151Infant and young child feeding practices and ARI and diarrhoea in Ethiopia: A PSM approach

Abstract Background Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. Results Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of ARI (OR: 1.36; 95% CI: 1.10, 1.68). Early initiation of breastfeeding and EBF were associated with a lower odds of diarrhoea (OR: 0.88; 95% CI: 0.79, 0.94 for Early initiation of breastfeeding and OR: 0.51; 95% CI: 0.39, 0.65 for EBF). Infants who were predominantly breastfed were less likely to experience diarrhoea (OR: 0.69; 95% CI: 0.53, 0.89). Conclusions Early initiation of breastfeeding and EBF were associated with a lower risk of ARI and diarrhoea. Bottle feeding was associated with a higher risk of ARI. Key messages Interventions targeting improved early initiation of breastfeeding, EBF, and avoidance of bottle feeding should be prioritised and scaled-up.

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Associations between infant and young child feeding practices and diarrhoea in Indian children: a regional analysis

10.21203/rs.2.22657/v1 ◽

2020 ◽

Author(s):

Mansi Vijaybhai Dhami ◽

Felix Akpojene Ogbo ◽

Thierno Diallo ◽

Kingsley Agho

Keyword(s):

Central India ◽

Early Initiation ◽

Bottle Feeding ◽

Child Feeding ◽

Young Child Feeding ◽

Early Initiation Of Breastfeeding ◽

North East ◽

Infant And Young Child ◽

Semi Solid ◽

Initiation Of Breastfeeding

Abstract Background: There are limited data on the association between infant and young child feeding (IYCF) practices and diarrhoea across regional India, to inform policy initiatives and advocacy. The present study examined the association between IYCF practices and diarrhoea in regional India. Method: The study used a weighted sample of 90,596 maternal responses from the 2015-16 National Family Health Survey in India. Prevalence estimates of diarrhoea by IYCF indicators were estimated for each administrative region, namely: North (n=11,200), South (n=16,469), East (n=23,317), West (n=11,512), Central (n=24,870) and North-East (n=3,228). Multivariate logistic regressions that adjust for clustering and sampling weights were used to investigate the association between IYCF and diarrhoea in regional India. The IYCF indicators include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, bottle feeding, continued breastfeeding at one year, continued breastfeeding at two years, children ever breastfed and the introduction of solid, semi-solid or soft foods. Results: The prevalence of diarrhoea was lower among infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed. Children whose mothers continued breastfeeding at one and two years, and infants who were introduced to complementary foods had a higher prevalence of diarrhoea. Early initiation of breastfeeding and EBF were protective against diarrhoea in the North, East and Central regions of India. However, predominant breastfeeding, bottle-feeding and introduction of complementary foods were risk factors for diarrhoea in Central India. Continued breastfeeding at two years was a risk factor for diarrhoea in Western India. Conclusion: Our study suggests that early initiation of breastfeeding and EBF were protective against diarrhoea in Northern, Eastern and Central India, while predominant breastfeeding, bottle feeding, continued breastfeeding at two years and introduction of solid, semi–solid or soft foods were risk factors for diarrhoea in various India regions. Improvements in IYCF practices are likely to reduce the burden of diarrhoea-related morbidity and mortality across India regions.

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Regional Analysis of Associations between Infant and Young Child Feeding Practices and Diarrhoea in Indian Children

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17134740 ◽

2020 ◽

Vol 17 (13) ◽

pp. 4740 ◽

Cited By ~ 1

Author(s):

Mansi Dhami ◽

Felix Ogbo ◽

Thierno Diallo ◽

Kingsley Agho ◽

Keyword(s):

Risk Factors ◽

Young Child ◽

Central India ◽

Bottle Feeding ◽

Indian Children ◽

Sampling Weights ◽

Child Feeding ◽

Young Child Feeding ◽

North East ◽

Infant And Young Child

Studies on the association between infant and young child feeding (IYCF) practices and diarrhoea across regional India are limited. Hence, we examined the association between IYCF practices and diarrhoea in regional India. A weighted sample of 90,596 (North = 11,200, South = 16,469, East = 23,317, West = 11,512, Central = 24,870 and North-East = 3228) from the 2015–2016 National Family Health Survey in India was examined, using multivariate logistic regressions that adjust for clustering and sampling weights. The IYCF indicators included early initiation of breastfeeding (EIBF), exclusive breastfeeding (ExcBF), predominant breastfeeding (PBF), bottle feeding (BotF), continued breastfeeding (BF) at one-year, continued BF at two years, children ever breastfed and the introduction of solid, semi-solid or soft foods (ISSSF). Diarrhoea prevalence was lower among infants who were BF within one-hour of birth and those who were exclusively breastfed. Multivariate analyses revealed that continued BF at one and two years, and infants who were introduced to complementary foods had a higher prevalence of diarrhoea. EIBF and ExcBF were protective against diarrhoea in the regions of North, East and Central India. PBF, BotF and ISSSF were risk factors for diarrhoea in Central India. Continued BF at two years was a risk factor for diarrhoea in Western India. Findings suggested that EIBF and ExcBF were protective against diarrhoea in Northern, Eastern and Central India, while PBF, BotF, continued BF at two years and ISSSF were risk factors for diarrhoea in various regions in India. Improvements in IYCF practices are likely to reduce the burden of diarrhoea-related morbidity and mortality across regions in India.

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Trends and predictors of early initiation, exclusive, and continued breastfeeding in Bangladesh (2004-2018): a multilevel analysis of Demographic and Health Survey data

British Journal Of Nutrition ◽

10.1017/s0007114521004761 ◽

2021 ◽

pp. 1-29

Author(s):

Md. Sabbir Ahmed ◽

Kyly C Whitfield ◽

Fakir Md Yunus

Keyword(s):

Survey Data ◽

Early Initiation ◽

Demographic And Health Surveys ◽

Child Feeding ◽

Logistic Regression Models ◽

Young Child Feeding ◽

Region Division ◽

Infant And Young Child ◽

Rural Residency ◽

Health And Development

Abstract The early initiation of breastfeeding (EIBF) within one hour of birth, exclusive breastfeeding (EBF) to 6 months, and continued breastfeeding (CBF) to 2 years are key infant and young child feeding guidelines promoted globally for optimal child health and development. Using publicly available national survey data from the five most recent, consecutive Bangladesh Demographic and Health Surveys (2004, 2007, 2011, 2014, 2017-18), we assessed the trends in these key breastfeeding indicators. Multiple multilevel logistic regression models were built to assess sociodemographic predictors of breastfeeding using the latest 2017-18 dataset. Both EIBF and EBF have increased significantly between 2004 and 2017-18, from 26% to 60% and 36% to 68%, respectively and CBF decreased from 94% to 85%. Caesarean section delivery conferred lower EIBF practice (OR= 0.34, 95% CI: 0.27 to 0.42) compared to vaginal delivery. Women who were currently working had 32% lower odds of EBF (OR= 0.68, 95% CI: 0.48 to 0.95). Compared to delivery at home, women who delivered in a health facility had 81% higher odds of EBF (OR= 1.81, 95% CI: 1.25 to 2.34). Larger family size (≥5) also predicted EBF (OR= 1.70, 95% CI: 1.21 to 2.40). Rural residency was associated with 2.39 (95% CI 1.32 to 4.31) times of higher odds of CBF. Administrative region (division) was also predictive of the various breastfeeding indicators. Although Bangladesh currently exceeds the 2019 global prevalence rates for these three breastfeeding indicators, efforts should be made to continue improving EIBF and EBF, and to prevent future decreases in CBF.

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Knowledge and Practices Regarding Infant and Young Child Feeding among Mothers’ Children 0-23 Months of Matli, District Badin, Sindh

Pakistan Journal of Public Health ◽

10.32413/pjph.v10i1.255 ◽

2020 ◽

Vol 10 (1) ◽

pp. 54-59

Author(s):

Mazhar Ul Haq ◽

Rukhsana Khan ◽

Arshia Bilal ◽

Lajpat . ◽

Saira Almas ◽

...

Keyword(s):

Young Child ◽

Maternal Education ◽

Strong Association ◽

Feeding Practices ◽

Bottle Feeding ◽

Feeding Practice ◽

Child Feeding ◽

Young Child Feeding ◽

Child Feeding Practices ◽

Infant And Young Child

Background: Lack of proper practices account for the deaths of 1.4 million children of <5 years globally. Optimal Infant and Young Child Feeding practices are recognized as the most valuable approach for improving child survival and development. We aimed to assess the knowledge and practices and to determine the factors affecting Infant and Young Child Feeding practices among mothers of children 0-23 months of Taluka Hospital Matli, Badin District, Sindh Methods: A descriptive hospital-based cross-sectional study was conducted with the sample of 279 mothers visiting pediatric OPD of Taluka Hospital Matli, Badin District, Sindh-Pakistan from 1st October to 31st December 2016. The sample was collected by using non probability consecutive sampling technique and structured pretested questionnaire. Results: 94% of women had the knowledge of when to start breastfeeding after delivery. There is a strong association between maternal education and 0-23 month’s children receiving bottle feed and also a strong association between the information providers and bottle feeding practice. Conclusion: We have found a good dependence of birth weight of the newborn with the monthly income of the household. LHWs and nurses were main sources of information provider about breastfeeding.

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Infant and Young Child Feeding Pattern in Children Attending in the Outpatient Department of an Urban Hospital

Bangladesh Journal of Child Health ◽

10.3329/bjch.v40i2.31564 ◽

2017 ◽

Vol 40 (2) ◽

pp. 92-97

Author(s):

Banani Chakraborty ◽

Jubaida Rumana ◽

Hosne Ara Begum ◽

Afsana Afroz

Keyword(s):

Young Child ◽

Breast Feeding ◽

Dietary Diversity ◽

Early Initiation ◽

Outpatient Department ◽

Feeding Pattern ◽

Urban Hospital ◽

Child Feeding ◽

Young Child Feeding ◽

Infant And Young Child

Background: Proper feeding practices during the first two years of life is essential for growth nutrition and development of young children. Optimum infant and young child feeding can reduce childhood mortality and morbidity significantly. Present study was done to know the infant and young child feeding pattern in the children of 0-23 months of age attending out patient department of an urban hospital.Methods: This cross sectional study was conducted among 314 mother/child pair attending the outpatient department of an urban hospital during the period of September 2014 to December 2014.Result: 68.5% children had early initiation of breast feeding and exclusive breast feeding among children below 6 months was 66.8%.Continued breast feeding among the children of 12 to 15 months was 80.4% and 84.2 % children were given solid food at 6 months of age. Adequate minimum dietary diversity, minimum meal frequency and minimal acceptable diet among children 6-23 months were 61.4%,57.3% and 39.4% respectively.64.5%% children were taking iron rich food or supplementation.Conclusion: Early initiation of breast feeding(0-23mo) and Exclusive breastfeeding(0- 6mo) were satisfactory in the study children but IYCF practice in children of 6-23 months was not optimum and far away from the HPNSDP 2011-2016 target of 52% of children to be fed with minimum acceptable diet.Bangladesh J Child Health 2016; VOL 40 (2) :92-97

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Infant and Young Child Feeding (IYCF) Practices by Rural Mothers of Bangladesh

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v2i1.32958 ◽

2017 ◽

Vol 2 (1) ◽

pp. 19-25 ◽

Cited By ~ 1

Author(s):

Md Saizuddin ◽

Md Shaidul Hasan

Keyword(s):

Young Child ◽

Exclusive Breastfeeding ◽

Complementary Feeding ◽

Feeding Practices ◽

Child Feeding ◽

Cross Sectional ◽

Young Child Feeding ◽

Infant And Young Child ◽

Rural Mothers ◽

Initiation Of Breastfeeding

Background: Infant and young child feeding (IYCF) practices play vital role for the growth & development in the early months of life. Objective: The purpose of the present study was to determine and to identify the patterns and influencing factors of feeding practices in infant and young children of 0-2 years old in Bangladesh. Methodology: A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January to December of 2015.Result: Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 68 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers were illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding, and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and 30.7% had three or more children.Conclusion: Majority of the respondents have the knowledge on complementary feeding, knowledge on preparation of complementary feeding, knowledge on preparation of food by grains, knowledge on preparation of food by milk and milk products and knowledge on preparation of food by meat, fish, poultry, liver.Journal of National Institute of Neurosciences Bangladesh, 2016;2(1):19-25

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Late Initiation Of Breastfeeding Is A Risk Factor For Early Interruption Of Exclusive Breast Feeding A Case -control Study At Dollo Ado Refuge Camp, Somali Region, Ethiopia.

10.21203/rs.3.rs-19472/v1 ◽

2020 ◽

Author(s):

Dawit Getachew Gebeyehu ◽

Desta Haftu

Keyword(s):

Young Child ◽

Infant Feeding ◽

Case Control Study ◽

Case Control ◽

Child Feeding ◽

Young Child Feeding ◽

Infant And Young Child ◽

Late Initiation ◽

Control Study ◽

Initiation Of Breastfeeding

Abstract Background: Globally , nearly three fourth of infants less than-six was not exclusively-brestfeed. While in Ethiopia, the proportion was only slightly above half. In refugee, setting life is not stable, due to lack of infrastructure and adequate health care service mother and infant face many health related problems, like interruption of exclusively breastfeed which intern lead them to malnutrition and impaired growth.Objectives: To assess the Determinants of Interruption of Exclusive Breastfeeding among mother who have infant less than six month at Dollo Ado Refugees camp, Ethiopia, 2017.Methods: A case -control study design was conduct at Dollo Ado refugee camp from April 05 to 25, 2017. Simple random sampling technique used to select 111 eligible case and 222 controls during the study period. A structured and pretested interviewer administered questionnaire used to collect the data. Logistic regression models fitted to assess significant factor, which determine interruption of Exclusive breast-feeding in the study area.Results: In this study not getting antenatal counseling about infant feeding (A-OR =5.87, 2.63-13.10), postnatal counseling about infant feeding (A-OR= 4.33, 2.7 - 10.78) and presence of problem of breastfeeding (AOR= 10.72, 4.55 - 25.23), late initiation of breastfeeding (AOR= 4.79, 2.28-10.0) were significant determinants of interruption of exclusive breastfeeding.Conclusions : In this study, not getting antenatal and postnatal counseling about infant and young child feeding, problem of breastfeeding, late initiation of Exclusive breastfeeding were significant determinants of interruption of EBF. Planer and manager should focus on provision of mother advice on Infant and Young Child Feeding during Antenatal and Postnatal Care. Health professional should be alert on treating problem of breastfeeding.

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Infant and young child feeding practices among tribal mothers in Sambalpur district, Odisha, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20200969 ◽

2020 ◽

Vol 7 (3) ◽

pp. 1072

Author(s):

Samyak Sahu ◽

Subrat K. Pradhan ◽

Sadhu C. Panda

Keyword(s):

Young Child ◽

Dietary Diversity ◽

Feeding Practices ◽

Bottle Feeding ◽

Child Feeding ◽

Cross Sectional ◽

Young Child Feeding ◽

Child Feeding Practices ◽

Infant And Young Child ◽

Study Participants

Background: Indicators of infant and young child and feeding (IYCF) practices have been devised by WHO in order to help objectively assess the prevalence of these practices in the population. IYCF practices play a vital role in the control of infant and child deaths. This study was undertaken to assess the IYCF practices among children aged less than 2 years among the tribal population. Objective of this study to measure the indicators of IYCF practices in children in the 0-23 months age group.Methods: It is a community based, cross sectional study of infant and young child feeding practices among tribal mothers having children younger than 24 months, in Sambalpur district of Odisha from October 2017 to December 2019. The study participants were tribal mothers having children less than 24 months of age. The sample size was 384.Results: Among the study participants, 93.5% belonged to the 21-30 years age bracket, 37.5% had middle school certificate education and 75.3% belonged to the upper lower socioeconomic class. The indicators were continued breastfeeding at 1 year (100%), continued breastfeeding at 2 years (100%) and children ever breastfed (100%), exclusive breastfeeding (98.71%) and bottle feeding (16.36%). A significant association was found between delivery by lower segment caesarean section and delayed initiation of breastfeeding.Conclusions: The indicators related to breastfeeding and complementary feeding were adequate except for minimum dietary diversity and minimum adequate diet.

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Suboptimal infant and young child feeding practices among internally displaced persons during conflict in eastern Ukraine

Public Health Nutrition ◽

10.1017/s1368980017003421 ◽

2017 ◽

Vol 21 (5) ◽

pp. 917-926 ◽

Cited By ~ 3

Author(s):

Aimee Summers ◽

Oleg O Bilukha

Keyword(s):

Young Child ◽

Breast Feeding ◽

Bottle Feeding ◽

Current Status ◽

Internally Displaced Persons ◽

Displaced Persons ◽

Child Feeding ◽

Internally Displaced ◽

Young Child Feeding ◽

Infant And Young Child

AbstractObjectiveTo determine current status, areas for improvement and effect of conflict on infant and young child feeding (IYCF) practices among internally displaced persons (IDP) in eastern Ukraine.DesignCross-sectional household survey, June 2015.SettingKharkiv, Dnipropetrovsk and Zaporizhia oblasts (Ukrainian administrative divisions) bordering conflict area in Ukraine.SubjectsRandomly selected IDP households with children aged <2 years registered with local non-governmental organizations. Questions based on the WHO IYCF assessment questionnaire were asked for 477 children. Mid-upper arm circumference was measured in 411 children aged 6–23 months.ResultsExclusive breast-feeding prevalence for infants aged <6 months was 25·8 (95 % CI 15·8, 38·0) %. Percentage of mothers continuing breast-feeding when their child was aged 1 and 2 years was 53·5 (95 % CI 43·2, 63·6) % and 20·6 (95 % CI 11·5, 32·7) %, respectively. Bottle-feeding was common for children aged <2 years (68·1 %; 95 % CI 63·7, 72·3 %). Almost all infants aged 6–8 months received solid foods (98·6 %; 95 % CI 88·5, 99·9 %). Mothers who discontinued breast-feeding before their infant was 6 months old more often listed stress related to conflict as their primary reason for discontinuation (45·7 %) compared with mothers who discontinued breast-feeding when their child was aged 6–23 months (14·3 %; P<0·0001).ConclusionsTo mitigate the effects of conflict and improve child health, humanitarian action is needed focused on helping mothers cope with stress related to conflict and displacement while supporting women to adhere to recommended IYCF practices if possible and providing appropriate support to women when adherence is not feasible.

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Early initiation of breastfeeding and its association with peer counseling and membership in breastfeeding support groups in the Philippines

10.21203/rs.3.rs-47432/v1 ◽

2020 ◽

Author(s):

Ofelia P Saniel ◽

Veincent Christian F Pepito ◽

Arianna Maever L Amit

Keyword(s):

Support Groups ◽

The Philippines ◽

Early Initiation ◽

Peer Counseling ◽

Breastfeeding Support ◽

Child Feeding ◽

Young Child Feeding ◽

Early Initiation Of Breastfeeding ◽

Peer Counselor ◽

Initiation Of Breastfeeding

Abstract Background: Early initiation of breastfeeding (EIBF), defined as initiation of breastfeeding within one hour after giving birth, is one of the recommended optimal breastfeeding practices. We aimed to determine whether being visited by a peer counselor during pregnancy and if mother’s membership in a breastfeeding support group are associated with EIBF. We also aimed to examine the interaction between the two main exposure variables to assess their joint effects on EIBF.Methods: We used data from the endline survey of a program implemented in the Philippines, which contained socioeconomic data from the household of the mother-newborn dyads, demographic characteristics of the mothers, and their infant and young child feeding practices. We used logistic regression methods for survey data to study these associations.Results: Out of the 2,343 newborns, only 1,500 (63.1%) had EIBF. Upon controlling for confounders, those who were visited by a peer counselor during the prenatal period had 1.18 times greater odds of EIBF (95%CI: 0.88-1.57; p=0.26) compared to those who were not visited. On the other hand, members of breastfeeding support groups had 1.33 times higher odds of EIBF (95% CI: 0.99-1.79; p=0.06) compared to those who were not members of breastfeeding support groups. There is no interaction between the two exposure variables on their effect on EIBF. Conclusions: The lack of association between a visit by a peer counselor during pregnancy or mother’s membership in breastfeeding support groups and EIBF highlights the need for new strategies to enhance the role of peer counselors and breastfeeding support groups in promoting breastfeeding.

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