Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study

ABSTRACT Background Responsive feeding among infants and young children (IYC) determines their food acceptance and adequate dietary intake, which enhances growth and developmental opportunities. However, little is known about responsive feeding practices among IYC in Rwanda. This study explored the...

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Main Authors: Jeanine Ahishakiye, Lenneke Vaandrager, Eric Matsiko, Philemon Kwizera, Maria Koelen
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Public Health Challenges
Subjects:
Online Access:https://doi.org/10.1002/puh2.206
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author Jeanine Ahishakiye
Lenneke Vaandrager
Eric Matsiko
Philemon Kwizera
Maria Koelen
author_facet Jeanine Ahishakiye
Lenneke Vaandrager
Eric Matsiko
Philemon Kwizera
Maria Koelen
author_sort Jeanine Ahishakiye
collection DOAJ
description ABSTRACT Background Responsive feeding among infants and young children (IYC) determines their food acceptance and adequate dietary intake, which enhances growth and developmental opportunities. However, little is known about responsive feeding practices among IYC in Rwanda. This study explored the status and barriers of responsive feeding practices among mothers from rural areas of Muhanga District in Rwanda. Method This descriptive longitudinal and exploratory mixed methods study was conducted among 29 mothers from 2 rural health centers in Muhanga District. Mothers were interviewed, and their interactions with children during lunch meals at 6, 9, and 12 months were observed. The interviews were recorded, transcribed, and thematically analyzed using Atlas.ti software. Results The study shows that the number of mothers who reported to verbally encourage their children to eat during feeding increased with the child's age. Less than half of mothers, at all three time points of data collection (at 6, 9, and 12 months), reported and were observed allowing their children to self‐feed, smiling and talking to them during feeding. The perceived major barriers to mother–child interaction during feeding were lack of time due to the burden of other responsibilities, and poverty. In addition, fear of messing up and food waste were barriers to child self‐feeding opportunities. Conclusion Findings indicate that responsive feeding was less practiced among study mothers due to lack of time, poverty, and fear of food waste during child self‐feeding. Nutrition interventions in this community should consider raising awareness of responsive feeding practices through education and encouraging mothers to devote sufficient time to interact with their children during feeding episodes.
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spelling doaj-art-c7d9711663cd47df95fb0590fe7962a12025-08-20T01:55:11ZengWileyPublic Health Challenges2769-24502024-09-0133n/an/a10.1002/puh2.206Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods StudyJeanine Ahishakiye0Lenneke Vaandrager1Eric Matsiko2Philemon Kwizera3Maria Koelen4Human Nutrition and Dietetics Department College of Medicine and Health Sciences University of Rwanda Kigali RwandaHealth and Society Chair Group Wageningen University and Research Wageningen The NetherlandsHuman Nutrition and Dietetics Department College of Medicine and Health Sciences University of Rwanda Kigali RwandaHuman Nutrition and Dietetics Department College of Medicine and Health Sciences University of Rwanda Kigali RwandaHealth and Society Chair Group Wageningen University and Research Wageningen The NetherlandsABSTRACT Background Responsive feeding among infants and young children (IYC) determines their food acceptance and adequate dietary intake, which enhances growth and developmental opportunities. However, little is known about responsive feeding practices among IYC in Rwanda. This study explored the status and barriers of responsive feeding practices among mothers from rural areas of Muhanga District in Rwanda. Method This descriptive longitudinal and exploratory mixed methods study was conducted among 29 mothers from 2 rural health centers in Muhanga District. Mothers were interviewed, and their interactions with children during lunch meals at 6, 9, and 12 months were observed. The interviews were recorded, transcribed, and thematically analyzed using Atlas.ti software. Results The study shows that the number of mothers who reported to verbally encourage their children to eat during feeding increased with the child's age. Less than half of mothers, at all three time points of data collection (at 6, 9, and 12 months), reported and were observed allowing their children to self‐feed, smiling and talking to them during feeding. The perceived major barriers to mother–child interaction during feeding were lack of time due to the burden of other responsibilities, and poverty. In addition, fear of messing up and food waste were barriers to child self‐feeding opportunities. Conclusion Findings indicate that responsive feeding was less practiced among study mothers due to lack of time, poverty, and fear of food waste during child self‐feeding. Nutrition interventions in this community should consider raising awareness of responsive feeding practices through education and encouraging mothers to devote sufficient time to interact with their children during feeding episodes.https://doi.org/10.1002/puh2.206infant feedingmother‐child interaction during feedingresponsive feedingRwanda
spellingShingle Jeanine Ahishakiye
Lenneke Vaandrager
Eric Matsiko
Philemon Kwizera
Maria Koelen
Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study
Public Health Challenges
infant feeding
mother‐child interaction during feeding
responsive feeding
Rwanda
title Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study
title_full Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study
title_fullStr Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study
title_full_unstemmed Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study
title_short Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study
title_sort responsive complementary feeding practices in rural muhanga district of rwanda a mixed methods study
topic infant feeding
mother‐child interaction during feeding
responsive feeding
Rwanda
url https://doi.org/10.1002/puh2.206
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