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Global Nutrition (Poster Session)

(P24-049-24) Factors Associated With Minimum Dietary Diversity of Children Aged 6-23 Months in Six Sub-Regions of Uganda

Monday, July 1, 2024
11:45 AM – 12:45 PM CT
Location: Poster Board 188
Disclosure(s):
Joweria Nambooze, PhD: No relevant financial relationship(s) with ineligible companies to disclose.


Objectives: To determine the Minimum Dietary Diversity and its associated factors for children aged 6 – 23 months in six sub-regions of Uganda

Methods: A cross-sectional study carried out in six sub-regions of Uganda (Acholi, Busoga, Karamoja, Lango, Tooro and West Nile) encompassing eighteen (18) administrative units (15 districts and 3 cities) as designated for the CAtalysing Strengthened policy aCtion for heAlthy Diets and resiliencE (CASCADE) Project. In each administrative unit, data was collected from specific enumeration areas (EAs) whose identification and sampling were undertaken by the Uganda Bureau of Statistics (UBOS). A two-stage stratified sampling approach was employed to select 1014 households. Ethical clearance for this study was obtained from the Clarke International University Research Ethics Committee and consent from participants was also sought.

The Minimum Dietary Diversity (MDD) of children was determined using the 2021 Infant and Young Children Feeding (IYCF) guidelines. The socio-ecological model (SEM) provided a structured approach to understanding the various levels of influence on MDD. In this study, three levels of the SEM were considered for the factors associated with MDD of children aged 6-23 months in six sub-regions of Uganda: individual (child), interpersonal (caregiver), and environmental (household).

Binary logistic regression, following adjustment of the base-weights as provided by UBOS, was the statistical method used to test for association. A P-value of < 0.05 at 95% confidence interval was deemed statistically significant.

Results: The prevalence of MDD was 50.9%. At individual level, person caring for the child (p=0.000) was associated with MDD. At interpersonal level, marital status (p=0.000) and being an active member of a community group (p=0.000) was associated with MDD. Household structure (p=0.000) and sub-region (p=0.000) were household factors associated with MDD.

Conclusions: At all levels of the SEM, there were factors associated with MDD and thus efforts to boost MDD will require multi-sectoral and multi-stakeholder approaches for best results.

Funding Sources: The CASCADE Project is funded by the Dutch Ministry of Foreign Affairs.