Optimal breastfeeding and complementary feeding practices are critical to prevent child undernutrition. Despite the occurrence of undernutrition widespread suboptimal in Malawi, association among Malawian children remains unclear. The purpose study was determine current practices, identify maternal determinants each practice, analyze associations between with stunting, underweight, wasting.The most recent Malawi Demographic Health Survey (2015-2016) used data for 2294 aged 0-23 months were...

The slow decrease in child stunting rates East Africa warrants further research to identify the influence of contributing factors such as water, sanitation, and hygiene (WASH). This study investigated association between length WASH conditions using recently revised WHO UNICEF (United Nations Children’s Fund) Joint Monitoring Programme (JMP) indicators. Data from households with infants young children aged 6–23 months Demographic Health Surveys Burundi, Ethiopia, Kenya, Malawi, Rwanda,...

Few studies have investigated fathers’ roles in child care Madagascar. This study explored the perceptions, attitudes, and practices regarding involvement using qualitative methods. Ten focus group discussions were conducted among parents of children aged 6–23 months; seven mothers, three fathers. In-depth semi-structured interviews (n = 8) also with key informants. Discussions audio-recorded verbatim transcripts Malagasy translated into English. Data analyzed thematic analysis approach....

Climate change-induced flooding has caused public health crises in Borno State, Nigeria, which influence the increase of waterborne diseases and malnutrition. Flooding disrupts water sanitation systems, creating breeding grounds for such as cholera, malaria, diarrheal illnesses. The displacement communities destruction agricultural infrastructure due to further food insecurity, leading This paper examines interplay between flooding, diseases, malnutrition highlighting urgent need climate...

Despite widespread suboptimal breastfeeding practices and maternal experiences of intimate partner violence (IPV), the association IPV remains unclear. This study investigated associations between experience physical, sexual, emotional violence, controlling behaviors with in Malawi, Tanzania, Zambia.Data included mother-infant dyads from most recent Demographic Health Surveys for Malawi (n = 1878), Tanzania 3184), Zambia 3879). Intimate (physical, emotional) was measured using Revised...

Objective This study examined the effects of a peer-led integrated nutrition education intervention with maternal social support using Care Groups on infant growth among South Sudanese refugees in Uganda. Methods A community-based cluster-randomized trial (RCT) was conducted 390 pregnant women (third trimester). Two arms were Mothers-only(n = 131) and Parents-combined (n 142) Control 117). WHO standards defined length-for-age z-scores (LAZ) for stunting, weight-for-age (WAZ) underweight...

Evidence on the efficacy of women's empowerment to improve child growth and minimum dietary diversity (MDD) in Eastern Africa (EA) region is limited. This cross-sectional study used recent Demographic Health Survey data mother-child dyads from seven countries EA examine associations between measures, MDD. Length-for-age z-scores, weight-for-length z-scores weight-for-age were categorize indicators 6-23 months old children. Multivariable logistic regression was identify significant...

Abstract Background Evidence suggests that forced migration and refugee status may adversely impact mothers’ breastfeeding choices. Furthermore, suboptimal practices have been reported among vulnerable populations including those living in settlements. Therefore, this study investigated the barriers facilitators of protracted settlements Adjumani district, West Nile region Uganda. Methods This was conducted refugees located Uganda July 2019. Participants, originally from South Sudan,...

Complementary feeding of infants in refugee settlements remains inadequate. Furthermore, there has been limited evaluation interventions addressing these nutrition challenges.This study examined the effects a peer-led integrated education intervention on infant complementary by South Sudanese mothers West-Nile region Uganda.A community-based randomized trial enrolled 390 pregnant women (during third trimester) as baseline. Two arms [mothers-only and parents-combined (both fathers)] comprised...

Research on the efficacy of women's empowerment measures to improve child dietary diversity Scores (CDDS) and nutritional status in East African region is limited. Our study examined association between maternal economic autonomy, social-familial freedom, self-esteem, health decisiveness legal CDDS, length-for-age z scores (LAZ), weight-for-height (WHZ) weight-for-age (WAZ). The most recent Demographic Health Surveys (DHS) data from eight countries Region were used; (Burundi 2016–2017,...

The reduction of child stunting in the East African region remains slow, emphasizing need to examine contributions less commonly studied determinants linear growth faltering. purpose this study was determine association between newly issued WHO and UNICEF Joint Monitoring Programme WASH indicators length Africa. most recent Demographic Health Survey (DHS) nationally representative data from Burundi, Ethiopia, Kenya, Malawi, Rwanda, Tanzania, Uganda, Zambia were used. Data young children aged...

Maternal experience of intimate partner violence (IPV) remains an overlooked variable in the context breastfeeding East Africa. Therefore, this study investigated association between maternal different forms and frequency IPV suboptimal practices Malawi, Tanzania, Zambia. Data were obtained from most recent Demographic Health Surveys for Malawi (n = 1878), Tanzania 3184), Zambia 3879) included mother-infant dyads. Outcomes early initiation breastfeeding, exclusive continued breastfeeding....

This study aimed to determine the association between child dietary diversity, household food insecurity, stunting, and maternal mental health symptoms in Vakinankaratra region of Madagascar. cross-sectional included 391 mother-child dyads. The World Health Organization (WHO) standards were used for defining diversity stunting Household Food Insecurity Access Scale (HFIAS) was insecurity scores. Maternal common disorders assessed using WHO Self-Reporting Questionnaire (SRQ), which translated...

There is limited research on the associations between maternal social support and household food security child feeding practices in Madagascar. Our study examined association support, security, among mothers of children 6 - 24 months Vakinankaratra region, This cross-sectional included 344 mother-child dyads. The Medical Outcomes Study (MOS) Social Support Index was used for scores. A mean score >4 considered optimal with ≤2 as none or little support. Food insecurity scores were determined...

Suboptimal breastfeeding practices have been reported among vulnerable populations including those living in post-emergency refugee settlements. This study investigated the barriers and facilitators of settlements Adjumani district, West Nile region Uganda. Participants included mothers fathers children less than 23 months age who lived Agojo, Ayilo, Nyumanzi. formed a total five focus group discussions (FGDs); four FGDs for two fathers. The were conducted native languages, Dinka Madi,...

Research on the effectiveness of maternal social support to improve knowledge, attitudes, and practices about consumption healthy diets is limited in Uganda. Our study examined association between fruit vegetable among South Sudanese refugee mothers post-emergency settlements West Nile region, This cross-sectional included 379 (15–49 years). Principal component analysis was used determine scores for consumption. The Medical Outcomes Study (MOS) Social Support Index scores. A mean score > 4...

Complementary feeding practices in Madagascar are inadequate. The purpose of this study was to identify maternal barriers and enablers optimal child the Vakinankaratra region Madagascar. Seven focus group discussions with mothers (n = 46) who had a aged 6–23 months eight in-depth interviews were conducted community health workers (6), nurse (1), program field monitor (1) Malagasy, local language. Discussions transcribed verbatim, then back-translated into English. average length 50 minutes....

Introduction: Infant complementary feeding in refugee settlements remains inadequate, amidst declining humanitarian aid. However, there is limited evidence for interventions to address these nutrition challenges the settlements. Objective: Examine effects of peer-led integrated education on infant by South Sudanese mothers West-Nile region Uganda. A community-based randomized control study enrolled 390 pregnant 3rd trimester as baseline a intervention using caregroup model. Two groups...

The specific study objectives were: 1) to identify perceived common stressors among parents in refugee settlements, 2) analyze the associations of perinatal depression and early initiation breastfeeding 3) between exclusive breastfeeding. Qualitative participants were mothers (n = 66) fathers 49) who compromised eight focus group discussions (FGDs): four FGDs, two FGDs. Two FGDs with Village Health Team six individual interviews key informants also conducted. Thematic analysis was used...

The Vakinankaratra region of Madagascar has a high burden child undernutrition, strong risk factor for poor development. purpose this preliminary study was to assess the household stimulation environment and evaluate development 11 13 month-old toddlers from agriculturally-productive area with some highest young-child stunting rates in world. Stunting (length-for-age z-score < -2) underweight (weight-for-age were determined using 2006 WHO growth standards. Household evaluated Family Care...