P2-432 Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi, Kenya

Studies in urban informal settlements show widespread inappropriate infant and young child feeding (IYCF) practices and high rates of food insecurity. This study assessed the association between household food security and IYCF practices in two urban informal settlements in Nairobi, Kenya. The study adopted a longitudinal design that involved a census sample of 1110 children less than 12 months of age and their mothers aged between 12 and 49 years. A questionnaire was used to collect information on: IYCF practices and household food security. Logistic regression was used to determine the association between food insecurity and IYFC practices. The findings showed high household food insecurity; only 19.5% of the households were food secure based on Household Insecurity Access Score. Infant feeding practices were inappropriate: 76% attained minimum meal frequency; 41% of the children attained a minimum dietary diversity; and 27% attained minimum acceptable diet. With the exception of the minimum meal frequency, infants living in food secure households were significantly more likely to achieve appropriate infant feeding practices than those in food insecure households: minimum meal frequency (adjusted odds ratio (AOR)=1.26,P=0.530); minimum dietary diversity (AOR=1.84,P=0.046) and minimum acceptable diet (AOR=2.35,P=0.008). The study adds to the existing body of knowledge by demonstrating an association between household food security and infant feeding practices in low-income settings. The findings imply that interventions aimed at improving infant feeding practices and ultimately nutritional status need to also focus on improving household food security.

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Breastfeeding and complementary feeding practices in rural Malawi

Acta Paediatrica ◽

10.1080/08035250117314 ◽

2001 ◽

Vol 90 (3) ◽

pp. 328-332

Author(s):

M. Vaahtera, T. Kulmala, A. Hietanen,

Keyword(s):

Complementary Feeding ◽

Feeding Practices

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Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

BMC Public Health ◽

10.1186/s12889-020-10095-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jeanine Ahishakiye ◽

Lenneke Vaandrager ◽

Inge D. Brouwer ◽

Maria Koelen

Keyword(s):

Social Support ◽

Young Child ◽

Coping Strategies ◽

Low Income ◽

Complementary Feeding ◽

Feeding Practices ◽

Personal Factors ◽

Child Feeding ◽

Young Child Feeding ◽

Infant And Young Child

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.

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Affordable modifications for sustainable houses in urban informal settlements: a case study of Bandung, Indonesia

International Journal of Urban Sustainable Development ◽

10.1080/19463138.2021.1946544 ◽

2021 ◽

pp. 1-31

Author(s):

Cristiana de Almeida Parisi ◽

Tetsu Kubota ◽

Usep Surahman

Keyword(s):

Informal Settlements ◽

Urban Informal Settlements

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Appropriate complementary feeding practices and associated factors among mothers of children age 6–23 months in Southern Ethiopia, 2015

BMC Pediatrics ◽

10.1186/s12887-016-0675-x ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 26

Author(s):

Tigist Kassa ◽

Berhan Meshesha ◽

Yusuf Haji ◽

Jemal Ebrahim

Keyword(s):

Associated Factors ◽

Complementary Feeding ◽

Feeding Practices ◽

Southern Ethiopia

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Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

Public Health Nutrition ◽

10.1017/s1368980014000834 ◽

2014 ◽

Vol 18 (4) ◽

pp. 669-678 ◽

Cited By ~ 30

Author(s):

Abukari I Issaka ◽

Kingsley E Agho ◽

Penelope Burns ◽

Andrew Page ◽

Michael J Dibley

Keyword(s):

Risk Factors ◽

Health Survey ◽

Complementary Feeding ◽

Dietary Diversity ◽

Feeding Practices ◽

Demographic And Health Survey ◽

Meal Frequency ◽

Factors Associated ◽

Minimum Dietary Diversity ◽

Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

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