Effect of a Nutrition Education Intervention on Mothers’ Infant and Young Child Feeding Knowledge and Practices in the Peri-Urban Areas of Bobo-Dioulasso: Before and after Study
Background: This study assessed the effect of a nutrition education intervention
aiming to improve the knowledge and practices of under 5 years children’s
mothers on infant and young child feeding in peri urban areas of Bobo-Dioulasso
in Burkina Faso. Methods: A total of 243 mothers of children under 5
years in the peri-urban of Bobo-Dioulasso were surveyed before and after the
intervention using the FAO questionnaire for infant and young child feeding
(IYCF) knowledge and practices assessment in January and October 2017. The
intervention included two components consisting of a theoretical phase
(counselling and discussion) and cooking demonstrations implemented for ten
months. To account for the before-and-after design of the study, the McNemar’s test was used to assess
the effect of the intervention on mothers’ infant and young child feeding
knowledge and practices. Results: The mean age of mothers was 29 ± 6.2
years and 50.6% of the mothers were between 20 and 29 years old. All indicators
used to assess the mothers’ knowledge of breastfeeding and complementary
feeding significantly improved after the intervention (all p-values < 0.05).
In terms of child feeding practices, half of the indicators (early
breastfeeding initiation, age of complementary feeding initiation, and minimum
meal frequency) significantly increased (all p = 0.001) while two indicators
(minimum dietary diversity, and minimum acceptable diet) did not change (p =
0.06 and 0.67) after the intervention. Finally, continued breastfeeding,
significantly declined after the intervention (73.3% vs 86.0% p = 0.001).Conclusion: The intervention improved
the mothers’ knowledge on breastfeeding and complementary feeding and some
child feeding practices. This study provided some evidence of an effective
nutrition education intervention to increase maternal knowledge and practices.
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