Background: Although, infant and young child feeding practices play an important role in reducing early childhood morbidity and mortality, very large proportions of women do not practice optimal breastfeeding and complementary feeding for their children in Ethiopia. To date, there is not address the supply and demand side factors that influence infant and young child feeding practices.
Objective: To assess supply and demand side factors that influence infant and young child feeding.
Methods: A community based cross sectional study was employed involving quantitative and qualitative methods among sampled mothers with children under age of 24 months 2017. Pre-tested structured questionnaire was used to interview the sampled mothers. Qualitative data was collected through in-depth interviews and focus group discussion. Qualitative data were analyzed through a thematic analysis approach. Quantitative data were coded and entered into Epi-data version 3.1 then exported to SPSS version 21 for analysis. Bivariate and multivariate logistic regression was employed to identify the independent effect of pregnancy intention on outcomes of interest after controlling other confounding variables.
Results: The overall, prevalence of inappropriate infant and young child feeding practice was 284 (67.9%). Being government employee of husband[AOR = 4.08 (1.65, 10.04)], lower income status [AOR = 3.11(1.36, 7.07)], not attending ANC (AOR = 2.03 (1.22, 3.36)], child age 0 - 5 months [AOR = 2.42(1.02, 5.72)], negative attitude of mothers towards IYCF [AOR = 2.35 (1.44, 3.84)] and number of children 3-4 [AOR = 1.99 (1.08, 3.64)] were independent predictors of inappropriate infant and young child feeding status.
Conclusion: There is high prevalence of inappropriate infant and young child feeding practice in the study area. Interventional initiatives should focus on improving socio-economic status, and access to information, education and communication for improvement of IYCF is recommended.
Keywords: Infant and Young Child Feeding Practice, Supply side factors, Demand side factors, Ethiopia,