scholarly journals An Integrated Micronutrient Powder Intervention Improved IYCF Practices Among Caregivers of Children 6–23 Months in Eastern Uganda (P10-131-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nicole Ford ◽  
Laird Ruth ◽  
Sarah Ngalombi ◽  
Abdelrahman Lubowa ◽  
SIti Halati ◽  
...  
Keyword(s):  
Vitamin A ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Household Wealth ◽  
Bottle Feeding ◽  
World Health ◽  
Double Difference ◽  
Household Food Security ◽  
Micronutrient Powder ◽  
Eastern Uganda

Abstract Objectives We evaluated the impact of an integrated infant and young child feeding (IYCF) – micronutrient powder intervention on IYCF practices among caregivers of children 12–23 mo in Eastern Uganda. Methods We used pre-/post- data from two population-based, cross-sectional surveys representative of children aged 12–23 mo in Amuria (intervention) and Soroti (non-intervention) districts. Caregivers were interviewed in June/July at baseline 2015 (N = 1260) and 12 mo after implementation in 2016 (N = 1490) about their IYCF practices the day preceding the survey. Logistic regression estimated the double-difference effect of the intervention on core World Health Organization (WHO) IYCF indicators: child ever breastfed, current breastfeeding, bottle feeding, complementary foods introduced at age 6 mo, consumption of vitamin A-rich fruits or vegetables, consumption of animal-flesh foods, minimum meal frequency (MMF) (received food ≥3 times for breastfed children and ≥4 times for non-breastfed children), minimum dietary diversity (MDD) (received foods from ≥4 of 7 WHO food groups), and minimum acceptable diet (MAD) (MDD and MMF among breastfed children, and ≥2 milk feeds, MDD not including milk feeds, and MMF among non-breastfed children). Analyses were weighted and accounted for complex sampling design. Results After controlling for child age and sex, household wealth, household food security, and caregiver education, the intervention was positively associated with MMF (Adjusted Prevalence Difference-in-Difference [APDiD] 18.6%; 95% Confidence Interval [CI] 11.2, 26.0) and MAD (APDiD 5.6%; 95% CI 0.02, 11.2). The intervention was associated with 21.8% higher prevalence of timely introduction of complementary feeding (95% CI 13.4, 30.1) and with increased consumption of both vitamin A-rich fruits/vegetables (APDiD 23.5%; 95% CI 12.5, 34.5) and animal-flesh foods (APDiD 9.1%; 95% CI 1.5, 16.7). The intervention did not affect breastfeeding or bottle feeding practices. Despite program impact, prevalence of some IYCF practices were low in Amuria at endline including MAD (19%) and MMF (21%). Conclusions The integrated IYCF intervention had a positive impact on many core WHO IYCF practices; however, low endline prevalence of some indicators suggests a continued need to improve complementary feeding practices in Eastern Uganda. Funding Sources Funding or in kind technical support provided by the Ministry of Health Uganda, World Food Programme, and the U.S. Centers for Disease Control and Prevention (CDC).

scholarly journals An Integrated Enhanced Infant and Young Child Feeding (IYCF) and Micronutrient Powder Intervention Improved Select IYCF Practices Among Caregivers of Children Aged 12–23 Months in Eastern Uganda

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Nicole D Ford ◽  
Laird J Ruth ◽  
Sarah Ngalombi ◽  
Abdelrahman Lubowa ◽  
Siti Halati ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Household Wealth ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Micronutrient Powder ◽  
Infant And Young Child ◽  
The Impact ◽  
Eastern Uganda

ABSTRACT Background There is little evidence of the impact of integrated programs distributing nutrition supplements with behavior change on infant and young child feeding (IYCF) practices. Objective We evaluated the impact of an integrated IYCF/micronutrient powder intervention on IYCF practices among caregivers of children aged 12–23 mo in eastern Uganda. Methods We used pre-post data from 2 population-based, cross-sectional surveys representative of children aged 12–23 mo in Amuria (intervention) and Soroti (nonintervention) districts (n = 2816). Caregivers were interviewed in June/July at baseline in 2015 and 12 mo after implementation in 2016. We used generalized linear mixed models with cluster as a random effect to calculate the average intervention effect on receiving IYCF counseling, ever breastfed, current breastfeeding, bottle feeding, introducing complementary feeding at age 6 mo, continued breastfeeding at ages 1 and 2 y, minimum meal frequency (MMF), minimum dietary diversity, minimum acceptable diet (MAD), and consumption of food groups the day preceding the survey. Results Controlling for child age and sex, household wealth and food security, and caregiver schooling, the intervention was positively associated with having received IYCF counseling by village health team [adjusted prevalence difference-in-difference (APDiD): +51.6%; 95% CI: 44.0%, 59.2%]; timely introduction of complementary feeding (APDiD: +21.7%; 95% CI: 13.4%, 30.1%); having consumed organs or meats (APDiD: +9.0%; 95% CI: 1.4%, 16.6%) or vitamin A–rich fruits or vegetables (APDiD: +17.5%; 95% CI: 4.5%, 30.5%); and MMF (APDiD: +18.6%; 95% CI: 11.2%, 25.9%). The intervention was negatively associated with having consumed grains, roots, or tubers (APDiD: −4.4%; 95% CI: −7.0%, −1.7%) and legumes, nuts, or seeds (APDiD: −15.6%; 95% CI: −26.2%, −5.0%). Prevalences of some IYCF practices were low in Amuria at endline including MAD (19.1%; 95% CI :16.3%, 21.9%). Conclusions The intervention had a positive impact on several IYCF practices; however, endline prevalence of some indicators suggests a continued need to improve complementary feeding practices.

scholarly journals Ineffective Feeding Practices and Their Effect on Malocclusion: A Narrative Review

2021 ◽  
Author(s):  
Pratima R. Mokashi ◽  
Srikala Bhandary
Keyword(s):  
Positive Impact ◽  
Meta Analysis ◽  
Normal Growth ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Narrative Review ◽  
World Health ◽  
Original Research ◽  
Nutritive Sucking

Abstract Objective The aim of this narrative review is to highlight the association of ineffective feeding practices with the development of malocclusion in children and the role of a pediatric dentist in identifying the cues and signs of improper feeds, and encourage effective breastfeeding practices. Introduction There has been an ongoing debate on the role of effective breastfeeding in the prevention of malocclusion. Although no specific claim supports the positive impact of the same, a detailed reviewing of the literature helps to identify the method of feeding to be chosen considering health benefits and personal preference. Materials and Methods A broad search of all resources linked to the topic was performed in PubMed, Medline, World Health Organization web site, government web sites, and Google Scholar search engine. Keywords used in the search included breastfeeding, ineffective breastfeeding, bottle feeding, pacifier, and malocclusion. A total of 60 articles published in the period from 2000 to 2019 were segregated. Selected articles comprised original research, meta-analysis, and systematic reviews. Results Parameters such as duration, posture, and non-nutritive sucking habits had an impact on effective breastfeeding. Discussion Effective breastfeeding and maintaining appropriate posture and duration helps to positively impact the normal growth and development of the jaws, muscular functioning, and speech. Thereby, the risk of developing malocclusion in primary dentition can be prevented. Conclusion An understanding of the role of breastfeeding and malocclusion will help in the early intervention and prevention of malocclusion and deviated muscular function. Highlighting the role of counseling and effective feeding practices is also an area that should be focused upon by budding clinicians.

scholarly journals Magnitude and Factors Associated with Optimal Complementary Feeding Practices among Children Aged 6-23 Months in Bensa District, Sidama Zone, South Ethiopia

1970 ◽  
Vol 29 (2) ◽  
Author(s):  
Muntasha Birhanu ◽  
Teferi Abegaz ◽  
Rekiku Fikre
Keyword(s):  
Food Security ◽  
Service Utilization ◽  
Odds Ratio ◽  
Postnatal Care ◽  
Complementary Feeding ◽  
Care Service ◽  
Feeding Practices ◽  
Household Food Security ◽  
Factors Associated ◽  
Household Food

BACKGROUND: Prevalence of optimal complementary feeding practices are lower than expected. Undernutrition contributes 35% of children mortality. Our study was aimed to assess magnitude and factors associated with optimal complementary feeding practices among children 6-23 months in Bensa Dstrict, Sidama Zone, South Ethiopia, 2016.METHOD: A community based cross sectional study was conducted from January to February 2016 in (8) randomly selected kebles found in Bensa District. Respondents were selected by using simple random sampling technique after sampling frame was prepared from rapid survey. Pre-tested questionnaire was used to collect information. Then, data were entered into SPSS version 20, Then, crude odds ratio (COR) and adjusted odds ratio (AOR) with 95% confidence interval were computed to examine statistical significance.RESULT: This study revealed that only 8.6% (95%CI: 6.4, 10.7%) of 6-23 months children had optimal complementary feeding practices. Mother’s knowledge on optimal complementary feeding (AOR=5.4, 95%CI: 2.7, 11), postnatal care service utilization(AOR=3.4, 95%CI: 1.7, 7), and household food security (AOR=5, 95%CI: 2.5, 10.5) were positively associated with optimal complementary feeding practices.CONCLUSION: Mother’s knowledge, postnatal care utilization and household food security positively affected optimal complementary feeding practices.Thus, Bensa District Health Office, Sidama Zone Health Departiment and other respective stakeholders should cooperatively work to enhance knowledge of mothers/care takers on optimal complementary feeding practices, household food security and on advantages of postnatal care service utilization.

scholarly journals Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

2018 ◽  
Vol 7 (2) ◽  
pp. 25
Author(s):  
Amegovu K. Andrew ◽  
Peter Yiga ◽  
Kuorwel K. Kuorwel ◽  
Timothy Chewere
Keyword(s):  
Vitamin A ◽  
Energy Content ◽  
Severe Acute Malnutrition ◽  
Essential Fatty Acids ◽  
High Energy ◽  
Acute Malnutrition ◽  
World Health ◽  
Home Based ◽  
North Eastern ◽  
Eastern Uganda

World over, we are still struggling with persistent acute malnutrition levels; an estimated 17 million preschool children suffer from SAM, roughly the same figures as reported in 2013, a trend depicting insufficient progress towards the 2025 World Health Assembly. One such affected area is Karamoja Region in North Eastern Uganda. Partly, the trend could be attributed to unsustainable interventions like RUTF. Formulas from locally available foods could provide not only an affordable but also a culturally acceptable and effective home based solution.   Locally available sorghum, peanut, honey and ghee in North Eastern Uganda, is such a potential local formula. The nutritional and anti-nutritional profile of this local formula(metu2) was compared to plumpy-nut. Standard official analytical methods were used. Proximate composition was comparable and within the WHO recommendations for therapeutic formulas. Local formula(metu2) had a comparatively high energy content, 528kcal/100g to 509kcal in plumpynut. Vitamin A and K contents were below the WHO recommendations in local formula while Na, Mg and essential fatty acids were comparable and within the contents needed for SAM recovery. Zn was comparatively higher in plumpy-nut but levels in both formulas were below the recommendations. Trypsin inhibitors, phytates and condensed tannins were higher in local formula while aflatoxins were within the limits but not for plumpynut. Though lacking in critical K, Zn and Vitamin A, local formula(metu2) was comparable to plumpy-nut and its efficacy to sustain recovery from SAM needs to be studied. 

ANALISIS PENGELUARAN PANGAN, KETAHANAN PANGAN DAN ASUPAN ZAT GIZI ANAK BAWAH DUA TAHUN (BADUTA) SEBAGAI FAKTOR RISIKO STUNTING

2020 ◽  
Vol 9 (1) ◽  
pp. 71-80
Author(s):  
Eta Aprita Aritonang ◽  
Ani Margawati ◽  
Fillah Fithra Dieny
Keyword(s):  
Food Security ◽  
Vitamin A ◽  
Case Control ◽  
World Health ◽  
Household Food Security ◽  
Z Score ◽  
Chi Square ◽  
Food Frequency ◽  
Household Food ◽  
Health Organization

Latar Belakang : Beberapa faktor yang mempengaruhi terjadinya stunting anak usia 6-24 bulan antara lain kurangnya asupan zat gizi, penyakit infeksi, lingkungan, sosial ekonomi keluarga dan riwayat kehamilan ibu. Penelitian ini bertujuan menganalisis proporsi pengeluaran pangan rumah tangga, ketahanan pangan, dan asupan zat gizi sebagai faktor risiko terjadinya stunting usia 6-24 bulan.Metode : Penelitian ini menggunakan desain case-control dengan masing-masing kelompok kasus (stunting) dan kontrol (tidak stunting) berjumlah 24 sampel yang diambil menggunakan purposive sampling pada anak usia 6-24 bulan yang berada di Semarang Utara. Stunting diukur berdasarkan z-score tinggi badan menurut umur (TB/U) dianalisis dengan software World Health Organization (WHO) Anthro. Data yang diambil yaitu berat badan lahir, panjang badan lahir, tingkat pendidikan ibu, pendapatan keluarga dan pengeluaran rumah tangga. Data riwayat asupan energi, protein, vitamin A dan seng selama 1 tahun diperoleh dengan menggunakan Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Data ketahanan pangan diperoleh dengan menggunakan kuisioner Household Food Security Scale Module (HFSSM). Data dianalisis dengan menggunakan uji Chi Square dan analisis regresi logistik.Hasil : Baduta stunting lebih banyak mengalami kerawanan pangan rumah tangga (79,2%), riwayat kekurangan asupan protein (70,8%), vitamin A (75%) dan seng (66,7%) dibandingkan dengan anak yang tidak stunting. Ketahanan pangan rumah tangga (OR=6,9), riwayat asupan protein (OR=8,6), vitamin A (OR=20,6) dan seng (OR=8,7) merupakan faktor yang paling berisiko terhadap kejadian stunting pada baduta usia 6-24 bulan (p<0,05).Simpulan: Kerawanan pangan rumah tangga, kurangnya asupan protein, vitamin A dan seng merupakan faktor yang berisiko meningkatkan kejadian stunting pada baduta usia 6-24 bulan.

scholarly journals Nutrient intakes from complementary foods consumed by young children (aged 12–23 months) from North Wollo, northern Ethiopia: the need for agro-ecologically adapted interventions

2012 ◽  
Vol 16 (10) ◽  
pp. 1741-1750 ◽  
Author(s):  
Kaleab Baye ◽  
Jean-Pierre Guyot ◽  
Christèle Icard-Vernière ◽  
Claire Mouquet-Rivier
Keyword(s):  
Young Children ◽  
Vitamin A ◽  
Vitamin C ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Grass Pea ◽  
Nutrient Intakes ◽  
Complementary Foods ◽  
Broad Beans ◽  
North Wollo

AbstractObjectiveTo characterize current feeding practices and to evaluate the adequacy of energy and nutrient intakes of young children in subsistence farming rural households in North Wollo, Ethiopia.DesignA cross-sectional study examining sociodemographic status, anthropometry, breast-feeding and complementary feeding practices using two in-home non-consecutive 24 h recalls.SettingsTwo rural villages in the highlands and lowlands of Gobalafto district, North Wollo.SubjectsSeventy-six young children aged 12–23 months, thirty-nine from the lowlands and thirty-seven from the highlands.ResultsAbout 33 % of the children, ∼46 % in the highlands and 24 % in the lowlands (P = 0·05), were stunted. Complementary diets were low in animal products, fruits and vegetables. Cereals and legumes were the major sources of energy, protein, Ca, Fe, Zn and vitamin A. Legumes with potentially toxic components (grass pea, broad beans) and low nutrient-dense beverages such as tea were frequently consumed. Intakes of energy, Ca, Zn, vitamin A and vitamin C from complementary foods were below WHO recommendations assuming average breast-milk intakes. In contrast, Fe and protein intakes and densities met WHO recommendations. Although vitamin C intakes and densities were higher (P < 0·05) for the lowlands, they remained far below WHO recommendations.ConclusionsInterventions promoting the WHO guiding principles for complementary feeding practices and behaviours that take the agro-ecological contexts into account are needed here. Furthermore, specific recommendations should be formulated to discourage the consumption of grass pea, broad beans and low nutrient-dense beverages such as tea.

scholarly journals Infant and Young Child Feeding Practices upto Two Years of Age and Their Nutritional Status

2014 ◽  
Vol 41 (1) ◽  
pp. 14-20 ◽  
Author(s):  
M Salim ◽  
SA Mita ◽  
MN Uddin ◽  
NWB Jahan ◽  
MZ Ali ◽  
...  
Keyword(s):  
Young Child ◽  
Nutritional Status ◽  
Breast Feeding ◽  
Feeding Rate ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices

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

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 Dietary determinant of severe acute malnutrition among infants: Evidence from a case controlled study at a Central Indian district

2016 ◽  
Vol 6 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Pavan Pandey ◽  
Shivendra Kumar Singh
Keyword(s):  
Complementary Feeding ◽  
Severe Acute Malnutrition ◽  
Sampling Strategy ◽  
Feeding Practices ◽  
Acute Malnutrition ◽  
World Health ◽  
Controlled Study ◽  
P Value ◽  
Health Organization ◽  
And Control

Breast feeding and complementary feeding practices ultimately determine the nutritional status of newborn at the end of infancy. The objective of the present study was to find the possible causes of malnutrition in context of breastfeeding and complementary feeding practices adopted by families of infants aged 6-12 month old. A community-based, unmatched, case-controlled study was conducted involving 78 cases and 156 controls in the Raisen district of Madhya Pradesh, India. The study included infants aged 6- 12 months who were enrolled in the Integrated Child Development Scheme. Cases and controls were selected through a multi-staged sampling strategy. Cases were those with severe acute malnutrition and controls were those with no malnutrition as per the World Health Organization criteria. Data related to the breastfeeding, pre-lacteal feeding and complementary feeding practices were collected using a pre-tested questionnaire. Descriptive and bivariate analyses were carried out. P-value and Odds ratios were calculated. The proportion of exclusive breastfeeding among cases and control was 10.3% and 24.4% respectively. The high odds of malnutrition were related to lack of exclusively breastfeeding [COR(95% CI) = 4.69(2.50- 6.53)], lack of feeding semisolid food, less frequent complementary feedings [COR(95% CI) = 5.69(3.01- 8.93)], lack of hand washing by caregivers [COR(95% CI) =2.44 (1.10-3.19)], and lack of use of disinfected drinking water for infants. Proper health education should be imparted not only to mothers but also other family members involved in the child’s care.South East Asia Journal of Public Health Vol.6(1) 2016: 32-39

scholarly journals A study on complementary feeding practices among mothers in urban and rural areas

2018 ◽  
Vol 5 (3) ◽  
pp. 1162
Author(s):  
Sandhya Rani Javalkar ◽  
Radha Y. Aras
Keyword(s):  
Breast Milk ◽  
Rural Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Full Potential ◽  
Cross Sectional ◽  
Urban And Rural Areas

Background: Adequate nutrition during infancy and early childhood is essential to ensure the growth, health, and development of children to their full potential. Complementary feeding is a process starting when breast milk alone is no longer sufficient to meet the nutritional requirements of infants, and therefore other foods and liquids are needed, along with breast milk. The objective was to study complementary feeding practices and the various factors influencing them in urban and rural areas.Methods: A community based cross sectional study was conducted in Urban and Rural area of Mangalore Taluk. Data was collected by interview method among 408 mothers using a predesigned pretested questionnaire, information regarding demographic profile, socio-economic status, complementary feeding practices, etc was collected.Results: As many as 186 (45.3%) i.e., 129/186 (69.3%) mothers in the rural area and 57/186 (30.6%) mothers in urban area started complementary feeds at the age of 6 months. The most common food preferred as complementary food was combination of rice and dal together. The number of meals per day given to the child varied from 2-4/day. The number of snacks given per day to the child varied from 1-4 /day; commonly preferred snacks were Biscuits both in urban and rural areas Bottle feeding was practiced by 181 (44.4%) of the mothers, that included 113/181 (62.4%) from rural area and 68/181 (37.5%) from urban area.Conclusions: Poor complementary feeding practices were observed both in rural and urban areas. Family member’s advice, poor knowledge and influence of baby food marketing strategies have resulted in inappropriate practices.

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