scholarly journals Caregiver perceived barriers to the use of micronutrient powder for children aged 6–59 months in Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260773
Author(s):  
Mahfuzur Rahman ◽  
Md. Tariqujjaman ◽  
Mustafa Mahfuz ◽  
Tahmeed Ahmed ◽  
Haribondhu Sarma
Keyword(s):  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Older Children ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Micronutrient Powder ◽  
Children Nutrition ◽  
Child Feeding Practices ◽  
Infant And Young Child

Background The effectiveness of micronutrient powder (MNP) on the health outcome of children is yet to be proved. Although studies identified the barriers to the use of MNP the underlying factors related to the barriers to the use of MNP are still unexplored. We examined the underlying factors associated with the barriers reported by the caregivers of the children aged 6–59 months in Bangladesh. Methods We analyzed pooled data of 3, 634 caregiver-child dyads extracted from eight cross-sectional surveys. The surveys were conducted as part of an evaluation of the Maternal, Infant and Young Children Nutrition programme (phase 2) in Bangladesh. We performed univariate analysis to find the barriers reported by the caregivers of the children. We identified the underlying factors related to the reported barriers by performing multiple logistic regression analysis. Results The mostly reported barrier was perceived lack of need for MNP among the caregivers of the children (39.9%), followed by lack of awareness of the product (21.7%) and cost of the product (18.1%). Caregivers of older children (adjusted odds ratio (aOR): 1.69; 95% CI: 1.43, 2.00) and caregivers who maintained good infant and young child feeding practices (aOR: 1.32; 95% CI: 1.12, 1.57) perceived more lack of need for MNP. Caregivers of the female children (aOR: 0.79; 95% CI: 0.63, 0.98) were less likely to report that their children disliked MNP compared to the caregivers of the male children. Conclusion Programmes intended to effectively promote MNP among the caregivers of children aged 6–59 months should carefully consider the factors that could underlie the barriers to the use of MNP.

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 Mothers’ adherence to optimal infant and young child feeding practices in Uganda: a cross-sectional study

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 877
Author(s):  
Zabinah Nabirye ◽  
Frank Kiwanuka ◽  
Zainah Nakaye ◽  
Ivan Kamurasi ◽  
Agbele Alaba Tolulope
Keyword(s):  
Young Child ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Town Council ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Background: The benefits of adherence to optimal infant and young child feeding (IYCF) to both the mothers and their infants below two years are well documented. However, compliance to optimal IYCF practices has been noted to vary in different settings. This study sought to establish factors influencing mothers’ adherence to optimal infant and young child feeding practices for babies below two years in Mpigi town council- Mpigi District. Methods: The study was a cross-sectional study carried out among 264 mothers of babies between six months to two years of age attending postnatal care units of health facilities in Mpigi town council, Uganda: Mpigi Health Center (HC) IV and Kyaali HC III. Purposive sampling method was used to select the health centers while simple random sampling was then used to select the sample from the selected centers. A self-administered questionnaire was used to collect data. Data entry and analysis was performed using SPSS version 16. Results: 264 participants were invited to participate in the study, 100% of these fully completed the survey. The majority of the mothers were aged 20 to 34 years (80.3%). After scoring each participant using the four characteristics which included: initiation of breastfeeding within the first hour following birth, exclusive breastfeeding up to 6 months followed by continued breastfeeding with appropriate complementary foods upto 2 years and beyond, the majority of the participants were adherent (79.6%) to IYCF practices while 20.4% were non adherent to IYCF practices. Conclusion: A good estimate of adherence to optimal IYCF practices was revealed in this study. Sustaining well-established policies to support IYCF programmes is recommended to maintain optimal IYCF practices.

scholarly journals A study on feeding practices among mothers with children aged less than two years in rural area of Kancheepuram District, Tamil Nadu

2019 ◽  
Vol 6 (8) ◽  
pp. 3471 ◽  
Author(s):  
Fasna Liaquath Ali ◽  
Ravivarman Govindasamy ◽  
Suganthi Soubramanian
Keyword(s):  
Young Child ◽  
Rural Area ◽  
Tamil Nadu ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Background: Adequate nutrition in first 24 months through optimal Infant and Young Child feeding is fundamental for the development of the child. Hence assessment of Infant and Young child feeding practices rank among the most effective intervention is to meet the deficit improve the child health. Hence this study is conducted with the objective to assess the prevalence and factors influencing infant and young child feeding practices among the rural mothers of children aged less than two years.Methods: A cross sectional study was undertaken in the rural area of Kancheepuram district, Tamil Nadu from January 2017 to August 2017. 247 children of age less than two years were selected by two stage random sampling method. Data was collected house to house using pretested questionnaire and WHO infant and young child feeding questionnaire. Proportions were calculated and Chi square was applied.Results: The median age of the study participants were 9±7.1 months. 226 (91.5 %) were given colostrum and 163 (66%) were initiated breastfeeding within one hour after birth. 58.6% of children were introduced on soft/solid/semi solid food at the end of 6 to 8 months. In multiple logistic regression education of the mother, working status of the mother, number of antennal visits and place of delivery were associated with appropriate feeding practices.Conclusions: Maternal decision determines how an infant to be fed but it reflects the atmosphere by how they are influenced and adopted the decision. 

scholarly journals Infant- and Young Child-feeding Practices in Mongolia To Assess the Indicators of Infant and Young Child Feeding Practices Among 0- 23 Months Old Children (P04-161-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Otgonjargal Damdinbaljir
Keyword(s):  
Young Child ◽  
Feeding Practices ◽  
Cluster Sampling ◽  
Child Feeding ◽  
International Consensus ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Funding Sources ◽  
Child Feeding Practices ◽  
Infant And Young Child

Abstract Objectives To assess the indicators of infant and young child feeding practices among 0- 23 months old children. Methods This cross-sectional studies was conducted all 21 provinces of the 4 economic regions of the country and capital Ulaanbaatar city in 2017. In total, 350 children aged less than two years selected through revised 125-cluster sampling using of the indicators for assessing infant and young child feeding (IYCF) practices were revised during the International Consensus Meeting organized be WHO in 2007 Results The proportions of infants with early initiation of breastfeeding (83.7%) and exclusive breastfeeding under six months (58.3%) and the prevalence continued breastfeeding at 2 years 47.3% were low. Conclusions The main problems revealed from the study were inappropriate complementary feeding practices. Our findings have highlighted the need to encourage mothers to enrich their traditional wheat- based complementary foods add more animal source foods and vegetables. Funding Sources The financial and technical support from UNICEF. Supporting Tables, Images and/or Graphs

scholarly journals Predictors of micronutrient powder intake adherence in a pilot programme in Nepal

2015 ◽  
Vol 19 (10) ◽  
pp. 1768-1776 ◽  
Author(s):  
Kelsey R Mirkovic ◽  
Cria G Perrine ◽  
Giri Raj Subedi ◽  
Saba Mebrahtu ◽  
Pradiumna Dahal ◽  
...  
Keyword(s):  
High Intake ◽  
Child Feeding ◽  
Cross Sectional ◽  
Maternal Report ◽  
Young Child Feeding ◽  
Positive Effects ◽  
Micronutrient Powder ◽  
Infant And Young Child ◽  
Negative Affects ◽  
Use Factors

AbstractObjectivePoor adherence to recommended intake protocols is common and a top challenge for micronutrient powder (MNP) programmes globally. Identifying modifiable predictors of intake adherence could inform the design and implementation of MNP projects.DesignWe assessed high MNP intake adherence among children who had received MNP ≥2 months ago and consumed ≥1 sachet (n 771). High MNP intake adherence was defined as maternal report of child intake ≥45 sachets. We used logistic regression to assess demographic, intervention components and perception-of-use factors associated with high MNP intake.SettingFour districts of Nepal piloting an integrated infant and young child feeding and MNP project.SubjectsChildren aged 6–23 months were eligible to receive sixty MNP sachets every 6 months with suggested intake of one sachet daily for 60 d. Cross-sectional surveys representative of children aged 6–23 months were conducted.ResultsReceiving a reminder card was associated with increased odds for high intake (OR=2·18, 95 % CI 1·14, 4·18); exposure to other programme components was not associated with high intake. Mothers perceiving ≥1 positive effects in their child after MNP use was also associated with high intake (OR=6·55, 95 % CI 4·29, 10·01). Perceiving negative affects was not associated; however, the child not liking the food with MNP was associated with lower odds of high intake (OR=0·12, 95 % CI 0·08, 0·20).ConclusionsBehaviour change intervention strategies tailored to address these modifiable predictors could potentially increase MNP intake adherence.

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

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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