Appropriate Infant and Young Child Feeding Practices in an Emergency for Non-Breastfed Infants Under Six Months: The Rohingya Experience

2020 ◽  
Vol 36 (3) ◽  
pp. 510-518
Author(s):  
Alice Burrell ◽  
Anne M. Kueter ◽  
Sujan Ariful ◽  
Habibur Rahaman ◽  
Alessandro Iellamo ◽  
...  
Keyword(s):  
Young Child ◽  
Human Milk ◽  
Feeding Practices ◽  
Initial Assessment ◽  
Child Feeding ◽  
Mass Violence ◽  
Breastfed Infants ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Save The Children

Background Since 25 August, 2017 over 693,000 Rohingya have been forced from Myanmar due to mass violence, seeking refuge in neighboring Bangladesh. Nutritional surveys during 2017 revealed worrying levels of malnutrition and poor infant feeding practices, including high numbers of infants not exclusively breastfeeding. Infants under 6 months who are not exclusively breastfed are particularly vulnerable to morbidity and mortality and require specialized feeding support, especially in emergency contexts. Research Aim To describe Save the Children International’s experiences supporting wet nursing, relactation, and artificial feeding for non-breastfed infants under 6 months in the Rohingya Response, Bangladesh. Methods A retrospective analysis was conducted of routine program data and documentation from Save the Children International’s infant and young child feeding in emergencies interventions for the Rohingya Response, Bangladesh, from November 2017 to April 2018. The study population were infants under 6 months identified as not breastfed during the initial assessment ( N = 15). Results Although wet nursing was attempted with all infants, it was successful with 6 (40%) of the infants. Additionally, 1 (6.7%) infant’s mother was able to successfully relactate. The remaining infants ended up requiring feeding with human milk substitutes. Conclusion Gaps exist in operational guidance to support non-breastfed infants with wet nursing and relactation in emergency settings, as well as on how to operationalize safe human milk substitute programming in line with national policies and regulations. There is an urgent need to address this gap to protect the lives of non-breastfed infants in emergencies worldwide.

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

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.

scholarly journals Infant and young child feeding practices in Ethiopia: analysis of socioeconomic disparities based on nationally representative data

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Nigatu Regassa Geda ◽  
Cindy Xin Feng ◽  
Bonnie Janzen ◽  
Rein Lepnurm ◽  
Carol J. Henry ◽  
...  
Keyword(s):  
Young Child ◽  
Feeding Practices ◽  
Health Concern ◽  
Proportional Odds ◽  
Child Feeding ◽  
Gainful Employment ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Unit Increase

Abstract Background Undernutrition among children is a priority area of public health concern in Ethiopia. The purpose of this study was to examine disparities in Infant and Young Child Feeding (IYCF) practices among children 6–23 months. Method Data were drawn from the 2016 Ethiopian Demographic and Health Surveys (EDHS). A total of 3240 children aged 6–23 months were used for the present analysis. The outcome variable was IYCF practice score (ranging 0–7) which was constructed based on the linear and combined effects of four sets of variables: breastfeeding, avoidance of bottle feeding, diet diversity score and minimum feeding frequency. IYCF practice score was further recoded into three categories. Proportional odds regression was used to assess the determinants of IYCF category. Results The proportional odds regression analysis showed that IYCF scores significantly decreased by 5% (Adjusted Odds Ratio (AOR) = 0.95; 95% CI: 0.93–0.97) for every unit increase in the child’s age. Households with fathers of primary and secondary and above level education were 1.37 times (95% CI: 1.14–1.66) and 1.67 times (95% CI: 1.26–2.23) more likely to be in the high IYCF category than in the poor IYCF category. The likelihood of being in the high IYCF practice category decreased for non-working mothers by 30% (AOR = 0.70; 95% CI: 0.59–0.83) compared to those working in gainful employment. The chance of being in the high IYCF practice category decreased by 29% for households with no access to radio (AOR = 0.71; 95% CI: 0.59–0.85). Those with medium and rich/richer wealth category were 1.54 times (95% CI: 1.22–1.94) and 1.40 times (95% CI: 1.11–1.75) more likely to belong to high IYCF practice category than being in poor IYCF category. For every unit increase in health service utilization, the chance of falling in higher IYCF category increases by 1.15 times (95% CI: 1.08–1.23). The chance of falling in higher IYCF practice category decreases for rural residents by 37% (AOR = 0.63; 95% CI: 0.47–0.84) compared to those residing in urban areas. Conclusion For a child, the first two years is the time span during which linear faltering of growth is most prevalent and the period when the process of becoming stunted is almost complete. This study recommends improving access to women for gainful employment, provision of economic support to poor rural women, education and promotion of nutrition messages using most accessible media and boosting the positive role of fathers in child feeding practices.

scholarly journals Effect of Peer Counselling by Mother Support Groups on Infant and Young Child Feeding Practices: The Lalitpur Experience

PLoS ONE ◽  
2014 ◽  
Vol 9 (11) ◽  
pp. e109181 ◽  
Author(s):  
Komal P. Kushwaha ◽  
Jhuma Sankar ◽  
M. Jeeva Sankar ◽  
Arun Gupta ◽  
J. P. Dadhich ◽  
...  
Keyword(s):  
Young Child ◽  
Support Groups ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Peer Counselling

scholarly journals Infant and young child feeding guidelines: awareness amongst mothers and practices followed

2018 ◽  
Vol 5 (2) ◽  
pp. 629
Author(s):  
Shraddha Dubewar ◽  
Sarfaraz Ahmed ◽  
Saleem H. Tambe ◽  
Arvind Chavan
Keyword(s):  
Young Child ◽  
Breast Feeding ◽  
Statistical Significance ◽  
Feeding Practices ◽  
Educational Status ◽  
Child Feeding ◽  
Lower Segment Caesarean Section ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Education Status

Background: Globally if the exclusive breast feeding is adopted there is up to 15% reduction in the mortality of under five children. At the same time proper “complementary feeding practices” leads to up to 10% more decrease in the mortality rates. The objective of this study was to study the infant and young child feeding practices among mothersMethods: This was an observational study, conducted at Aditya Hospital, Hyderabad in the period duration of 2012-2013. All children upto 24 months of life and their mothers were included in the study.Results: Most common reasons given by the mothers were pain in the stitches and discomfort and anesthesia effect due to lower segment caesarean section (LSCS) (70%). it was found that there was no significant correlation between education status of mother and time of initiation of breast feeding (P=0.6). it was found that there was no statistical significance between giving of pre-lacteals according to educational status of mothers. Almost 60% (n=64) of the mothers were appropriate in starting complementary foods at the age of 6 months. Conclusions: Women need to be educated separately with knowledge regarding of appropriate feeding practices so that both mothers and babies benefit from it; leading further to a healthy nation.

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 A study on infant and young child feeding practices among mothers attending an urban health center in East Delhi

2012 ◽  
Vol 56 (4) ◽  
pp. 301 ◽  
Author(s):  
AmirMaroof Khan ◽  
Priscilla Kayina ◽  
Paras Agrawal ◽  
Anita Gupta ◽  
AnjurTupil Kannan
Keyword(s):  
Young Child ◽  
Health Center ◽  
Urban Health ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

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.

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