Background: Malnutrition among children in Ethiopia remains a serious public health concern, with feeding practices frequently falling below international standards. Diets are often cereal-based with low inclusion of animal-source foods, resulting in poor dietary diversity. This study assessed child feeding practices and household dietary diversity in three districts of Oromia. Methods: A community-based cross-sectional survey was conducted among 332 caregivers of children aged 6–59 months. Data were collected using a structured questionnaire and a 24-hour dietary recall. Nutrient intake was analyzed using the Ethiopian Food Composition Tables and SPSS v25. Dietary diversity was evaluated using WHO and FAO criteria, and nutrient adequacy was determined using Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR). Results: Early initiation of breastfeeding was 59%, while exclusive breastfeeding at six months was 63%. Timely introduction of complementary feeding was only 39%, and continued breastfeeding at two years was 64.5%. Just 43% of children consumed at least four food groups, with 37% falling into the low dietary diversity category. The MAR was 82%, with inadequate intakes of calcium, fat, and vitamin C, while protein, carbohydrate, iron, and energy were sufficient. At the household level, 51% consumed from four food groups, but only 10% consumed more than six. Cereals dominated diets (>90%), while meat (12.7%), eggs (5.7%), and fruits (25%) were seldom consumed. Conclusion: Suboptimal infant and young child feeding practices and low dietary diversity persist in the study areas. Strategies are needed to strengthen optimal breastfeeding, promote nutrition education, and diversify diets through improved livestock production, horticulture, and small-scale irrigation.
Published in | Journal of Food and Nutrition Sciences (Volume 13, Issue 5) |
DOI | 10.11648/j.jfns.20251305.15 |
Page(s) | 264-270 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2025. Published by Science Publishing Group |
Dietary Diversity, Children Feeding Practice, Nutrient Adequacy Ratio, Mean Adequacy Ratio
[1] | Victora CG, d. O. (2010). Worldwide timing of growth faltering: revisiting implications for interventions.. Pediatrics, 125: e473–80. |
[2] | Admasu T., Beneberu A,. (2019). Determinants of household dietary diversity in the Yayo biosphere reserve of Ethiopia: An empirical analysis using sustainable livelihood framework. Cogent Food & Agriculture, 1690829. |
[3] | Alqeer A, W. G. (2022).. Household Dietary Diversity and Associated Factors among Rural Residents of Gomole District, Borena Zone, Oromia Regional State, Ethiopia. |
[4] | Bartick MC, S. E. (2017). Suboptimal breastfeeding in the United States: maternal and pediatric health outcomes and costs. Matern Child Nutr, 13(1): e12366. |
[5] | Bhutta ZA, D. J. (2013). Evidence based interventions for improvement of maternal and child nutrition: what can be done and at what cost?. Lancet, 382: 452–77. |
[6] | Black RE, A. L. (2008). Maternal and child undernutrition: global and regional exposures and health consequences.. Lancet, 371: 243–60. |
[7] | Black RE, V. C. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries.. Lancet, 382: 427–51. |
[8] | CSA. (2016). CSA and ICF International. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia: Central Statistical Agency. |
[9] | CSA. (2019). Central Statistical Agency, Ethiopia Demographic and Health Survey, Addis Ababa, Ethiopia. |
[10] | Dereje D, D. T. (2020). Household dietary diversity in rural households of Oromia Regional state, Ethiopia: A cross-sectional study. |
[11] | Dessie, T. a. (2013). Ethiopian livestock: resource base, strategies for improvement and use. |
[12] | FDRE-Ethiopia. (2016). National Nutrition Programm June 2013–June 2015. |
[13] | Gebrekidan, B. D. (n.d.). The state of agricultural science and technology in Ethiopia. Ethiopian Academy of Sciences. pp. 297-320. |
[14] | Karlsson JO, Garnett T, Rollins NC, Röös E. The carbon footprint of breastmilk substitutes in comparison with breastfeeding. J Clean Prod. 2019; 222: 436–45. |
[15] | Kennedy G, T. B. (2011). Guidelines for Measuring Household and Individual Dietary Diversity. |
[16] | Kimani-murage EW, M. s. (2011). Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health, 11(396). |
[17] | Louis-Jacques AF, S. A. (2020). Enabling breastfeeding to support lifelong health for mother and child.. Obstet Gynecol Clin North Am, 47(3): 363–81. |
[18] | Lutter CK, D. B. (2011). Undernutrition, Poor Feeding Practices, and Low Coverage of Key Nutrition Interventions. Pediatrics, 128. |
[19] | Mekonnen M, K. T. (2021). Infant and young child feeding practice among mothers of children age 6 to 23 months in Debrelibanos district, North Showa zone, Oromia region, Ethiopia.. PLoS ONE. |
[20] | Swindale A, P. B. (2006). Household Dietary Diversity Score (HDDS) for Measurement of Household Food Access: Indicator Guide. |
[21] | Victora CG, B. R. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet, 387(10017): 475–90. |
[22] | WHO. (2003). Global Strategy for Infant and Young Child Feeding Geneva, Switzerland. |
APA Style
Dereje, G., Tamene, A. (2025). Children Feeding Practices and Household Dietary Diversity in Adea, Girar Jarso, and Sebeta Hawas Districts, Oromia, Ethiopia. Journal of Food and Nutrition Sciences, 13(5), 264-270. https://doi.org/10.11648/j.jfns.20251305.15
ACS Style
Dereje, G.; Tamene, A. Children Feeding Practices and Household Dietary Diversity in Adea, Girar Jarso, and Sebeta Hawas Districts, Oromia, Ethiopia. J. Food Nutr. Sci. 2025, 13(5), 264-270. doi: 10.11648/j.jfns.20251305.15
@article{10.11648/j.jfns.20251305.15, author = {Geleta Dereje and Aynadis Tamene}, title = {Children Feeding Practices and Household Dietary Diversity in Adea, Girar Jarso, and Sebeta Hawas Districts, Oromia, Ethiopia }, journal = {Journal of Food and Nutrition Sciences}, volume = {13}, number = {5}, pages = {264-270}, doi = {10.11648/j.jfns.20251305.15}, url = {https://doi.org/10.11648/j.jfns.20251305.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20251305.15}, abstract = {Background: Malnutrition among children in Ethiopia remains a serious public health concern, with feeding practices frequently falling below international standards. Diets are often cereal-based with low inclusion of animal-source foods, resulting in poor dietary diversity. This study assessed child feeding practices and household dietary diversity in three districts of Oromia. Methods: A community-based cross-sectional survey was conducted among 332 caregivers of children aged 6–59 months. Data were collected using a structured questionnaire and a 24-hour dietary recall. Nutrient intake was analyzed using the Ethiopian Food Composition Tables and SPSS v25. Dietary diversity was evaluated using WHO and FAO criteria, and nutrient adequacy was determined using Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR). Results: Early initiation of breastfeeding was 59%, while exclusive breastfeeding at six months was 63%. Timely introduction of complementary feeding was only 39%, and continued breastfeeding at two years was 64.5%. Just 43% of children consumed at least four food groups, with 37% falling into the low dietary diversity category. The MAR was 82%, with inadequate intakes of calcium, fat, and vitamin C, while protein, carbohydrate, iron, and energy were sufficient. At the household level, 51% consumed from four food groups, but only 10% consumed more than six. Cereals dominated diets (>90%), while meat (12.7%), eggs (5.7%), and fruits (25%) were seldom consumed. Conclusion: Suboptimal infant and young child feeding practices and low dietary diversity persist in the study areas. Strategies are needed to strengthen optimal breastfeeding, promote nutrition education, and diversify diets through improved livestock production, horticulture, and small-scale irrigation. }, year = {2025} }
TY - JOUR T1 - Children Feeding Practices and Household Dietary Diversity in Adea, Girar Jarso, and Sebeta Hawas Districts, Oromia, Ethiopia AU - Geleta Dereje AU - Aynadis Tamene Y1 - 2025/10/09 PY - 2025 N1 - https://doi.org/10.11648/j.jfns.20251305.15 DO - 10.11648/j.jfns.20251305.15 T2 - Journal of Food and Nutrition Sciences JF - Journal of Food and Nutrition Sciences JO - Journal of Food and Nutrition Sciences SP - 264 EP - 270 PB - Science Publishing Group SN - 2330-7293 UR - https://doi.org/10.11648/j.jfns.20251305.15 AB - Background: Malnutrition among children in Ethiopia remains a serious public health concern, with feeding practices frequently falling below international standards. Diets are often cereal-based with low inclusion of animal-source foods, resulting in poor dietary diversity. This study assessed child feeding practices and household dietary diversity in three districts of Oromia. Methods: A community-based cross-sectional survey was conducted among 332 caregivers of children aged 6–59 months. Data were collected using a structured questionnaire and a 24-hour dietary recall. Nutrient intake was analyzed using the Ethiopian Food Composition Tables and SPSS v25. Dietary diversity was evaluated using WHO and FAO criteria, and nutrient adequacy was determined using Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR). Results: Early initiation of breastfeeding was 59%, while exclusive breastfeeding at six months was 63%. Timely introduction of complementary feeding was only 39%, and continued breastfeeding at two years was 64.5%. Just 43% of children consumed at least four food groups, with 37% falling into the low dietary diversity category. The MAR was 82%, with inadequate intakes of calcium, fat, and vitamin C, while protein, carbohydrate, iron, and energy were sufficient. At the household level, 51% consumed from four food groups, but only 10% consumed more than six. Cereals dominated diets (>90%), while meat (12.7%), eggs (5.7%), and fruits (25%) were seldom consumed. Conclusion: Suboptimal infant and young child feeding practices and low dietary diversity persist in the study areas. Strategies are needed to strengthen optimal breastfeeding, promote nutrition education, and diversify diets through improved livestock production, horticulture, and small-scale irrigation. VL - 13 IS - 5 ER -