scholarly journals A complementary feeding and play intervention improves the home environment and mental development among toddlers in rural India

2020 ◽  
Vol 16 (S3) ◽  
Author(s):  
Sylvia Fernandez Rao ◽  
Margaret E. Bentley ◽  
Nagalla Balakrishna ◽  
Paula Griffiths ◽  
Hilary Creed‐Kanashiro ◽  
...  
1982 ◽  
Vol 54 (3) ◽  
pp. 695-702 ◽  
Author(s):  
Robert H. Poresky ◽  
Michael L. Henderson

27 two-yr.-old infants and their mothers were studied in their homes to analyze the relationship between infants' development and their home environment, mothers' attitudes as parents, mothers' marital adjustment, and families' socioeconomic status. Bayley Mental Development Indexes correlated with the infants' home environment, families' socioeconomic status, and maternal attitudes. Bayley Psychomotor Development Indexes related to home environment and socioeconomic status. Home environment, maternal attitude, and marital adjustment scores correlated with socioeconomic status. The implications of these ecological factors on infants' mental and motor development are discussed.


2016 ◽  
Vol 40 (6) ◽  
pp. 526-535 ◽  
Author(s):  
Maureen M. Black ◽  
Sylvia Fernandez-Rao ◽  
Kristen M. Hurley ◽  
Nicholas Tilton ◽  
Nagalla Balakrishna ◽  
...  

Economic inequities are common in low and middle-income countries (LMIC), and are associated with poor growth and development among young children. The objectives are to examine whether maternal education and home environment quality: 1) protect children by attenuating the association between economic inequities and children’s growth and development, or 2) promote children’s growth and development, regardless of economic inequities. The sample includes 512 infants and 321 preschoolers in 26 villages in rural India (Project Grow Smart). Data for children: physical growth (weight and length/height measured) and development (Mullen Scales of Early Learning); for mothers/households: economic inequities measured by household assets, education, depressive symptoms, and home environment (HOME Inventory). Data are analyzed with linear mixed models (LMM) for infants and preschoolers separately, adjusted for village/preschool clustering, including asset-by-education/home interactions. Among infants, but not preschoolers, the education/home factor attenuates relations between assets and growth, eliminating differential relations in infant growth between high/low-asset families, suggesting protection. Among infants and preschoolers, the education/home factor is significantly or marginally associated with most child development scales, regardless of economic inequities, suggesting promotion. Strategies to enhance maternal education and home environment quality may protect infants in low-asset families from poor growth, promote development among infants and preschoolers, and prevent early disparities.


2021 ◽  
pp. 1-3
Author(s):  
Nikki Kumari ◽  
Khodaija Mahvish ◽  
Binod Kr Singh

Background and objectives: Complementary feeding (CF) means introducing other foods when breast milk alone is not enough to meet the nutritional requirements of infants. WHO recommends starting complementary feeding after 6 months of age while continuing breast feeding up to 2 years of age for continued benefits. WHO also emphasizes on diet diversity to ensure a heterogeneous nutrient intake that provides all nutrients needed by the growing infant. In context of rural India, in-depth studies of complementary feeding practices are limited, revealing a clear knowledge gap. The present study was undertaken to assess the complementary feeding practices and factors influencing them among mothers of 6-24 months children. Methodology: This hospital based descriptive cross-sectional study was conducted over 2 years from April 2018-March 2020 including children aged >6 months and <24 months belonging to rural area visiting OPD or admitted in I.P.D of our hospital. Data was collected by direct interviewing of mothers regarding various aspects of breastfeeding and complementary feeding. Results: Over the study period, we enrolled 226 children in our study. Mean age was 9.7 months (SD 3.4months). Male: female ratio was 1.3:1. Mean age of mothers was 24.1 ± 4.2 years. Breastfeeding was initiated within 1 hour of birth in only 118(52.2%) babies. Complementary feeds were started at the end of 6 months in dismally low 21.2% children. It was started between 6-9 months in 38.5%, 9-12 months in 25.7% and after 12 months in 7.5% children. Proportion of infants getting minimal meal frequency was 59.3%, minimum dietary diversity only 45.6% and minimum acceptable diet only 47.8%%. The most commonly used complementary food was milk and milk & cereal based preparations (61.5%). There was a statistically significant positive association between socioeconomic class and correct time of initiating CF as well as maternal education and minimum acceptable diet (p <0.01). However, a significant negative association was found between working mother and proper consistency of feeds (p<0.01). Conclusion: Our findings clearly indicate that lot more needs to be done for rural children. Whenever there is opportunity for health care workers, mothers should be educated about proper complementary feeding practices.


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