Intra-household joint decision making on child feeding and associated social determinants in rural districts of South Ethiopia: a multi-site concurrent mixed method study
2024

Joint Decision Making on Child Feeding in Rural Ethiopia

Sample size: 1479 publication 10 minutes Evidence: high

Author Information

Author(s): Fikadu Kassahun, Takele Abinet, Tesfaye Biruk, Abebo Zeleke Hailemariam

Primary Institution: College of Medicine and Health Science, Arba Minch University, Ethiopia

Hypothesis

Improving joint intra-household decision-making by spouses can enhance child-feeding practices.

Conclusion

Joint decision-making regarding child feeding in rural southern Ethiopia is satisfactory, influenced by maternal education, husband involvement, mother's age, and number of children.

Supporting Evidence

  • 69.2% of decision-making regarding child feeding was jointly decided by spouses.
  • Women with formal education were 1.84 times more likely to engage in joint decision-making.
  • Husbands' involvement in child feeding increased joint decision-making by 2.23 times.
  • Women aged 25-34 years were 1.57 times more likely to participate in decision-making.
  • Women with fewer than four children were 1.51 times more likely to engage in joint decision-making.

Takeaway

When both parents work together to decide how to feed their children, it helps the kids eat better. Educated moms and involved dads make this happen more often.

Methodology

A mixed-method study using quantitative data from 1,479 women and qualitative data from focus groups and key informants.

Potential Biases

Social desirability bias may affect self-reported responses.

Limitations

Findings may not be generalizable to urban settings and are based on self-reported data, which could introduce bias.

Participant Demographics

Participants were married women aged 15-49 with children aged 6-23 months, primarily from rural districts in southern Ethiopia.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.37–2.46

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1381068

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