Association between iron deficiency anaemia and complementary feeding in children under 2 years assisted by a Conditional Cash Transfer programme

2020 ◽  
pp. 1-11
Author(s):  
Marília Moura e Mendes ◽  
Giovana de Montemor Marçal ◽  
Manuela Di Guaraldi Mafra Fragoso ◽  
Telma Maria de Menezes Toledo Florêncio ◽  
Nassib Bezerra Bueno ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Complementary Feeding ◽  
Public Health Problem ◽  
Conditional Cash Transfer ◽  
Bottle Feeding ◽  
Cash Transfer ◽  
Measurement Scale ◽  
Food Groups ◽  
Cross Sectional ◽  
Deficiency Anaemia

Abstract Objective: To evaluate the association between Fe deficiency anaemia (IDA) and complementary feeding in children under 2 years old assisted by the Conditional Cash Transfer programme, Bolsa Família (BFP). Design: Cross-sectional study. Data were obtained through a standardised form, questionnaire to assess the eating habits of children under 2 years of age, capillary Hb (HemoCue®) and the Brazilian Household Food Insecurity Measurement Scale. Associations were calculated using hierarchical Poisson regression, adjusted at the last level by socio-economic, demographic and environmental variables from previous hierarchical levels. Setting: Six municipalities from the State of Alagoas, Brazil. Participants: Children aged 6–24 months assisted by BFP. Results: A total of 1604 children were evaluated, among whom 58·1 % had anaemia. A higher number of food groups consumed (prevalence ratio (PR) = 0·97; 95 % CI 0·95, 0·99; P = 0·009), the consumption of dairy (PR = 0·86; 95 % CI 0·79, 0·84; P = 0·001) and meat (PR = 0·90; 95 % CI 0·83, 0·99; P = 0·030) in addition to bottle feeding (PR = 0·88; 95 % CI 0·82, 0·96; P = 0·004) were associated with a lower prevalence of IDA. Conclusions: IDA is still a serious public health problem in children under 2 years old assisted by BFP in Alagoas. We highlight the importance of promoting complementary feeding based on a diversified dietary intake, as well strengthening prophylactic supplementation programmes to increase children’s adherence in conjunction with the implementation of food and nutrition education to help reduce the prevalence of this condition.

scholarly journals Changes in food consumption among the Programa Bolsa Família participant families in Brazil

2010 ◽  
Vol 14 (5) ◽  
pp. 785-792 ◽  
Author(s):  
Juliana de Bem Lignani ◽  
Rosely Sichieri ◽  
Luciene Burlandy ◽  
Rosana Salles-Costa
Keyword(s):  
Food Consumption ◽  
Conditional Cash Transfer ◽  
Soft Drinks ◽  
Cash Transfer ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Bolsa Familia ◽  
Socio Economic Variables

AbstractObjectiveTo analyse changes and predictors of change in self-reported food intake among Brazilian families that benefitted from conditional cash transfer (CCT) implemented in the Programa Bolsa Família of the Brazilian Federal Government.DesignA cross-sectional survey.SettingThe study was conducted from September to October 2007 in a nationwide representative household sample of families included in the CCT. Socio-economic variables, perception of food consumption and food insecurity were evaluated via questionnaire, which was completed during face-to-face interviews.SubjectsFive thousand households were selected from the CCT registry.ResultsFamilies reported increased consumption of all food groups analysed, mainly cereals, processed foods, meat, milk and dairy, beans and sugar. The degree of dependence on income from the CCT was positively associated with increased self-reported intake of food items such as sugar and soft drinks. A Poisson regression revealed that the fourth quartile of CCT dependence demonstrated a twofold increase in the self-reported intake of soft drinks (relative risk (RR) = 2·3, 95 % CI 1·8, 2·9) and sugar (RR = 2·5, 95 % CI 2·1, 3·1) compared with the first quartile of CCT dependence.ConclusionsGreater purchasing power of poor families increases unhealthy food choices; thus public policies should emphasise the availability of healthy food.

scholarly journals Barriers of Appropriate Complementary Feeding Practices in Under – 2 Children

2016 ◽  
Vol 33 (4) ◽  
pp. 195-201 ◽  
Author(s):  
Shanjoy Kumar Paul ◽  
Sunirmal Roy ◽  
Quazi Rakibul Islam ◽  
Md Zakirul Islam ◽  
Md Akteruzzaman ◽  
...  
Keyword(s):  
Breast Milk ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Bottle Feeding ◽  
High Rate ◽  
Complementary Food ◽  
Complementary Foods ◽  
Cross Sectional

When breast milk is no longer enough to meet the nutritional needs of infants, complementary foods should be added to their diet. It is a very vulnerable period when malnutrition starts in many infants, contributing significantly to high prevalence of malnutrition in under-5 children world-wide. In Bangladesh, complementary feeding (CF) practices are not satisfactory. The objectives of the study were to look into the feeding patterns of under-2 children and to identify the causes which lead mothers/ caregivers to practice inappropriate CF. This cross-sectional study was done in the Pediatric department of Sir Salimullah Medical College Mitford Hospital, Dhaka and in a private chamber from a district town of Bangladesh from October, 2011 to December, 2011. Four hundred mother-child pairs were enrolled by non-random convenience sampling. Different aspects of feeding practices (age of initiation of CF, type of first complementary food, current main complementary food & its quantity, and frequency of CF) were analyzed. Bottle feeding, fast foods and lack of proper family support were most important barriers (p<0.05). High rate of early initiation of CF was mainly due to mothers’ perception that breast milk alone was not enough (81.8%) and main cause of late initiation was refusal of complementary foods by their babies (48.4%). Feeding practices were mainly influenced by relatives (25%), qualified doctors (15.3%), neighbors (14.5%) & mother-in-laws (13.5%). CF practices are still far from ideal. Strengthening of nutrition education to mothers/caregivers and family members/relatives along with awareness building in the community may change the wrong practices.J Bangladesh Coll Phys Surg 2015; 33(4): 195-201

scholarly journals Non-use of Janani Avam Bal Suraksha Yojana in a district of Bihar: ensuring safe deliveries needs strategy modification

2018 ◽  
Vol 5 (8) ◽  
pp. 3311 ◽  
Author(s):  
Madhumita Mukherjee ◽  
Rashmi Singh ◽  
Amrita Mukherjee ◽  
Madhulekha Bhattacharya
Keyword(s):  
Institutional Delivery ◽  
Conditional Cash Transfer ◽  
Home Delivery ◽  
Cash Transfer ◽  
Health Staff ◽  
Cross Sectional ◽  
Emergency Transport ◽  
The Status ◽  
Home Deliveries ◽  
One Year

Background: India’s Janany Surakhsha Yojana (JSY) is the largest conditional cash transfer (CCT) program in the world in terms of the number of beneficiaries - covering about 9·5 million (36%) of 26 million women giving birth in India. Eleven States/UTs including Bihar, are still below the National estimate for institutional delivery of 78.9% (NFHS 4). In this study we attempted to find out the status of institutional and home deliveries in district Arwal of Bihar and reasons why in spite of cash incentives a proportion of mothers are opting for home delivery.Methods: A cross sectional descriptive design was used to interview 407 women, who had given birth to a child in previous one year. Focuss group discussions was held with community and health staff to corroborate the interview data.Results: Fifty nine percent of mothers were found to have preferred home delivery over institutional one. Reasons which came to light were home deliveries are cheaper (24.1%), unawareness about JSY (22%), unavailability of transport to reach hospital (22%) and better care being taken at home delivery (20.1%) variables. Older age, having a BPL card, and literacy of husband were found as favoring institutional delivery whereas dissatisfaction during a previous abortion or a livebirth in hospital were both associated with non-use.Conclusions: Better client awareness, strengthening of public health infrastructure, availability of skilled birth attendants at health subcentres (HSCs) and emergency transport in time can reduce number of home deliveries and lead to success of JBSY programme and subsequent reduction in maternal morbidity and mortality.

Governmental programmes associated with food insecurity among communities of descendants of enslaved blacks in Brazil

2020 ◽  
pp. 1-11
Author(s):  
Camilla Christine de Souza Cherol ◽  
Aline Alves Ferreira ◽  
Rosana Salles-Costa
Keyword(s):  
Rural Development ◽  
Food Insecurity ◽  
Family Health ◽  
Secondary Data ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Measurement Scale ◽  
Logistic Regression Models ◽  
Bolsa Familia ◽  
Food And Nutritional Security

Abstract Objective: To assess the access to government programmes and their association with food insecurity (FI) in families from quilombolas communities in Brazil. Design: An analysis of secondary data from the 2011 Quilombolas Census was performed in Brazilian territories. The Brazilian Household Food Insecurity Measurement Scale (Escala Brasileira de Insegurança Alimentar, EBIA) was used to assess the household FI status. The relationships of governmental programmes with the levels of FI were estimated using logistic regression models. Setting: Greater national survey census of food and nutritional security of the recognised Quilombolas Brazilian territories. Participants: Totally, 8743 quilombolas families. Results: The prevalence of household FI was 86·1 % (moderate/severe FI: 55·9 %, 95 % CI 54·8, 56·9). After adjustment for socio-demographic variables, access to rural development programmes (Food Acquisition Program: OR: 0·6, 95 % CI 0·4, 0·8, P-value < 0·01) and health programmes (Center for Family Health Support: OR: 0·5, 95 % CI 0·5, 0·7, P-value < 0·001) is inversely and significantly associated with moderate/severe FI. The Brazilian conditional cash transfer programme (Bolsa Família) was associated with quilombolas families with moderate/severe levels of FI (OR: 3·3, 95 % CI 2·8, 4·0, P-value < 0·001). Conclusions: The prevalence of FI was high among quilombolas families. Despite reduced participation in governmental programmes, rural development, agriculture and conditional cash transfer programmes are fundamental to the autonomy of quilombolas communities. In spite of the low participation, when families are able to access these programmes, the study revealed the importance of these initiatives in reducing the likelihood of severe levels of FI.

scholarly journals Breastfeeding and infant/young child feeding in Nepal

2018 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
Sunil Shah ◽  
Jose Augusto R. Simoes
Keyword(s):  
Young Child ◽  
Breast Feeding ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Iodized Salt ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Child Feeding Practices

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. 

scholarly journals Individual and contextual predictors of children’s hemoglobin levels from Southern Brazilian municipalities in social vulnerability

2020 ◽  
Vol 36 (12) ◽  
Author(s):  
Débora Letícia Frizzi Silva ◽  
Doroteia Aparecida Höfelmann ◽  
Cesar Augusto Taconeli ◽  
Regina Maria Ferreira Lang ◽  
Camila Dallazen ◽  
...  
Keyword(s):  
Social Vulnerability ◽  
Linear Models ◽  
Conditional Cash Transfer ◽  
Hemoglobin Level ◽  
Cash Transfer ◽  
Transfer Program ◽  
Ecological Data ◽  
Cross Sectional ◽  
Significance Level ◽  
The Individual

Abstract: Few studies have investigated the simultaneous effect of individual and contextual factors on the occurrences of anemia. This study aims to evaluate the variability of children’s hemoglobin levels from municipalities in social vulnerability and its association with factors of individual and municipal nature. This is a cross-sectional, multi-center study, with children data (12-59 months) collected from 48 municipalities of the Southern region of Brazil, that were included in the Brazil Without Poverty Plan. Individuals’ data were collected using a structured questionnaire, and secondary and ecological data of children’s municipalities were collected via national surveys and institutional websites. The outcome was defined as the hemoglobin level obtained by HemoCue. A multilevel analysis was performed using Generalized Linear Models for Location Scale and Shape using R, with a 5% significance level. A total of 1,501 children were evaluated. The mean hemoglobin level was 12.8g/dL (95%CI: 12.7-12.8), with significant variability between municipalities. Lower values of hemoglobin were observed in children who lived in municipalities with a higher urbanization rate and a lower number of Community Health Agents, in relation to the reference categories. At the individual level, lower hemoglobin values were identified for children under 24 months, not enrolled at daycares, who were beneficiaries of the conditional cash transfer program and diagnosed with underweight. The results shed light on important factors at the municipal and the individual levels that were associated to the hemoglobin levels of children living in municipalities in social vulnerability.

scholarly journals Hubungan Riwayat Pemberian Makanan Pendamping ASI (MP-ASI) dengan Persepsi Perilaku Picky Eater pada Anak Usia 12-36 Bulan (Studi di Wilayah Kerja Sidotopo Surabaya)

2019 ◽  
Vol 3 (3) ◽  
pp. 171
Author(s):  
Arian Susanti Dewi Cahyani
Keyword(s):  
Random Sampling ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Simple Random Sampling ◽  
Food Allergies ◽  
School Age Children ◽  
Food Groups ◽  
Chi Square ◽  
Cross Sectional ◽  
History Of

Background : Pre-school age children often have picky eater behavior. Perception of picky eater usually describes as the strong preference of children for food, inadequate of dietary diversity, restrain of certain food groups and won’t try new food. One of factors that causes this behavior is history of complementary feeding.Objectives: This study purposes was to analyze correlation between history of complementary feeding and perception of picky eater behavior among children age 12-36 month oldMethods: This study was analytic observasional study with cross-sectional design. The research was conducted in Sidotopo Health Center Surabaya City. There were 75 children age 12-36 month old. The inclusion criteria are children who have no history of food allergies. Sample was chosen by simple random sampling. Data collected by interview using questionnaires included characteristics of children and mothers, history of complementary feeding and perceptions of picky eater behavior. The data was analyzed by chi-square test.Results: The result show that inappropriate history of complementary feeding in children was 66.7% and prevalensi perception of picky eater behavior in children was 48.7%. There was significant correlation between history of complementary feeding and perception of picky eater behavior (p<0.001). Conclusions : There was a relationship between history of complementary feeding and perceptions of picky eater behavior among children age 12-36 month. Children with inappropriate history of complementary feeding tend to have picky eater behavior.ABSTRAKLatar Belakang : Anak usia pra-sekolah sering mengalami perilaku picky eater. Persepsi perilaku picky eater digambarkan bahwa anak cenderung memiliki preferensi makanan yang kuat, konsumsi makanan yang kurang beragam, membatasi asupan beberapa kelompok makanan tertentu dan tidak mau mencoba makanan baru. Salah satu faktor yang melatarbelakangi picky eater adalah riwayat pemberian Makanan Pendamping ASI (MP-ASI).Tujuan : Tujuan dari penelitian ini untuk menganalisis hubungan riwayat pemberian MP-ASI dengan persepsi perilaku picky eater pada anak usia 12-36 bulan.Metode : Jenis penelitian ini merupakan observasional analitik menggunakan desain penelitian cross-sectional. Penelitian ini dilaksanakan di wilayah kerja Puskesmas Sidotopo Surabaya. Sampel penelitian sebesar 78 anak berusia 12-36 bulan. Kriteria inklusi yang ditetapkan adalah anak tidak memiliki riwayat alergi makanan. Pengambilan sampel dengan menggunakan teknik simple random sampling. Pengumpulan data dengan wawancara menggunakan kuesioner meliputi karakteristik anak dan ibu, riwayat pemberian makanan pendamping ASI (MP-ASI) dan persepsi perilaku picky eater. Data dianalisis dengan menggunakan uji statistik Chi-Square.Hasil :  Hasil penelitian menunjukkan bahwa riwayat pemberian MP-ASI pada anak sebagian besar tidak sesuai yaitu 66,7% dan prevalensi persepsi perilaku picky eater pada anak sebesar 48,7%. Terdapat hubungan antara riwayat pemberian MP-ASI dengan persepsi perilaku picky eater (p<0,001).Kesimpulan : Terdapat hubungan antara riwayat pemberian MP-ASI dengan persepsi perilaku picky eater pada anak usia 12-36 bulan. Anak dengan riwayat pemberian MP-ASI yang tidak sesuai cenderung memiliki perilaku picky eater.

scholarly journals Dietary diversity practice and associated factors among adolescent girls in Dembia district, northwest Ethiopia, 2017

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Kedir Abdela Gonete ◽  
Amare Tariku ◽  
Sintayehu Daba Wami ◽  
Temesgen Yihunie Akalu
Keyword(s):  
Adolescent Girls ◽  
Technical Assistance ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Major Public Health Problem ◽  
Food Groups ◽  
Binary Logistic Regression Model ◽  
Cross Sectional

Abstract Background Dietary diversity is defined as the number of food groups or items consumed over a reference period, and usually, it is a problem in developing countries including Ethiopia. Inadequate dietary diversity is one of a major public health problem and can result in physical, emotional, and psychological changes among adolescents. However, studies on dietary diversity among school children were very limited. Hence, this study aimed at determining dietary diversity practices and factors among adolescents in Dembia district. Methods A school-based cross-sectional study was conducted from March 1 to April 15, 2017, at Dembia district, northwest Ethiopia. A total of 474 study subjects were selected using the multi-stage sampling technique. A structured and pre-tested questionnaire was used to collect the data. Dietary diversity was measured through standard tool adopted from Food and Nutrition Technical Assistance (FANTA) 2016 using the 24-h recall method. A multivariable binary logistic regression model was employed to identify factors associated with a diversified diet. Result This study illustrated that 32.3% (95% CI 27.9–36.8) of the adolescents had adequate dietary diversity. Inadequate dietary diversity was significantly associated with being Muslim (AOR = 0.3; 95% CI 0.1–0.7), self-employment (AOR = 0.3; 95% CI 0.1–0.9), middle (AOR = 0.5; 95% CI 0.3–0.8) and high wealth category (AOR = 0.3; 95% CI 0.2–0.6), and underweight (AOR = 3.5; 95% CI 1.3–9.5). Conclusion The findings of this study showed that only one-third of adolescent girls have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents.

Designing and implementing at-scale programs to improve complementary feeding

2020 ◽  
Vol 78 (Supplement_2) ◽  
pp. 62-70 ◽  
Author(s):  
Edward A Frongillo
Keyword(s):  
Large Scale ◽  
Complementary Feeding ◽  
Conditional Cash Transfer ◽  
Lessons Learned ◽  
Cash Transfer ◽  
Transfer Program ◽  
Public Health Strategy ◽  
Health Strategy ◽  
Conditional Cash Transfer Program ◽  
Do So

Abstract Advancing knowledge about how to improve complementary feeding at large scale is a high priority. This article identifies strategies for designing and implementing programs to improve complementary feeding at large scale, drawing on lessons learned from three initiatives: Alive & Thrive, which implemented large-scale programs in 3 countries; a low-burden intervention in Mexico that used scripted messages; and Estrategia Integral de Atención a la Nutrición, which is introducing large-scale programs tied to Mexico’s conditional cash transfer program. These initiatives illustrate different ways of designing and implementing large-scale programs, with lessons about the importance of having partnerships and alliances; well-grounded understanding from research; a public health strategy; scalable program modes and elements; using existing systems where possible; monitoring, learning, and evaluating; and adopting a model aimed at successfully implementing programs at scale. Improving complementary feeding globally is challenging because of the complex behaviors involved, and the development of specific programs geared to complementary feeding is necessary. Designing and implementing such specific programs at large scale is achievable with the intention, commitment, appropriate strategies, and financial support to do so from the outset.

Association between the consumption of ultra-processed foods and the practice of breast-feeding in children under 2 years of age who are beneficiaries of the conditional cash transfer programme, Bolsa Família

2020 ◽  
pp. 1-9 ◽  
Author(s):  
Giovana de Montemor Marçal ◽  
Marília Moura e Mendes ◽  
Manuela Di Guaraldi Mafra Fragoso ◽  
Telma Maria de Menezes Toledo Florêncio ◽  
Nassib Bezerra Bueno ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Conditional Cash Transfer ◽  
Cross Sectional Study ◽  
Cash Transfer ◽  
Processed Foods ◽  
Cross Sectional ◽  
Adequate Diet ◽  
Bolsa Familia

Abstract Objective: To evaluate the association between the consumption of ultra-processed foods (UPF) and the practice of breast-feeding in children under 2 years of age assisted by the conditional cash transfer programme, Bolsa Família Programme (PBF). Design: A cross-sectional study. The consumption of UPF and the practice of breast-feeding were assessed using a structured 24-h recall. Associations were calculated using hierarchical Poisson regression, adjusted at the last level by socio-economic, demographic and environmental variables from previous hierarchical levels. Setting: Six counties from the state of Alagoas, Brazil. Participants: Children aged 6−24 months, assisted by PBF. Results: A total of 1604 children were evaluated, 11·7% of whom were overweight, and most had consumed UPF (90·6%) in the last 24 h. The most consumed UPF were biscuits, chocolate milk and baby food with 74·8, 66·8 and 24·9%, respectively. Through multivariable analysis, an association was found between lower consumption of UPF in the continuation of breast-feeding until the second year of life (prevalence ratio (PR) 0·91, 95 % CI 0·86, 0·96) and in the first year of life (PR 0·93, 95 % CI 0·88, 0·99). Conclusions: It was found that the studied population had a high consumption of UPF, which harmed continued breast-feeding. We highlight the importance of strengthening public policies aimed at the promotion, protection and support of breast-feeding and healthy complementary feeding aimed at populations that have difficulties in physical and economic access to a healthy and adequate diet.

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