scholarly journals Trends and predictors of early initiation, exclusive, and continued breastfeeding in Bangladesh (2004-2018): a multilevel analysis of Demographic and Health Survey data

2021 ◽  
pp. 1-29
Author(s):  
Md. Sabbir Ahmed ◽  
Kyly C Whitfield ◽  
Fakir Md Yunus
Keyword(s):  
Survey Data ◽  
Early Initiation ◽  
Demographic And Health Surveys ◽  
Child Feeding ◽  
Logistic Regression Models ◽  
Young Child Feeding ◽  
Region Division ◽  
Infant And Young Child ◽  
Rural Residency ◽  
Health And Development

Abstract The early initiation of breastfeeding (EIBF) within one hour of birth, exclusive breastfeeding (EBF) to 6 months, and continued breastfeeding (CBF) to 2 years are key infant and young child feeding guidelines promoted globally for optimal child health and development. Using publicly available national survey data from the five most recent, consecutive Bangladesh Demographic and Health Surveys (2004, 2007, 2011, 2014, 2017-18), we assessed the trends in these key breastfeeding indicators. Multiple multilevel logistic regression models were built to assess sociodemographic predictors of breastfeeding using the latest 2017-18 dataset. Both EIBF and EBF have increased significantly between 2004 and 2017-18, from 26% to 60% and 36% to 68%, respectively and CBF decreased from 94% to 85%. Caesarean section delivery conferred lower EIBF practice (OR= 0.34, 95% CI: 0.27 to 0.42) compared to vaginal delivery. Women who were currently working had 32% lower odds of EBF (OR= 0.68, 95% CI: 0.48 to 0.95). Compared to delivery at home, women who delivered in a health facility had 81% higher odds of EBF (OR= 1.81, 95% CI: 1.25 to 2.34). Larger family size (≥5) also predicted EBF (OR= 1.70, 95% CI: 1.21 to 2.40). Rural residency was associated with 2.39 (95% CI 1.32 to 4.31) times of higher odds of CBF. Administrative region (division) was also predictive of the various breastfeeding indicators. Although Bangladesh currently exceeds the 2019 global prevalence rates for these three breastfeeding indicators, efforts should be made to continue improving EIBF and EBF, and to prevent future decreases in CBF.

scholarly journals 151Infant and young child feeding practices and ARI and diarrhoea in Ethiopia: A PSM approach

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kedir Yimam Ahmed
Keyword(s):  
Young Child ◽  
Lower Risk ◽  
Early Initiation ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Logistic Regression Models ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
Infant And Young Child ◽  
Initiation Of Breastfeeding

Abstract Background Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. Results Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of ARI (OR: 1.36; 95% CI: 1.10, 1.68). Early initiation of breastfeeding and EBF were associated with a lower odds of diarrhoea (OR: 0.88; 95% CI: 0.79, 0.94 for Early initiation of breastfeeding and OR: 0.51; 95% CI: 0.39, 0.65 for EBF). Infants who were predominantly breastfed were less likely to experience diarrhoea (OR: 0.69; 95% CI: 0.53, 0.89). Conclusions Early initiation of breastfeeding and EBF were associated with a lower risk of ARI and diarrhoea. Bottle feeding was associated with a higher risk of ARI. Key messages Interventions targeting improved early initiation of breastfeeding, EBF, and avoidance of bottle feeding should be prioritised and scaled-up.

scholarly journals Infant and Young Child Feeding Pattern in Children Attending in the Outpatient Department of an Urban Hospital

2017 ◽  
Vol 40 (2) ◽  
pp. 92-97
Author(s):  
Banani Chakraborty ◽  
Jubaida Rumana ◽  
Hosne Ara Begum ◽  
Afsana Afroz
Keyword(s):  
Young Child ◽  
Breast Feeding ◽  
Dietary Diversity ◽  
Early Initiation ◽  
Outpatient Department ◽  
Feeding Pattern ◽  
Urban Hospital ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Background: Proper feeding practices during the first two years of life is essential for growth nutrition and development of young children. Optimum infant and young child feeding can reduce childhood mortality and morbidity significantly. Present study was done to know the infant and young child feeding pattern in the children of 0-23 months of age attending out patient department of an urban hospital.Methods: This cross sectional study was conducted among 314 mother/child pair attending the outpatient department of an urban hospital during the period of September 2014 to December 2014.Result: 68.5% children had early initiation of breast feeding and exclusive breast feeding among children below 6 months was 66.8%.Continued breast feeding among the children of 12 to 15 months was 80.4% and 84.2 % children were given solid food at 6 months of age. Adequate minimum dietary diversity, minimum meal frequency and minimal acceptable diet among children 6-23 months were 61.4%,57.3% and 39.4% respectively.64.5%% children were taking iron rich food or supplementation.Conclusion: Early initiation of breast feeding(0-23mo) and Exclusive breastfeeding(0- 6mo) were satisfactory in the study children but IYCF practice in children of 6-23 months was not optimum and far away from the HPNSDP 2011-2016 target of 52% of children to be fed with minimum acceptable diet.Bangladesh J Child Health 2016; VOL 40 (2) :92-97

scholarly journals Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e023238 ◽  
Author(s):  
Samson Gebremedhin
Keyword(s):  
Young Child ◽  
Dietary Diversity ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Sub Saharan ◽  
Minimum Dietary Diversity

ObjectiveThe objective of the study is to determine the status of infant and young child feeding (IYCF) in Sub-Saharan Africa (SSA) based on multiple indicators.DesignSecondary data analysis of 32 Demographic and Health Surveys conducted in SSA since 2010.SettingThirty-two countries in SSA.Participants151 575 infants and young children born in the preceding 2 years of the surveys.Indicators determinedEight core and six optional IYCF indicators.ResultsMajority (95.8%) of the children born in the preceding 24 months were ever breastfed, and 50.5% initiated breastfeeding within the first hour of birth. Among infants 0–5 months of age, 72.3% were predominantly breastfed and 41.0% were exclusively breastfed. Continued breastfeeding at 1 year (89.5%) was reasonably high, but only 53.7% continued breastfeeding at 2 years and 60.4% had age-appropriate breastfeeding. About two-thirds (69.3%) of infants 6–8 months of age received solid, semisolid or soft food over the previous day across the countries. Among children 6–23 months of age, 41.9% met the minimum recommended meal frequency, while smaller proportions satisfied the minimum dietary diversity (21.0%) and acceptable diet (9.8%). About one-third (37.6%) of children 6–23 months of age consumed iron-rich or iron-fortified food over the previous day. Among non-breastfed children, only 15.0% received the recommended two or more milk feedings. Thirteen per cent were fed with a bottle with a nipple in the previous day. Country-level estimates for most indicators showed remarkable variations. Yet the minimum dietary diversity and acceptable diet indicators were consistently low.ConclusionMost breastfeeding-related indicators, except exclusive and early initiation of breastfeeding, are in an acceptable level in SSA. However, complementary feeding indicators are generally low.

Associations between infant and young child feeding practices and diarrhoea in Indian children: a regional analysis

2020 ◽  
Author(s):  
Mansi Vijaybhai Dhami ◽  
Felix Akpojene Ogbo ◽  
Thierno Diallo ◽  
Kingsley Agho
Keyword(s):  
Central India ◽  
Early Initiation ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
North East ◽  
Infant And Young Child ◽  
Semi Solid ◽  
Initiation Of Breastfeeding

Abstract Background: There are limited data on the association between infant and young child feeding (IYCF) practices and diarrhoea across regional India, to inform policy initiatives and advocacy. The present study examined the association between IYCF practices and diarrhoea in regional India. Method: The study used a weighted sample of 90,596 maternal responses from the 2015-16 National Family Health Survey in India. Prevalence estimates of diarrhoea by IYCF indicators were estimated for each administrative region, namely: North (n=11,200), South (n=16,469), East (n=23,317), West (n=11,512), Central (n=24,870) and North-East (n=3,228). Multivariate logistic regressions that adjust for clustering and sampling weights were used to investigate the association between IYCF and diarrhoea in regional India. The IYCF indicators include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, bottle feeding, continued breastfeeding at one year, continued breastfeeding at two years, children ever breastfed and the introduction of solid, semi-solid or soft foods. Results: The prevalence of diarrhoea was lower among infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed. Children whose mothers continued breastfeeding at one and two years, and infants who were introduced to complementary foods had a higher prevalence of diarrhoea. Early initiation of breastfeeding and EBF were protective against diarrhoea in the North, East and Central regions of India. However, predominant breastfeeding, bottle-feeding and introduction of complementary foods were risk factors for diarrhoea in Central India. Continued breastfeeding at two years was a risk factor for diarrhoea in Western India. Conclusion: Our study suggests that early initiation of breastfeeding and EBF were protective against diarrhoea in Northern, Eastern and Central India, while predominant breastfeeding, bottle feeding, continued breastfeeding at two years and introduction of solid, semi–solid or soft foods were risk factors for diarrhoea in various India regions. Improvements in IYCF practices are likely to reduce the burden of diarrhoea-related morbidity and mortality across India regions.

scholarly journals Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen
Keyword(s):  
Social Support ◽  
Young Child ◽  
Coping Strategies ◽  
Low Income ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Personal Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.

scholarly journals Mothers’ perceptions on and learning from infant and young child feeding videos displayed in Mother and Child Health Centers in Kenya - a qualitative and quantitative approach

2021 ◽  
pp. 1-38
Author(s):  
Lauriina Schneider ◽  
Mikko Kosola ◽  
Kerttu Uusimäki ◽  
Sari Ollila ◽  
Crippina Lubeka ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Centers ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health ◽  
Child Health Centers

Abstract Objective The objective was to explore mothers’ perceptions of educational videos on infant and young child feeding practices, and to assess whether viewing frequencies would influence maternal knowledge, attitudes and feeding practices (KAPs). Design A set of 47 videos were displayed in health centers for 6 months. At three months, we conducted focus group discussions (FGDs) with mothers and at six months, administered KAP-questionnaire-based interviews to mothers. Using a quasi-experimental design we compared groups according to video viewing frequencies. Setting The study was conducted in a slum in Nairobi and a rural area in Machakos, Kenya. We installed TV screens in waiting rooms of six Mother and Child Health Centers, where mothers could choose to watch them. Participants Forty-three mothers with children aged 0 to 48 months participated in six FGDs and 547 mothers of children aged 0 to 23 months in KAP interviews. Results The mothers from the FGDs found the videos acceptable and beneficial. Videos enhanced mothers’ learning and empowered them to support others in learning. The KAP data showed that after adjustments, breastfeeding (p=0.06) and complementary feeding knowledge (p=0.01), complementary feeding attitudes (p=0.08), as well as hygiene knowledge and practices (p=0.003) were better among mothers who had seen videos three to four times, or five or more times, compared to mothers who had seen the videos once or twice. Conclusions Videos were an accepted form of education and were beneficial when watched repeatedly. The videos could be a good addition to current IYCF education efforts in Kenya.

scholarly journals Information seeking of French parents regarding Infant and Young Child Feeding: practices, needs and determinants

2021 ◽  
pp. 1-34
Author(s):  
Sofia De Rosso ◽  
Sophie Nicklaus ◽  
Pauline Ducrot ◽  
Camille Schwartz
Keyword(s):  
Young Child ◽  
Information Seeking ◽  
Parental Education ◽  
Online Survey ◽  
Medical Condition ◽  
Communication Strategy ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Child Age

Abstract Objective: As part of an update of feeding benchmarks targeting children aged 0 to 3 years, this study aimed to explore parental perceptions, information-seeking practices and needs concerning infant and young child feeding (IYCF) to design an efficient communication strategy. Design: Participants were recruited using the quota sampling to complete an online survey. Effects of parity, child age, prematurity, parental education and financial situation on parents’ responses were evaluated separately. Setting: France. Participants: A nationally representative sample of 1001 parents of children <4 years. Results: Parents whose child had any medical condition affecting feeding (CMC, 17%) were considered separately from healthy children’s parents. All the healthy children’s parents recognized the importance of IYCF for children’s health and growth; however, one-third considered the available advice contradictory and not guilt-free. The most used information sources were healthcare professionals (HCPs, 81%), internet (72%) and parental networks (63%). The most influential sources (mean influence ± SDs) included HCPs (7.7±1.7/10), childcare professionals (7.3±1.8/10) and parental networks (6.9±1.8/10). Parents searched for practical tips for implementing IYCF starting when their child was 5 months old. Differences regarding the type of source used by parents with higher vs. lower educations were small. Search strategies differed according to parity or child age but not to prematurity. The CMC parents reported slightly different practices and needs. Conclusions: Parents receive information from multiple sources, which can lead to confusion when deciding which advice to follow. A public health communication strategy adapted to the current parental needs should target these various sources.

scholarly journals Infant and young child feeding practices in Ethiopia: analysis of socioeconomic disparities based on nationally representative data

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Nigatu Regassa Geda ◽  
Cindy Xin Feng ◽  
Bonnie Janzen ◽  
Rein Lepnurm ◽  
Carol J. Henry ◽  
...  
Keyword(s):  
Young Child ◽  
Feeding Practices ◽  
Health Concern ◽  
Proportional Odds ◽  
Child Feeding ◽  
Gainful Employment ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Unit Increase

Abstract Background Undernutrition among children is a priority area of public health concern in Ethiopia. The purpose of this study was to examine disparities in Infant and Young Child Feeding (IYCF) practices among children 6–23 months. Method Data were drawn from the 2016 Ethiopian Demographic and Health Surveys (EDHS). A total of 3240 children aged 6–23 months were used for the present analysis. The outcome variable was IYCF practice score (ranging 0–7) which was constructed based on the linear and combined effects of four sets of variables: breastfeeding, avoidance of bottle feeding, diet diversity score and minimum feeding frequency. IYCF practice score was further recoded into three categories. Proportional odds regression was used to assess the determinants of IYCF category. Results The proportional odds regression analysis showed that IYCF scores significantly decreased by 5% (Adjusted Odds Ratio (AOR) = 0.95; 95% CI: 0.93–0.97) for every unit increase in the child’s age. Households with fathers of primary and secondary and above level education were 1.37 times (95% CI: 1.14–1.66) and 1.67 times (95% CI: 1.26–2.23) more likely to be in the high IYCF category than in the poor IYCF category. The likelihood of being in the high IYCF practice category decreased for non-working mothers by 30% (AOR = 0.70; 95% CI: 0.59–0.83) compared to those working in gainful employment. The chance of being in the high IYCF practice category decreased by 29% for households with no access to radio (AOR = 0.71; 95% CI: 0.59–0.85). Those with medium and rich/richer wealth category were 1.54 times (95% CI: 1.22–1.94) and 1.40 times (95% CI: 1.11–1.75) more likely to belong to high IYCF practice category than being in poor IYCF category. For every unit increase in health service utilization, the chance of falling in higher IYCF category increases by 1.15 times (95% CI: 1.08–1.23). The chance of falling in higher IYCF practice category decreases for rural residents by 37% (AOR = 0.63; 95% CI: 0.47–0.84) compared to those residing in urban areas. Conclusion For a child, the first two years is the time span during which linear faltering of growth is most prevalent and the period when the process of becoming stunted is almost complete. This study recommends improving access to women for gainful employment, provision of economic support to poor rural women, education and promotion of nutrition messages using most accessible media and boosting the positive role of fathers in child feeding practices.

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