Minimum Dietary Diversity and Associated Factors among Children Aged 6-23 Months in Enebsie Sar Midir Woreda, East Gojjam, North West Ethiopia

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Abstract Background – Dietary diversity has been recognized as a significant component of high-quality diets for children growth and development. Poor infant and young child feeding practices in the first one thousand days of age is the major contributor of malnutrition that leads to failure to thrive to their age, in low income countries including Ethiopia. It results in permanent outcomes of chronic malnutrition like stunting, affects intellectual development, and increases significantly the risks of many infectious diseases and death. There was no study that documented dietary diversity of children in the study area.Objective - The main objective of this study was to assess minimum dietary diversity and associated factors among children.Methods – Community based cross sectional study design was used to assess the minimum dietary diversity and associated factors among children aged 6-23 months in Enebsie Sar Midir Woreda, East Gojjam, North West Ethiopia. A total of 512 Mothers/care givers of with children of 6-24 months old in the community were included in the study using systemic sampling technique. Data were collected by interviewer administered structured, pre tested questionnaire. A 24 hour recall method was used to capture the dietary intake of children during the previous 24 hours period before the interview. The data were coded and entered into SPSS for windows version 20 and analyzed after cleaning. Descriptive statistics and bivariate and multivariable logistic regression models were used to isolate independent predictors of minimum dietary diversity. All tests were two sided and P<0.05 was used for declaring statistical significance. Results-The overall prevalence minimum dietary diversity was 18.2% (CI: 14.8, 21.7). On multivariable logistic regression model, after adjusting for other variables, availability of cow’s milk at household (AOR = 17.27; 95% CI: 6.73, 44.44), cultivating vegetables (AOR = 3.2; 95% CI: 1.05, 9.8), availability of farmland (AOR= 10.15, 95%CI: 178, 57.93) and number of animals (AOR = 6.46; 95% CI: 1.97, 21.12) were significantly associated with minimum dietary diversity. The dominant food groups consumed were roots, grains and tubers. While consumption of vitamin A rich fruits and vegetables and other vegetables were relatively low. Conclusion- The proportion of Infant and young children aged between 6-23months receiving minimum dietary diversity score is low compared with study conducted in Addis Ababa . Availability both animal and plant source foods from household’s production were positively associated with practicing the minimum dietary diversity among children implying the need for strengthening nutrition sensitive agricultural practices.

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