INTRODUCTION

1.1 Background to the Study  

The difference between food intake and utilization determines the nutritional status of the individual. Change in food consumption and the biological utilization will directly or indirectly reflect in the nutritional status. The nutritional status can be normal, under nutrition or over nutrition. The under and over nutrition are considered as malnutrition. The infant feeding might be affected by some factors ranging from busy schedule of the primary care giver to inability to provide enough food and needed health care to maintain normal nutritional status. The determinants of the nutritional status may differ based on regions, communities, or even over time. To proffer necessary recommendations or solve any nutritional problem in an area, it will be important to determine the nutritional status and the underlying causes. 

Efforts have been made both nationally and internationally by governmental and non-governmental organizations to maintain normal nutritional status but poor nutrition remains a major link to diseases and reduced life-span (Tette, Sifah & Nartey, 2015). According to Mamulwar, Rathod, Jethani,  Dhone,  Bakshi, Lanjewar et al. (2014), one quarter of the infants are stunted. Many factors have been implicated to influence the nutritional status. Poor diet and disease are considered as immediate factors but there are underlying factors like food security, caring practices of the nursing mother, healthy environment and assessment of health facilities. The underlying causes are also considered to have basic causes which are seen as socio-economic and political conditions (Asegedech, 2014).

Infant feeding is of great importance since this period of life is considered as pivotal for adequate growth (Badake, Maina, Mboganie, Muchemi, Kihoro, Chelimo, & Mutea, 2014). Under-nutrition could be described as weighty medical condition characterized by a deficient bodily nutrition (energy, essential proteins, fats, vitamins, and minerals in a diet) as a result of inadequate food intake or faulty assimilation. Over 10 million children of infants are lost annually due to diseases that can be prevented and even easily treated. Most of these illnesses and majority of these deaths occur in developing countries because of the poor economy of such Countries (Black, Morris & Bryce, 2003). Malnutrition cause more over 30% of all childrenÂ’s deaths who are infants(United Nations Children's Fund (UNICEF), 2009). According to Badake, Maina, Mboganie, Muchemi, Kihoro, Chelimo and Mutea, (2014), assessing the growth of children is a good parameter to look at the development of the children and this also gives insight about food security in the area and assess to good health services. 

Poor nutritional status has called for different programmes and interventions in different sectors in order to improve the nutrition status. Sequel to this, experts from different fields are strategizing and evaluating various interventions that have nutrition components (Macias & Glasauer, 2014). Assessing nutritional status is the easiest indicators for assessing the impact of interventions that are nutrition focused and this can be done using various methods. Assessing nutritional status entails a deep understanding of what people consume and the determinants of peopleÂ’s nutritional habits. The nutritional status can then be traced to have a myriad of determinants.

Different factors have been implicated to affect the infant feeding and there are repeated episodes of diseases that are often seen among these children. Some of the factors include inadequate food availability, poor caring capacity of the caregiver, lack of basic education, poor health systems, poor housing and environmental conditions. Communities that are unable to satisfy the basic needs of its citizens are likely to generate more individuals with poor anthropometric indices.

Several strategies have been put in place to maintain adequate nutritional status of the children (e.g. exclusive breastfeeding). 17% has been found to be the exclusive breastfeeding rate in Nigeria and it has also been documented that 21% of mortality among the infants can be traced to breastfeeding patterns that do not follow the set standard (Ojofeitimi, 2016). Adequate diet and health care during first few years of life is fundamental for childÂ’s development and this help to maintain adequate or normal nutritional status. Early in life, irreversible drop in linear growth and psychological impairment can occur when there is problem with food consumption or utilization (Alamu, Atawodi & Edokpayi, 2011). Growth is most rapid in the early years of life and this may not be comparable to any other time after birth. Since good nutrition has been identified to play a pivot role in growth particularly in the early years of life, it is important to assess the infant feeding and the associated determining factors.

The need for food by mankind most especially the growing up children has been emphasized over the years (Adegun, Ajayi-Vincent, & Alebiosu, 2013). The nutritional status is solely dependent on the adequate and right consumption of nutrients from foods and the bodyÂ’s ability to make use of them adequately to meet its metabolic needs of health and fitness. At early stage of growth, several biochemical activities that affect growth and development are going on in the body and these require nutrition. When there are inadequate nutrients available for these activities then there is likelihood of developing stunted growth and development (Adegun, Ajayi-Vincent, & Alebiosu, 2013).