Table 4. Prevalence and modifying effect of sanitation on infant and young child feeding indicators associated with diarrhoea in sub-Saharan African countries, with high burden of diarrhoea mortality.
Improved Sanitation | Unimproved sanitation | ||||||||
---|---|---|---|---|---|---|---|---|---|
IYCF indicators | N* | (%)$ | OR 95%(LCI-UCI) | P value | N* | (%)¥ | OR 95%(LCI-UCI) | P value | P for Interaction |
Early initiation of breast feeding | |||||||||
No | 9583 | 54.5 | 1.00 | 18107 | 56.7 | 1.00 | 0.026 | ||
Yes | 8016 | 45.6 | 0.76 (0.69–0.83) | <0.001 | 13826 | 43.3 | 0.84 (0.79–0.89) | <0.001 | |
Exclusive breast feeding | |||||||||
No | 3821 | 71.8 | 1.00 | 7198 | 70.6 | 1.00 | 0.304 | ||
Yes | 1504 | 28.2 | 0.45 (0.35–0.58) | <0.001 | 2996 | 29.4 | 0.52 (0.44–0.63) | <0.001 | |
Predominant breast feeding | |||||||||
No | 3849 | 72.3 | 1.00 | 6807 | 66.8 | 1.00 | <0.001 | ||
Yes | 1475 | 27.7 | 1.13 (0.88–1.45) | 0.344 | 3387 | 33.2 | 1.02 (0.87–1.21) | 0.790 | |
Continued breast feeding at 1 year | |||||||||
No | 717 | 22.1 | 1.00 | 781 | 13.6 | 1.00 | 0.157 | ||
Yes | 2524 | 77.9 | 1.15 (0.86–1.53) | 0.338 | 4954 | 86.4 | 1.32 (1.02–1.70) | 0.034 | |
Bottle feeding | |||||||||
No | 15369 | 87.3 | 1.00 | 29999 | 93.9 | 1.00 | <0.001 | ||
Yes | 2230 | 12.7 | 1.03 (0.91–1.18) | 0.563 | 1935 | 96.1 | 1.08 (0.96–1.21) | 0.205 | |
Introduction of solid, semi-solid and soft foods | |||||||||
No | 1071 | 42.6 | 1.00 | 1883 | 43.0 | 1.00 | <0.001 | ||
Yes | 1446 | 57.5 | 1.41(1.13–1.78) | 0.003 | 2502 | 57.1 | 1.24 (1.04–1.47) | 0.014 |
N* = total number of children aged 0–23 months with improved and unimproved sanitation.
%$ = proportion of children who engaged in each feeding indicators, but also had improved sanitation.
%¥ = proportion of children who engaged in each feeding indicators, but also had unimproved sanitation.
Models adjusted for socio-economic factors (maternal education, father’s education, household wealth and maternal employment); health service factors (antenatal care visit); individual factors (maternal age, child’s age and gender) and household factors (household location and source of drinking).