scholarly journals Examining the Exposure, Timing, and Frequency of Interpersonal Communication Contacts to Improve Infant and Young Child Feeding in Bangladesh, Ethiopia, and Vietnam (P10-138-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sunny Kim ◽  
Phuong Nguyen ◽  
Lan Tran ◽  
Silvia Alayon ◽  
Purnima Menon ◽  
...  
Keyword(s):  
Young Child ◽  
Interpersonal Communication ◽  
Exclusive Breastfeeding ◽  
Large Scale ◽  
Food Policy ◽  
Dietary Diversity ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Behavior Change Interventions ◽  
Infant And Young Child

Abstract Objectives In the context of large-scale interventions to improve infant and young child feeding (IYCF) practices, we examined differences in characteristics of those exposed and not exposed to interventions; exposure to interpersonal communication (IPC), including overlap with other interventions and timing and number of contacts; and relationship between frequency of IPC contacts and IYCF practices. Methods We used endline survey data from Bangladesh (2000 mothers with children <2y, 1000 per program group), Ethiopia (1720 mother with children aged 6–23.9 mo, 1360 per group), and Vietnam (2005 mothers with children <2y, 1000 per group). Regression models were used to test differences in exposure to specific or combined interventions between two arms and relationships between the frequency of IPC contacts or exposure to interventions and IYCF practices, adjusted for child age and sex and geographic clustering. Results Those exposed to interventions had higher socioeconomic status, food security, and maternal dietary diversity. There was large overlap in exposure to IPC with other interventions in intensive-intervention areas in all 3 countries. On average, mothers received 8 visits in the last 6 mo, 2 visits in the last 3 mo, and 1 visit in the last 6 mo in Bangladesh, Ethiopia, and Vietnam respectively. In Bangladesh, there was a positive, nonsignificant association between intervention exposure and IYCF practices in intensive areas. In Ethiopia, exposure to IPC with other interventions was associated with higher odds of minimum meal frequency (OR: 1.6), minimum dietary diversity (OR: 1.8), and consumption of iron-rich foods (OR: 4.7). In Vietnam, exposure to IPC alone or with mass media was associated with 3.7 and 2.8 higher odds respectively of exclusive breastfeeding. At least monthly visits was associated with higher odds of IYCF practices in Bangladesh and Ethiopia. In Vietnam, any number of IPC visits was associated with 2 times higher odds of exclusive breastfeeding. Conclusions Effects of combined behavior-change interventions and frequency of IPC contacts may be context-specific. Funding Sources Bill & Melinda Gates Foundation, through Alive & Thrive, managed by FHI 360; and CGIAR Research Program on Agriculture for Nutrition and Health (A4NH), led by the International Food Policy Research Institute.

scholarly journals Different Combinations of Behavior Change Interventions and Frequencies of Interpersonal Contacts Are Associated with Infant and Young Child Feeding Practices in Bangladesh, Ethiopia, and Vietnam

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Sunny S Kim ◽  
Phuong Hong Nguyen ◽  
Lan Mai Tran ◽  
Silvia Alayon ◽  
Purnima Menon ◽  
...  
Keyword(s):  
Young Child ◽  
Mass Media ◽  
Behavior Change ◽  
Dietary Diversity ◽  
Child Feeding ◽  
Factors Associated ◽  
Young Child Feeding ◽  
Behavior Change Interventions ◽  
Infant And Young Child ◽  
The Impact

ABSTRACT Background Social and behavior change communication interventions are integral to improving dietary and care practices, but evidence on the impact of the combination and intensity of these interventions in different contexts is scarce. Objectives We examined the extent of and factors associated with intervention exposure: interpersonal communication (IPC) alone or with other interventions (i.e., mass media, community mobilization, or nutrition-sensitive agricultural activities), number of and factors associated with IPC contacts, and combinations of intervention components and number of contacts associated with infant and young child feeding (IYCF) practices. Methods We used endline survey data from impact evaluations in Bangladesh, Ethiopia, and Vietnam (n = 1001, 1720, and 1001 mothers with children aged &lt;2 y, respectively). Multivariable regression models were used for analyses. Results Exposure to the interventions varied in all 3 countries. On average, mothers received 8 visits in the last 6 mo in Bangladesh, 2 visits in the last 3 mo in Ethiopia, and 1 visit in the last 6 mo in Vietnam. Across countries, the factors associated with intervention exposure and number of IPC contacts differed. In Ethiopia, exposure to IPC with other interventions was associated with higher odds of achieving minimum meal frequency (OR: 1.6), minimum dietary diversity (OR: 1.8), and consumption of iron-rich foods (OR: 4.7). In Vietnam, exposure to IPC alone or with mass media was associated with higher odds of exclusive breastfeeding (EBF; OR: 2.8–3.7). Near-monthly visits were associated with 2–3 times higher odds of IYCF practices in Bangladesh and Ethiopia. In Vietnam, even 1 IPC visit was associated with 2 times higher odds of EBF. Conclusions Exposure matters for impact, but the combination of behavior change interventions and number of IPC contacts required to support IYCF behavior change are context specific. This trial was registered at www.clinicaltrials.gov as NCT01678716 (Bangladesh), NCT02775552 (Ethiopia), and NCT01676623 (Vietnam).

scholarly journals Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3851
Author(s):  
Umi Fahmida ◽  
Min Kyaw Htet ◽  
Elaine Ferguson ◽  
Tran Thanh Do ◽  
Annas Buanasita ◽  
...  
Keyword(s):  
Young Child ◽  
Dietary Diversity ◽  
Age Groups ◽  
Intervention Group ◽  
Feeding Practices ◽  
Child Growth ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Behavior Change Interventions ◽  
Infant And Young Child

The need for a multisectoral approach to tackle stunting has gained attention in recent years. Baduta project aims to address undernutrition among children during their first 1000 days of life using integrated nutrition-specific and nutrition-sensitive interventions. We undertook this cohort study to evaluate the Baduta project’s effectiveness on growth among children under 2 years of age in two districts (Sidoarjo and Malang Districts) in East Java. Six subdistricts were randomly selected, in which three were from the intervention areas, and three were from the control areas. We recruited 340 pregnant women per treatment group during the third trimester of pregnancy and followed up until 18 months postpartum. The assessment of breastfeeding and complementary feeding practices used standard infant and young child feeding (IYCF) indicators in a tablet-based application. We measured weight and length at birth and every three-months after that. The enumerators met precision and accuracy criteria following an anthropometry standardization procedure. Among the breastfed children, the percentage of children who achieved the minimum dietary diversity score (DDS) and minimum acceptable diet (MAD) was higher for the intervention group than the comparison group across all age groups. The odd ratios were 3.49 (95% CI: 2.2–5.5) and 2.79 (95% CI: 1.7–4.4) for DDS and 3.49 (95% CI: 2.2–5.5) and 2.74 (95% CI: 1.8–5.2) for MAD in the 9–11 month and 16–18-month age groups, respectively. However, there was no significant improvement in growth or reduction in the prevalence of anemia. The intervention was effective in improving the feeding practices of children although it failed to show significant improvement in linear growth of children at 18 months of age.

scholarly journals Information Diffusion and Social Norms Are Associated with Infant and Young Child Feeding Practices in Bangladesh

2019 ◽  
Vol 149 (11) ◽  
pp. 2034-2045 ◽  
Author(s):  
Phuong H Nguyen ◽  
Edward A Frongillo ◽  
Sunny S Kim ◽  
Amanda A Zongrone ◽  
Amir Jilani ◽  
...  
Keyword(s):  
Social Networks ◽  
Young Child ◽  
Social Norms ◽  
Health Workers ◽  
Dietary Diversity ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Behavior Change Interventions ◽  
Infant And Young Child ◽  
Over Time

Abstract Background Interaction within mothers’ social networks can theoretically diffuse messages from interventions and campaigns into norms and practices for infant and young child feeding (IYCF). Objectives We hypothesized that mothers’ social networks, diffusion of information, and social norms differed in intensive [intensive interpersonal counseling (IPC), community mobilization (CM), and mass media (MM)] compared with nonintensive (standard IPC and less-intensive CM and MM) intervention areas, were associated with IYCF practices, and partly explained practice improvement. Methods We conducted household surveys at endline in 2014 and follow-up in 2016 (n = ∼2000 each round). We used multiple regression to test differences and changes in networks, diffusion, and norms within intervention areas. We analyzed paths from intervention exposure to IYCF practices through networks, diffusion, and norms. Results Mothers’ networks were larger in intensive than in nonintensive areas in 2014 and increased in both areas over time [25–38 percentage points (pp)]. The prevalence of receipt of IYCF information was high, with no changes over time in intensive areas but an increase in nonintensive areas (8–16 pp). In both areas, more family members and health workers provided IYCF information over time. Sharing of information increased 17–23 pp in intensive and 11–41 pp in nonintensive areas over time. Perceived descriptive norms improved 8–16 pp in intensive and 17–28 pp in nonintensive areas. Perceived injunctive norms were high in both areas. Breastfeeding practices were associated with networks, diffusion, and norms (OR: 1.6–4.4 times larger comparing highest with lowest quartile). Minimum dietary diversity was associated with larger networks and diffusion (OR: 1.5–2.2) but not with social norms. Indirect paths from intervention exposure to practices explained 34–78% of total effects. Conclusions Diffusion of IYCF information through social networks, reinforced by positive social norms for messages promoted over time, will contribute to positive changes in IYCF practices that may be achieved and sustained through large-scale social and behavior change interventions. This trial was registered at clinicaltrials.gov as NCT0274084.

scholarly journals A cross sectional study on optimal infant and young child feeding practices with reference to WHO indicators in a rural area of Puducherry

2019 ◽  
Vol 6 (4) ◽  
pp. 1684
Author(s):  
Arulprasad Radjasegarane ◽  
Anandaraj Rajagopal ◽  
Prakash Mathiyalagen ◽  
Kavita Vasudevan
Keyword(s):  
Young Child ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
One Year

Background: Optimal infant and young child feeding practices (IYCF) are essential to address the increasing burden of malnutrition and for the overall development of the children. The present study was conducted to estimate the proportion of optimal infant and young child feeding practices among rural children aged 0 to 23 months and study the associated socio demographic factors.Methods: A community based cross-sectional study was conducted among 360 children in the age group of 0 to 23 months in a rural field practice area of a medical college in Puducherry. Data on IYCF practices were collected using a standardized tool developed by WHO. Core and optional IYCF indicators were calculated. Chi-square test and Fishers’ exact test were used as tests of significance.Results: Almost 88.0% of infants were initiated early on breastfeeding and 90.8% were exclusively breastfed for six months. Children who were continuously breastfed at one year and two years were 77.4% and 22.4% respectively. About 75.0% were introduced with solid or semisolid foods at 6 to 8 months of age. Among children aged 6 to 23 months, 77.3% had the recommended minimum dietary diversity, 81.3% had the minimum meal frequencies, while 57.7% received the minimum acceptable diet and only 39.4% consumed iron rich foods. Gender was significantly associated with the practice of continued breastfeeding at one year, adequate minimum dietary diversity and minimum meal frequency.Conclusions: The core and optional IYCF indicators were acceptably good in the initial six months of life but thereafter showed suboptimal levels, which should be emphasized among the mothers or primary care givers.

scholarly journals Socio-cultural Barriers in Infant and Young Child Feeding Practice among Mothers of Kumal Community in Nuwakot District

2019 ◽  
Vol 9 (2) ◽  
pp. 58-62
Author(s):  
Ramesh Shrestha ◽  
Ved Prasad Bhandari ◽  
Laxman Datt Bhatt
Keyword(s):  
Young Child ◽  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Cultural Beliefs ◽  
Feeding Practices ◽  
Cultural Barriers ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Introduction: Child feeding practices have a direct consequence on the nutritional status of children under two year which ultimately have impact on child survival. Socio-cultural barriers is one of the main factors in infant and young child feeding in various community. This study aims to explore socio-cultural barriers of infant and young child feeding practices among mothers of Kumal community in Nuwakot district. Methods: Cross-sectional descriptive study was carried out among mother of 6-23 months children’s in Kumal community. Data was collected from 67 respondents through face-to-face interview. The collected data was entered in Epi-data version 3.1 and analyzed using SPSS, version 20. Results: Our study reveals that 83.6% of the respondents had initiated early breastfeeding. More than half (56.7%) of the respondents had exclusive breastfeeding and 97% had extended breastfeeding. Half (50.7%) of the respondents introduce complementary feeding in time, sex of child was associated with exclusive breastfeeding and complementary feeding. Similarly, size of household, mother and father education was associated with continuation of breastfeeding practice. Conclusions: The prevalence of exclusive breastfeeding and appropriate complementary feeding is still low due to many factors and one being socio cultural practices and beliefs. Interventions that can hit the socio-cultural beliefs should be given priority to exterminate the socio-cultural taboos from root level.

scholarly journals Improving caregivers’ infant and young child-feeding practices using a three-group food guide: A randomized intervention study in central Uganda

2021 ◽  
Vol 21 (04) ◽  
pp. 17834-17853
Author(s):  
Edward Kansiime ◽  
◽  
MK Kabahenda ◽  
E Bonsi ◽  
◽  
...  
Keyword(s):  
Young Child ◽  
Nutrition Education ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Growth Patterns ◽  
Control Group ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Despite improvements in food production and healthcare services, the burden of malnutrition in Uganda has for the last 30yearsremained unacceptably high with rates of stunting (chronic undernutrition) and anemia (proxy for micronutrient deficiency) currently estimated at 29% and 53%,respectively among young children aged 6-59 months. Considering that both undernutrition and over nutrition are greatly attributed to monotonous diets characterized by limited dietary diversity and overdependence on starchy refined grains or roots as staples,there is need to improve the population’s awareness of appropriate dietary practices. To improve nutrition education, the Infant and Young Child-feeding national counseling cards for community volunteers (IYCF cards)that were developed by United Nations Children’s Fund (UNICEF), are currently the standard package used in Uganda’s health sector to educate caregivers on appropriate child-feeding practices. In this study, the effectiveness of a three-group food guide was evaluated against IYCF cards.A randomized, controlled intervention trial engaged three randomly selected distant groups of child-caregiver pairs (n=40) concurrently in one of three treatments namely: (i) nutrition education using a three-foodgroup guide (FG), (ii) nutrition education using age-appropriate IYCF cards, and (iii) negative control group that engaged in hair-plaiting sessions. At baseline, all groups had randomly selected caregivers of children aged 6-14 months and were met once a week for five consecutive weeks during the intervention. Caregivers were interviewed at baseline and 2 months after the interventions to determine changes in child-feeding practices while their children were concurrently measured to determine changes in their nutritional status.At baseline, caregivers in the three treatment arms exhibited inappropriate child-feeding practices indicated by low child-feeding index (CFI) scores,which were also related to poor nutritional status of their children. After the interventions, children in FG group were given more varied animal-source foods than those in IYCF cards group (p =0.02). Compared to controls, caregivers in FG group gave their children significantly more snacks (p = 0.01), their child-feeding practices indicated by CFI scores significantly improved (p = 0.001) and their children exhibited better growth patterns indicated by weight-for-age (p = 0.02) and MUAC-for-age (p = 0.03) Z-scores.These findings,therefore,indicate that the three-group food guide is more likely to improve child-feeding practices and growth patterns than IYCF cards.Hence, there is need to integrate the food guide into IYCF materials to foster child-feeding practices and growth.

scholarly journals Factors influencing perception and knowledge of exclusive breast feeding practices among nursing mothers in rural area of Thane district of Mumbai

2018 ◽  
Vol 5 (6) ◽  
pp. 2486
Author(s):  
Abhay S. Srivastava ◽  
Kanchan B. Gawande
Keyword(s):  
Young Child ◽  
Exclusive Breastfeeding ◽  
Feeding Practices ◽  
Child Feeding ◽  
Mortality And Morbidity ◽  
Young Child Feeding ◽  
Factors Influencing ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Nursing Mothers

Background: Exclusive breastfeeding (EBF) is recommended as the best feeding alternative for infants up to six months and has a protective effect against mortality and morbidity. Exclusive breastfeeding (EBF) is one of the optimal infant and young child feeding practices. Globally,

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