Research Article | | Peer-Reviewed

Assessment of Dietary Diversity of Children Between 6 and 23 Months: A Cross-Sectional Survey in the Savanes, Kara, and Maritime Regions of Togo

Received: 5 October 2025     Accepted: 18 October 2025     Published: 7 November 2025
Views:       Downloads:
Abstract

Dietary diversity refers to the consumption of foods from different groups, which is essential to ensure adequate nutrient intake in children. However, the situation remains critical in Togo, with only 12% of children aged 6 to 23 months being fed according to optimal infant and young child feeding (IYCF) practices. Available data on these children’s diet must therefore be analyzed to better understand the situation and improve their nutrition. This research assesses the dietary diversity of children aged 6 to 23 months in the Savanes, Kara, and Maritime regions of Togo, using data from the SMART 2022 survey (Standardized Monitoring and Assessment of Relief and Transitions). The sample studied included 620 children and 1002 households selected by a two-stage cluster sampling in the regions considered. In terms of Infant and Young Children Feeding (IYCF) practices, the results reveal that approximately 85% of children in the Kara and Savanes regions continue to be breastfed beyond 12 months, compared to 68.2% in the Maritime region. Despite relatively frequent introduction of solid foods, the proportion of children achieving minimum dietary diversity remains low (20%) in all three regions. These results are corroborated by the rates linked to malnutrition indicators observed during the study. It is therefore important to implement sustainable nutritional programs and projects to improve dietary diversity and meet the nutritional needs of children in vulnerable regions in Togo.

Published in Journal of Food and Nutrition Sciences (Volume 13, Issue 6)
DOI 10.11648/j.jfns.20251306.11
Page(s) 302-313
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Dietary Diversity, Children 6 to 23 Months, Malnutrition, Savanes, Kara and Maritime Regions, Togo

References
[1] Chong, B., Jayabaskaran, J., Kong, G., Chan Y. H., Chin Y. H., Goh R., Kannan S., Ng C. H., Loong S., Kueh M. T. W., Lin C., Anand V. V., Lee E. C. Z., Chew H. S. J., Tan D. J. H., Chan K. E., Wang J.-W., Muthiah M., Dimitriadis G. K., Hausenloy D. J., Mehta A. J., Foo R., Lip G., Chan M. Y., Mamas Mamas A., Le Roux C. W., & Chew N. W. S. (2023). Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019. eClinicalMedicine, 57.
[2] Popkin B. M., Corvalan C., & Grummer-Strawn L. M. (2020). Dynamics of the double burden of malnutrition and the changing nutrition reality. The Lancet, 395(10217), 65-74.
[3] UNICEF. (2019). La situation mondiale de la nutrition 2019. Disponible sur en ligne
[4] Organisation mondiale de la santé (OMS). (2020). Nutrition infantile et santé. Disponible en ligne sur
[5] Djoumessi Y., F. (2022). The impact of malnutrition on infant mortality and life expectancy in Africa. Nutrition, 103, 111760.
[6] White, J. M., Bégin, F., Kumapley, R., Murray, C., & Krasevee, J. (2017). Complementary feeding practices: Current global and regional estimates. Maternal & Child Nutrition, 13(1): e12505.
[7] Rapport annuel de l'UNICEF sur la situation des enfants dans le monde en 2019: Bien grandir dans un monde en mutation enfants, nourriture et nutrition. Disponible en ligne sur
[8] Organisation mondiale de la Santé (OMS) & Fonds des Nations Unies pour l'enfance (UNICEF). (2021). Levels and trends in child malnutrition. Genève: OMS et New York: UNICEF. Disponible en ligne sur:
[9] Organisation mondiale de la Santé (OMS). (2023). One in three people worldwide are affected by malnutrition. Disponible en ligne sur:
[10] John-Joy O. A., Abdullateef R. O., Adesola R. O., & Olaloye E. D. (2022). Malnutrition: An underlying health condition faced in sub Saharan Africa: Challenges and recommendations. Annals of Medicine and Surgery, 82, 104769.
[11] Organisation Mondiale de la Santé. Plan d'application exhaustif concernant la nutrition chez la mère, le nourrisson et le jeune enfant. Disponible en ligne sur
[12] Jones, A. D., Ickes, S. B., Smith, L. E., Mbuya, M. N., Chasekwa, B., Heidkamp, R. A., et al. (2014). World Health Organization infant and young child feeding indicators and their associations with child anthropometry: a synthesis of recent findings. Maternal & Child Nutrition, 10(1): 1-17.
[13] République Togolaise, Ministère de la Planification, du Développement et de l'Aménagement du Territoire. Togo 2017 MICS.
[14] Organisation Mondiale de la Santé. (2003). Stratégie mondiale pour l'alimentation du nourrisson et du jeune enfant. Genève: Organisation mondiale de la Santé. Disponible en ligne sur (
[15] Prentice A. M. (2022). Breastfeeding in the Modern World. Annals of Nutrition and Metabolism, 78(Suppl. 2), 29-38.
[16] Gewa, C. A., & Leslie, T. F. (2015). Distribution and determinants of young child feeding practices in the East African Region: demographic health survey data from 2008-2011. Journal of Health, Population and Nutrition: 34(6).
[17] OMS | Recommandations de l'OMS en matière d'alimentation du nourrisson WHO [cite 18 oct. 2019] Available at
[18] Tareke A. A., Temam A. J., Alem A., Geto Z., Assefa E. M., Bihonegn M. D., Belete M., Abebe G., Abdu S. M., & Kassaw A. B. (2025). The link between child dietary diversity and child anemia: The power of colorful plates. PLOS Global Public Health, 5(7), e0005001.
[19] Paulo H. A., Andrew J., Luoga P., Omary H., Chombo S., Mbishi J. V., & Addo I. Y. (2024). Minimum dietary diversity behaviour among children aged 6 to 24 months and their determinants: insights from 31 Sub-Saharan African (SSA) countries. BMC nutrition, 10(1), 160. Paulo et al. BMC Nutrition (2024) 10: 160.
[20] Turck D, Dupont C., Vidailhet M., Bocquet A., Briend A., Chouraqui JP., Darmaun D., Frelut M. L., Girardet JP., Goulet O., Hankard R., Lapillonne A., Rieu D., Tounian P., Bresson JL. (2015). Diversification alimentaire: évolution des concepts et recommandations. Archives de Pédiatrie, 4: 39-49.
[21] CILSS et FSIN. 2025. Rapport régional 2025 sur la sécurité alimentaire et nutritionnelle au Sahel et en Afrique de l’Ouest. Niamey et Rome.
[22] INSEED. (2020). Annuaire statistique de la Region des Savanes 2015-2018.
[23] INSEED. (2023). Annuaire statistique de la Region de la Kara de 2020 et 2021.
[24] INSEED. (2023). Annuaire statistique 2020-2021 de la Région Maritime.
[25] INSEED. (2024) Pauvreté multidimensionnelle au Togo 2018-2019 et 2021-2022.
[26] INSEED. (2023) Cinquième Recensement Général de la Population et de l’Habitat (RGPH-5) de novembre 2022, Distribution spatiale de la population résidente par sexe.
[27] Ministère de la santé, de l’hygiène publique et de l’accès universel aux soins (MSHPAUS) & Fonds des nations unies pour l’enfance (UNICEF). (2022). Rapport d’enquêtes nutritionnelles basées sur la méthodologie SMART au Togo, Régions de Kara, Savanes et Maritime.
[28] Gahima, I., et al., Evaluating the prevalence of early weaning of children and its determinants among maternal attendees at Remera Health Center, Kigali, Rwanda, 2023: a cross-sectional study. Rwanda Public Health Bulletin, 2024. 5(1): p. 22-35.
[29] Janmohamed A., Baker M. M., Doledec D., Ndiaye F., Konan A. C. L., Amoakon L., Kouadio K. L., Beye M., Yattara M. L., & Dissieka R., Dietary diversity and associated factors among infants and young children in three West African countries. Frontiers in Public Health, 2024. 12: p. 1386664.
[30] Ba, D. M., Ssentongo, P., Gao, X., Chinchilli, V. M., Richie Jr, J. P., Maiga, M., & Muscat, J. E. (2022). Prevalence and determinants of meeting minimum dietary diversity among children aged 6–23 months in three sub-Saharan African Countries: The Demographic and Health Surveys, 2019–2020. Frontiers in Public Health, 10, 846049.
[31] Kuchenbecker, J., Reinbott, A., Mtimuni, B., Krawinkel, M. B., & Jordan, I. (2017). Nutrition education improves dietary diversity of children 6-23 months at community-level: Results from a cluster randomized controlled trial in Malawi. PloS one, 12(4), e0175216.
[32] Douyon A., Worou O. N., Diama A., Badolo F., Denou R. K., Touré S., Sidibé A., Nebie B., & Tabo R., (2022) Impact of crop diversification on household food and nutrition security in southern and central Mali. Frontiers in Sustainable Food Systems, 2022. 5: p. 751349.
[33] Aboagye, R. G.; Seidu, A.-A.; Ahinkorah, B. O.; Arthur-Holmes, F.; Cadri, A.; Dadzie, L. K.; Hagan, J. E., Jr.; Eyawo, O.; Yaya, S. Dietary Diversity and Undernutrition in Children Aged 6–23 Months in Sub-Saharan Africa. Nutrients 2021, 13, 3431.
[34] Senbanjo, I. O., Owolabi, A. J., Oshikoya, K. A., Hageman, J. H., Adeniyi, Y., Samuel, F.,... & Schaafsma, A. (2022). Effect of a fortified dairy-based drink on micronutrient status, growth, and cognitive development of Nigerian toddlers-A dose-response study. Frontiers in Nutrition, 9, 864856.
[35] Smith, T. J., Hess, S. Y., Angeles‐Agdeppa, I., Goyena, E., Gelli, A., & Olney, D. K. (2024). Diets, fruit and vegetable intake and nutritional status among children, adolescents and adults in the Philippines: A scoping review. Maternal & child nutrition, e13786.
[36] Papanikolaou Y, Fulgoni VL III. Egg Consumption in Infants is Associated with Longer Recumbent Length and Greater Intake of Several Nutrients Essential in Growth and Development. Nutrients. 2018; 10(6): 719.
[37] Tiwari, C., Balehegn, M., Adesogan, A. T., & McKune, S. L. (2023). Benefits, perceived and actual risks and barriers to egg consumption in low-and middle-income countries. Frontiers in Animal Science, 4, 1270588.
[38] Nakiranda R., Malan L., Ricci H., Kruger H. S., Nienaber A., Visser M., Cooke C., Ricci C., Faber M., Smuts C. M., (2025), Daily egg intake may reduce sensitisation to common allergenic foods among six- to nine-month-old south African infants: A randomized controlled trial. Pediatr Allergy Immunol, Mar; 36(3): e70062.
[39] Maulu, S., Nawanzi, K., Abdel-Tawwab, M., & Khalil, H. S. (2021). Fish nutritional value as an approach to children's nutrition. Frontiers in nutrition, 8, 780844.
[40] Mensah, D. O., Nunes, A. R., Bockarie, T., Lillywhite, R., & Oyebode, O. (2021). Meat, fruit, and vegetable consumption in sub-Saharan Africa: a systematic review and meta-regression analysis. Nutrition reviews, 79(6), 651-692.
Cite This Article
  • APA Style

    Eklou, M., Takou, S., Melila, M., Awaga, K. L., Amouzou, S. K. (2025). Assessment of Dietary Diversity of Children Between 6 and 23 Months: A Cross-Sectional Survey in the Savanes, Kara, and Maritime Regions of Togo. Journal of Food and Nutrition Sciences, 13(6), 302-313. https://doi.org/10.11648/j.jfns.20251306.11

    Copy | Download

    ACS Style

    Eklou, M.; Takou, S.; Melila, M.; Awaga, K. L.; Amouzou, S. K. Assessment of Dietary Diversity of Children Between 6 and 23 Months: A Cross-Sectional Survey in the Savanes, Kara, and Maritime Regions of Togo. J. Food Nutr. Sci. 2025, 13(6), 302-313. doi: 10.11648/j.jfns.20251306.11

    Copy | Download

    AMA Style

    Eklou M, Takou S, Melila M, Awaga KL, Amouzou SK. Assessment of Dietary Diversity of Children Between 6 and 23 Months: A Cross-Sectional Survey in the Savanes, Kara, and Maritime Regions of Togo. J Food Nutr Sci. 2025;13(6):302-313. doi: 10.11648/j.jfns.20251306.11

    Copy | Download

  • @article{10.11648/j.jfns.20251306.11,
      author = {Mamy Eklou and Serge Takou and Mamatchi Melila and Kwami Lumo Awaga and Sabiba Kou’santa Amouzou},
      title = {Assessment of Dietary Diversity of Children Between 6 and 23 Months: A Cross-Sectional Survey in the Savanes, Kara, and Maritime Regions of Togo
    },
      journal = {Journal of Food and Nutrition Sciences},
      volume = {13},
      number = {6},
      pages = {302-313},
      doi = {10.11648/j.jfns.20251306.11},
      url = {https://doi.org/10.11648/j.jfns.20251306.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20251306.11},
      abstract = {Dietary diversity refers to the consumption of foods from different groups, which is essential to ensure adequate nutrient intake in children. However, the situation remains critical in Togo, with only 12% of children aged 6 to 23 months being fed according to optimal infant and young child feeding (IYCF) practices. Available data on these children’s diet must therefore be analyzed to better understand the situation and improve their nutrition. This research assesses the dietary diversity of children aged 6 to 23 months in the Savanes, Kara, and Maritime regions of Togo, using data from the SMART 2022 survey (Standardized Monitoring and Assessment of Relief and Transitions). The sample studied included 620 children and 1002 households selected by a two-stage cluster sampling in the regions considered. In terms of Infant and Young Children Feeding (IYCF) practices, the results reveal that approximately 85% of children in the Kara and Savanes regions continue to be breastfed beyond 12 months, compared to 68.2% in the Maritime region. Despite relatively frequent introduction of solid foods, the proportion of children achieving minimum dietary diversity remains low (20%) in all three regions. These results are corroborated by the rates linked to malnutrition indicators observed during the study. It is therefore important to implement sustainable nutritional programs and projects to improve dietary diversity and meet the nutritional needs of children in vulnerable regions in Togo.
    },
     year = {2025}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Assessment of Dietary Diversity of Children Between 6 and 23 Months: A Cross-Sectional Survey in the Savanes, Kara, and Maritime Regions of Togo
    
    AU  - Mamy Eklou
    AU  - Serge Takou
    AU  - Mamatchi Melila
    AU  - Kwami Lumo Awaga
    AU  - Sabiba Kou’santa Amouzou
    Y1  - 2025/11/07
    PY  - 2025
    N1  - https://doi.org/10.11648/j.jfns.20251306.11
    DO  - 10.11648/j.jfns.20251306.11
    T2  - Journal of Food and Nutrition Sciences
    JF  - Journal of Food and Nutrition Sciences
    JO  - Journal of Food and Nutrition Sciences
    SP  - 302
    EP  - 313
    PB  - Science Publishing Group
    SN  - 2330-7293
    UR  - https://doi.org/10.11648/j.jfns.20251306.11
    AB  - Dietary diversity refers to the consumption of foods from different groups, which is essential to ensure adequate nutrient intake in children. However, the situation remains critical in Togo, with only 12% of children aged 6 to 23 months being fed according to optimal infant and young child feeding (IYCF) practices. Available data on these children’s diet must therefore be analyzed to better understand the situation and improve their nutrition. This research assesses the dietary diversity of children aged 6 to 23 months in the Savanes, Kara, and Maritime regions of Togo, using data from the SMART 2022 survey (Standardized Monitoring and Assessment of Relief and Transitions). The sample studied included 620 children and 1002 households selected by a two-stage cluster sampling in the regions considered. In terms of Infant and Young Children Feeding (IYCF) practices, the results reveal that approximately 85% of children in the Kara and Savanes regions continue to be breastfed beyond 12 months, compared to 68.2% in the Maritime region. Despite relatively frequent introduction of solid foods, the proportion of children achieving minimum dietary diversity remains low (20%) in all three regions. These results are corroborated by the rates linked to malnutrition indicators observed during the study. It is therefore important to implement sustainable nutritional programs and projects to improve dietary diversity and meet the nutritional needs of children in vulnerable regions in Togo.
    
    VL  - 13
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Sections