title: Complementary feeding practices and associated factors among HIV positive mothers in Southern Ethiopia.
abstract: The objective of this study was to assess complementary feeding practices and associated factors among HIV exposed infants in Sidama Zone, Southern Ethiopia. An institutional based cross-sectional study with cluster random sampling technique was employed and all HIV exposed infants aged 6-17 months found in randomly selected health institutions in Sidama zone, Southern Ethiopia were included. A 24-hour dietary recall and 7-day quasi-food group frequency was used to assess complementary feeding practices. The prevalence of timely initiation of complementary feeding (6-8 months) was 42% [95% CI: (30-54%)]. Of all the HIV exposed infants aged 6-17 months, 40.7% had practiced bottle-feeding. About 65.6% and 53.3% of HIV exposed infants did not receive the recommended number of food groups and frequency of complementary feeding in the last 24 hours respectively. Pulse (plant protein) was consumed by only 22.5% of the infants while only 9.9% of the infants consumed animal source food in the last 24 hours. Presence of infant food prohibition (β = -0.342, P = 0.001) and age of the infant (β = 0.311, P = 0.001) were found to be an independent predictors of dietary diversity. Presence of infant food prohibition (β = -0.181, P = 0.02) and age of infant (β = 0.388, P < 0.001) were also the predictors of 24 hour meal frequency. Having lower educational status [AOR = (0.21, 95% CI (0.062-0.71)] was an independent negative predictor of bottle-feeding practice. Many of the complementary feeding practices like meal frequency; dietary diversity and bottle-feeding were sub-optimal. Nutrition education should be designed for improving complementary feeding practices of HIV exposed infants in Sidama Zone, Southern Ethiopia. Mothers with higher educational status should be also targeted for nutrition education especially on bottle feeding practice.
authors.affiliation: Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Madawalabu, Ethiopia. demewozhaile@yahoo.com.
authors.forename: Demewoz
authors.initials: D
authors.lastname: Haile
authors.affiliation: Population and Family Health Department, College of Public Health and Medical Sciences Jimma University, Jimma, Ethiopia. teferabelachew@gmail.com.
authors.forename: Tefera
authors.initials: T
authors.lastname: Belachew
authors.affiliation: Department of Applied Human Nutrition, School of Food Sciences and Nutrition, Hawassa University, Hawassa, Ethiopia. geteneshbt@yahoo.com.
authors.forename: Getenesh
authors.initials: G
authors.lastname: Berhanu
authors.affiliation: Department of Reproductive Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. tesfmengsetegn@gmail.com.
authors.forename: Tesfaye
authors.initials: T
authors.lastname: Setegn
authors.affiliation: Independent Public Health Research Consultants, Addis Ababa, Ethiopia. sibhatu2005@yahoo.com.
authors.forename: Sibhatu
authors.initials: S
authors.lastname: Biadgilign
mesh_terms: D000328:Adult; D001903:Bottle Feeding / Q000009:adverse effects / Q000208:ethnology; D003430:Cross-Sectional Studies; D003906:Developing Countries; D000072001:Diet, Healthy / Q000208:ethnology; D004522:Educational Status; D005002:Ethiopia; D005247:Feeding Behavior / Q000208:ethnology; D005260:Female; D006679:HIV Seropositivity / Q000208:ethnology / Q000821:virology*; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000009:adverse effects; D007227:Infant Nutritional Physiological Phenomena / Q000208:ethnology; D008297:Male; D008425:Maternal Behavior / Q000208:ethnology; D062407:Meals / Q000208:ethnology; D010349:Patient Compliance / Q000208:ethnology; D057566:Self Report; D014944:World Health Organization; D055815:Young Adult
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