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KNOWLEDGE, ATTITUDE AND ADOPTION OF APPROPRIATE FEEDING PRACTICES BY MOTHERS AND ANTHROPOMETRIC INDICES OF THEIR CHILDREN IN AGUATA LOCAL GOVERNMENT AREA OF ANAMBRA STATE

ABSTRACT

This study was designed to assess the knowledge, attitude and adoption of appropriate infant feeding practices of mothers and the anthropometric indices of their children. Three hundred and seventy three mothers who attended infant welfare clinics at the three health settings (General hospital Ekwulobia, Primary health care Ekwulobia, and Primary health care Akpo) all in Aguata L.G.A were involved in the study. The study evaluated the nutritional status of the infants in relation to their anthropometric indices. Also infant feeding practices of mothers in the locality was assessed. A validated semi-structured questionnaire by experts at the Department of Home Science, Nutrition and Dietetics, University of Nigeria, Nsukka was used to elicit information on socio-economic characteristics of the mothers and their children. Results showed that age of the mothers involved in the study ranged from less than 20 years to 41 years and above. The mothers were mostly civil servants (29.50%), traders (29.30%), skilled workers (16.90%), housewives (16.60%) and unskilled workers (9.40%). Household size of 3-4 members dominated (38.90%) of population studied. On the average, 67.74% of the mothers had correct knowledge of infant feeding guidelines which means that mothers were knowledgeable on the infant feeding guidelines. Most mothers (67.60%) received information on breastfeeding through the midwives and nurses where they attended antenatal clinic. A total of (47.70%) of the mothers ever adopted exclusive breastfeeding for different periods of time. A total of (43.40%) stopped breastfeeding their babies after 12 months of age followed by (21.70%) who stopped breastfeeding after 15 months of age of the child. Only 19.30% and 13.90% stopped breastfeeding their babies after 9 months and 6 months of age respectively. Anthropometric indices (length and weight) were used to assess the nutritional status of the children. The boys were taller and heavier than the girls in all age groups except age 19-24 months. A total of 22.62% of males and 21.26% of the females were stunted. About 7.54% of the males and 14.37% of the females were wasted. A total of 12.06% males and 7.4% females were undernourished. There was positive and significant (r = 0.7714: P<0.0001) correlation between age and weight of the children as well as their length and age (r = 0.7937: P<0.0001). Breastfeeding was the predominant infant feeding method among the mothers. There was no significant (P>0.05) difference between the weight and length of children fed breast milk only and those fed breast milk plus formula; breast milk and other foods. There was a significant (P<0.05) difference in the length and weight of males and females, within 0-6 months of age while there was no significant (P>0.05) difference in their weight and body mass index (BMI). For those within 7-12 months of age there was no significant (P>0.05) difference in their length, while there was significant (P<0.05) difference in their weight and BMI.

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