scholarly journals Local perspectives and context in relation to feeding practices of children under 2 years in the mountain villages of northern Thailand

2018 ◽  
Vol 21 (16) ◽  
pp. 2989-2997 ◽  
Author(s):  
Anna Roesler ◽  
Lisa G Smithers ◽  
Pattanee Winichagoon ◽  
Prasit Wangpakapattanawong ◽  
Vivienne Moore

AbstractObjectiveTo gain an in-depth understanding of infant and young child feeding practices, accompanying beliefs and their sociocultural context in the Karen and Lua ethnic communities of northern Thailand.DesignA two-day workshop and thirty in-depth interviews were undertaken in June 2014. Dialogue occurred with the assistance of translators and was recorded, transcribed and translated. A detailed thematic analysis was undertaken.SettingNorthern Thai indigenous communities in which one-third of the children under 5 years of age are stunted.SubjectsPeople with various roles in the local health system and twenty-six villagers who cared for infants and young children.ResultsPredominant breast-feeding was said to occur for 1 to 3 months but was not exclusive due to early introduction of water and/or rice. Exclusive breast-feeding for 6 months was impeded by the need for mothers to return to farming work, with the early introduction of solids enabling infants to be cared for by other family members. Low variety in complementary foods was typical during infancy, with few local foods having appropriate texture and special preparation of foods rarely described. A pervasive underlying issue is women’s responsibility to labour and lack of time to care for their young children. Poverty and food insecurity also featured in participants’ accounts.ConclusionsIn combination, women’s limited time to care, poverty and food insecurity are perpetuating poor nutrition of children in early life. Agricultural solutions that are being explored should also attend to the burden of work for women.

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.


2020 ◽  
Vol 36 (4) ◽  
pp. 687-698
Author(s):  
Immacolata Dall’Oglio ◽  
Francesca Marchetti ◽  
Rachele Mascolo ◽  
Patrizia Amadio ◽  
Orsola Gawronski ◽  
...  

Background Infants, young children, and their mothers are vulnerable in humanitarian emergencies. The health benefits of optimal breastfeeding practices in emergency settings have been demonstrated by many researchers. Infant and Young Children Feeding in Emergency guidelines illustrate a series of interventions to protect, promote, and support breastfeeding, but unfortunately, these recommendations are still scarcely applied. Research Aims (1) To review the literature describing the effectiveness of breastfeeding protection, promotion, and support interventions in humanitarian emergency contexts; (2) to describe the influence of interventions on breastfeeding initiation, exclusivity, and duration; and (3) to evaluate relevant mother and infant/child outcomes available in the literature. Methods PubMed, CINAHL, Cochrane Library, Psychology Database, JSTOR, Web of Science, EMBASE, and Ovid were searched for articles that examined breastfeeding protection, promotion, or support interventions and the resulting outcomes without any time limits ( N = 10). Articles that did not include the interventions and related outcomes were excluded ( n = 1,391). Results Improved breastfeeding outcomes were reported in four (40%) papers, and three (30%) highlighted a behavioral change in infant and young child feeding practices following the implementation of the interventions. Increased knowledge about appropriate infant and young child feeding practices among mothers and humanitarian/health staff was reported in eight (80%) papers. However, outcomes were sometimes only generically reported, and some of the included papers had a low strength of evidence. Conclusion In the literature, there is a great dearth of studies evaluating the influence of interventions aimed at improving breastfeeding in emergency settings. More evidence is urgently needed to encourage and implement optimal breastfeeding practices.


2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Ram Hari Chapagain

Introduction: Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study wasto evaluate the mother’s knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.Methods: A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.Results: Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent thanrecommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.Conclusions: There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend._______________________________________________________________________________________Keywords: complementary feeding; exclusive breast feeding; infant and young child feeding; ideal feeding._______________________________________________________________________________________


2014 ◽  
Vol 41 (1) ◽  
pp. 14-20 ◽  
Author(s):  
M Salim ◽  
SA Mita ◽  
MN Uddin ◽  
NWB Jahan ◽  
MZ Ali ◽  
...  

This cross sectional study was conducted during the period of May 2008 to June 2009, a total of 455 mothers having their children of less than two years of age were interviewed in paediatric OPD of Sir Salimullah Medical College and Mitford Hospital to know the infants and young child feeding practices and their nutritional status. The mothers were mostly from the lower middle and poor socioeconomic condition. About one forth of the mothers had no institutional education. Most of the mothers live in a joint family. Pre-lacteal feeding rate were 60% and most common pre-lacteal food were honey and sugar water. More than 98% mothers gave colostrums to their newborn babies. Over 24% mothers initiated breast feeding within one hour and 18% did so within 30 minutes after birth. Exclusive breastfeeding rate up to 6 completed months of age was found in only 24.4% cases and it was more in educated mothers. Continued breast feeding rate was 34.5% in 19 - 24 months age group of children. About 24% mothers started complementary feeding timely at 6 completed months of age and about 50% mothers started early before 6 months. Most common complementary foods were carbohydrate rich cooked suji, barley or rice powder mixed with either cow's milk or powdered milk. Only 18.5% mother gave khichuri as a complementary food. Bottle feeding was still higher and it was 59.3% cases. In this study, 17.4% children were severely underweight and more than twenty four percent (24.4%) was severely stunted and 2.0% were severely wasted. Malnutrition was common in those children who were nonexclusively breast fed and start complementary feeding either early or late with carbohydrate rich food. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18774 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 14-20


Author(s):  
Sunil Shah ◽  
Jose Augusto R. Simoes

Background: Under nutrition being a major problem in Nepal, it is necessary to meet the minimum dietary standard which is essential for growth and development of young children, so promotion of infant and young child feeding practices among children is important intervention.Methods: A descriptive, cross sectional study was conducted among mothers of children of Bardia and Kailali districts of under 2 years and data was collected using the pre-tested questionnaire.Results: The study shows 30.3 percent of the mothers initiated breastfeeding within an hour of birth, 47.9 percent gave colostrums, 25.5 percent were practicing exclusive breastfeeding at 6 or more months,60 percent mothers fed anything else as prelacteal feed before breast feeding, 60 percent of mothers started complementary feeding between 3-6 months, 47.9 percent of mothers used anything from a bottle with a nipple yesterday or last night, 74.8 percent of mothers were currently breast feeding their children, 58 percent used iodized salt and 70.05 percent revealed that their child received Vit A within last six months.Conclusions: The present study showed that late initiation of breast feeding and practice of prelacteal feeds among home delivered mothers being high. The frequency of complementary feeding ranged was less and early/late weaning are still widely prevalent, use of bottle feeding is high, use of iodized salt is still low. There is a need to educate the mothers regarding proper infant/child feeding practices. 


2021 ◽  
Vol 8 (11) ◽  
pp. 1866
Author(s):  
Bibin Varghese ◽  
Mehul M. Gosai ◽  
Asha V. Patel ◽  
Akash Patel

Background: Suboptimal maternal–child nutrition leading to malnutrition is the major cause increasing morbidity and mortality from severe acute lower respiratory infection (ALRI) among under two children. This research compares the infant and young child feeding (IYCF) practices in children with ALRI and children coming for routine immunization to find out the independent risk factors.Methods: The study was a hospital-based case control study. Infant and young children from 6 months to two years with ALRI admitted to the pediatric ward were studied as cases. Infant and young children of same age coming for routine immunization to the pediatric immunization clinic were studied as controls. Feeding patterns, socio-demographic, environmental and parenting factors were obtained from them in between May 2019 to April 2020.Results: Mixed feeding till 6 months (adjusted OR=34.191; 95% CI, 2.158–541.801; p=0.012), early initiation of complimentary feeding (AOR=30.389; 95% CI, 1.426–647.603; p=0.029), late initiation of complimentary feeding (AOR=28.696; 95% CI, 1.217–676.566; p=0.037) and inadequate amount of complimentary feeding (AOR=14.406; 95% CI, 1.898–109.371; p=0.010) were significant in multivariate analysis.Conclusions: Interventions to increase awareness of breastfeeding and complimentary feeding practices seldom reach lower sections of the society. Feeding visits, mother support groups and community projects to provide home based counselling on IYCF are needed to improve the situation.


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.


1998 ◽  
Vol 30 (4) ◽  
pp. 481-499 ◽  
Author(s):  
DANIEL W. SELLEN

Breast-feeding and weaning practices were observed for a cohort of 81 children under 3 years of age in the context of a longitudinal study of social, ecological and nutritional factors affecting growth in a semi-nomadic population of pastoralists in northern Tanzania (WaDatoga of Mbulu District). The adequacy of indigenous infant and young child feeding practices was assessed in relation to current international recommendations. Objectives were to provide baseline data for future investigations of any changes in young child feeding practices which accompany population shifts towards settlement and non-pastoral modes of subsistence, and to improve understanding of the strengths and limitations of indigenous feeding practices in this type of population. It was found that while breast-feeding was universally initiated, other aspects of young child feeding practices do not meet current international recommendations. Prelacteal feeds are commonly used, supplementary feeding with non-human milks usually occurs before 4 months of age, use of solid foods normally begins later than 6 months, and breast-feeding does not continue until 2 years of age for the majority of children. The data have implications for the design of breast-feeding promotion and improved weaning food interventions among African pastoralists.


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.


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