Assessment of a Nutrition Education Program designed to Enhance Mothers’ Attitudes on Infants and Young Children feeding in Sudan

Ekhlas A. I.  Mohammed; Zainab Taha; Agba A. A.  Gadah-Eldam; Mariam M. El hidai

doi:10.3889/oamjms.2021.6454

Authors

Ekhlas A. I. Mohammed Department of Family Science, Faculty of Education, University of Khartoum, Khartoum, Sudan
Zainab Taha Department of Health Sciences, College of Natural and Health Sciences, Zayed University, Abu Dhabi, United Arab Emirates
Agba A. A. Gadah-Eldam Department of Family Science, Faculty of Education, University of Khartoum, Khartoum, Sudan
Mariam M. El hidai Department of Family Sciences, College of Agricultural Studies, University of Sudan, Khartoum, Sudan

DOI:

https://doi.org/10.3889/oamjms.2021.6454

Keywords:

Attitudes, Nutrition education, Program, Nutritional care intervention

Abstract

Objective: To assess the effect of a designed nutrition education program (NEP) on maternal attitudes.

Methods: A control two groups quasi-experimental pre- and post-experimental were adopted. Data were collected through personal interviews of two groups using a validated questionnaire. The nutrition education program was conducted in three phases. Phase one was the pre-evaluation, phase two was the program’s implementation, and phase three entailed post evaluation of the program.

Results: The results supported the efficient role of the NEP intervention in raising mothers’ attitudes towards nutritional care of under two years in Sennar Locality, Sudan. There was no significant difference between the two groups with respect to the controlled variables; mother age, mother education, mother occupation, husband occupation, number of children less than 5 years, family size, and child’s age, which indicates that the two groups were homogenous, i.e., no significant difference between mothers’ attitude of the two groups before applying the NEP. The results showed the effectiveness of the NEP in developing experimental group mother’s attitudes, comparing post-test with pre-test in favor of post-test to be statistically significant. NEP has a huge impact in developing the mother’s awareness post-test, measuring and developing the mother’s attitudes compared to post-test with pre-test.

Conclusions and Implications: The nutrition education intervention demonstrated its effectiveness in maternal attitude. The study provided valuable baseline information to develop appropriate training courses and nutrition education programs to raise maternal awareness and attitudes towards infants and young children’s nutrition.

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Author Biography

Zainab Taha, Department of Health Sciences, College of Natural and Health Sciences, Zayed University, Abu Dhabi, United Arab Emirates

Health Sciences department

References

World Health Organization, UNICEF. Global Strategy on Infant and Young Child Feeding. Geneva: World Health Organization; 2003. Available from: https://www.appswhoint/iris/bitstream/handle/10665/42590/9241562218 pdf. [Last accessed on 2021 Apr 30].

Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: Consequences for adult health and human capital. Lancet. 2008;371(9609):340-57. https://doi.org/10.1016/s0140-6736(07)61692-4 PMid:18206223 DOI: https://doi.org/10.1016/S0140-6736(07)61692-4

World Health Organization. First Meeting of the WHO Scientific and Technical Advisory Group on Inappropriate Promotion of Foods for Infants and Young Children, 24-25 June 2013. Geneva: World Health Organization; 2013.

Caulfield LE, Huffman SL, Piwoz EG. Interventions to improve intake of complementary foods by infants 6 to 12 months of age in developing countries: Impact on growth and on the prevalence of malnutrition and potential contribution to child survival. Food Nutr Bull. 1999;20(2):183-200. https://doi.org/10.1177/156482659902000203 DOI: https://doi.org/10.1177/156482659902000203

Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr. 2008;4 Suppl 1:24-85. https://doi.org/10.1111/j.1740-8709.2007.00124.x PMid:18289157 DOI: https://doi.org/10.1111/j.1740-8709.2007.00124.x

Shi L, Zhang J. Recent evidence of the effectiveness of educational interventions for improving complementary feeding practices in developing countries. J Trop Pediatr. 2011;57(2):91-8. https://doi.org/10.1093/tropej/fmq053 PMid:20558381 DOI: https://doi.org/10.1093/tropej/fmq053

Imdad A, Yakoob MY, Bhutta ZA. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health. 2011;11 Suppl 3:S25. https://doi.org/10.1186/1471-2458-11-s3-s25 PMid:21501443 DOI: https://doi.org/10.1186/1471-2458-11-S3-S25

Bhandari N, Mazumder S, Bahl R, Martines J, Black RE, Bhan MK, et al. An educational intervention to promote appropriate complementary feeding practices and physical growth in infants and young children in rural Haryana, India. J Nutr. 2004;134(9):2342-8. https://doi.org/10.1093/jn/134.9.2342 PMid:15333726 DOI: https://doi.org/10.1093/jn/134.9.2342

Paul KH, Muti M, Chasekwa B, Mbuya MN, Madzima RC, Humphrey JH, et al. Complementary feeding messages that target cultural barriers enhance both the use of lipid-based nutrient supplements and underlying feeding practices to improve infant diets in rural Zimbabwe. Matern Child Nutr. 2012;8(2):225-38. https://doi.org/10.1111/j.1740-8709.2010.00265.x PMid:22405701 DOI: https://doi.org/10.1111/j.1740-8709.2010.00265.x

Penny ME, Creed-Kanashiro HM, Robert RC, Narro MR, Caulfield LE, Black RE. Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: A cluster-randomised controlled trial. Lancet. 2005;365(9474):1863-72. https://doi.org/10.1016/s0140-6736(05)66426-4 PMid:15924983 DOI: https://doi.org/10.1016/S0140-6736(05)66426-4

Shi L, Zhang J, Wang Y, Caulfield LE, Guyer B. Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: A cluster randomised controlled trial. Public Health Nutr. 2010;13(4):556-65. https://doi.org/10.1017/s1368980009991364 PMid:19706219 DOI: https://doi.org/10.1017/S1368980009991364

World Health Organization, editor. Major Issues for Nutrition Strategies of Food and Agriculture Organization and WHO, FAO, WHO International Conference on Nutrition. Geneva: World Health Organization; 1992.

Al-Ayed IH. Mothers’ knowledge of child health matters: Are we doing enough? J Family Community Med. 2010;17(1):22-8. https://doi.org/10.4103/1319-1683.68785 PMid:22022667 DOI: https://doi.org/10.4103/1319-1683.68785

Mahgoub F. Current Status of Agriculture and Future Challenges in Sudan. Swedish: Nordiska Afrikainstitutet; 2014.

Ahmed MA, Massaad SO, Abdalla KO, Omar SM, Adam GK. Protein energy malnutrition in children at gadarif Eastern Sudan. J Nutr Food Sci. 2019;9:758. https://doi.org/10.35248/2155-9600.19.9.758 DOI: https://doi.org/10.35248/2155-9600.19.9.758

Chou SY, Liu JT, Grossman M, Joyce T. Parental education and child health: Evidence from a natural experiment in Taiwan. Am Econ J. 2010;2(1):33-61. https://doi.org/10.3386/w13466 DOI: https://doi.org/10.3386/w13466

Contento I. Review of nutrition education research in the journal of nutrition education and behavior, 1998 to 2007. J Nutr Educ Behav. 2008;40(6):331-40. https://doi.org/10.1016/j.jneb.2008.06.001 PMid:18984488 DOI: https://doi.org/10.1016/j.jneb.2008.06.001

Government of Sudan. Sudan Household and Health Survey Second Round 2010: Summary Report. Sudan: Government of Sudan; 2010.

Abu-Manga M, Al-Jawaldeh A, Qureshi AB, Ali AM, Pizzol D, Dureab F. Nutrition assessment of under-five children in sudan: Tracking the achievement of the global nutrition targets. Children. 2021;8(5):363. https://doi.org/10.3390/children8050363 PMid:34062925 DOI: https://doi.org/10.3390/children8050363

Government of Sudan. Federal Ministry of Health (FMH)/ Integrated Management of Childhood Illnesses (IMCI) Community Component). Assessment of Mothers’ Knowledge, Attitudes and Practice Towards Selected Key Family Practices in Gabel Moya Area, Sinnar Locality Sinnar State. Sudan: Government of Sudan; 2004. https://doi.org/10.21475/ajcs.17.11.10.pne417 DOI: https://doi.org/10.21475/ajcs.17.11.10.pne417

Appoh LY, Krekling S. Maternal nutritional knowledge and child nutritional status in the Volta region of Ghana. Matern Child Nutr. 2005;1(2):100-10. https://doi.org/10.1111/j.1740-8709.2005.00016.x PMid:16881885 DOI: https://doi.org/10.1111/j.1740-8709.2005.00016.x

Gamble J. Why nutrition matters in healthcare outcomes. Ochsner J. 2008;8(2):61-4. PMid:21603486

Salehi M, Kimiagar S, Shahbazi M, Mehrabi Y, Kolahi A. Assessing the impact of nutrition education on growth indices of Iranian nomadic children: An application of a modified beliefs, attitudes, subjective-norms and enabling-factors model. Br J Nutr. 2004;91(5):779-87. https://doi.org/10.1079/bjn20041099 PMid:15137930 DOI: https://doi.org/10.1079/BJN20041099

IBM. IBM SPSS Statistics for Windows Version 20.0. Armonk, NY, USA: IBM; 2011.

Robert RC, Gittelsohn J, Creed-Kanashiro HM, Penny ME, Caulfield LE, Narro MR, et al. Implementation examined in a health center-delivered, educational intervention that improved infant growth in Trujillo, Peru: Successes and challenges. Health Educ Res. 2007;22(3):318-31. https://doi.org/10.1093/her/cyl078 PMid:16945983 DOI: https://doi.org/10.1093/her/cyl078

Salih OA, Khattab AG. Nutrition Policy for Sudan and Strategy for implementation. Ahfad J. 2007;24(2):2.

Kulwa KB, Verstraeten R, Bouckaert KP, Mamiro PS, Kolsteren PW, Lachat C. Effectiveness of a nutrition education package in improving feeding practices, dietary adequacy and growth of infants and young children in rural Tanzania: Rationale, design and methods of a cluster randomised trial. BMC Public Health. 2014;14(1):1077. https://doi.org/10.1186/1471-2458-14-1077 PMid:25318980 DOI: https://doi.org/10.1186/1471-2458-14-1077

Fallah F, Pourabbas A, Delpisheh A, Veisani Y, Shadnoush M. Effects of nutrition education on levels of nutritional awareness of pregnant women in Western Iran. Int J Endocrinol Metab. 2013;11(3):175-8. https://doi.org/10.5812/ijem.9122 PMid:24348589 DOI: https://doi.org/10.5812/ijem.9122

Hana HM. Knowledge Attitudes and Practices of Mother Toward Exclusive Breastfeeding in Soba Ei-Aradi Community, M.Sc Thesis. Sudan: University of Ahfad University for Women; 2008.