge, attitude, and prac-tice of breastfeeding and weaning among mothers of children under 2 years of age in a vil-lage in Assiut Governorate, Egypt. j. curr. med. res. pract. [Inter-net]. 2023 [cited 2024 May 21];8(1):1–6. Available from: doi: 10.4103/jcmrp.jcmrp_80_22
