Malnutrition is a well-known public health problem in children under 5 in developing countries. It is in this sense that a study was carried out among children aged 0 to 24 months in households in the Ndjamena region. This study therefore sought to assess the relationships that could exist between the anthropometric status of children from 0 to 24 months and their feeding practices as well as the nutritional and health status of mothers. This is a descriptive and cross-sectional study using a multistage stratified cluster sampling technique in which the household was the basic sampling unit. In fact, out of 1000 households surveyed, 396 mother / child couples were interviewed. A questionnaire comprising the variables (feeding practices of infants and young children, dietary diversity of the mother, socio-demographic and professional parameters of the mother and anthropometric parameters) made it possible to collect information on the children and their mothers. Anthropometric data were collected in order to calculate the indices (Weight / Height; Height / Age; Weight / Age; BP and bilateral edemas), and for the classification of children, we used the WHO references. The prevalence of acute malnutrition was 28.34% where 3.70% presented the severe form. Similarly, 24.20% of children surveyed were affected by stunting with 10.20% of them presenting the severe form. In addition, 18.41% were underweight with 9.93% having the severe form. However, 88.80% of the mothers didn’t attended school, 46.60% of them were housewives, 55.90% were under 25.5 years old and mostly having at least one child (81.50%). Most of the infants (83.60%) received colostrum, where 33.60% of mothers breastfed the infants immediately after birth. Then, 55.90% of the mothers surveyed continued to breastfeed until the age of over one year (≥ 14 months). In addition, 33.60% of the mothers introduced the complementary food early. Overall malnutrition was significantly more common among children of mothers who did not attend school, as well as those who reportedly did not practice any economic activity. Finally, the prevalence of the three forms of malnutrition decreased when the mother's education level increased, the mother's health and nutritional conditions were good, and the feeding practices were appropriate. This study allowed us to identify the factors that impact the life of this vulnerable social layer and for which it would be important to further improve strategies to reduce and limit the spread of malnutrition in children.
Published in | Journal of Food and Nutrition Sciences (Volume 10, Issue 4) |
DOI | 10.11648/j.jfns.20221004.15 |
Page(s) | 128-141 |
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), 2022. Published by Science Publishing Group |
Households, Ndjamena, Infant, Young Child, Feeding Practices, Nutritional Status, Chad
[1] | Organisation des Nations Unies pour l’Alimentation et l’Agriculture (FAO), L’état de l’insécurité alimentaire dans le monde, [The state of food insecurity in the world], (2013). Rome. |
[2] | Fao Jordanie. Nutrition et protection des consommateurs, CPS, Koulouba Bamako, [The state of food insecurity in the world Nutrition and protection of consumers, CPS, Koulouba Bamako] rapport en nutrition, (2008), 46P. |
[3] | World Health Organization. Exclusive Breastfeeding for optimal growth, development and health of infants (2015). Available at http://www.who.int/elena/titles/exclusive_breastfeeding/en/. Accessed on 14th August 2015. |
[4] | Institut national de recherche en sante publique (INRSP). Enquête de base sur la sécurité alimentaire et la nutrition, Bamako Mali [Basic survey on food security and nutrition, Bamako, Mali], (2007), 63P. |
[5] | Loyeke b., batenda w., bolekya t et al. Rapport de l’enquête nutritionnelle anthropométrique zone de santé de mondombe province de l’équateur. Congo [Report of nutritional and anthropometric survey in Mondombe health area, equateur province, Congo]. (2006), 24 P. |
[6] | Ministere de la sante, direction nationale de la sante. Système Local d’Information Sanitaire [Local health information system], (Annuaire SLIS), Mali. (2007), 117P. |
[7] | Gamgne-Kamga B. Study of knowledge and practices of mothers on breastfeeding at the provincial hospital and at the PMI of Bafoussam, Cameroon, (2009) (Thèse). |
[8] | MS, UNICEF. Stratégie mondiale pour l’alimentation du nourrisson et du jeune enfant, [Worldwide feeding strategy for children and young child] (2003)., 30pages. |
[9] | World Health Organization. Global strategy for infant and young child feeding. Availableat (2014). http://www.who.int/nutrition/publications/gs_infant_feeding_text_eng.pdf. Accessed February 8, 2015. |
[10] | United Nations Children’s Fund, World Health Organization, World Bank Group. Levels and trends in child malnutrition Joint child malnutrition estimates. Key findings of the (2015) edition. Geneva: WHO; 2015. |
[11] | Anthony O. Atimati and Vincent Y. Adam. Infant and young child feeding practices and nutritional status of children (0-24 months) in egor local government area of edo state, NIGERIA, Nigerian Journal of Nutritional Sciences. (2019), Vol. 40 No. 1 March 2019. |
[12] | Ministère de la santé publique et de la solidarite nationale: Enquête nutritionnelle nationale 2020. [2020 National nutritional survey] Rapport final. (2020) edition. Ndjamena, Tchad: Ministère de la santé publique et de la solidarite nationale;, 2020: pp. 68. |
[13] | IPC. Persistence of a serious to critical nutritional situation in Août 2019 – mai 2020, report Published in March (2020). |
[14] | World Health Organization (2017). Babies and mothers world-wide failed by lack of investment in breastfeeding. Available at http://www.who.int/mediacentre/news/releases/2 017/lack-investment-breastfeeding/en/. Accessed 15Th November (2017). |
[15] | World Health Organization. Infant and young child feeding. Available at. 2015 http://www.who.int/mediacentre/factsheets/fs342/en/ Accessed on 5th August, (2015). |
[16] | Ministère de la santé publique: National nutrition survey. Final report. (2018) issue. Ndjamena, Chad: Ministry of Public Health; 2018: pp. 89. |
[17] | Indicateurs pour évaluer les pratiques d’alimentation du nourrisson et du jeune enfant. Partie 1: Définitions. Conclusions d’une réunion de consensus qui a eu lieu du 6 au 8 novembre 2007 à Washington D.C., Etats-Unis d’Amérique. [Definitions. Conclusions of a consensus meeting held from 6th to 8th November 2007 in Washington D.C, USA], Organisation mondiale de la santé, Genève (2008). |
[18] | Ngure FM, Humphrey JH, Mbuya MN, Majo F, K. Mutasa, Govha M, Mazarura E, Chasekwa B, Prendergast AJ, Curtis V, et al: Formative Research on Hygiene Behaviors and Geophagy among Infants and Young Children and Implications of Exposure to Fecal Bacteria. American Journal of Tropical Medicine and Hygiene (2013), 89: 709–716. |
[19] | World Health Organization, WHO Multicentre Growth Reference Study Group (2006) WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development. Geneva: WHO. |
[20] | OMS. (2006). Normes OMS de croissance de l’enfant Longueur/taille pour l'âge, poids pour l'âge, poids pour la longueur, poids pour la taille et indice de Quételet pour l'âge. Méthodes et élaboration. [WHO standards for child growth: height for age, weight for age, weight for height and Quetelet index for age], Département Nutrition, santé et développement. 5 p. |
[21] | Moursi M, Razafindrazaka V, Dos Santos P, Bruyeron O, Arnaud L, Ralison C, Monvois J, Trèche S et al. Pratiques alimentaires et état nutritionnel des enfants de moins de deux ans à Madagascar: quartiers d’Andohatapenaka et d’Ampefiloha-Ambodirano à Antananarivo, villages d’Ampasimbe, Andovoranto et Sahamorona dans la souspréfecture de Brickaville. [Food practices and nutritional status of children under two years old in Madagascar: Andohatapenaka and Ampefiloha-Ambodirano quarters in Antananarivo, Ampasimbe, Andovoranto and Sahamorona villages in Brickaville subdivision.], Rapport Nutrimad: (2003), 49p. |
[22] | World Health Organization. Indicators for Assessing Infant and Young Child Feeding Practices: Part II Measurement. Geneva: (2010). |
[23] | OMS. Le guide d’utilisation des nouvelles courbes de croissance de l’OMS à l’intention du professionnel de la santé. [The user guide for new growth curves at the attention of health professionals] Paediatr Child Health. (2010), 15 (2): 91-98. |
[24] | De Onis M, Garza C, Onyango AW, Martorell R. WHO Child Growth Standards. Acta 1 Paediatrica. (2006), 95 (suppl. 450): 1-101. |
[25] | Planning and Statistics Unit (CPS)/Health., Ministry of Health., National Statistics and Informatics Division (DNSI) of the Ministry of Economy, Industry and Trade., Macro International Inc., USAID., UNICEF., UNFPA., (2001). EDSM III, Demographic and Health Survey, Mali, 450P. |
[26] | OMS, C. Goyet., J. Seaman & U. Geijer, l’aide nutritionnelle aux populations dans les situations d’urgence, P. 93-97. Dans Supplément en vitamine A: Guide pour leur emploie dans le traitement et la prévention de la carence en vitamine A et de la xérophtalmie. [Nutritional assistance to populations in emergencies. p 93-97. In vitamin A supplements: A guide for their use in the treatment and prevention of vitamin A deficiencies and xerophtalmia], WHO, (1989), Geneva, O.M.S./FISE/IVAG. |
[27] | Wondafrash Mekitie, Huybregts Lieven, Carl Lachat Bouckaert, Kimberley P. and k Kolsteren Patric. Feeding practices and growth among young children during two seasons in rural Ethiopia BMC Nutrition (2017) 3: 39 DOI 10.1186/s40795-017-0158-y. |
[28] | Mukuku O, Tshibanda KN, Mutombo AM, Lubala TK, Luboya ON. Facteurs influençant l’arrêt de l’allaitement au sein avant l’âge de 12 mois dans le village de Tshamalale, République Démocratique du Congo. [Factors influencing interruption of breastfeeding before 12 months in the Tshamalale village, Democratic Republic of Congo], Revue de l’Infirmier Congolais (2017); 1 (1): 17-26. |
[29] | Tessema, M, Belachew and T, Ersino, G. Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. The Pan African Medical Journal. (2013), 14: 75. |
[30] | Yalew BM. Prevalence of Malnutrition and Associated Factors among Children Age 6-59 Months at Lalibela Town Administration, North WolloZone, Anrs, Northern Ethiopia. J Nutr Disorders Ther. (2014), 4: 132. doi: 10.4172/2161-0509.1000132. |
[31] | Olatona, F. A, Adenihun, J. O, Aderigbe, S. A and Adeniyi, O. F. Complementary feeding knowledge, practices and dietary diversity among mothers of under-five children in an urban community in Lagos State, Nigeria. International Journal of MCH and AIDS. (2017), 6 (1): 46-59. |
[32] | Ministry of Public Health. National nutrition survey (2019). Final report. 2019 issue. Ndjamena, Chad: Ministry of Public Health; 2019: p. 87. |
[33] | Mukuku O, Tshibanda KN, Mutombo AM, Lubala TK, Luboya ON. Factors influencing the cessation of breastfeeding before the age of 12 months in the village of Tshamalale, Democratic Republic of Congo. Review of the Congolese Nurse (2017); 1 (1): 17-26. |
[34] | Joshi P. C, Angdembe M. R, Das SK and Ahmed S et al. Prevalence of exclusive breast feeding and associated factors among mothers in rural Bangladesh: a cross-sectional study. International Breastfeeding Journal. (2014), 9: 7. |
[35] | Nkala T. E, Msuya S. E et al. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. International Breastfeeding Journal. (2011), 6: 17-23. |
[36] | Amsalu S, Tigabu Z et al. Risk factors for ever acute malnutrition in children under the age of five: a case-control study. Ethiop J Health Dev. (2008), 22: 21-25. |
[37] | Olusanya O, Okpere E and Ezimokhai M et al. The importance of social class in voluntary fertility control in a developing country. West African Journal of Medicine. (1985), 4: 205-211. |
[38] | Ouédraogo O, Compaoré EWR, Amouzou SKE, Zeba AN, Dicko MH et al. Determination and Characterization of Women, Infants, and Young Children's Dietary Diversity in Agricultural Mitigation Period of Burkina Faso. Journal of Nutrition and Food Security. (2019); 4: 114-125. |
[39] | Ouédraogo O, Compaoré EWR, AMOUZOU SKE, DICKO MH et at. Determination and characterization of women, infants and young children dietary diversity in period of Burkina Faso agricultural welding. International Journal of Advanced Educational Research. (2019); 4: 30-38. |
[40] | Khan, M. I, Hoque, M. A, Mollah, A. H, Islam, M. N, Latif, S. A and Hossain, M et al. Feeding practices and nutritional status of children under two years of age. (2011), 20 (4): 558-65. |
[41] | FAO, FHI360: Minimum Dietary Diversity for Women: A Guide for Measurement. Rome: FAO. (2016). |
APA Style
Al Cherif Hamid Mahamat Al Cherif, Himeda Makhlouf, Mahamat Bechir, Aurelie Solange Ntso Agume, Aime Lahtang Bada, et al. (2022). Infant and Young Child Feeding Practices and Nutritional Status of Children (0-24 Months) in Households of Ndjamena State, Chad. Journal of Food and Nutrition Sciences, 10(4), 128-141. https://doi.org/10.11648/j.jfns.20221004.15
ACS Style
Al Cherif Hamid Mahamat Al Cherif; Himeda Makhlouf; Mahamat Bechir; Aurelie Solange Ntso Agume; Aime Lahtang Bada, et al. Infant and Young Child Feeding Practices and Nutritional Status of Children (0-24 Months) in Households of Ndjamena State, Chad. J. Food Nutr. Sci. 2022, 10(4), 128-141. doi: 10.11648/j.jfns.20221004.15
AMA Style
Al Cherif Hamid Mahamat Al Cherif, Himeda Makhlouf, Mahamat Bechir, Aurelie Solange Ntso Agume, Aime Lahtang Bada, et al. Infant and Young Child Feeding Practices and Nutritional Status of Children (0-24 Months) in Households of Ndjamena State, Chad. J Food Nutr Sci. 2022;10(4):128-141. doi: 10.11648/j.jfns.20221004.15
@article{10.11648/j.jfns.20221004.15, author = {Al Cherif Hamid Mahamat Al Cherif and Himeda Makhlouf and Mahamat Bechir and Aurelie Solange Ntso Agume and Aime Lahtang Bada and Sokeng Dongmo Selestin and Nicolas Yanou Njintang}, title = {Infant and Young Child Feeding Practices and Nutritional Status of Children (0-24 Months) in Households of Ndjamena State, Chad}, journal = {Journal of Food and Nutrition Sciences}, volume = {10}, number = {4}, pages = {128-141}, doi = {10.11648/j.jfns.20221004.15}, url = {https://doi.org/10.11648/j.jfns.20221004.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20221004.15}, abstract = {Malnutrition is a well-known public health problem in children under 5 in developing countries. It is in this sense that a study was carried out among children aged 0 to 24 months in households in the Ndjamena region. This study therefore sought to assess the relationships that could exist between the anthropometric status of children from 0 to 24 months and their feeding practices as well as the nutritional and health status of mothers. This is a descriptive and cross-sectional study using a multistage stratified cluster sampling technique in which the household was the basic sampling unit. In fact, out of 1000 households surveyed, 396 mother / child couples were interviewed. A questionnaire comprising the variables (feeding practices of infants and young children, dietary diversity of the mother, socio-demographic and professional parameters of the mother and anthropometric parameters) made it possible to collect information on the children and their mothers. Anthropometric data were collected in order to calculate the indices (Weight / Height; Height / Age; Weight / Age; BP and bilateral edemas), and for the classification of children, we used the WHO references. The prevalence of acute malnutrition was 28.34% where 3.70% presented the severe form. Similarly, 24.20% of children surveyed were affected by stunting with 10.20% of them presenting the severe form. In addition, 18.41% were underweight with 9.93% having the severe form. However, 88.80% of the mothers didn’t attended school, 46.60% of them were housewives, 55.90% were under 25.5 years old and mostly having at least one child (81.50%). Most of the infants (83.60%) received colostrum, where 33.60% of mothers breastfed the infants immediately after birth. Then, 55.90% of the mothers surveyed continued to breastfeed until the age of over one year (≥ 14 months). In addition, 33.60% of the mothers introduced the complementary food early. Overall malnutrition was significantly more common among children of mothers who did not attend school, as well as those who reportedly did not practice any economic activity. Finally, the prevalence of the three forms of malnutrition decreased when the mother's education level increased, the mother's health and nutritional conditions were good, and the feeding practices were appropriate. This study allowed us to identify the factors that impact the life of this vulnerable social layer and for which it would be important to further improve strategies to reduce and limit the spread of malnutrition in children.}, year = {2022} }
TY - JOUR T1 - Infant and Young Child Feeding Practices and Nutritional Status of Children (0-24 Months) in Households of Ndjamena State, Chad AU - Al Cherif Hamid Mahamat Al Cherif AU - Himeda Makhlouf AU - Mahamat Bechir AU - Aurelie Solange Ntso Agume AU - Aime Lahtang Bada AU - Sokeng Dongmo Selestin AU - Nicolas Yanou Njintang Y1 - 2022/07/22 PY - 2022 N1 - https://doi.org/10.11648/j.jfns.20221004.15 DO - 10.11648/j.jfns.20221004.15 T2 - Journal of Food and Nutrition Sciences JF - Journal of Food and Nutrition Sciences JO - Journal of Food and Nutrition Sciences SP - 128 EP - 141 PB - Science Publishing Group SN - 2330-7293 UR - https://doi.org/10.11648/j.jfns.20221004.15 AB - Malnutrition is a well-known public health problem in children under 5 in developing countries. It is in this sense that a study was carried out among children aged 0 to 24 months in households in the Ndjamena region. This study therefore sought to assess the relationships that could exist between the anthropometric status of children from 0 to 24 months and their feeding practices as well as the nutritional and health status of mothers. This is a descriptive and cross-sectional study using a multistage stratified cluster sampling technique in which the household was the basic sampling unit. In fact, out of 1000 households surveyed, 396 mother / child couples were interviewed. A questionnaire comprising the variables (feeding practices of infants and young children, dietary diversity of the mother, socio-demographic and professional parameters of the mother and anthropometric parameters) made it possible to collect information on the children and their mothers. Anthropometric data were collected in order to calculate the indices (Weight / Height; Height / Age; Weight / Age; BP and bilateral edemas), and for the classification of children, we used the WHO references. The prevalence of acute malnutrition was 28.34% where 3.70% presented the severe form. Similarly, 24.20% of children surveyed were affected by stunting with 10.20% of them presenting the severe form. In addition, 18.41% were underweight with 9.93% having the severe form. However, 88.80% of the mothers didn’t attended school, 46.60% of them were housewives, 55.90% were under 25.5 years old and mostly having at least one child (81.50%). Most of the infants (83.60%) received colostrum, where 33.60% of mothers breastfed the infants immediately after birth. Then, 55.90% of the mothers surveyed continued to breastfeed until the age of over one year (≥ 14 months). In addition, 33.60% of the mothers introduced the complementary food early. Overall malnutrition was significantly more common among children of mothers who did not attend school, as well as those who reportedly did not practice any economic activity. Finally, the prevalence of the three forms of malnutrition decreased when the mother's education level increased, the mother's health and nutritional conditions were good, and the feeding practices were appropriate. This study allowed us to identify the factors that impact the life of this vulnerable social layer and for which it would be important to further improve strategies to reduce and limit the spread of malnutrition in children. VL - 10 IS - 4 ER -