Supply and demand side factors influencing utilization of infant and young child feeding in gibe district, hadiya zone, south Ethiopia, 2017.

Abstract

Background:-.Although, infant and young child feeding practices play an important role in reducing early childhood morbidity and mortality, very large proportions of women do not practice optimal breastfeeding and complementary feeding for their children in Ethiopia. To date, there is not address the supply and demand side factors that influence infant and young child feeding practices. Additionally, no study is level the degree of influence on infant and young child feeding practices in the study area. Objective: To assess supply and demand side factors that influence infant and young child feeding. Methods: A community based cross-sectional study design with qualitative was conducted on randomly 434mothers who had children under age of 24 months from March 13 to April 13, 2017.Pre-tested structured questionnaire was used to interview the sampled mothers. Qualitative data was collected through in-depth interviews and focus group discussion. Qualitative data were analyzed through a thematic analysis approach. Quantitative data were coded and entered into Epi-data version 3.1. Then, it was exported to SPSS version 21.0 for analysis. Simple and multiple logistic regression analysis were applied to identify the associated factors of infant and young child feeding. Results: The overall, prevalence of inappropriate infant and young child feeding practice was 284 (67.9%). Being government employee of husband[AOR = 4.08 (1.65, 10.04)], lower income status [AOR = 3.11(1.36, 7.07)], not attending ANC (AOR = 2.03 (1.22, 3.36)], child age 0 - 5 months [AOR = 2.42(1.02, 5.72)], negative attitude of mothers towards IYCF [AOR = 2.35 (1.44, 3.84)] and number of children 3-4 [AOR = 1.99 (1.08, 3.64)] were independent predictors of inappropriate infant and young child feeding status. Conclusion: There is high prevalence of inappropriate infant and young child feeding practice in the study area. Interventional initiatives should focus on improving socio-economic status, and access to information, education and communication (IEC); also increasing ANC coverage for further improvement of IYCF is recommended.