scholarly journals Infant and young child feeding practices and child undernutrition in Bangladesh: insights from nationally representative data

2012 ◽  
Vol 15 (9) ◽  
pp. 1697-1704 ◽  
Author(s):  
Amanda Zongrone ◽  
Kate Winskell ◽  
Purnima Menon

AbstractObjectiveTo determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0–23 months in a nationally representative data set.DesignData from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, controlling for child, maternal and household characteristics, and including regional dummy variables.SettingBangladesh.SubjectsPairs (n 2096) of last born infants and their mothers.ResultsExclusive breast-feeding under 6 months of age was associated with higher weight-for-height Z-score (effect size (ES) = 0·29; P < 0·05). Appropriate complementary feeding in children aged 6–8 months was associated with higher height-for-age Z-score (HAZ; ES = 0·63; P < 0·01) and higher weight-for-age Z-score (WAZ; ES = 0·30; P < 0·05). Higher dietary diversity index (DDI) was associated with higher HAZ (ES = 0·08; P < 0·01 for every 1 point higher DDI) and higher WAZ (ES = 0·04; P < 0·05). Children who achieved minimum diet diversity had higher HAZ (ES = 0·20; P < 0·05). Logistic regression models confirmed that exclusive breast-feeding was protective against wasting and DDI was protective against stunting and underweight.ConclusionsOur results highlight the importance of IYCF practices as determinants of child growth outcomes in this context, and reinforce the need for interventions that address the spectrum of IYCF practices, from exclusive breast-feeding to age-appropriate complementary feeding, especially diet diversity, in efforts to improve nutrition of infants and young children.

2021 ◽  
Vol 9 (1) ◽  
pp. 190-201
Author(s):  
Afrin Iqbal

Optimum is. Adequate Infant and young child feeding (IYCF), critical for child’s growth and development, requires a significant amount of time andcan be challenging for working mothers. In Bangladesh, about four million women work long-hours in Readymade Garment (RMG) factories without proper maternity benefits which raises concern regarding optimum IYCF practice. We conducted a descriptive cross-sectional study in Dhaka, Bangladesh to identify the knowledge and common practices of IYCF among mothers working in Readymade Garment sector. Ninety-three women of reproductive age (15-49 years), working in Readymade Garment sector, with children aged 6-23 months, were interviewed. Our study revealed- majority knew about exclusive breast feeding (EBF) (76%), duration to continue breast feeding (73%) and early initiation of breast feeding (53%). The exclusive breast-feeding practice in mothers employed in RMG sector was 44%. Three-fourths of the mothers knew and initiated complementary feeding timely. Both knowledge regarding age-adjusted minimum meal frequency (MMF) (19.4%) and minimum quantity (8.6%) were low; compared to actual practices. Nearly two-fifth of the mothers (40%) had to start working before their child reached six months of age enabling them to provide their baby with breastmilk substitutes. Mothers employed in Readymade Garment sector had better IYCF practice than general population. Proper workplace environment with mandatory breast-feeding corners, daycare facilities and ensuring maternity benefits in these mothers could help achieve an even better IYCF practices for their children.


2020 ◽  
Vol 19 (1) ◽  
pp. 31-38
Author(s):  
Iswari Luitel ◽  
Rita Kumari Ban ◽  
Sabika Munikar

Introduction: Infant and young child feeding practices play vital role for the growth and development. It is recommended to exclusively breastfed for first six months and thereafter receive complementary foods with continued breastfeeding. However Chepang, the indigenous community of Nepal depends primarily upon forest food. This study aims to determine the infant and young child feeding practices among Chepang children. Methods: A cross sectional study was conducted among the mothers of 77 children aged six to 59 months through purposive sampling. Data was collected through face to face interview taking informed written consent. The collected data were analysed for descriptive and bivariate analysis using SPSS version 21. Results: In this study, mean age of respondents was 25.92 (±7.04) years, 68.8% followed Christian religion, 51.9% were educated, only 45.5% of respondent’s spouse were educated and 51.9% belonged to nuclear family. Among the respondents, 65.7% had good breast feeding practice and 88.3% had good complementary feeding practice. Statistically significant relationship was found between breast feeding practice and educational status and also between complementary feeding practice and family type. Conclusions: This study found that respondents had good breast feeding practice and complementary feeding practice. Among the respondent, seven out of 10 had good breast feeding practice and nine out of 10 had good complementary feeding practice. Association between breast feeding practice and educational status puts light upon the need for educating and empowering women for improved infant and young child feeding practices.  


2015 ◽  
Vol 2 (1) ◽  
pp. 39 ◽  
Author(s):  
Sonali Kar ◽  
Sourav Bhattacharjee ◽  
PC Samantaray ◽  
Seba Biswal

A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) in 2002, to reverse the disturbing trends in infant and young child feeding practices. This stands out as an extremely cost-effective and extremely advantageous method to bring down the infant and child mortality and morbidity especially in developing countries like India.Odisha, one of the states in India, records just 50% of exclusive breast feeding practice as reported in National Family Health Survey-3 (2005-6) and also accounts for one of the highest Infant Mortality Rates in the country. Hence the current studywas planned jointly by the Nutrition wing of UNICEF and Odisha Voluntary Health Association (OVHA), a Nongovernmental Organization which works for health programs in the state. A baseline study to assess Infant Feeding Practices thus was plannedfor 7 districts of the state and sampled so as to adequately represent the marginalized population of the state. A detailed questionnaire with information on sociodemographic parameters of the study population and questions that elicited informationon the infant and child feeding practices was designed and pretested in a sample population and a team of supervisors and data collectors were trained for the purpose. The study revealed district level data on the infant young child feeding practices in the state. Exclusive Breast Feeding (EBF) was calculated as 48% and early initiation of breast feeding was nearly 46%. The feeding indicators calculated for 6-23 months age group were of greater concern as minimum dietary diversity is reported 27.4% and minimum meal frequency is 29%. In spite ofthe provision of iron syrup and iron folic acid tablets under the flagship program of the country, that is, National Rural Health Mission, for 6-59 months children, the consumption of iron fortified foods is reported as only 6.8%. This could be the cause ofhigh level of morbidity reported in under five in the state. The data was presented to the state program managers inorder to prioritize the problem areas and take requisite steps at the district level to improve the IYCF indicators in their respective states.


Author(s):  
Subhadra K. T.

Background: This study was carried out to assess the practices of young mothers related to Infant and Young Child Feeding Practices (IYCF) in Chottanikkara Grama Panchayat.Methods: All mothers of infants and children upto 5 years in Chottanikkara Grama Panchayat who were registered under the Integrated Child development Services (ICDS) program for services were interviewed based on self-prepared questionnaire based on National guidelines for IYCF by Indian Academy of Pediatrics (IAP).Results: 277 ladies were interviewed. Of this 50% of ladies had undergone caesarean delivery. 60.7% of children had received prelacteals. Only less than 30% of infants had been given breast milk within one hour after delivery. 50% of the ladies exclusively breast fed their babies only below a period of four months. Around 50% of ladies started complementary feeding of child on 6th month of age, whereas around 30% started complementary feeding before 6 months and 20% started complementary feeding only after 6 months of age. 78.6% of ladies continued breast feeding till 2 years after delivery.Conclusions: The studied population was a small population who had used services of the anganwadi and ASHA workers. But there are many who are not properly utilizing these services. In both rural and urban areas more efforts are needed to encourage exclusive breast feeding, to avoid premature complementation and, in the urban areas to protect extended breast feeding.


2016 ◽  
Vol 29 (2) ◽  
pp. 102-105
Author(s):  
Saria Tasnim

Obstetricians have the privilege to serve the women during pregnancy, childbirth and beyond. This review is made to highlight obstetrician’s role in preparing women for breast feeding and complementary feeding as well as supporting them in case of any problem related with infant feeding.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(2) : 102-105


2017 ◽  
Vol 6 (3) ◽  
pp. 1-7
Author(s):  
R K Ban ◽  
L Rajbanshi

 Infant and Young Child Feeding (IYCF) practices differ in communities due to differences in knowledge, culture and other socio-economic factors. The objective of this study was to find out the practices of Satar mothers on ICYF and their correlates. A descriptive study employing non-probability sampling technique was used to select 132 mothers who had infants aged from 6 months to 23 months. Descriptive statistics and chi-square test were used to find out the association between practice of breastfeeding and complementary feeding with selected socio demographic variables. Findings depicted that practice of breastfeeding was lower than complementary feeding among Satar mothers. About 37.1% respondents initiated breast feeding in less than an hour (≤ 1 hour). While 80.3% respondents fed colostrums, almost the half of them (43.4%) practiced prelacteal feeding. Exclusive breastfeeding and introduction of complementary foods at the age of six months were 49.2% and 51.5% respectively. Exclusive breast feeding was found to have significant association with educational level of respondents (p=<0.001), education level of her husband (p=<0.001), sex of children (p=0.023) and place of delivery (p=<0.001). Feeding practices in Satar community were found to be associated with mother’s educational status so there is still a need for programmes, which support and encourage breast-feeding particularly focusing more on younger and less well-educated mothers. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen

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.


2021 ◽  
pp. 1-38
Author(s):  
Lauriina Schneider ◽  
Mikko Kosola ◽  
Kerttu Uusimäki ◽  
Sari Ollila ◽  
Crippina Lubeka ◽  
...  

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.


2018 ◽  
Vol 5 (2) ◽  
pp. 629
Author(s):  
Shraddha Dubewar ◽  
Sarfaraz Ahmed ◽  
Saleem H. Tambe ◽  
Arvind Chavan

Background: Globally if the exclusive breast feeding is adopted there is up to 15% reduction in the mortality of under five children. At the same time proper “complementary feeding practices” leads to up to 10% more decrease in the mortality rates. The objective of this study was to study the infant and young child feeding practices among mothersMethods: This was an observational study, conducted at Aditya Hospital, Hyderabad in the period duration of 2012-2013. All children upto 24 months of life and their mothers were included in the study.Results: Most common reasons given by the mothers were pain in the stitches and discomfort and anesthesia effect due to lower segment caesarean section (LSCS) (70%). it was found that there was no significant correlation between education status of mother and time of initiation of breast feeding (P=0.6). it was found that there was no statistical significance between giving of pre-lacteals according to educational status of mothers. Almost 60% (n=64) of the mothers were appropriate in starting complementary foods at the age of 6 months. Conclusions: Women need to be educated separately with knowledge regarding of appropriate feeding practices so that both mothers and babies benefit from it; leading further to a healthy nation.


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