Feeding Practices and Nutrition Status of Children Aged 6-23 Months in Daycare Centers in Mwea, Kirinyaga County

Abstract

Introduction Malnutrition, the precursor to morbidity and mortality in young children is mainly severe during the period of complementary feeding between 6 and 23 months and is a great public health concern in sub-Saharan Africa. Assessment of nutritional status is a key aspect of gauging childcare feeding practices. Malnourished children are at higher risk of infections, impacting negatively on their health. Documentation on the nutritional status of children in daycare centers is scanty, thus masking their health trends. The main objective of this study was to determine the feeding practices and nutritional status of children aged 6-23 months in daycare centers in Mwea, Kirinyaga County, Kenya. Methodology One hundred and sixty-five caregivers with young children in 20 day-care centers were purposively sampled after obtaining informed consent. Obtained data on nutrition status was collected using structured questionnaires, focus group discussions, and observation checklists and analyzed statistically. Results: The minimum acceptable diet was achieved by only 18.9%, while minimum meal frequency was achieved by 53.1%. Undernutrition was indicated by wasting-9.7%, stunting- 24.2%, underweight- 6.1%; and overweight- 30.3%. Most affected were females and older children were more likely to be malnourished. Factors found significantly associated with nutrition status included the child's age, mother’s age, education, minimum acceptable diet, and household size. Conclusion Child feeding practices were greatly variable and inadequate. The main meals of children were poor- lacked diversity, and essential nutrients and were therefore exposed to increased risk of diseases. Recommendation Caregivers should improve on child feeding practices, provide adequate nutrient-rich foods, and follow nutrition guidelines.