scholarly journals COMPLEMENTARY FEEDING INDICATORS FOR CHILDREN AGED 6 TO 23 MONTHS ACCORDING TO BREASTFEEDING STATUS

2021 ◽  
Vol 39 ◽  
Author(s):  
Daniella Garcia Vidal Rodrigues Leonez ◽  
Angélica Rocha de Freitas Melhem ◽  
Daniele Gonçalves Vieira ◽  
Débora Falleiros de Mello ◽  
Paula Chuproski Saldan

ABSTRACT Objective: To verify if there are differences among the complementary feeding indicators of children aged 6-23 months according to the breastfeeding status. Methods: A cross-sectional study was carried out with 1,355 children aged 6-23 months in 2012 to evaluate five indicators proposed by the World Health Organization (WHO) and modified in accordance with Brazilian’s recommendations “Ten steps to a healthy feeding: a feeding guide for children under two years old”. The indicators used were: I. Introduction of solid, semi-solid or soft foods; II. Minimum dietary diversity; III. Minimum meal frequency; IV. Minimum acceptable diet, and V. Consumption of iron-rich foods. To verify differences between the complementary feeding indicators according to breastfeeding status, the F-statistic was used, with p≤0.05 meaning significant. Results: Indicators I, II, and V were similar among breastfed and non-breastfed children; however, indicators III and IV presented a higher proportion of adequacy for non-breastfed children, with 94.9% (CI95% 93.2-96.2) versus 40.3% (CI95% 33.2-47.9) for indicator III, and 57.3% (CI95% 53.2-61.2) versus 23.1% (CI95% 17.4-30.1) for indicator IV. Conclusions: Non-breastfed children have better complementary feeding status, but the indicator III takes into account non-breast milk as a meal for non-breastfed children, which increased the number of dairy meals and influenced indicator IV (calculated from indicators II and III).

2020 ◽  
Author(s):  
Gashaw Andargie Bikes ◽  
Amare Tariku ◽  
Molla Mesele Wassie ◽  
Solomon Mekonnen ◽  
Esmeal Ali Muhammad ◽  
...  

Abstract Background: Optimal feeding practices are recommended to improve nutritional status and prevent the common childhood illnesses. Studies on the feeding practice of children including meal frequency and dietary diversity are scarce in children with illness. Therefore, we aimed to assess feeding practice and its associated factors among children aged 6-59 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia. Methods : A community based cross-sectional study was conducted in Dabat HDSS site from February to June 2016 on 1,174 mother-child pairs. A multistage stratified sampling followed by a systematic random sampling technique was employed to select the study participants. A binary logistic regression model was fitted to identify factors associated with children’s feeding practice. A crude odds ratio and adjusted odds ratio with its 95% confidence intervals (CI) were calculated to see the strength of association and significance of the identified factors with feeding practices. Result: The overall prevalence of a minimum dietary diversity practice and a minimum meal frequency was 27 % (95%CI: 24.4, 29.7) and 83.7 %( 95%CI: 91.7, 86.0), respectively. Having antenatal care (ANC) service (AOR = 1.6; 95% CI: 1.18, 2.27) and institutional delivery (AOR = 2.6; 95% CI: 1.85, 3.55) increased odds of an adequate dietary diversity in children. On the contrary, the odds of practicing an adequate dietary diversity was lower among a household obtained food from home gardens (AOR = 0.4; 95% CI: 0.29, 0.52) and currently breast fed children (AOR = 0.6; 95% CI: 0.42, 0.78). The probability of having a minimum meal frequency was decreased among children in the first two years of age (AOR = 0.1; 95% CI: 0.06, 0.15), however increased in children who fed alone (AOR = 1.9; 95% CI: 1.29, 2.69). Conclusion: The proportion of children who received the minimum dietary diversity was low while the proportion of children who obtained minimum meal frequency was good. Providing a health and nutrition counseling on Infant and Young Child Feeding during maternal ANC services and delivery period are recommended for achieving the recommended dietary practices.


2020 ◽  
Vol 35 (1) ◽  
pp. 27-37
Author(s):  
Collins Afriyie Appiah ◽  
Faustina O. Mensah ◽  
Frank E. A. Hayford ◽  
Vincent A. Awuuh ◽  
Daniel Edem Kpewou

PurposeThe purpose of this study was to identify the predictors of child undernutrition and anemia among children 6–24 months old in the East Mamprusi district, Northern region, Ghana.Design/methodology/approachThis cross-sectional study recruited 153 children and their mothers. Weight, height and hemoglobin levels of the children were measured. A structured questionnaire based on the World Health Organization's indicators for assessing infant and young child feeding practices was used to collect data on parents' socioeconomic status, household characteristics, hygiene and sanitation practices, mothers' knowledge on feeding practices such as child's meal frequency and dietary diversity and child morbidity within the past two weeks. Predictors of child nutritional status were determined using multinomial logistic regression analysis.FindingsUnderweight in the children was significantly predicted by maternal knowledge on protein foods (AOR = 0.045, p = 0.008), time of initiation of complementary feeding (AOR = 0.222, p = 0.032) and maternal age (AOR = 9.455, p = 0.017). Feeding child from separate bowls (AOR = 0.239, p = 0.005), minimum meal frequency per child's age (AOR = 0.189, p = 0.007) and time of initiation of complementary feeding (AOR = 0.144, p = 0.009) were significant determinants of stunting among the children. Exclusive breast feeding (AOR = 7.975, p = 0.012) and child's past morbidity (AOR = 0.014, p = 0.001) significantly contributed to anemia among the children.Research limitations/implicationsThis is a cross-sectional study and cannot establish causality. The small sample size also limits the generalizability of study findings. However, findings of the study highlight factors which could potentially influence the high rate of child undernutrition in the study setting.Practical implicationsThis study identifies determinants of undernutrition in the East Mamprusi district, an underresourced area in Ghana. This information could inform the development/reformulation of locally sensitive key messages and targeted intervention strategies to curb the high levels of child undernutrition in the East Mamprusi district of Ghana.Originality/valueThis study identifies maternal care practices as key potential drivers of undernutrition in a low-resource setting known for high prevalence of child undernutrition. It suggests insight for large-scale studies on the predictors of child undernutrition in Northern Ghana and other resource-poor settings.


2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.


Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 178
Author(s):  
Zizwani Brian Chilinda ◽  
Mark L. Wahlqvist ◽  
Meei-Shyuan Lee ◽  
Yi-Chen Huang

Along with sanitation and hygiene, water is a well-known driver of child undernutrition. However, a more direct role of household (HH) water access in shaping dietary diversity remains unexplored. We assessed the association between HH water access and achievement of minimum dietary diversity (MDD) among young children. We utilized nationally-representative cross-sectional data from the 2015/16 Malawi Demographic and Health Survey, which included 4727 mother–child dyads, respectively, (26.8 ± 6.8 years, range 15–49 years) and (13.9 ± 4.9 months, range 6–23 months). HH water access was categorized as (1) basic or no access, (2) intermediate, or (3) optimal. MDD was defined as feeding a child, during the previous day, at least four of the food groups defined by the World Health Organization. Only 27.7% of the children achieved MDD standards; most of the children who achieved MDD were from HHs with optimal water access (58.4%, p < 0.001). However, only 5.9% of the mother–child dyads were from HHs with optimal water access. After adjusting for covariates, children from HHs with optimal water access had higher odds of achieving MDD than those from HHs with basic or no water access (aOR = 1.74, CI = 1.24–2.46). Our results highlight the need to incorporate water-based strategies into national nutritional policies to increase dietary diversity among Malawian infants and young children.


2016 ◽  
Vol 26 (3) ◽  
pp. 341
Author(s):  
Marcella Evangelista Melo ◽  
Giovanna Lima Miguéis ◽  
Mikaela Silva Almeida ◽  
Tatiane Dalamaria ◽  
Wagner De Jesus Pinto ◽  
...  

Introduction: In the diagnosis of overweight and obesity based on body mass index in children and adolescents, several national and international anthropometric references are recommended. However, there is a divergence in the estimated prevalence of overweight and obesity among the references. Objective: To identify the prevalence of overweight and obesity and to analyse the magnitude of agreement among the three references. Methods: A cross-sectional study with 975 students from the early grades of elementary school. The prevalence of overweight and obesity were estimated according to the criteria of the World Health Organization (WHO), the International Obesity Task Force (IOTF) and Conde and Monteiro. The Kappa weighted index was calculated to assess the agreement magnitude among the three references. Results: The highest prevalence of overweight and obesity was estimated by the Conde and Monteiro and WHO references, respectively. Overall, the IOTF revealed lower a magnitude of prevalence than the two other references. The agreement among the references identified by the Kappa index had a range of 0.66 to 0.94. Conclusion: Despite the satisfactory agreement among the three references, this research highlighted the differing magnitudes of the prevalence of overweight and obesity. This fact limits the ability to make comparisons among populations and impairs the development of overweight and obesity prevention actions.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262619
Author(s):  
Seifu Awgchew Mamo ◽  
Girum Sebsibie Teshome ◽  
Tewodros Tesfaye ◽  
Abel Tibebu Goshu

Introduction Perinatal asphyxia continues to be a significant clinical concern around the world as the consequences can be devastating. World Health Organization data indicates perinatal asphyxia is encountered amongst 6–10 newborns per 1000 live full-term birth, and the figures are higher for low and middle-income countries. Nevertheless, studies on the prevalence of asphyxia and the extent of the problem in poorly resourced southern Ethiopian regions are limited. This study aimed to determine the magnitude of perinatal asphyxia and its associated factors. Methods A retrospective cross-sectional study design was used from March to April 2020. Data was collected from charts of neonates who were admitted to NICU from January 2016 to December 31, 2019. Result The review of 311 neonates’ medical records revealed that 41.2% of the neonates experienced perinatal asphyxia. Preeclampsia during pregnancy (AOR = 6.2, 95%CI:3.1–12.3), antepartum hemorrhage (AOR = 4.5, 95%CI:2.3–8.6), gestational diabetes mellitus (AOR = 4.2, 95%CI:1.9–9.2), premature rupture of membrane (AOR = 2.5, 95%CI:1.33–4.7) fetal distress (AOR = 3,95%CI:1.3–7.0) and meconium-stained amniotic fluid (AOR = 7.7, 95%CI: 3.1–19.3) were the associated factors. Conclusion Substantial percentages of neonates encounter perinatal asphyxia, causing significant morbidity and mortality. Focus on early identification and timely treatment of perinatal asphyxia in hospitals should, therefore, be given priority.


2021 ◽  
Vol 3 (1) ◽  
pp. 52-58
Author(s):  
Muhammad Thabran Talib ◽  
Satriani Albar

Pemberian imunisasi dapat dilihat dari banyaknya balita yang meninggal akibat penyakit dapat dicegah dengan imunisasi. Data World Health Organization menunjukkan bahwa satiap tahun, setidaknya 1,7 juta anak meninggal karena penyakit yang dapat dicegah dengan vaksin yang sudah tersedia. Penelitian ini bertujuan untuk menganalisis faktor pemberian imunisasi dasar lengkap antara pengetahuan dan sikap ibu tentang imunisasi. Penelitian Puskesmas Tamalate Makassar. Populasi adalah ibu yang memiliki anak usia imunisasi di Puskesmas Tamalate Makassar dengan jumlah sampel 122 orang. Data sekunder dari laporan tahunan imunisasi yang ada di Puskesmas Tamalate Makassar, data primer dengan pembagian kuisioner yang diisi responden. Analisa data dilakukan yaitu analisa Univariat dan analisa bivariat. Penelitian ini dilaksanakan pada Nopember-Desember 2019. Dengan jenis penelitian Desain dengan Cross Sectional Study. Hasil penelitian analisa univariat, pengetahuan baik 107(87,7%) responden dan pengetahuan responden yang kurang 15(12,2%) responden. Sedangkan sikap baik 115(94,2%) responden, sedangkan sikap yang kurang 7(5,7%) responden. Analisis bivariat menunjukkan Ada hubungan yang bermakna antara tingkat pengetahuan dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,002 dan ada hubungan yang bermakna antara sikap dengan pemberian imunisasi dasar lengkap pada bayi yaitu p: 0,038. Saran yaitu upaya peningkatan pembinaan dan pendidikan tentang pentingnya pemberian imunisasi secara lengkap pada bayi.


2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ari Widyaningsih ◽  
Isfaizah Isfaizah

Salah satu penyakit tidak menular yang banyak ditemukan pada masyarakat saat ini salah satunya adalah hipertensi yang diawali pre-hipertensi. World Health Organization (WHO) mencatat pada tahun 2012 sedikitnya 839 juta kasus hipertensi, diperkirakan menjadi 1,15 milyar pada tahun 2025 atau sekitar 29% dari total penduduk dunia, dimana penderitanya lebih banyak pada wanita (30%) dibanding pria (29%).  Beberapa faktor risiko lain juga berkontribusi terhadap kenaikan tekanan darah pada wanita, diantaranya riwayat hipertensi, karakteristik seseorang (usia, jenis kelamin, ras), gaya hidup yang di dalamnya termasuk pola konsumsi lemak dan garam tinggi, makan secara berlebihan hingga mengakibatkan obesitas, kebiasaan merokok dan minum alkohol, kurang konsumsi sayuran dan buah, aktivitas fisik, pekerjaan, kualitas tidur, konsumsi kopi, stress, penggunaan alat kontrasepsi hormonal, status gizi dan obesitas sentral.  Perubahan tekanan darah tinggi dapat terjadi pada 5% pemakaian kontrasepsi hormonal. Tekanan darah akan meningkat secara bertahap dan tidak akan menetap. Wanita yang memakai kontrasepsi selama 5 tahun atau lebih, frekuensi perubahan tekanan darah tinggi meningkat 2 sampai 3 kali dari pada tidak memakai alat kontrasepsi hormonal. Resiko terjadinya tekanan darah tinggi akan meningkat dengan bertambahnya umur, lama pemakaian kontrasepsi dan bertambahnya berat badan.  Berdasarkan uraian di atas, peneliti tertarik melakukkan penelitian tentang.  Faktor – faktor yang Berhubungan dengan Kejadian Hipertensi pada Akseptor KB Suntik.  Penelitian ini merupakan analitik korelasi dengan pendekatan cross-sectional study dengan teknik pengambilan sampel accidental sampling dan uji chi square pada analisa datanya.


2019 ◽  
Vol 1 (1) ◽  
pp. 26-28
Author(s):  
Reni Fitriani ◽  
Agni Laili Perdani ◽  
Lia Juniarni

Background: Transgender is no longer classify a mental health illness from World Health Organization (WHO). The number of this community up to 3.9 million or 1.6% from Indonesia citizen. Transgender face social discrimination and stigma toward themselves as a result from community and family rejection. This condition could affected their process of self-acceptance and self-concept.Purpose: This study aimed to describe the self-acceptance and the self-concept among transgender in Indonesia    Methods: A cross-sectional study was conducted in transgender community at Srikandi Pamungkas, Lembang. This study used a convinience sampling and 30 respondents agreed to participate. Data was collected using self-questionnaire and consist of 52 item questions with.Results: This study showed that the total of transgender with good self-acceptance is 17 (56.7%) and good self-concept is 16 (53.3%)Conclusion: Most of the transgender in the transgender community had good self-acceptance and good self-concept from the support system in community environment.


Sign in / Sign up

Export Citation Format

Share Document