It’s also hard to know what to feed them. Babies who are not exclusively breastfed in the early months have a higher risk of death, especially from infection [16]. This can also be achieved by adding dry milk powder to porridges or other foods or adding groundnuts, extra fat, and/or sugar or honey. Permission letter was secured from the head of respective health centers. Please credit SPRING for the adaptation and use of this image (Sick Child Health - Complementary feeding for a sick child 6-24mo - 02 - Kyrgyz Republic) accessed from the USAID/SPRING-UNICEF IYCF Digital Image Bank (iycf.spring-nutrition.org).Commercial use, redistribution, or selling of these images and materials is prohibited. Give ORS for children over 6 months with diarrhoea and provide ZINC supplementation (20 mg) for 10-14 days according to protocol. Sign up here as a reviewer to help fast-track new submissions. In 2011, our practice was invited to take part in a South Yorkshire initiative, Training and Action for Patient Safety (TAPS). Breast milk alone is the optimal feeding choice for most infants. Nearly half (48.1%) of all respondents had Oromo ethnic group and forty-four percent of the mothers were orthodox religion followers. These comfort foods can help. Nearly three out of five (60.8%) of the respondents attended no formal education. When a child gets sick, it will affect how he or she eats. The finding of a study by Dongre et al. children up to two years of age and complementary foods, juices and teas marketed for infants under 6 months. in which 51.5% of the mothers increases the frequency of feeding to their sick child [23]. All the authors declare that they have no conflicts of interest. Extra food is required until the child has regained any weight loss and is growing well again. Steer clear of rich, fried, greasy foods and lean toward simple starches such as rice … • Mixed feeding means feeding your baby both breast milk and any other foods or liquids, including infant formula, animal milks, or water. Sick child feeding practice of mothers in Burayu town, Oromia, Ethiopia, 2015. Therefore, it is indispensable to ensure that caregivers are provided with appropriate guidance regarding the optimal feeding of infants and young children [1]. A face to face exit interview was undertaken after taking a verbal informed consent from the mother visiting maternal and child health clinic. As shown on the table below, mother’s occupation, access to counseling of infant and young child feeding and age of the child were factors that have a statistically significant association with mother’s sick child feeding practice. First and for most, we would like to forward our gratitude to Addis Ababa University College of Medicine and Health Science for offering this opportunity to carry out this research project. Descriptive statistics like frequency distribution, percentage, and means were used to define respondents in relation to pertinent variables and presented using tables and graphs. Institutional based cross-sectional study design was utilized. mentary feeding practice was 7%. Drinking plenty of liquids will help prevent dehydration. Which, means, I was sick all the time as a kid too! Despite the recommendation of the WHO, poor infant feeding practices which are pooled with high rates of infectious diseases all through the first two years of life are the principal contiguous causes of malnutrition. 2019, Article ID 3293516, 7 pages, 2019. https://doi.org/10.1155/2019/3293516, 1Department of Nursing, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia, 2Department of Nursing, School of Nursing and Midwifery, College of Medicine and Allied Health Sciences Addis Ababa University, Addis Ababa, Ethiopia. A sick child may have a poor appetite so serve up mini meals based on their favorite types of foods. 1 We were able to use this to improve significantly the care of sick children within our practice. The study also had limitation like the inability to establishing a causal relationship between the explanatory and outcome variable due to the cross-sectional nature of the study. An official letter that, explain aim and justification of the study was written by Addis Ababa University College of medicine and health science research coordination office to the town’s health office and the letter of support from the town’s health office submitted to health facilities of Burayu town. This may be attributed to the difference in the level of education and understanding of working mothers as compared to housewives. We are committed to sharing findings related to COVID-19 as quickly as possible. Sick child-feeding practice – refers to routines of feeding a child at the time of illness. The latest Anthropometric data from low-income countries suggests that the levels of undernutrition increase obviously from 18−24 months to 3 of age [2]. Different foods may need to be offered until the child gets better, and more foods need to be offered during recovery. in a tribal district of Maharashtra, India that investigated household practices for the sick child also showed, that, the status of some desired household practices such as frequent feeding and giving extra fluid to drink during episodes of illness was poor [24]. Background. Confidence interval of 95%, 5% margin of error and 10% none-response. More than half (53.6%) of all mothers fed their child more frequently at the time of illness than at a time of health. Generally, it is recommended that a child continue to be fed with foods of their choice throughout an illness, rather than having his/her food Meals that Heal: What To Feed Your Sick Child Though your child may not have much of an appetite when he's sick, try to get him to eat. Consistent to this finding, a study by Benakappa et al. • Mixed feeding before 6 months can damage your baby’s stomach. During an illness, children need additional fluids and encouragement to eat regular meals, and breastfeeding infants need to breastfeed more often. United Nations international children’s emergency fund. Breastfeeding is nearly universal in Ethiopia and half of the children born in the three years before the survey are breastfed for about 25 months. To assess these mothers were asked a question on how frequent they fed their child at the time of illness (the correct answer was more than 2-3 meals per day for those aged 6–8 month, more than 3-4 meals per day for those 9–23 months). Dehydration (lack of fluids in the body) is a serious problem for children with diarrhoea. A key practice during illness is many small feeds. The sample size was calculated using a single population proportion formula by considering the following assumptions: the proportion of mothers who properly practice sick baby feeding was (45.0%) from a study by Agumasie et al. Evidence showed that implementation of IYCF behaviors and practices during common childhood illnesses are far from optimal. 1(1): 2018. It is important not to withhold foods or liquids. Optimal infant and young child feeding (IYCF) is found to be essential for child growth. Consequently, many sick children were fed less frequently during illness. However, still, there is limited information about infant and young child feeding at the time of illnesses. Increasing number of children are falling sick with malnutrition, diarrhea and eye infections, Firehiwot said. The questionnaire was initially prepared in the English language and then translated to the local language (Afan Oromo) and the responses were translated back to English to check for consistency. In many developing countries, complementary feeding is introduced too early and the quality and Nearly 94% of mothers gave birth for an index child at health institution and assisted by a health professional (Table 2). While @heartmummy#hospitalbreastfeeding highlights the issue, Child Health strategy needs investment in young people's long term health by increasing staff skills and focusing on breastfeeding as a core therapeutic intervention. Conclusion. Fourteen percent of children had a sufficiently varied diet in which they had been given foods from the appropriate number of food groups, and 45% had been fed the least possible number of times appropriate for their age [17]. There are 2 health centers and 2 health posts owned by the government, and 40 clinics owned by private organizations. Issues in Comprehensive Pediatric Nursing: Vol. The primary strength of this study is the application of a proper model for analysis and sampling which is representative of the target population. If your child shows any of the following signs, go to the doctor: • No pee in eight hours. Result. Ethical approval was obtained from Addis Ababa University College Medicine and allied health Science Ethical Review Board. Besides we fail to observe the practice of mothers while they provide feeds exactly at the time of illness despite their response of how frequent they feed their child both when they are healthy and sick. Some tips Bivariate and multivariable analysis of sick child feeding practice and associated factors among mothers of under 24-month-old child visiting the MCH unit of health centers in Burayu town, Oromia, Ethiopia, 2015. A mother who had got counseling on sick child feeding were nearly three times more likely to feed their child appropriately than their counterparts (AOR: 2.95; 95% CI; 1.78, 4.91). Restriction/withdrawal of complementary foods during illness is frequent because of children's anorexia (perceived/real), poor awareness of caregivers' about the feeding needs of sick children, traditional beliefs/behaviours and/or suboptimal counselling and support by health workers. When children are sick, such as when they have diarrhoea, measles or pneumonia, their appetite decreases, and their body uses food less effectively. Respondents were given information regarding the purpose of the study and assured that all information they provide will be confidential. Sociodemographic characteristic of respondents (, Health care service utilization and obstetrics related characteristics of the mothers of under 24-month-old child (. • Mixed feeding increases the chances that your baby will suffer from illnesses such as diarrhoea and pneumonia, and from malnutrition. Growing evidence suggests that inadequate intake, poor caring practices, and disease process were some of the immediate and major causes of undernutrition in children. Hence those mothers feed their sick child more frequently at a time of illness than when they were healthy (Figure 1). which stated that working mothers more commonly continued breastfeeding and gave more frequent feed than their counterpart at the time of illness [24]. This points out that infant and young child feeding were the basic grounds to improve child survival and promote healthy growth and development. The time during pregnancy and a child’s first two years of life is considered a “critical window of opportunity” for the prevention of growth failure [2]. The collected was checked manually for completeness, cleaned and double entered by using Epidata version 3.1. Few intervention studies have focused on how inputs link with outcomes.Objective. Therefore, parents/caretakers must continue to feed and offer more fluids, including breast milk to sick children. Glob J Nutri Food Sci. However, the mother’s of younger children those who start complementary food can give different types and appetizing complementary food items in addition to breastmilk. The supervisor controls the completeness of the questionnaire and consistency of the data and communicates with the principal investigator in cases of difficulties. For children under six months, increasing breastfeeding during illness is highly encouraged as it provides ample nutrition and acts as an oral rehydration solution. All the authors declared that there was no source of financial support to carry out the study. The mean age of respondents was 25.41 ± 3.56 and ranged from 15−30 years. It is also important to give a sick child more food than usual to replace the lost energy. Likewise, housewife mothers were 55% times less likely to feed their sick child appropriately than those who worked outside the home (AOR: 0.45; 95% CI; 0.26, 0.79). When your child is sick, don’t allow them to drink a bottle lying down, as some of the milk may reflux up the ear tube. Sick children frequently reject food or eat only small quantities of food offered to them. Even though working mothers spent most of their day out of home, they strongly adhere to the providers counseling and look after their baby at the time of illness and feed them properly than a housewife. Are mothers of sick children admitted with children 0–24 months and encouraged to increase breastfeeding? A pretest was done on 5% of the sample and the result was used to adjust the content and approach of the questionnaire. Nine percent of infants less than six months of age use a bottle with a teat, a practice that is discouraged because of the risk of illness to the child [17]. This can be difficult, as children who are ill may not be hungry. Disclaimer The Pediatric Nutrition in Practice eLearning Program is sponsored with an unrestricted grant of the Nestlé Nutrition Institute. Hence (VIF > 10) and (SE > 2) was suggestive of collinearity. For diarrhoea, rice and white bread toast are … Complementary feeding: the child receives age-appropriate, adequate and safe solid or semi-solid food in addition to breastmilk or a breastmilk substitute. Hence, this study was aimed to assess sick child feeding practice and associated factors among mothers of under 24-month-old child in Burayu town. Those mothers who have a child aged less than 6 months were 88% times less likely to provide more frequent feeds to their sick child than those who have a child aged greater than 6 months (AOR: 0.22; 95% CI; 0.12,0.40) (Table 3). Extra breastfeeding is especially important since it can provide nutrients required for recovery from infections. Almost all of the mothers had antenatal care follow up however only less than half (47%) of them had got counseling on infant and young child feeding. The USAID-funded Suaahara program is an integrated nutrition program working in 41 districts of Nepal to improve health and nutrition of women and children. You can have the data set used and/or analyzed during the current study from the following authors (Hiwot Tadesse, Nega Degefa) on a reasonable request. The feeding practices of only 7% of children in Ethiopia age 6−23 months meet the minimum requirement with respect to all the three IYCF practices (breastfeeding status, number of food groups, and times they were fed during the day or night before the survey). You should keep offering foods the child likes, a little at a time and as often as possible. A nearly consistent finding was reported on a study by Giri et al. Together, we can help enhance the quality of feeding for healthy infants and children as well as improve the standards of nutritional care for sick children. • Dry mouth. Scabies, a contagious rash caused by mites that burrow into the skin, is also becoming common as people are unable to wash their bodies or clothes. The study was conducted at public health facilities found in Burayu town which is located at 12 km west to Addis Ababa. Adjusted Odds ratios (OR) with corresponding 95% confidence interval was estimated and -value less than 0.05 were used to identify variables that had a statistically significant association with mothers sick child feeding practice in the final model. Existing evidence suggests that, increasing fluid intake during illness, including more frequent breastfeeding and encouraging the child to eat soft, varied, appetizing, and their favorite foods. The finding of our study showed that only 0.6% mothers stopped feeding the baby at the time of illness while a study by Gupta et al. Despite a few local studies conducted in different places in the country which explores feeding practice generally [18–20]: there is a shortage of evidence in assessing sick child feeding practice and factors associated with. You should keep offering foods the child likes, a little at a time and as often as possible. The data were analyzed using SPSS version 20. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (2015). • Sunken eyes. Sick child-feeding practice – refers to routines of feeding a child at the time of illness. After the illness, give food more often than usual and encourage the child to eat more [11]. There is increasing dissemination of information on infant and young child feeding (IYCF) behaviors and practices in Ethiopia. The World health organization (WHO) and the United Nations International Children’s Emergency Fund (UNICEF) recommended early initiation of breastfeeding within one hour of birth; exclusive breastfeeding for the first 6 months of life and the introduction of nutritionally adequate and safe complementary foods at 6 months together with continued breastfeeding up to two years of age or beyond [1, 4–6]. The World Health Organization's recommendation that babies should be exclusively breastfed for a minimum of 6 months (Kramer & Kakuma, 2001) remains unchanged in … Working mother had owned better practices of feeding child particularly at the time of illness. A final sample size of 418 mother-child pair was obtained. There is no reason to stop giving your child the milk he or she normally drinks. Four diploma clinical nurse who can fluently speaks the local language and be available throughout the data collection time undertake the face to face interview and one health officer supervised the overall process on a daily basis. Regardless of the well-recognized advantages of breastfeeding worldwide, performance on recommended policies and programs for breastfeeding is poor. • Unusually drowsy or fussy. In the present study mothers of younger infants were less likely to breastfeed more frequently than mothers of older children who gave more complementary foods during and after an illness. It is very important to encourage a sick child to eat. A sick child also loses a lot of energy through increased body temperature and poor appetite due to the disease itself. Copyright © 2019 Nega Degefa et al. 2, pp. in Ethiopia showed that 45.0% of mothers provide to their child more frequent feeds at the time of illness [22 1. GJNFS.MS.ID.000505. So the sample was taken from each health center proportional to the expected number of client flow rate so, we took 170 and 192 respondent from the first and second health center respectively. In the current study, working mothers were more likely to continue feeding and gave more frequent feeds than housewives consistently, the finding of a study by Dongre et al. Respondents of the study were taken, from each of the two public health centers in Burayu town depending on their predetermined client flow rate. Sick child-feeding practice – refers to routines of feeding a child at the time of illness. • No tears when crying. that evaluates beliefs of caregivers regarding diet during childhood illness; showed that a child must be fed less during illness [26] and 21% of mothers in a study by Giri et al. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. After the illness, the child needs better nutrient intake to make up for nutrient losses during sickness and allow for catch-up growth. Multicollinearity among independent variables was tested by computing variance inflation factor and looking standard error. Please credit SPRING for the adaptation and use of this image (Sick Child Health - Complementary feeding for a sick child 6-24mo - 01 - Kyrgyz Republic) accessed from the USAID/SPRING-UNICEF IYCF Digital Image Bank (iycf.spring-nutrition.org).Commercial use, redistribution, or selling of these images and materials is prohibited. This may be attributed to the poor appetite of infants induced by illness and dependency on only breast milk among infants who didn’t start complementary foods. When sick, most children continue to be breastfed, but few are breastfed more frequently, as recommended. Furthermore, the optimal feeding practice is low in Amhara region where 38% of neonates start breastfeed- Hiwot Tadesse, Nega Degefa had involved in the analysis and interpretation of the finding. Lactation Consultants could offer training, disseminate good practice, and address the needs of breastfeeding families. After an illness, children need to be offered more food than usual to replenish the energy and nourishment lost due to the illness. During illness the challenge is to continue feeding the child. Breast feeding a sick child; can social media influence practice? If your child is eating solids offer smaller servings of healthy foods that your child likes to eat. To assess these mothers were asked a question on how frequent they fed their child at the time of illness (the correct answer was more than 2-3 meals per day for those aged 6–8 month, more than 3-4 meals per day for those 9–23 months). This study tested whether Suaahara I program inputs tran To safeguard confidentiality the questionnaires were filled anonymously. A study by Semahagn et al. The majority of the town’s population receive service from government-owned health facilities. Children’s nutritional status can decline rapidly during/after common childhood illness if the additional nutrient requirements associated with the illness/convalescence are not properly met and the nutrients are averted from growth and development towards building the immune response. @article{Mylod2015BreastFA, title={Breast feeding a sick child; can social media influence practice? Sick Child Feeding Practice and Associated Factors among Mothers of Children Less Than 24 Months Old, in Burayu Town, Ethiopia. The current study showed that more than half (53.6%) of mothers had an appropriate sick infant and young child feeding practice which means, the mentioned proportion of mother provide their child with breast milk or soft and appetizing complementary diet more frequently at the time of illness than when they were normal. When kids are sick, all bets are off, especially with infants and pre-verbal kiddos– appetite, hunger signals– it’s just hard. Here are some tips on how to feed children during illness: If a child is still breastfeeding, breastfeed more frequently and longer at each feed. The difference may be attributed to the variation in the time of the two studies. The study was aimed to assess sick infant and young child feeding practice and associated factors among mothers of children aged less than 24 months old in the Burayu town Oromia, Ethiopia. Give one additional meal of foods with high energy and nutrient density each day for the following two weeks to improve child recovery after illness. • Are micronutrient supplements given by community-based workers according to protocols for sick and malnourished children? Even though appetite may be reduced, continued feeding of complementary food is acclaimed to preserve nutrient consumption and improve recovery [12]. However, few are breastfed more frequently to compensate for the additional fluid and nutrient requirements which are associated with the illnesses, while a significant proportion of children were breastfed less frequently than usual. The mean age of respondents was 25.41(±SD 3.56) and ranges from 15–30 years. Hiwot Tadesse, Nega Degefa, and Fekadu Aga had participated in conceiving the study and wrote the proposal. Authors are glad to forward their admiration for data collectors, supervisors and different stakeholders who helped during the data collection period. }, author={Dominique Mylod}, journal={Issues in Comprehensive Pediatric Nursing}, year={2015}, volume={38}, pages={77 - 84} } Dominique Mylod Published 2015 Medicine Issues in … Infants below the age of 6 months deserve more concern in providing frequent breastfeeds at the time of illness. All the authors had read and approved the final draft of this manuscript. After birth, a child’s capacity to achieve the standards in growth will be determined by the sufficiency of dietary intake (which depends on infant and young child feeding and care practices and food security), as well as exposure to diseases [3]. in Ethiopia [22]. More than half (52%) of the children less than 6 months old are exclusively breastfed in Ethiopia [17]. These drawbacks will deter the implication of our finding, so the further study should be carried out to explore the detailed practice by observing the normal meal frequency given to the baby at the time of illness. It is essential to encourage a sick child to drink as often as possible. Strengthening action to improve feeding of infants and young children 6-23 months of age in nutrition and child health programmes Report of proceedings, Geneva, 6-9 October 2008 Indicators for assessing infant and young child feeding practices An institutional review board of Addis Ababa University College of Medicine and Health science had approved this study. 38, No. Restriction or withdrawal of breastfeeding or complementary foods during illness is common among respondents, as a result of children’s loss of appetite (supposed or actual), and poor awareness of caregivers’ about the feeding needs of sick children. The first two years of a child’s life are particularly important, as optimal nutrition during this period lowers morbidity and mortality, reduces the risk of chronic disease, and enhances the chances of better development. To assess these mothers were asked a question on how frequent they fed their child at the time of illness (the correct answer was more than 2-3 meals per day for those aged 6–8 month, more than 3-4 meals per day for those 9–23 months). If the child is still being breastfed try feeding baby upright and clear nasal passages before feeding to make it easier to breathe. Bivariate and multivariable analysis of sick child feeding practice and associated factors among mothers of under 24-month-old child visiting the MCH unit of health centers in Burayu town, Oromia, Ethiopia, 2015. that investigates the first action of mothers for a child with diarrhea reported 7.8% mothers to stop feeds that, includes breast-feeds and other fluids [27]. About 35% of mothers used bottle for child feeding. Tweet. Feeding a sick child. In general, sick children continue to be breastfed. All of the respondents signed on the written informed consent form prior to participation. Preserving the vicious cycle of infection and stunting [ 7–10 ] early months have a higher risk death. Mother visiting maternal and child health clinic help fast-track new submissions and looking standard error counseling infant... Well again the two studies feeding: the child has regained any weight loss and is growing well.. Signs, go to the disease itself, sick children admitted sick child feeding practice children 0–24 months and encouraged to increase?... Sponsored with an unrestricted grant of the mothers of under 24-month-old child ( months and encouraged to increase breastfeeding,... Ababa University College of Medicine and allied health Science ethical Review Board are far from.! 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Knowledge on complementary feeding practice and Nutritional Status of children less than 6 months specifically! Nutrition in practice eLearning program is an integrated nutrition program working in 41 of. Bottle for child feeding were the basic grounds to improve significantly the care of sick were. 31,504 are men and 32369 women [ 21 ] less than 6 months pee in eight hours study... Slightly lower than the finding of a proper model for analysis and interpretation of the questionnaire and consistency of sample! More foods need to breastfeed more often than usual thus will need increased fluid intake sweating sometimes... ( Figure 1 ) 10-14 days according to protocols for sick and malnourished children s also hard to what. Had a good practice of mothers used bottle for child feeding research articles as as... Breastfed more frequently, as recommended 88.4 % ) had attended formal education and! Infection and stunting [ 7–10 ] of 6 months which 51.5 % of the town estimated. 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An index child at the time of illness of respective health centers and 2 health centers days to... Using Epidata version 3.1 of whom 31,504 are men and 32369 women [ 21 ] supplements given community-based... A reviewer to help fast-track new submissions young child feeding practice ( good/poor.! Ababa University College of Medicine and allied health Science ethical Review Board of Addis University. Had participated in the time of illness [ 7–10 ] well-recognized advantages of breastfeeding resources and infants! [ 15 ] systematic random sampling method was used to select study participants no source financial! S also hard to know what to feed them group and forty-four percent of mothers used for. Body fluids through increased body temperature and poor sick child feeding practice so serve up mini meals on... Breastfeeding and complementary feeding practice and Nutritional Status of children 6-23 Month in town! Respondents were given information regarding the purpose of the sample and the was. Types of foods of five ( 60.8 % ) had attended formal education 3.56 and from... { Mylod2015BreastFA, title= { breast feeding a child at the time as kid. This to improve health and nutrition of women and children on 5 % margin error. Nursing practice this points out that infant and young child feeding practice Associated! Size of 418 mother-child pair participated in conceiving the study especially important since can! Catch-Up growth foods need to be essential for child feeding have poor sick child feeding have poor sick child can... Are not exclusively breastfed in Ethiopia offer training, disseminate good practice of sick children fed!
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