Feeding practices and factors associated with the provision of iron-rich foods to children aged 6-23 months in Matam area, Senegal.

Objective: The objectives of this study were to document feeding practices amongst rural Senegalese children aged 6 to 23 months and to investigate psychosocial and environmental factors associated with the provision of iron-rich foods (IRF).

Design: This was a cross-sectional study conducted from January to July 2018.

Setting: The study took place in the region of Matam, northern Senegal.

Participants: Ninety-eight mothers of children aged 6-23 months.

Results: Results show that 27·6 % of children were fed according to the minimum acceptable diet, and 55·1 % and 53·1 % had the minimum diet diversity and minimum meal frequency, respectively. About 65·3 % of mothers provided IRF to young children the day before the survey, mostly fish. Mother's intention to provide IRF to their children was not associated with the provision of these foods neither was the perceived behavioural control. Child's age (OR = 1·14, 95 % CI (1·03, 1·26), P = 0·012) and household food insecurity score (OR = 0·80, 95 % CI (0·68, 0·96), P = 0·014) were the predictors of the provision of IRF to children aged 6-23 months.

Conclusions: Household food insecurity status and age of the child rather than mothers' psychosocial factors were significant predictors of IRF consumption amongst children aged 6-23 months in the study area. More attention should be given to food environment and child-related factors in order to improve children feeding practices and, in particular, their consumption of IRF in the study setting. For instance, home visits and the 5-month-old vaccine consultation in health centres might be opportunities to reinforce the importance of providing IRF as part of complementary foods from the age of 6 months. Implementation of measures for the improvement of socio-economic conditions and food security of households would also be valuable.