Child feeding practices and male involvement in child feeding among smallholder farming households in Uganda
Year 2024,
, 44 - 53, 25.03.2024
Deborah Nabuuma
,
Beatrice Ekesa
Abstract
Smallholder farmers continue to face food and nutrition insecurity. The timing, scope and effectiveness of interventions is influenced by decision-making and roles within households and communities, yet emphasis has majorly been placed on mothers. A cross-sectional study explored the child feeding practices and extent of the father’s participation in child feeding among 433 farming households with children aged 6-35 months from two rural and two peri-urban districts in Central Uganda. Diets consumed by children were inadequate with only 37% meeting the minimum dietary diversity. About 65% of fathers participated in decision-making over child feeding with 10% all the time and 24% only a few times. Additionally, 48% of fathers participated in actual child feeding, 2% all the time and 23% only a few times. Main reasons for the level of father participation included the presence or absence of money or food; concern or lack of concern over the child’s health; father’s physical availability; and whether child feeding is part of a father’s responsibility or not. Fathers who participated in decision-making regarding child feeding were more likely to participate in actual child feeding (r=0.6, P<0.01). There is an opportunity for active engagement of fathers in nutrition-related interventions to enhance their participation and support in decisions concerning child feeding and actual child feeding for enhanced child and household food and nutrition security.
References
- Aubel, J. (2012). The role and influence of grandmothers on child nutrition: Culturally designated advisors and caregivers: Grandmothers: nutrition advisors and caregivers. Maternal & Child Nutrition, 8(1), 19–35. https://doi.org/10.1111/j.1740-8709.2011.00333.x
- Bilal, S. (2015). The fathers’ role in child nutrition in Ethiopia. Universitaire Pers Maastricht.
- Bilal, S. M., Dinant, G., Blanco, R., Crutzen, R., Mulugeta, A., & Spigt, M. (2016). The influence of father’s child feeding knowledge and practices on children’s dietary diversity: A study in urban and rural districts of Northern Ethiopia, 2013: Children’s dietary diversity. Maternal & Child Nutrition, 12(3), 473–483. https://doi.org/10.1111/mcn.12157
CGIAR Research Program on HumidTropics. (2016). Annual Report 2016. International Institute for Tropical Agriculture (IITA). https://hdl.handle.net/10568/89312
- Ekesa, B., Nabuuma, D., Mpiira, S., Johnson, V., Nkuba, D., Kennedy, G., & Staver, C. (2018). Multi-level participatory approaches to mobilise dietary diversity for improved infant and young child feeding in banana-based agri-food systems of rural East Africa. In E. Kalipeni, J. Iwelunmor, D. S. Grigsby-Toussaint, & I. K. Moise (Eds.), Public Health, Disease and Development in Africa (pp. 245–268). Routledge.
- Ekesa, B., Rao, J., Cadilhon, J.-J., Ayebare, P., Bashasaha, B., Muyanja, C., Tenywa, M., Tumusi, D., Twinamasiko, J., Jagwe, J., Mango, N., & Muchunguzi, P. (2015). A situational analysis of agricultural production and marketing, and natural resource management systems in the central region of Uganda [ILRI/ Bioversity Project Report]. International Livestock Research Institute (ILRI). https://hdl.handle.net/10568/73336
- El-Nmer, F., Salama, A., & Elhawary, D. (2014). Nutritional knowledge, attitude, and practice of parents and its impact on growth of their children. Menoufia Medical Journal, 27(3), 612. https://doi.org/10.4103/1110-2098.145529
- Fadare, O., Amare, M., Mavrotas, G., Akerele, D., & Ogunniyi, A. (2019). Mother’s nutrition-related knowledge and child nutrition outcomes: Empirical evidence from Nigeria. PLOS ONE, 14(2), e0212775. https://doi.org/10.1371/journal.pone.0212775
- FAO, IFAD, UNICEF, WFP, & WHO. (2018). Building climate resilience for food security and nutrition. The state of food security and nutrition in the world 2018. FAO.
- HKI. (2015). Nurturing Connections. Adapted for Homestead Food Production and Nutrition. Helen Keller International: HKI. https://www.fsnnetwork.org/sites/default/files/TOPS_Nurturing%20Connections_English_FINAL_P.pdf
- Ickes, S. B., Baguma, C., Brahe, C. A., Myhre, J. A., Adair, L. S., Bentley, M. E., & Ammerman, A. S. (2017). Maternal participation in a nutrition education program in Uganda is associated with improved infant and young child feeding practices and feeding knowledge: A post-program comparison study. BMC Nutrition, 3(1), 32. https://doi.org/10.1186/s40795-017-0140-8
- Jesmin, A., Yamamoto, S. S., Malik, A. A., & Haque, M. A. (2011). Prevalence and Determinants of Chronic Malnutrition among Preschool Children: A Cross-sectional Study in Dhaka City, Bangladesh. Journal of Health, Population and Nutrition, 29(5), 494–499. https://doi.org/10.3329/jhpn.v29i5.8903
- Kajjura, R. B., Veldman, F. J., & Kassier, S. M. (2019). Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda. Food and Nutrition Bulletin, 40(2), 221–230. https://doi.org/10.1177/0379572119840214
- Kansiime, N., Atwine, D., Nuwamanya, S., & Bagenda, F. (2017). Effect of Male Involvement on the Nutritional Status of Children Less Than 5 Years: A Cross Sectional Study in a Rural Southwestern District of Uganda. Journal of Nutrition and Metabolism, 2017, 1–9. https://doi.org/10.1155/2017/3427087
- Khandpur, N., Blaine, R. E., Fisher, J. O., & Davison, K. K. (2014). Fathers’ child feeding practices: A review of the evidence. Appetite, 78, 110–121. https://doi.org/10.1016/j.appet.2014.03.015
- Kikafunda, J., & Tumwine, J. (2007). Diet and socio-economic factors and their association with the nutritional status of pre-school children in a low income suburb of Kampala city, Uganda. East African Medical Journal, 83(10), 565–574. https://doi.org/10.4314/eamj.v83i10.9470
- Magnani, R. (1999). Sampling guide. FHI 360/FANTA.
- Nankumbi, J., & Muliira, J. K. (2015). Barriers to infant and child-feeding practices: A qualitative study of primary caregivers in rural Uganda. Journal of Health, Population and Nutrition, 33(1), 106–116.
- Ochieng, J., Afari-Sefa, V., Lukumay, P. J., & Dubois, T. (2017). Determinants of dietary diversity and the potential role of men in improving household nutrition in Tanzania. PLOS ONE, 12(12), e0189022. https://doi.org/10.1371/journal.pone.0189022
- PELUM. (2016). Adapting the gender action learning system (GALS) in development programmes. Participatory ecological land use management (PELUM).
- Saaka, M. (2014). Relationship between mothers’ nutritional knowledge in childcare practices and the growth of children living in impoverished rural communities. Journal of Health, Population, and Nutrition, 32(2), 237–248.
- Saaka, M., Wemah, K., Kizito, F., & Hoeschle-Zeledon, I. (2021). Effect of nutrition behaviour change communication delivered through radio on mothers’ nutritional knowledge, child feeding practices and growth. Journal of Nutritional Science, 10, e44. https://doi.org/10.1017/jns.2021.35
- Sanghvi, T., Jimerson, A., Hajeebhoy, N., Zewale, M., & Nguyen, G. H. (2013). Tailoring Communication Strategies to Improve Infant and Young Child Feeding Practices in Different Country Settings. Food and Nutrition Bulletin, 34(3_suppl2), S169–S180. https://doi.org/10.1177/15648265130343S204
- Skinner, D. (Ed.). (2019). Social and Behaviour Change: Insights and Practice; Practitioner’s Guide. Deutsche Gesellschaft für Internationale Zusammenarbeit GIZ.
- UBOS. (2016). The National Population and Housing Census 2014 – Main Report. Uganda Bureau of Statistics: UBOS.
- UBOS. (2019). 2018 Statistical abstract. Uganda Bureau of Statistics: UBOS.
- UBOS, & ICF. (2018). Uganda Demographic and Health Survey 2016. Uganda Bureau of Statistics, Kampala, Uganda and Rockville, Maryland, USA: UBOS and ICF. https://dhsprogram.com/pubs/pdf/FR333/FR333.pdf
- van Wijk, M., Hammond, J., Frelat, R., Fraval, S., Teufel, N., Tavenner, K., & Henderson, B. (2018). Smallholder farmers, food security, and livelihoods: Exploring trade offs and synergies using farm household characterization data. [Science Forum 2018 Case Study.]. CGIAR Independent Science and Partnership Council. https://hdl.handle.net/10568/98577
- Wamani, H., Åstrøm, A. N., Peterson, S., Tylleskär, T., & Tumwine, J. K. (2005). Infant and Young Child Feeding in Western Uganda: Knowledge, Practices and Socio-economic Correlates. Journal of Tropical Pediatrics, 51(6), 356–361. https://doi.org/10.1093/tropej/fmi048
- Waswa, L. M., Jordan, I., Herrmann, J., Krawinkel, M. B., & Keding, G. B. (2015). Community-based educational intervention improved the diversity of complementary diets in western Kenya: Results from a randomized controlled trial. Public Health Nutrition, 18(18), 3406–3419. https://doi.org/10.1017/S1368980015000920
- Watterworth, J. C., Hutchinson, J. M., Buchholz, A. C., Darlington, G., Randall Simpson, J. A., Ma, D. W. L., Haines, J., & Guelph Family Health Study. (2017). Food parenting practices and their association with child nutrition risk status: Comparing mothers and fathers. Applied Physiology, Nutrition, and Metabolism, 42(6), 667–671. https://doi.org/10.1139/apnm-2016-0572
- WHO, UNICEF, USAID, AED, UCDAVIS, & IFPRI. (2010). Indicators for assessing infant and young child feeding practices. Part II Measurement. http://www.unicef.org/nutrition/files/IYCF_Indicators_part_II_measurement.pdf
- Willey, B. A., Cameron Noel, Norris Shane A, Pettifor John M, & Griffiths Paula L. (2009). Socio-economic predictors of stunting in preschool children: A population-based study from Johannesburg and Soweto. South African Medical Journal, 99(6), 450–456.
- Williams, P. A., Crespo, O., Abu, M., & Simpson, N. P. (2018). A systematic review of how vulnerability of smallholder agricultural systems to changing climate is assessed in Africa. Environmental Research Letters, 13(10), 103004. https://doi.org/10.1088/1748-9326/aae026
Year 2024,
, 44 - 53, 25.03.2024
Deborah Nabuuma
,
Beatrice Ekesa
References
- Aubel, J. (2012). The role and influence of grandmothers on child nutrition: Culturally designated advisors and caregivers: Grandmothers: nutrition advisors and caregivers. Maternal & Child Nutrition, 8(1), 19–35. https://doi.org/10.1111/j.1740-8709.2011.00333.x
- Bilal, S. (2015). The fathers’ role in child nutrition in Ethiopia. Universitaire Pers Maastricht.
- Bilal, S. M., Dinant, G., Blanco, R., Crutzen, R., Mulugeta, A., & Spigt, M. (2016). The influence of father’s child feeding knowledge and practices on children’s dietary diversity: A study in urban and rural districts of Northern Ethiopia, 2013: Children’s dietary diversity. Maternal & Child Nutrition, 12(3), 473–483. https://doi.org/10.1111/mcn.12157
CGIAR Research Program on HumidTropics. (2016). Annual Report 2016. International Institute for Tropical Agriculture (IITA). https://hdl.handle.net/10568/89312
- Ekesa, B., Nabuuma, D., Mpiira, S., Johnson, V., Nkuba, D., Kennedy, G., & Staver, C. (2018). Multi-level participatory approaches to mobilise dietary diversity for improved infant and young child feeding in banana-based agri-food systems of rural East Africa. In E. Kalipeni, J. Iwelunmor, D. S. Grigsby-Toussaint, & I. K. Moise (Eds.), Public Health, Disease and Development in Africa (pp. 245–268). Routledge.
- Ekesa, B., Rao, J., Cadilhon, J.-J., Ayebare, P., Bashasaha, B., Muyanja, C., Tenywa, M., Tumusi, D., Twinamasiko, J., Jagwe, J., Mango, N., & Muchunguzi, P. (2015). A situational analysis of agricultural production and marketing, and natural resource management systems in the central region of Uganda [ILRI/ Bioversity Project Report]. International Livestock Research Institute (ILRI). https://hdl.handle.net/10568/73336
- El-Nmer, F., Salama, A., & Elhawary, D. (2014). Nutritional knowledge, attitude, and practice of parents and its impact on growth of their children. Menoufia Medical Journal, 27(3), 612. https://doi.org/10.4103/1110-2098.145529
- Fadare, O., Amare, M., Mavrotas, G., Akerele, D., & Ogunniyi, A. (2019). Mother’s nutrition-related knowledge and child nutrition outcomes: Empirical evidence from Nigeria. PLOS ONE, 14(2), e0212775. https://doi.org/10.1371/journal.pone.0212775
- FAO, IFAD, UNICEF, WFP, & WHO. (2018). Building climate resilience for food security and nutrition. The state of food security and nutrition in the world 2018. FAO.
- HKI. (2015). Nurturing Connections. Adapted for Homestead Food Production and Nutrition. Helen Keller International: HKI. https://www.fsnnetwork.org/sites/default/files/TOPS_Nurturing%20Connections_English_FINAL_P.pdf
- Ickes, S. B., Baguma, C., Brahe, C. A., Myhre, J. A., Adair, L. S., Bentley, M. E., & Ammerman, A. S. (2017). Maternal participation in a nutrition education program in Uganda is associated with improved infant and young child feeding practices and feeding knowledge: A post-program comparison study. BMC Nutrition, 3(1), 32. https://doi.org/10.1186/s40795-017-0140-8
- Jesmin, A., Yamamoto, S. S., Malik, A. A., & Haque, M. A. (2011). Prevalence and Determinants of Chronic Malnutrition among Preschool Children: A Cross-sectional Study in Dhaka City, Bangladesh. Journal of Health, Population and Nutrition, 29(5), 494–499. https://doi.org/10.3329/jhpn.v29i5.8903
- Kajjura, R. B., Veldman, F. J., & Kassier, S. M. (2019). Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda. Food and Nutrition Bulletin, 40(2), 221–230. https://doi.org/10.1177/0379572119840214
- Kansiime, N., Atwine, D., Nuwamanya, S., & Bagenda, F. (2017). Effect of Male Involvement on the Nutritional Status of Children Less Than 5 Years: A Cross Sectional Study in a Rural Southwestern District of Uganda. Journal of Nutrition and Metabolism, 2017, 1–9. https://doi.org/10.1155/2017/3427087
- Khandpur, N., Blaine, R. E., Fisher, J. O., & Davison, K. K. (2014). Fathers’ child feeding practices: A review of the evidence. Appetite, 78, 110–121. https://doi.org/10.1016/j.appet.2014.03.015
- Kikafunda, J., & Tumwine, J. (2007). Diet and socio-economic factors and their association with the nutritional status of pre-school children in a low income suburb of Kampala city, Uganda. East African Medical Journal, 83(10), 565–574. https://doi.org/10.4314/eamj.v83i10.9470
- Magnani, R. (1999). Sampling guide. FHI 360/FANTA.
- Nankumbi, J., & Muliira, J. K. (2015). Barriers to infant and child-feeding practices: A qualitative study of primary caregivers in rural Uganda. Journal of Health, Population and Nutrition, 33(1), 106–116.
- Ochieng, J., Afari-Sefa, V., Lukumay, P. J., & Dubois, T. (2017). Determinants of dietary diversity and the potential role of men in improving household nutrition in Tanzania. PLOS ONE, 12(12), e0189022. https://doi.org/10.1371/journal.pone.0189022
- PELUM. (2016). Adapting the gender action learning system (GALS) in development programmes. Participatory ecological land use management (PELUM).
- Saaka, M. (2014). Relationship between mothers’ nutritional knowledge in childcare practices and the growth of children living in impoverished rural communities. Journal of Health, Population, and Nutrition, 32(2), 237–248.
- Saaka, M., Wemah, K., Kizito, F., & Hoeschle-Zeledon, I. (2021). Effect of nutrition behaviour change communication delivered through radio on mothers’ nutritional knowledge, child feeding practices and growth. Journal of Nutritional Science, 10, e44. https://doi.org/10.1017/jns.2021.35
- Sanghvi, T., Jimerson, A., Hajeebhoy, N., Zewale, M., & Nguyen, G. H. (2013). Tailoring Communication Strategies to Improve Infant and Young Child Feeding Practices in Different Country Settings. Food and Nutrition Bulletin, 34(3_suppl2), S169–S180. https://doi.org/10.1177/15648265130343S204
- Skinner, D. (Ed.). (2019). Social and Behaviour Change: Insights and Practice; Practitioner’s Guide. Deutsche Gesellschaft für Internationale Zusammenarbeit GIZ.
- UBOS. (2016). The National Population and Housing Census 2014 – Main Report. Uganda Bureau of Statistics: UBOS.
- UBOS. (2019). 2018 Statistical abstract. Uganda Bureau of Statistics: UBOS.
- UBOS, & ICF. (2018). Uganda Demographic and Health Survey 2016. Uganda Bureau of Statistics, Kampala, Uganda and Rockville, Maryland, USA: UBOS and ICF. https://dhsprogram.com/pubs/pdf/FR333/FR333.pdf
- van Wijk, M., Hammond, J., Frelat, R., Fraval, S., Teufel, N., Tavenner, K., & Henderson, B. (2018). Smallholder farmers, food security, and livelihoods: Exploring trade offs and synergies using farm household characterization data. [Science Forum 2018 Case Study.]. CGIAR Independent Science and Partnership Council. https://hdl.handle.net/10568/98577
- Wamani, H., Åstrøm, A. N., Peterson, S., Tylleskär, T., & Tumwine, J. K. (2005). Infant and Young Child Feeding in Western Uganda: Knowledge, Practices and Socio-economic Correlates. Journal of Tropical Pediatrics, 51(6), 356–361. https://doi.org/10.1093/tropej/fmi048
- Waswa, L. M., Jordan, I., Herrmann, J., Krawinkel, M. B., & Keding, G. B. (2015). Community-based educational intervention improved the diversity of complementary diets in western Kenya: Results from a randomized controlled trial. Public Health Nutrition, 18(18), 3406–3419. https://doi.org/10.1017/S1368980015000920
- Watterworth, J. C., Hutchinson, J. M., Buchholz, A. C., Darlington, G., Randall Simpson, J. A., Ma, D. W. L., Haines, J., & Guelph Family Health Study. (2017). Food parenting practices and their association with child nutrition risk status: Comparing mothers and fathers. Applied Physiology, Nutrition, and Metabolism, 42(6), 667–671. https://doi.org/10.1139/apnm-2016-0572
- WHO, UNICEF, USAID, AED, UCDAVIS, & IFPRI. (2010). Indicators for assessing infant and young child feeding practices. Part II Measurement. http://www.unicef.org/nutrition/files/IYCF_Indicators_part_II_measurement.pdf
- Willey, B. A., Cameron Noel, Norris Shane A, Pettifor John M, & Griffiths Paula L. (2009). Socio-economic predictors of stunting in preschool children: A population-based study from Johannesburg and Soweto. South African Medical Journal, 99(6), 450–456.
- Williams, P. A., Crespo, O., Abu, M., & Simpson, N. P. (2018). A systematic review of how vulnerability of smallholder agricultural systems to changing climate is assessed in Africa. Environmental Research Letters, 13(10), 103004. https://doi.org/10.1088/1748-9326/aae026