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    2 views9 pages

    child work main

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    Research

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    © All Rights Reserved
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    of 9

    CHILD FEEDING KNOWLEDGE, PRACTICES AND AMONG

    NURSING MOTHERS IN KORLE-NKWANTA, KOFORIDUA.

    NAMES INDEX NUMBERS


    ASAMOAH JOSHUA KUMI RGN/22/028
    ANTWI ESTHER ASOR RGN/22/020
    OSAE REBECCA RGN/22/085
    NARH RITA AKWELEY RGN/22/071

    TUTORS NAME: PHILLIPINA SCHANDORF

    DATE OF SUBMISSION
    JULY, 2021
    CHAPTER ONE
    INTRODUCTION
    This chapter consists of the background of the research study, statement of the problem, the

    purpose of the study and some research objectives related to the study; research questions,

    significance of the study and lastly the operational definition of terms found within the study.

    1.1. Background to the study

    1.2. Problem statement

    For a child to grow well, feeding must be done accurately without any deficiencies or

    diseases. The mother on the other hand must be physically and psychologically fit, to enhance

    proper feeding but upon our observation, we realised that the knowledge about feeding has

    become a problem among mothers and children in Korle- Nkwanta, Koforidua.

    Because of the ignorance on the part of mother, children are mostly seen with deficiencies

    such as; marasmic kwashiorkor, marasmus, kwashiorkor and others.

    Undernourished children are prone to poor mental, physical and physiological development

    and are at an increased risk of infections and death due to nutrient deficiencies. In Ghana,

    only 46% of children under six months are exclusively breastfed. (Gyampoh, Otoo &

    Aryeetey, 2014). Often, the diet of a Ghanaian child is mainly made of grain, roots and tubers

    (carbohydrates) making the child malnourished because the needed nutrients are not

    provided.

    In Ghana, the latest Multiple Indicator Cluster Survey shows that about 13% of children

    below age 5 years are underweight, 23% are stunted and 6% are wasted, in Greater Accra

    Region, underweight is found among 8.3% of children 0-5 years while 13.7% and 5.4% are
    stunted and wasted respectively. (Gyampoh et al., 2014).

    In 2016, an estimated 155 million children under the age of 5 years were suffering from

    stunting while 41 million were overweight or obese and around 45% of death among children

    under 5 years are linked to undernutrition which mostly occur in low and middle income

    countries. (World Health Organisation [WHO],2020).

    Possible factors to the problem include; poverty, ignorance and illiteracy.

    Effects identified on the child are; mental retardation, poor immune system and chronic

    diseases. Some effects on the mother are; depression, stigmatisation and loss of employment.

    The effect on the community one the other hand may also include; high mortality rate, low

    productivity and economic burden.

    Due to this problem diagnosed, we would like to carry out research to help in getting

    solutions to the problem.

    1.3. Research questions

    1. What knowledge do nursing mothers have about child feeding in Korle-Nkwanta,

    Koforidua?

    2. How do nursing mothers practice child feeding and growth monitoring in Korle-
    Nkwanta, Koforidua?

    1.4. Research objectives

    1. To assess the knowledge nursing mothers, have about child feeding in Korle-

    Nkwanta, Koforidua.

    2. To identify nursing mothers practice on child feeding in Korle-Nkwanta, Koforidua.

    1.5. Significance of the study

    By the end of our research, our discoveries will be communicated to children seminars held

    in schools in order to get them equipped with basic knowledge about the importance of taking

    a balanced diet.

    Using presentations, findings of this study will also be shared with the New Juaben

    Municipal Health Administration so that mothers at the pre-natal care units and market places

    will be educated to understand the importance of exclusive breastfeeding and good nutrition.

    Again, the community will be made aware of this information through durbars and Public

    Address Systems, where they will be enlightened about the problem in order for them to

    provide the accurate feeding practices.

    1.6. Operational definitions

    1. Feeding: the act or process of eating or been feed.

    2. Child: a person who has not yet reached puberty.


    3. Knowledge: the awareness of understanding something.

    4. Practice: the actual application or use of ideas or methods in doing something.

    5. Growth: the process of developing, gradual increase in size, weight and height.

    6. Monitoring: to observe and check the progress of something over a period of time.
    CHAPTER TWO
    LITERATURE REVIEW
    2.0 Introduction
    The purpose of this chapter is to review some published articles related to the problem under
    investigation. Search engines like Pudmed and Google scholar where used to search for the
    literature.

    Furthermore, the literature was review in two section:


    1.Knowledge of mothers on child feeding.
    2.Practice of nursing mothers on child feeding.

    2.1Knowledge of mothers on child feeding


    In Ethiopia, only 28.7% of mothers had sufficient knowledge on infant and young child
    feeding recommendation. 10% of infants under-6 months are given complementary foods in
    addition to breast milk and 49% of children age 6–8 months consume solid, semi-solid, or
    soft foods. Among breastfed children age 6–23 months, only 4% receive foods from at least
    four foods groups (the minimum acceptable diet), while 48% are fed the minimum number
    of times or more. In the present study, 87.9% of mothers knew correct age of introduction of
    complementary feeds. Knowledge of mothers on frequency and quantity of complementary
    feeds was very low (17.8 and 13.6% respectively. This low level of knowledge might be due
    to low attention of participants during nutrition education, often diversity and frequency of
    complementary food is discussed near the end of education section. (Demilew,2017).

    A similar study was carried out in the six public health facilities, one in each of the six health

    sub-metropolitan areas in the Accra Metropolitan Area (AMA) Ghana. The study used a

    cross-sectional design and surveyed 199 mother-child pairs accessing CWC services in the
    selected health facilities. This sample was adequate to detect a 15% deference in prevalence

    of maternal knowledge across regular and non – regular CWC attendees at a power of 80%

    and confidence level of 95%. Results from this study indicated that although most mothers

    participating in GMP in the AMA of Ghana were knowledgeable about child feeding

    recommendations, practices were suboptimal, especially among children receiving

    complementary feeding. GMP exposure was, however, not associated with child feeding

    knowledge and practices; an exception was the association between GMP exposure and

    practices of mothers with children under 6 months. For the GMP programme to realize its

    objectives of improving child growth through influencing care and feeding practices, the

    nutrition counselling and support, should be strengthened among mothers of children

    receiving complementary feeding. (Gyampoh et al., 2014).

    This descriptive cross-sectional study was conducted across the seven sub-municipal units of

    the Nsawam Adoagyiri municipality and overall knowledge of caregivers’ on recommended

    IYCF was poor (5.7%). The prevalence of timely initiation of breastfeeding was 50.3%,

    exclusive breastfeeding was 63.3% and continual breastfeeding after 1 year was 92.8%.

    Minimum frequency of feeding was low in infants 6 to 8 months (20.2%) poor knowledge

    and skills for feeding infants can lead to inappropriate feeding practices which results in

    malnutrition and infant death. This study assessed knowledge and practice of recommended

    infant and young child feeding guidelines among caregivers with young children in the

    Nsawam Adoagyiri Municipal, Eastern Region.

    2.2.Practice of nursing mothers on child feeding

    In Dejen district, North West Ethiopia a community based cross-sectional study was

    conducted during the fasting season from March to April, 2016. Suboptimal child feeding
    practices contributes to poor physical growth including irreversible outcomes of stunting,

    poor cognitive development, significantly increased risk of infectious diseases and mortality

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