Child feeding practices and male involvement in child feeding among smallholder farming households in Uganda

Year 2024, Volume: 8 Issue: 1, 44 - 53, 25.03.2024

Deborah Nabuuma , Beatrice Ekesa

https://doi.org/10.31015/jaefs.2024.1.5

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.

Keywords

Gender, Father, Child nutrition, Dietary diversity, Decision-making

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