scholarly journals Influence of agriculture on child nutrition through child feeding practices in India: A district-level analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261237
Author(s):  
Deepshikha Dey ◽  
Arup Jana ◽  
Manas Ranjan Pradhan
Keyword(s):  
Nutritional Status ◽  
Agricultural Production ◽  
Child Nutrition ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
District Level ◽  
Primary Concern ◽  
Indian Children ◽  
Child Feeding ◽  
Child Feeding Practices

Malnutrition continues to be a primary concern for researchers and policymakers in India. There is limited scientific research on the effect of agriculture on child nutrition in the country using a large representative sample. To the best of our knowledge, no study has examined the spatial clustering of child malnutrition and its linkage with agricultural production at the district-level in the country. The present study aims to examine agricultural production’s role in improving the nutritional status of Indian children through child feeding practices. The nutritional indicators of children from the National Family Health Survey-4 (2015–16) and the agricultural production data for all the 640 districts of India obtained from the District-Wise Crop Production Statistics (2015–16), published by the Ministry of Agriculture, Government of India were used for the analysis. The statistical analysis was undertaken in STATA (version 14.1). ArcMap (version 10.3), and GeoDa (version 1.8) were used for the spatial analysis. The study found a higher prevalence of malnutrition among children who had not received Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD), and Minimum Acceptable Diet (MAD). Further, child feeding practices- MMF, MDD, and MAD- were positively associated with high yield rates of spices and cereals. The yield rate of cash crops, on the contrary, harmed child feeding practices. Production of pulses had a significant positive effect on MDD and MAD. Districts with high cereal yield rates ensured that children receive MMF and MAD. There is a significant spatial association between child feeding practices and malnutrition across Indian districts. The study suggests that adopting nutrient-sensitive agriculture may be the best approach to improving children’s nutritional status.

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 Infant and Young Child Feeding Practices upto Two Years of Age and Their Nutritional Status

2014 ◽  
Vol 41 (1) ◽  
pp. 14-20 ◽  
Author(s):  
M Salim ◽  
SA Mita ◽  
MN Uddin ◽  
NWB Jahan ◽  
MZ Ali ◽  
...  
Keyword(s):  
Young Child ◽  
Nutritional Status ◽  
Breast Feeding ◽  
Feeding Rate ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices

This cross sectional study was conducted during the period of May 2008 to June 2009, a total of 455 mothers having their children of less than two years of age were interviewed in paediatric OPD of Sir Salimullah Medical College and Mitford Hospital to know the infants and young child feeding practices and their nutritional status. The mothers were mostly from the lower middle and poor socioeconomic condition. About one forth of the mothers had no institutional education. Most of the mothers live in a joint family. Pre-lacteal feeding rate were 60% and most common pre-lacteal food were honey and sugar water. More than 98% mothers gave colostrums to their newborn babies. Over 24% mothers initiated breast feeding within one hour and 18% did so within 30 minutes after birth. Exclusive breastfeeding rate up to 6 completed months of age was found in only 24.4% cases and it was more in educated mothers. Continued breast feeding rate was 34.5% in 19 - 24 months age group of children. About 24% mothers started complementary feeding timely at 6 completed months of age and about 50% mothers started early before 6 months. Most common complementary foods were carbohydrate rich cooked suji, barley or rice powder mixed with either cow's milk or powdered milk. Only 18.5% mother gave khichuri as a complementary food. Bottle feeding was still higher and it was 59.3% cases. In this study, 17.4% children were severely underweight and more than twenty four percent (24.4%) was severely stunted and 2.0% were severely wasted. Malnutrition was common in those children who were nonexclusively breast fed and start complementary feeding either early or late with carbohydrate rich food. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18774 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 14-20

scholarly journals IMPACT OF CHILD FEEDING PRACTICES ON NUTRITIONAL STATUS OF CHILDREN IN UTTARAKHAND

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Shubham Pandey ◽  
Ashish Gaur ◽  
Ankit Singh ◽  
Surabhi Kassere
Keyword(s):  
Nutritional Status ◽  
Rural Women ◽  
Rural Areas ◽  
Score Test ◽  
Feeding Practices ◽  
P Value ◽  
Child Feeding ◽  
Significance Level ◽  
Child Feeding Practices ◽  
Nutritional Status Of Children

Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag were the districts with better practices as compared to the whole state. It was also observed that Garhwal division is rated higher than Kumaon division for best child feeding practices adopted while raising children. Conclusion: Through this study, it has been concluded that breastfeeding was prevalent in rural women but there lies a scope of improvement in their knowledge pertaining to the feeding practices. Keywords: Child Feeding, Breastfeeding, Complementary feeding, Infants, Nutrition, Uttarakhand

scholarly journals Improving caregivers’ infant and young child-feeding practices using a three-group food guide: A randomized intervention study in central Uganda

2021 ◽  
Vol 21 (04) ◽  
pp. 17834-17853
Author(s):  
Edward Kansiime ◽  
◽  
MK Kabahenda ◽  
E Bonsi ◽  
◽  
...  
Keyword(s):  
Young Child ◽  
Nutrition Education ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Growth Patterns ◽  
Control Group ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Despite improvements in food production and healthcare services, the burden of malnutrition in Uganda has for the last 30yearsremained unacceptably high with rates of stunting (chronic undernutrition) and anemia (proxy for micronutrient deficiency) currently estimated at 29% and 53%,respectively among young children aged 6-59 months. Considering that both undernutrition and over nutrition are greatly attributed to monotonous diets characterized by limited dietary diversity and overdependence on starchy refined grains or roots as staples,there is need to improve the population’s awareness of appropriate dietary practices. To improve nutrition education, the Infant and Young Child-feeding national counseling cards for community volunteers (IYCF cards)that were developed by United Nations Children’s Fund (UNICEF), are currently the standard package used in Uganda’s health sector to educate caregivers on appropriate child-feeding practices. In this study, the effectiveness of a three-group food guide was evaluated against IYCF cards.A randomized, controlled intervention trial engaged three randomly selected distant groups of child-caregiver pairs (n=40) concurrently in one of three treatments namely: (i) nutrition education using a three-foodgroup guide (FG), (ii) nutrition education using age-appropriate IYCF cards, and (iii) negative control group that engaged in hair-plaiting sessions. At baseline, all groups had randomly selected caregivers of children aged 6-14 months and were met once a week for five consecutive weeks during the intervention. Caregivers were interviewed at baseline and 2 months after the interventions to determine changes in child-feeding practices while their children were concurrently measured to determine changes in their nutritional status.At baseline, caregivers in the three treatment arms exhibited inappropriate child-feeding practices indicated by low child-feeding index (CFI) scores,which were also related to poor nutritional status of their children. After the interventions, children in FG group were given more varied animal-source foods than those in IYCF cards group (p =0.02). Compared to controls, caregivers in FG group gave their children significantly more snacks (p = 0.01), their child-feeding practices indicated by CFI scores significantly improved (p = 0.001) and their children exhibited better growth patterns indicated by weight-for-age (p = 0.02) and MUAC-for-age (p = 0.03) Z-scores.These findings,therefore,indicate that the three-group food guide is more likely to improve child-feeding practices and growth patterns than IYCF cards.Hence, there is need to integrate the food guide into IYCF materials to foster child-feeding practices and growth.

scholarly journals NUTRITIONAL STATUS OF ACUTE RESPIRATORY INFECTION CHILDREN 6-23 MONTHS AND SOME CHILD FEEDING PRACTICES OF MOTHERS AT THE MATERNITY AND CHILDREN'S HOSPITAL OF HA NAM PROVINE IN 2016-2018

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Nguyen Van Dung ◽  
Nguyen Thi Thinh ◽  
Pham Van Phu
Keyword(s):  
Nutritional Status ◽  
Respiratory Infections ◽  
Feeding Practices ◽  
Cross Sectional Survey ◽  
Child Feeding ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Child Feeding Practices ◽  
Significant Difference ◽  
Children’S Hospital

A cross-sectional survey on 523 pairs of mother and suffered from acute respiratory infections child6-23 months old treated at the Maternity and Children’s Hospital of Ha Nam provine in 2016-2018to assess the nutritional status of children and describe some mother’s child-feeding practices. Theresults showed that: The rates of stunting and wasting of children were high: 21.2% and 11.1%(respectively); the rate of underweight was 14.0%. The rates of mothers who breastfeed their babieslate after the first hour after birth and of mothers who give complementary foods too early or too late(before 6 months or after 8 months of age) were quite high: 62.5% and 53.0% (respectively); the rateof mothers squeezed colostrum before first breastfeeding was 24.3%. Children who were started oncomplementary feeding at the wrong time compared with those who were fed at the right time hadhigher rates of stunting: 24.2% and 18.8% (respectively) (OR=1, 4; 95%CI 0.9-2.3) but no statisticallysignificant difference (p=0.1075); the rate of underweight malnutrition was also higher: 19.5% and7.8% (respectively) statistically significant difference (OR=2.9; 95%CI 1.6-5.3; p=0.0001).

scholarly journals Feeding Practices of Children Aged 0-59 Months Accompanying Incarcerated Mothers in Selected Women’s Prisons in Kenya

2017 ◽  
Vol 11 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Mary N. Makau ◽  
Sophie Ochola ◽  
Dorcus Mbithe
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Incarcerated Mothers ◽  
Dietary Practices ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Women's Prisons ◽  
Breastfeeding Rate

Infant and young child feeding practices have substantial consequences for the growth, development, and survival of children. Children should be exclusively breastfed for the first 6 months of life and thereafter continue to breastfeed for 2 years or longer. Children are vulnerable to malnutrition thus nutrition and health status of the confined children is of interest. The purpose of this study was to establish feeding practices of children 0-59 months incarcerated with their mothers in selected women’s prisons in Kenya. A cross-sectional analytical study was conducted on an exhaustive sample of 202 children and 193 mothers, drawn from a sample of eight out of the 35 women prisons in Kenya. Data collection tools included: a structured researcher-administered questionnaire for mothers and children. Exclusive breastfeeding rate was 69.4%; continued breastfeeding at 1 and 2 years year (88.5%; 52.2%). The mean Dietary Diversity Score (DDS) was 3.52 ± 1.04 foods groups out of 7 groups with 53.3% having attained the minimum DDS and 86.5% of breastfed children having attained the minimum frequency meal consumption. About half of the children (48.6%) attained the minimum acceptable diet. In terms of nutritional status, 21.4% of the children were stunted, 3.8% wasted and 7.5% were underweight. Dietary practices were associated with underweight; not attaining the minimum dietary diversity and minimum acceptable diet was associated with underweight (p = 0.012; p = 0.014); Illness 2 weeks prior to the study was correlated with underweight (p=0.012). Feeding practices significantly influenced nutritional status among children accompanying incarcerated mothers in prisons in Kenya.

scholarly journals Feeding practices of young children aged 12–23 months in different socio-economic settings: a study from an urban area of Indonesia

2015 ◽  
Vol 116 (S1) ◽  
pp. S1-S7 ◽  
Author(s):  
Otte Santika ◽  
Judhiastuty Februhartanty ◽  
Iwan Ariawan
Keyword(s):  
Young Children ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Feeding Practice ◽  
Low Ses ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
Fortified Foods ◽  
Child Feeding ◽  
Child Feeding Practices

AbstractPoor feeding practices among young children lead to malnutrition, and the poor are at a greater risk than the better off groups. Child-feeding practices in various socio-economic strata, especially in urban settings, have not yet been well studied in Indonesia. This study aims to explore the feeding practices of 12–23 months old children from different socio-economic status (SES) groups. A cross-sectional survey was conducted, which included low (n 207), medium-high (n 205), medium-low (n 208) and high SES households (n 194) in forty-three villages within thirty-three sub-districts of Bandung city. Two non-consecutive 24 h recall and eight core indicators of child-feeding practices were assessed through interviews. The results showed that children from the high SES group were more likely to be exclusively breast-fed and to continue breast-feeding up to 1 year of age, met minimum dietary diversity and minimum acceptable diet, and also consumed Fe-rich or Fe-fortified foods. In contrast, children from low SES consumed more energy-rich food (grain) but fewer foods from the other food groups. Consumption of major nutrients differed across the SES groups. Inadequate nutrition was higher among children from the lower SES groups. Fortified foods were consumed by a larger proportion of children from the high SES group and contributed considerably to their overall nutrient intake. This study shows that young children’s feeding practices were not adequate, most notably among the low SES households. However, after adjusting with potential confounders, there was not enough evidence to conclude SES as a risk factor for feeding practice.

scholarly journals Women’s work in farming, child feeding practices and nutritional status among under-five children in rural Rukwa, Tanzania

2015 ◽  
Vol 114 (10) ◽  
pp. 1594-1603 ◽  
Author(s):  
Sunniva Nordang ◽  
Tiransia Shoo ◽  
Gerd Holmboe-Ottesen ◽  
Joyce Kinabo ◽  
Margareta Wandel
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Household Head ◽  
Significant Risk ◽  
Feeding Practices ◽  
Dry Season ◽  
Food Shortage ◽  
Child Feeding ◽  
Child Feeding Practices ◽  
Children Under 5

AbstractSome progress has been achieved in reducing the prevalence of undernutrition among children under 5 years of age in Tanzania. In the Rukwa region (2010), the level of stunted and underweight children was 50·4 and 13·5 %, respectively. The aim of this study was to assess the nutritional status of children under 5 years of age, feeding practices and risk factors of undernutrition in a rural village in the Rukwa region, as well as to discuss the results in light of a similar study conducted in 1987/1988. This cross-sectional study was conducted in 152 households with children under 5 years of age. Data were obtained from the child’s main caretaker and the household head, using a structured questionnaire and a 24 h dietary recall. Children’s length/height and weight were measured. The prevalence of stunting and underweight was found to be 63·8 and 33·6 % (Z-score<−2 of WHO 2006 CGS), respectively. Sugar-water was given to 72·3 % of the children on the first day after birth. A thin gruel was introduced after a median of 2 months (25th–75th percentiles; 1–3). The time mothers spent farming was a significant risk factor for stunting (P=0·04). Illness, food shortage and dry-season cultivation were significant risk factors for underweight (P<0·01). Using the NCHS/WHO 1983 growth reference (<75 % of the median), the prevalence of underweight was 25·0 %, similar to that reported in 1987/1988 (26·4 %). In conclusion, the underweight prevalence was found to be at the same level in 2010 as was recorded in 1987/1988. Current child-feeding practices were not in line with WHO recommendations. Women working in farms, food shortage, dry-season cultivation and diseases partly explain the children’s poor nutritional status.

Influence of Infant and Young Child Feeding Practices on Stunting in Children Aged 6 – 23 Months in Zambia 

2021 ◽  
Author(s):  
Andrew Banda ◽  
Elizabeth T. Nyirenda ◽  
Chabila C. Mapoma ◽  
Bwalya B. Bwalya ◽  
Nkuye Moyo
Keyword(s):  
Child Nutrition ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Feeding Practices ◽  
Meal Frequency ◽  
Chi Square ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Main Determinants ◽  
Minimum Dietary Diversity

Abstract Background Infant and child nutrition in Zambia remains a pressing public health problem. The Zambia Demographic and Health Survey (ZDHS) indicates that 35% of children under-five and 36 % among those aged 6-23 months are stunted. This study set out to assess the influence of Infant and Child Feeding (IYCF) practices on child stunting (6-23 months) in Zambia. Methods The 2008 ZDHS children’s data were analysed to measure stunting among infants aged 6-23 months. We fitted a bivariate logistic regression to measure association between feeding practices and stunting in children. Pearson’s Chi-square test of proportions measuring differences in proportions and adjusted odd ratios (AOR) with confidence intervals at 95% are reported. Results Findings indicate that 36% were stunted. IYCF practices indicators remain relatively poor in Zambia with only 13% of children age 6-23 months having received minimum acceptable diet, 23% received minimum dietary diversity and 42% received minimum meal frequency. Breastfeeding and receipt of a minimum dietary diversity reduced the odds of stunting among children age 6-23 months by 38% and 33% respectively. A child's perceived low birth size, being male, maternal anaemia status and mother's use of the internet were significant predictors of stunting.Conclusion We conclude that IYCF practices have an influence on stunting in Zambia and that socio-economic and demographic factors are likewise associated with stunting although the main determinants are amendable to intervention. Promoting the recommended WHO IYCF practices; breastfeeding, minimum meal frequency, receiving foods with diverse dietary content and accelerated investment in nutrition programs is recommended.

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