Improvement of complementary foods for infants and young children six to 23 months in seaweed farming livelihood zone, Micheweni district, Pemba

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Date

2016

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Sokoine University of Agriculture

Abstract

Appropriate child feeding is the basis for a good nutritional status and healthy development, and a key factor for health in later life. In Tanzania, more than a third of children under-five years are affected by chronic malnutrition. In Zanzibar. 12% of children under-five are suffering from acute malnutrition. 4.5% are severely malnourished. The aim of the study was to improve the complementary foods for infants and young children aged six to 23 months in seaweed farming livelihood zone. This study was conducted in Micheweni district which covers about 407 km" and comprises 28 local administrative authority (shehia/village). A longitudinal (Panel survey) analytical design was used to establish baseline on nutritional situation, dietary assessment from three 24 hour recalls to identify nutrient gap and intervention to rectify the dietary inappropriateness escorted with monitoring for three consecutive months using panel data. Data collection tool was developed using ProPAN guideline. Data were analyzed using ProPAN-2 software with Epi-info version 3.5.4 (descriptive statistics) and SAS-8. 2004 (inferential statistics) using Duncan Multiple Range Test. Majority of children, expressed mild to moderate underweight (29.57%), (14.07%); wasting (20%) (11.38%); stunting (23.61%), (5.37%) and MUACZ (28.32%), (16.07%) respectively. Occupation was only socio-demographic factor that had shown significant association with nutritional indicator (WHZ). After intervention significant difference was found on weight and MUAC of children aged 12-23 months who were still breastfed. Meanwhile, 33.3% were able to meet minimum dietary diversity and 91.7% able to minimum meet meal frequency. Specific nutrients were below recommendation in pre-intervention but had shown significant difference in post intervention except for iron and zinc. The predominance of under-nutrition was intensified by inadequate knowledge and misconceptions about appropriate complementary foods. Monitoring at community level was fundamental in promoting recommended Infants and Young Child Feeding practices, along with adaptation of key messaging to address common misconceptions. District authority need synergic approach to advocate child care practices within communities by increasing demand in utilization of health services, promote optimal complementary feeding and dietary diversity through nutrition sensitive agriculture, specific nutrition counselling and cooking demonstration to enhance bioavailability.

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Master's Theses

Keywords

Complementary foods, Infants, Young children, Seaweed farming livelihood zone, Micheweni district, Pemba

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