Influence of Family Size, Household Food Security Status, and Child Care Practices on the Nutritional Status of Under-five Children in Ile-Ife, Nigeria
), Ojofeitimi E.O(2), Adebayo A.A(3), Fatusi A.O(4), Afolabi O.T(5),
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(2)
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Corresponding Author
Abstract
Fertility pattern and reproductive behaviours affect infant death in Nigeria. Household food insecurity and poor care practices also place children at risk of morbidity and mortality. The objectives of this study were to assess the influence of family size, household food security status, and child care practices on the nutritional status of under-five children in Ile-Ife, Nigeria. The study employed a descriptive cross-sectional design. A semi-structured questionnaire was used to collect data from 423 mothers of under-five children and their children in the households selected through multistage sampling methods. Food-insecure households were five times more likely than secure households to have wasted children (crude OR=5.707, 95 percent CI=1.31-24.85). Children with less educated mothers were significantly more likely to be stunted. The prevalence of food insecurity among households in Ile-Ife was high. Households with food insecurity and less educated mothers were more likely to have malnourished children (Afr J Reprod Health 2010; 14[4]: 123-132).
Résumé
Influence de nombre d’enfants, l’état de la sécurité alimentaire dans le ménage et les pratiques du soin de l’enfant sur la situation nourricière des enfants qui ont moins de cinq ans à Ile-Ife, Nigéria. Le modèle de la fécondité et les comportements de reproduction affectent la mortalité infantile au Nigéria. Le manque de sécurité alimentaire dans le ménage et les mauvaises pratiques du soin exposent les enfants au risque de la morbidité et de la mortalité. Cette étude a comme objectif d’évaluer l’influence de nombre d’enfants, l’état de la sécurité alimentaire dans le ménage et les pratiques du soin de l’enfant sur la situation nourricière des enfants qui ont moins de cinq ans à Ile-Ife, Nigéria. L’étude a été faite à travers un modèle transversal descriptif. A l’aide d’un questionnaire semi structuré nous avons collecté des données auprès des 423 mères des enfants qui ont moins de cinq ans et leurs enfants dans les ménages sélectionnés à étapes multiples. Les ménages qui n’ont pas de sécurité alimentaire ont cinq fois plus la possibilité d’avoir des enfants gâtés que les ménages qui ont la sécurité alimentaire (OR=5,707, 95% CI=1,31-24,85). Les enfants qui ont des mères moins instruites avaient sensiblement la possibilité d’être retardé. La prévalence de l’insécurité alimentaire au sein des ménages à Ile-Ife était élevée. Les ménages qui n’ont pas de sécurité alimentaire et dans lesquels les mères sont moins instruites ont plus la possibilité d’avoir des enfants mal nourris (Afr J Reprod Health 2010; 14[4]: 123-132).
Keywords: Family size, food insecurity, stunting, breastfeeding, U5 children nutritional status.
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