Infant and young child feeding practices and its associated factors among mothers of under two years children in a western hilly region of Nepal

Infant and young child feeding is a key area to improve child survival and promote healthy growth and development. Nepal government has developed and implemented different programs to improve infant and young child feeding practice. However, the practice remains poor and is a major cause of malnutrition in Nepal. This study aims to identify infant and young child feeding practices and its associated factors among mothers of children aged less than two years in western hilly region of Nepal. A descriptive cross-sectional study was carried out among 360 mothers of under two years’ children in Syangja district. A semi structural questionnaire was used. Data was entered in EpiData and analyzed using IBM SPSS version 21. Descriptive statistics were used to report the feeding practices and other independent variables. Bivariate and multivariate logistic regression model was used to establish the factors associated with infant and young child feeding practices. The prevalence of breastfeeding, timely initiation of breastfeeding, exclusive breastfeeding, timely initiation of complementary feeding, minimum dietary diversity, minimum meal frequency and minimum acceptable diet (MAD) were 95.6%, 69.2%, 47.6%, 53.3%, 61.5%, 67.3% and 49.9% respectively. Normal delivery (AOR 6.1, 95% CI 1.2–31.3) and higher maternal autonomy (AOR 5.2, 95% CI 1.8–14.6) were significantly associated with exclusive breastfeeding. Similarly, crop production and food security (AOR 3.8, 95% CI 1.9–7.7), maternal knowledge on MAD (AOR 2.5, 95% CI 1.0–6.2) and maternal autonomy (AOR 4.2, 95% CI 2.1–8.4) were significantly associated with minimum acceptable diet. Factors such as maternal education, maternal health services utilization, maternal knowledge, and maternal autonomy were associated with infant and young child feeding practices, which warrants further attention to these factors to reduce malnutrition.

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Determinants of Infant and Young Child Feeding Practices of Rural Farming Households in Bauchi State, Nigeria (P18-108-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz039.p18-108-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Mercy Sosanya ◽

Ayodele Gbemileke ◽

Jeanne Freeland-Graves ◽

Molly Bray

Keyword(s):

Young Child ◽

Dietary Diversity ◽

Feeding Practices ◽

Child Feeding ◽

Timely Initiation ◽

Mothers And Fathers ◽

Young Child Feeding ◽

Child Feeding Practices ◽

Infant And Young Child ◽

Farming Households

Abstract Objectives Poor infant and young child feeding practices (IYCF) can undermine the nutrition and health status of individuals in vulnerable households. Bauchi state, Nigeria, has the fourth highest prevalence of child malnutrition in the country, yet over 80% of the population is involved in agriculture. This study evaluated the predictors of IYCF practices of rural farming households in Bauchi state, Nigeria Methods This study was conducted in six Local Government Areas of Bauchi state. A total of 720 mothers and fathers were selected from households with at least one child under 5 years. Household socio-demographic features and information on infant and young child feeding (IYCF questionnaire of the World Health Organization), were collected using Open Data Kit Collect, a mobile app. Descriptive statistics were computed, and relationships between variables were evaluated using Spearman's rank correlation and multivariate analyses. Results The mean age (27.2 ± 7.2 years vs. 41.7 ± 10.6 years) and monthly income (∼$4.85 vs. ∼$39.88) of the mothers and fathers respectively, were different (P < 0.05). Twenty-six (3.9%) mothers and 165 (23%) fathers had completed secondary or post-secondary education. The rates of exclusive (20.7%) and timely initiation (29.0%) of breastfeeding were poor. Only 26.0% of children 6–23 mo. received the minimum acceptable diet (minimum dietary diversity and meal frequency). Mothers’ education was positively correlated with the practice of exclusive breastfeeding, while continued breastfeeding at 15 months of age was positively associated with fathers’ income (P < 0.05). Both mothers’ and fathers’ income and education were positively associated with dietary diversity (P < 0.05). Low income and poor education of mothers were negative predictors of timely initiation of breastfeeding, while mothers’ occupation, household size, and the number of children per household were negative predictors of dietary diversity (P < 0.05). Conclusions Infant and young child feeding practices in the rural farming area were influenced by parents’ income and education, and were below optimum levels needed to prevent malnutrition. Funding Sources This research was funded by Oxfam LINE Project, Nigeria. Supporting Tables, Images and/or Graphs

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

Archives of Public Health ◽

10.1186/s13690-021-00555-x ◽

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.

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Association of infant and young child feeding practices with undernutrition in children: evidence from the Nepal Demographic and Health Survey

Paediatrics and International Child Health ◽

10.1179/2046905515y.0000000049 ◽

2015 ◽

pp. 2046905515Y.000

Author(s):

Dirga Kumar Lamichhane ◽

Jong Han Leem ◽

Hwan Cheol Kim ◽

Myung Sook Park ◽

Ji Young Lee ◽

...

Keyword(s):

Young Child ◽

Health Survey ◽

Feeding Practices ◽

Demographic And Health Survey ◽

Child Feeding ◽

Young Child Feeding ◽

Child Feeding Practices ◽

Infant And Young Child

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

PLoS ONE ◽

10.1371/journal.pone.0109181 ◽

2014 ◽

Vol 9 (11) ◽

pp. e109181 ◽

Cited By ~ 19

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

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Association of Infant and Young Child Feeding Practices with Linear Growth of Children under 24 Months in Asia and Africa

Pakistan Journal of Nutrition ◽

10.3923/pjn.2019.665.670 ◽

2019 ◽

Vol 18 (7) ◽

pp. 665-670 ◽

Cited By ~ 1

Author(s):

Aprilya Roza Werda ◽

Diah Mulyawati

Keyword(s):

Young Child ◽

Linear Growth ◽

Feeding Practices ◽

Child Feeding ◽

Young Child Feeding ◽

Child Feeding Practices ◽

Infant And Young Child

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A cross sectional study on optimal infant and young child feeding practices with reference to WHO indicators in a rural area of Puducherry

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191405 ◽

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.

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

Indian Journal of Public Health ◽

10.4103/0019-557x.106420 ◽

2012 ◽

Vol 56 (4) ◽

pp. 301 ◽

Cited By ~ 21

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

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Socio-cultural Barriers in Infant and Young Child Feeding Practice among Mothers of Kumal Community in Nuwakot District

Journal of Health and Allied Sciences ◽

10.37107/jhas.131 ◽

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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