Complementary feeding practice in infants in Antananarivo, Madagascar : Relationship with their nutritional status

Introduction: Complementary feeding is a period at risk of nutritional disorders. The aim of this study was to determine the relationship between the complementary feeding practice and the nutritional status of infants. Methods: A cross-sectional study was conducted from November 01 to 30, 2021 at the Mother and Child University Hospital Center Tsaralalana and in 6 basic health centers level II in the city of Antananarivo. Results: Two hundred and twenty two (222) infants aged 6–23 months were collected. The prevalence of underweight, acute malnutrition and chronic malnutrition were respectively 46.9 %, 29.7 % and 34.7 %. The age of initiation of complementary feeding that does not comply with the WHO recommendation has been associated with underweight [OR = 2.22 (1.27–3.88)] and acute malnutrition [OR = 5.09 (2.75–9.44)]. A Ruel and Menon score < 9 was associated with underweight [OR = 4.65 (2.53–8.53)], acute malnutrition [OR = 5.57 (2.58–12, 03)] and chronic malnutrition [OR = 5.76 (2.81-11.79)]. Non-compliance with the minimum acceptable diet has been associated with underweight [OR = 3.22 (1.80–5.71)], wasting [OR = 5.57 (2.58–12, 03)] and growth retardation [OR = 4.47 (2.27–8.82)]. Common plate use was a determinant of underweight [OR = 2.38 (1.39–4.08)], wasting [OR = 2.61 (1.50–4, 95)] and stunting [OR = 2.71 (1.53–4.79)]. Conclusion: Complementary feeding practice influences the nutritional status of infants. Improving infant and young child feeding practices is fundamental in the fight against malnutrition.