Frontiers in nutrition · 2026
Patterns and predictors of infant and young child feeding practices among mothers of children aged 6-23 months in Plateau State, Nigeria: a mixed-methods comparison of nutrition intervention beneficiaries and non-beneficiaries.
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Osoteku Demilade, Salisu Abdulateef, Aina Muyi, Uahomo Precious, Adisa Majeed, Obiabo Michael, Nakkudu Hajara, Yesin Mercy, Yusuf Kakagoni, Dangok Makrop, Haruna Zakariyau, Okoh Michael, Otono Precious, Adaramati Tobiloba, Samuel Oluwabori, Olufadi-Ahmed Haishat, Amasiatu Valentine, Aigbogun Eric, Igbokwe Uchenna
Аннотация
BACKGROUND: Nigeria ranks second globally in the burden of stunted children, with 40% of children under five affected and poor infant and young child feeding (IYCF) practices as a primary contributor. This study assessed mothers' knowledge, attitudes, and feeding practices related to IYCF in Plateau State, Nigeria, comparing beneficiaries and non-beneficiaries of the Accelerating Nutrition Results in Nigeria (ANRiN) project, and identifying sociodemographic predictors associated with these outcomes.
METHODS: A mixed-methods cross-sectional design was employed. A total of 503 mothers of children aged 6-23 months completed structured questionnaires for quantitative analysis, while 8 focus group discussions and 12 key informant interviews provided qualitative data. Knowledge, attitude, and practice scores were computed with categorization (adequate/inadequate, positive/negative, good/poor). Data were analyzed using chi-square tests, independent t-tests, and multivariable logistic regression stratified by beneficiary status.
RESULTS: The overall prevalence of adequate knowledge was 21.1%, positive attitudes 91.4%, and good feeding practices 55.7%. Beneficiaries demonstrated significantly better practice scores than non-beneficiaries (mean 6.95 ± 1.42 vs. 6.34 ± 1.57, p < 0.001), while non-beneficiaries showed slightly higher attitude scores (3.68 ± 0.64 vs. 3.52 ± 0.77, p = 0.012). No significant difference in knowledge scores was observed. Maternal tertiary education was significantly associated with adequate knowledge in both groups (p < 0.01), while healthcare provider information was the strongest predictor of knowledge and attitudes among beneficiaries (p < 0.001 and p = 0.019, respectively). Qualitative findings identified poverty, food insecurity, and cultural norms as barriers to applying knowledge, while hands-on food demonstrations improved practical skills.
CONCLUSION: The study highlights a persistent knowledge-practice gap and demonstrates that ANRiN participation is associated with improved feeding practices. The distinct predictors between beneficiaries and non-beneficiaries suggest that tailored interventions accounting for these differential factors could strengthen IYCF program effectiveness in Nigeria.
METHODS: A mixed-methods cross-sectional design was employed. A total of 503 mothers of children aged 6-23 months completed structured questionnaires for quantitative analysis, while 8 focus group discussions and 12 key informant interviews provided qualitative data. Knowledge, attitude, and practice scores were computed with categorization (adequate/inadequate, positive/negative, good/poor). Data were analyzed using chi-square tests, independent t-tests, and multivariable logistic regression stratified by beneficiary status.
RESULTS: The overall prevalence of adequate knowledge was 21.1%, positive attitudes 91.4%, and good feeding practices 55.7%. Beneficiaries demonstrated significantly better practice scores than non-beneficiaries (mean 6.95 ± 1.42 vs. 6.34 ± 1.57, p < 0.001), while non-beneficiaries showed slightly higher attitude scores (3.68 ± 0.64 vs. 3.52 ± 0.77, p = 0.012). No significant difference in knowledge scores was observed. Maternal tertiary education was significantly associated with adequate knowledge in both groups (p < 0.01), while healthcare provider information was the strongest predictor of knowledge and attitudes among beneficiaries (p < 0.001 and p = 0.019, respectively). Qualitative findings identified poverty, food insecurity, and cultural norms as barriers to applying knowledge, while hands-on food demonstrations improved practical skills.
CONCLUSION: The study highlights a persistent knowledge-practice gap and demonstrates that ANRiN participation is associated with improved feeding practices. The distinct predictors between beneficiaries and non-beneficiaries suggest that tailored interventions accounting for these differential factors could strengthen IYCF program effectiveness in Nigeria.