It is estimated that 6% of all deaths of under 5 years old children in developing countries can be prevented by
appropriate complementary feeding, in particular good dietary diversity and meal frequency. The aim of this paper is to assess
infant and young child feeding practices among mothers of children aged 6-23 months in rural Ethiopia. A community based
cross-sectional study design was employed among mothers living in two agro-ecological zones. Trained data collectors
conducted the interviews, anthropometric measurements, and the blood test for anaemia. To determine the predictors of
minimum meal frequency, multivariable logistic regression models were used with 95% confidence intervals. We found that
95.4% of the children were breastfed, of whom 59.7% were initially breastfed within one hour after their birth, 83.3% fed on
colostrum, 22.2% received pre-lacteal feeds and 50.9% of the children received complementary feedings by 6 months of age.
In the 24 hours preceding the survey date, 39.8% of the children were fed using bottle; 4.6% and 1.9% of them consumed
vitamin A-rich and iron-rich foods, respectively. Likewise 50.5%, 22.2%, and 12.0% of the children achieved minimum meal
frequency, adequate dietary diversity and minimum acceptable diet, respectively. A significant proportion of children in the
lowland fed on colostrum and had adequate dietary diversity compared to the midland agro-ecological zone. However, bottle
feeding and minimum meal frequency were higher in the midland zone. There are also associations between the agroecological
zones and initiation of breast feeding, pre-lacteal feeds, bottle and colostrum feeding. The predictors of poor
minimum meal frequency were age of the child, being anaemic, stunting, while predictors of infant dietary diversity were
maternal dietary diversity and age of the child. One out of nine children received appropriate diet for their age, which was very
low. Mothers of child bearing age should be educated on the importance of infant and young child feeding.