Evidence map›Paper›PMID 42095220›Full record

ArticleFrontiers in nutrition2026

A mixed-methods investigation of infant and young child feeding practices in rural Ethiopia: integrating insights from surveys, direct observation, and qualitative research.

Ibsa Abdusemed Ahmed, Amanda Ojeda, Crystal Slanzi, Chhavi Tiwari, Jemal Yousuf Hassen, Arie H Havelaar, Sarah McKune

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Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ibsa Abdusemed Ahmed *University of Florida, Gainesville, FL, United States.
Amanda Ojeda *University of Florida, Gainesville, FL, United States.
Crystal SlanziCalifornia State University, Los Angeles, CA, United States.
Chhavi TiwariUniversity of Florida, Gainesville, FL, United States.
Jemal Yousuf HassenHaramaya University, Dire Dawa, Ethiopia.
Arie H HavelaarUniversity of Florida, Gainesville, FL, United States.
Sarah McKuneUniversity of Florida, Gainesville, FL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Optimal infant and young child feeding (IYCF) practices, particularly exclusive breastfeeding (EBF) for the first 6 months, are critical for child survival and development. In low- and middle-income countries, EBF prevalence is commonly estimated using maternal 24-h recall, which may overestimate true practices. This study quantified discrepancies between self-reported and directly observed feeding behaviors and explored socio-cultural determinants of IYCF in rural eastern Ethiopia. Methods: A sequential explanatory mixed-methods study was conducted among 106 mother-infant dyads with monthly maternal-recall surveys and two in-home observation sessions in a 79-infant subsample. Discrepancies were examined using chi-square or Fisher's exact tests. To contextualize findings, 26 semi-structured interviews and five focus group discussions with caregivers and community influencers were conducted and thematically analyzed. Results: Cumulative 24 h recall across the first 6 months classified 70% of infants <6 months as EBF. Stricter WHO criteria reduced prevalence (18%; Conclusion: True EBF is markedly lower than 24 h recall estimates, highlighting the need for improved approaches and culturally tailored interventions that address feeding rituals, food insecurity, and elder's social influence, while leveraging protective traditions like

Indexed as

24-hour recallcomplementary feedingdirect observationEthiopiaexclusive breastfeedinginfant and young child feedingprelacteal feeding

Identifiers

PMID42095220
PMCPMC13138919

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.