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Despite some improvement, indicators related to undernutrition and overnutrition fall short of global targets in the Middle East and North Africa (MENA) region that consist of low\u2010 and middle\u2010income countries witnessing political and social changes and a nutrition transition. This research aims at reviewing the situation related to the diets of children aged 6\u201323\u2009months in five selected countries in the MENA region, examining factors affecting complementary feeding and providing recommendations for guiding effective strategies to improve it. The study triangulated data on complementary feeding status and predictors from semistructured interviews with 30 key informants, and multivariable analysis of household surveys in Egypt, Jordan, Lebanon, State of Palestine and Sudan including data on refugees in Lebanon and Jordan. There remain considerable gaps in complementary feeding differing noticeably among geographic areas. Findings from qualitative and quantitative analyses showed that maternal factors, including maternal education and age, household level factors such as paternal education and wealth, community\u2010level factors (culture and geographic location), and utilization of health services, were associated with minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) at varied levels in the five countries. Interventions to improve complementary feeding practices should include actions tailored to the needs of the population at multiple levels including at the caregiver's level, household, service use, community and policy level.<\/jats:p>","DOI":"10.1111\/mcn.13223","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T05:01:12Z","timestamp":1623906072000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Predictors of complementary feeding practices among children aged 6\u201323\u2009months in five countries in the Middle East and North Africa region"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4703-5169","authenticated-orcid":false,"given":"Linda","family":"Shaker\u2010Berbari","sequence":"first","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Regional Office for Middle East and East Africa Region  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vilma","family":"Qahoush Tyler","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Regional Office for Middle East and East Africa Region  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0654-8750","authenticated-orcid":false,"given":"Chaza","family":"Akik","sequence":"additional","affiliation":[{"name":"Center for Research on Population and Health, Faculty of Health Sciences American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2074-9329","authenticated-orcid":false,"given":"Zeina","family":"Jamaluddine","sequence":"additional","affiliation":[{"name":"Center for Research on Population and Health, Faculty of Health Sciences American University of Beirut  Beirut Lebanon"},{"name":"London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8864-3374","authenticated-orcid":false,"given":"Hala","family":"Ghattas","sequence":"additional","affiliation":[{"name":"Center for Research on Population and Health, Faculty of Health Sciences American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2019.e01865"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60103-8"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-014-1634-5"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41271-017-0077-9"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-019-0192-2"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60996-4"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-812320182411.29312017"},{"key":"e_1_2_10_9_1","unstructured":"Center for Disease Control and Prevention (CDC). 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