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Determinants and Projections of Minimum Acceptable Diet among Children Aged 6–23 Months: A National and Subnational Inequality Assessment in Bangladesh

Author

Listed:
  • Md. Shafiur Rahman

    (Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan
    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Suita 565-0871, Japan
    These authors contributed equally to this work.)

  • Md. Rocky Khan Chowdhury

    (Department of Public Health, First Capital University of Bangladesh, Chuadanga 7200, Bangladesh
    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, St. Kilda Road, Melbourne, VIC 3004, Australia
    These authors contributed equally to this work.)

  • Md. Rashedul Islam

    (Hitotsubashi Institute for Advance Study, Hitotsubashi University, Tokyo 186-8601, Japan)

  • Sarah Krull Abe

    (Division of Prevention, National Cancer Center Institute for Cancer Control, Tokyo 104-0045, Japan)

  • Kamal Hossain

    (Department of Population Science and Human Resource Development, Rajshahi University, Rajshahi 6204, Bangladesh)

  • Toshiki Iwabuchi

    (Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan
    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Suita 565-0871, Japan)

  • Kenji J. Tsuchiya

    (Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan
    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Suita 565-0871, Japan)

  • Stuart Gilmour

    (Division of Biostatistics and Bioinformatics, Graduate School of Public Health, St. Luke’s International University, Akashi-cho, Chuo-ku, Tokyo 104-0044, Japan)

Abstract

Subnational evidence on the level of inequality in receiving complementary feeding practice among Bangladeshi children is lacking. This study estimated inequality in the minimum acceptable diet (MAD) among Bangladeshi children aged 6–23 months, and identified risk factors for and developed projections of the MAD up to 2030. Data from the Bangladesh Demographic and Health Survey 2017–2018 were used in this cross-sectional study. Regression-based slope (SII) and relative index of inequality (RII) were used to quantify the level of absolute and relative inequality, respectively. A Bayesian logistic regression model was used to identify the potential determinants of a MAD and project prevalence up to 2030. About 38% of children aged 6–23 months received a MAD. The national prevalence of a MAD was 26.0 percentage points higher among children from the richest compared to the poorest households, and 32.1 percentage points higher among children of higher-educated over illiterate mothers. Socioeconomic inequality was found to be the highest in the Chattogram division (SII: 43.9), while education-based inequality was highest in the Sylhet division (SII: 47.7). Maternal employment and the number of ANC visits were also identified as significant determinants of a MAD, and the prevalence of a MAD was projected to increase from 42.5% in 2020 to 67.9% in 2030. Approximately two out of five children received a MAD in Bangladesh and significant socioeconomic and education-based inequalities in the MAD were observed. Subnational variation in socioeconomic and education-based inequalities in the MAD requires further public health attention, and poverty reduction programs need to be strengthened.

Suggested Citation

  • Md. Shafiur Rahman & Md. Rocky Khan Chowdhury & Md. Rashedul Islam & Sarah Krull Abe & Kamal Hossain & Toshiki Iwabuchi & Kenji J. Tsuchiya & Stuart Gilmour, 2023. "Determinants and Projections of Minimum Acceptable Diet among Children Aged 6–23 Months: A National and Subnational Inequality Assessment in Bangladesh," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2010-:d:1043662
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    References listed on IDEAS

    as
    1. Mohammad Monirul Hasan & Jalal Uddin & Mohammad Habibullah Pulok & Nabila Zaman & Mohammad Hajizadeh, 2020. "Socioeconomic Inequalities in Child Malnutrition in Bangladesh: Do They Differ by Region?," IJERPH, MDPI, vol. 17(3), pages 1-14, February.
    2. Sabuj Kanti Mistry & Md Belal Hossain & Nafis Md Irfan & Manika Saha & Silvia Saberin & Abu Ahmed Shamim & Amit Arora, 2022. "Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6–23 Months in Bangladesh," IJERPH, MDPI, vol. 19(1), pages 1-21, January.
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