Infant and Young Child Feeding Practice Status and Its Determinants in Kalu District, Northeast Ethiopia: Community-Based Cross-Sectional Study

Background: Appropriate nutrition during infancy and early childhood is a cornerstone of care for ensuring optimal child growth and development during the first 2 years of life. Globally, about 40% of under two years of age deaths are attributed to inappropriate infant and young child feeding practices. In Ethiopia, a large range of inappropriate feeding practices of mothers during infancy and early childhood were documented. This study aims to assess infant and young child feeding practice status and its determinants among mothers of children aged 6-23 months in Kalu district, Northeast Ethiopia. Methods: Community-based cross-sectional study design was applied from May 1-30/2019. A total of 605 mothers-children pair's 6-23 months were included in the study using multi-stage sampling followed by a simple random sampling technique. Data were collected using a pretested semi-structured interviewer-administered questionnaire. Bi-variate and multivariable logistic regression were used to assess determinants associated with child feeding practices. Statistical significance was decided at p-value less than 0.05. Results: Of six hundred five (605) sampled mothers having an infant and young child age 6-23 months, 589 were successfully included in the study making a response rate of 97.35%. In our study, the overall proportion of appropriate infant and young child feeding practices was 57.7%. Place of delivery (AOR=1.977; 95% Cl (1.101, 3.552)), mothers' age being 25-35 years (AOR =2.091; 95% Cl: (1.452, 3.011)) and family size >4 members (AOR=1.873; 95% CI: (1.311, 2.675)) were determinants positively associated with appropriate infant and young child feeding practices in Kalu district at 95% CI. Conclusion: The overall appropriate infant and young child feeding practices were better in general in Kalu district. However, this prevalence is not acceptable to ensure good health and better nutritional status of children. As a result, intervention initiatives should focus on institution delivery services that are crucial to implementing appropriate infant and young child feeding practice. Health facilities need to be strengthened and fully utilized to provide high-quality feeding counseling. Special attention needs to be given to younger mothers, in addition to increasing institution delivery service.