Trends in complementary feeding indicators in Nigeria, 2003-2013

Ogbo, Felix A., Page, Andrew, Idoko, John, Claudio, Fernanda and Agho, Kingsley E. (2015) Trends in complementary feeding indicators in Nigeria, 2003-2013. BMJ Open, 5 10: . doi:10.1136/bmjopen-2015-008467

Author Ogbo, Felix A.
Page, Andrew
Idoko, John
Claudio, Fernanda
Agho, Kingsley E.
Title Trends in complementary feeding indicators in Nigeria, 2003-2013
Journal name BMJ Open   Check publisher's open access policy
ISSN 2044-6055
Publication date 2015-08-11
Year available 2015
Sub-type Article (original research)
DOI 10.1136/bmjopen-2015-008467
Open Access Status DOI
Volume 5
Issue 10
Total pages 12
Place of publication London, United Kingdom
Publisher BMJ Group
Language eng
Formatted abstract
Objective: The study aimed to examine secular trends and determinants of changes in complementary feeding indicators in Nigeria.

Design, setting and participants: Data on 79 953 children aged 6–23 months were obtained from the Nigeria Demographic and Health Surveys (NDHS) for the period spanning 2003–2013. The surveys used a stratified two-stage cluster sample of eligible mothers aged 15–49 years from the six geopolitical zones of Nigeria. Trends in complementary feeding indicators and socioeconomic, health service and individual characteristics including factors associated with complementary feeding indicators were examined using multilevel logistic regression analyses.

Results: Minimum dietary diversity for children aged 6–23 months worsened from 26% in 2003 to 16% in 2013. Minimum meal frequency improved from 43% in 2003 to 56% in 2013 and minimum acceptable diet worsened from 11% to 9%. Among educated mothers, there was a decreasing prevalence of the introduction of solid, semisolid and soft foods in infants aged 6–8 months (67% in 2003 to 57% in 2013); minimum dietary diversity (33% in 2003 to 24% in 2013) and minimum acceptable diet (13% in 2003 to 8% in 2013). Mothers with a higher education level and mothers who reported more health service contacts were more likely to meet the minimum dietary diversity. Similarly, the odds for minimum acceptable diet were higher among mothers from higher socioeconomic status groups and mothers who reported frequent health services use.

Conclusions: Complementary feeding practices in Nigeria declined over the study period and are below the expected levels required to ensure adequate growth and development of Nigerian children. National policies and programmes that ensure sustainability of projects post-MDGs and higher health service coverage for mothers, including community-based education initiatives, are proposed to improve complementary feeding practices among Nigerian mothers.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
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