Research Article
Timely Initiation of Complementary Feeding and Associated
FactorsamongMothersofChildrenAged6–24MonthsinDessie
Referral Hospital, Northeast Ethiopia, 2019
Atsedemariam Andualem ,
1
Afework Edmealem,
1
Belachew Tegegne ,
1
Lehulu Tilahun,
2
andYitayishDamtie
3
1
Department of Nursing, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia
2
Department of Emergency and Ophthalmic Health, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia
3
Department of Reproductive Health, School of Public Health, Wollo University, Dessie, Ethiopia
CorrespondenceshouldbeaddressedtoAtsedemariamAndualem;atsede010@gmail.com
Received 4 January 2020; Revised 23 July 2020; Accepted 20 October 2020; Published 29 October 2020
AcademicEditor:C.S.Johnston
Copyright © 2020 Atsedemariam Andualem et al. is is an open access article distributed under the Creative Commons
AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis
properly cited.
Background.Timely,appropriate,safe,adequate,andfrequentfeedingisessentialduringthetransitionperiodforoptimalgrowth
and development as well as vulnerability of the child. e age of initiation of complementary feeding needs to be strongly
addressed.us,theaimofthisstudywastodeterminetimelyinitiationofcomplementaryfeedingandassociatedfactorsamong
mothers of children aged 6–24 months in Dessie Referral Hospital. Methods. Institutional-based cross-sectional study was
conducted among 280 mothers of children aged 6–24 months. A systematic random sampling technique was employed for
selectionofstudyparticipantsbyconsideringthe1stcomerasastartingpointandthenatevery5thintervaltillthesamplesizewas
saturatedatexittime.Datawerecollectedusingpretestedandvalidatedstructuredinterviewer-administeredquestionnaire.Data
were entered to Epi data version 3.1 and exported to SPSS version 20.0 software for analysis. Descriptive statistics and binary
logistic regression model were used. Results. Overall response rate was 98.2%. Among 275 mothers with children aged
6–24months, 36 (13.1%), 179 (65.1%), and 60 (21.8%) mothers started giving complementary feeding for their children early
(beforesixmonths),timely(atsixmonths),andlate(aftersixmonths),respectively.Mothers’educationalstatusofgrade9–12and
college and above [AOR � 3.03; 95% CI (1.13–8.14), and AOR � 3.74; 95% CI (1.19–11.70), respectively], getting counsel
[AOR � 2.83; 95% CI (1.54–5.21)], and poor knowledge [AOR � 0.37; 95% CI (0.19–0.72)] were found to be independent
predictors. Conclusions. Prevalence of timely initiation of complementary feeding was high as compared to the national
prevalence. Mothers’ educational status, getting counsel about complementary feeding, and knowledge were factors associated
withtimelyinitiationofcomplementaryfeeding.erefore,awarenesscreation,counseling,andhealtheducationshouldbedone
on society by concerned bodies to improve timely introduction of complementary feeding level more than this result.
1.Introduction
Complementaryfeedingistheprocessofstartingfoodsand
liquidsalongwithbreastmilkwhenbreastmilkisnolonger
sufficient to meet nutritional requirements of children [1].
Appropriate, safe, adequately nourished, and frequent
feedingisessentialduringthetransitionperiodfromchild’s
birthto2yearsofagesincethisperiodisacriticalwindow
foroptimalgrowthanddevelopmentaswellasvulnerability
of the child [2]. e World Health Organization (WHO)
recommends that complementary feeding should be com-
menced at the age of 6 months, and the frequency of
nonmilkfeedingshouldgraduallyincreaseuntil24months.
But most mothers do not start complementary feeding at
appropriate time [3–6]. Children are at increased risk of
malnutrition starting from six months because breast milk
aloneisnotsufficienttogivetherequirednutrientcontents
[7].
Hindawi
Journal of Nutrition and Metabolism
Volume 2020, Article ID 6756202, 7 pages
https://doi.org/10.1155/2020/6756202