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

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.

2020 ◽  
Vol 19 (1) ◽  
pp. 31-38
Author(s):  
Iswari Luitel ◽  
Rita Kumari Ban ◽  
Sabika Munikar

Introduction: Infant and young child feeding practices play vital role for the growth and development. It is recommended to exclusively breastfed for first six months and thereafter receive complementary foods with continued breastfeeding. However Chepang, the indigenous community of Nepal depends primarily upon forest food. This study aims to determine the infant and young child feeding practices among Chepang children. Methods: A cross sectional study was conducted among the mothers of 77 children aged six to 59 months through purposive sampling. Data was collected through face to face interview taking informed written consent. The collected data were analysed for descriptive and bivariate analysis using SPSS version 21. Results: In this study, mean age of respondents was 25.92 (±7.04) years, 68.8% followed Christian religion, 51.9% were educated, only 45.5% of respondent’s spouse were educated and 51.9% belonged to nuclear family. Among the respondents, 65.7% had good breast feeding practice and 88.3% had good complementary feeding practice. Statistically significant relationship was found between breast feeding practice and educational status and also between complementary feeding practice and family type. Conclusions: This study found that respondents had good breast feeding practice and complementary feeding practice. Among the respondent, seven out of 10 had good breast feeding practice and nine out of 10 had good complementary feeding practice. Association between breast feeding practice and educational status puts light upon the need for educating and empowering women for improved infant and young child feeding practices.  


2017 ◽  
Vol 6 (3) ◽  
pp. 1-7
Author(s):  
R K Ban ◽  
L Rajbanshi

 Infant and Young Child Feeding (IYCF) practices differ in communities due to differences in knowledge, culture and other socio-economic factors. The objective of this study was to find out the practices of Satar mothers on ICYF and their correlates. A descriptive study employing non-probability sampling technique was used to select 132 mothers who had infants aged from 6 months to 23 months. Descriptive statistics and chi-square test were used to find out the association between practice of breastfeeding and complementary feeding with selected socio demographic variables. Findings depicted that practice of breastfeeding was lower than complementary feeding among Satar mothers. About 37.1% respondents initiated breast feeding in less than an hour (≤ 1 hour). While 80.3% respondents fed colostrums, almost the half of them (43.4%) practiced prelacteal feeding. Exclusive breastfeeding and introduction of complementary foods at the age of six months were 49.2% and 51.5% respectively. Exclusive breast feeding was found to have significant association with educational level of respondents (p=<0.001), education level of her husband (p=<0.001), sex of children (p=0.023) and place of delivery (p=<0.001). Feeding practices in Satar community were found to be associated with mother’s educational status so there is still a need for programmes, which support and encourage breast-feeding particularly focusing more on younger and less well-educated mothers. 


2015 ◽  
Vol 2 (1) ◽  
pp. 39 ◽  
Author(s):  
Sonali Kar ◽  
Sourav Bhattacharjee ◽  
PC Samantaray ◽  
Seba Biswal

A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) in 2002, to reverse the disturbing trends in infant and young child feeding practices. This stands out as an extremely cost-effective and extremely advantageous method to bring down the infant and child mortality and morbidity especially in developing countries like India.Odisha, one of the states in India, records just 50% of exclusive breast feeding practice as reported in National Family Health Survey-3 (2005-6) and also accounts for one of the highest Infant Mortality Rates in the country. Hence the current studywas planned jointly by the Nutrition wing of UNICEF and Odisha Voluntary Health Association (OVHA), a Nongovernmental Organization which works for health programs in the state. A baseline study to assess Infant Feeding Practices thus was plannedfor 7 districts of the state and sampled so as to adequately represent the marginalized population of the state. A detailed questionnaire with information on sociodemographic parameters of the study population and questions that elicited informationon the infant and child feeding practices was designed and pretested in a sample population and a team of supervisors and data collectors were trained for the purpose. The study revealed district level data on the infant young child feeding practices in the state. Exclusive Breast Feeding (EBF) was calculated as 48% and early initiation of breast feeding was nearly 46%. The feeding indicators calculated for 6-23 months age group were of greater concern as minimum dietary diversity is reported 27.4% and minimum meal frequency is 29%. In spite ofthe provision of iron syrup and iron folic acid tablets under the flagship program of the country, that is, National Rural Health Mission, for 6-59 months children, the consumption of iron fortified foods is reported as only 6.8%. This could be the cause ofhigh level of morbidity reported in under five in the state. The data was presented to the state program managers inorder to prioritize the problem areas and take requisite steps at the district level to improve the IYCF indicators in their respective states.


1998 ◽  
Vol 30 (4) ◽  
pp. 481-499 ◽  
Author(s):  
DANIEL W. SELLEN

Breast-feeding and weaning practices were observed for a cohort of 81 children under 3 years of age in the context of a longitudinal study of social, ecological and nutritional factors affecting growth in a semi-nomadic population of pastoralists in northern Tanzania (WaDatoga of Mbulu District). The adequacy of indigenous infant and young child feeding practices was assessed in relation to current international recommendations. Objectives were to provide baseline data for future investigations of any changes in young child feeding practices which accompany population shifts towards settlement and non-pastoral modes of subsistence, and to improve understanding of the strengths and limitations of indigenous feeding practices in this type of population. It was found that while breast-feeding was universally initiated, other aspects of young child feeding practices do not meet current international recommendations. Prelacteal feeds are commonly used, supplementary feeding with non-human milks usually occurs before 4 months of age, use of solid foods normally begins later than 6 months, and breast-feeding does not continue until 2 years of age for the majority of children. The data have implications for the design of breast-feeding promotion and improved weaning food interventions among African pastoralists.


Author(s):  
Subhadra K. T.

Background: This study was carried out to assess the practices of young mothers related to Infant and Young Child Feeding Practices (IYCF) in Chottanikkara Grama Panchayat.Methods: All mothers of infants and children upto 5 years in Chottanikkara Grama Panchayat who were registered under the Integrated Child development Services (ICDS) program for services were interviewed based on self-prepared questionnaire based on National guidelines for IYCF by Indian Academy of Pediatrics (IAP).Results: 277 ladies were interviewed. Of this 50% of ladies had undergone caesarean delivery. 60.7% of children had received prelacteals. Only less than 30% of infants had been given breast milk within one hour after delivery. 50% of the ladies exclusively breast fed their babies only below a period of four months. Around 50% of ladies started complementary feeding of child on 6th month of age, whereas around 30% started complementary feeding before 6 months and 20% started complementary feeding only after 6 months of age. 78.6% of ladies continued breast feeding till 2 years after delivery.Conclusions: The studied population was a small population who had used services of the anganwadi and ASHA workers. But there are many who are not properly utilizing these services. In both rural and urban areas more efforts are needed to encourage exclusive breast feeding, to avoid premature complementation and, in the urban areas to protect extended breast feeding.


Author(s):  
Nabanita Chakraborty ◽  
Gautam Kumar Joardar

Background: Age appropriate feeding practices is an essential determinant of physical growth as well as mental health of under-five children. WHO and UNICEF have formulated the infant and young child feeding practices guidelines to enhance appropriate feeding practices in infants and young children.Methods: A descriptive, observational, cross-sectional study was conducted in the immunization clinic of KPC medical college and hospital from October to December 2018 among children in 0-23 months age group. The mothers were interviewed regarding their sociodemographic details as well as the IYCF practices as per WHO.Results: It was found that appropriate practices in terms of prelacteal feeding, colostrum feeding; early initiation of breast feeding and exclusive breast feeding was present in 78.4%, 80%, 77.5% and 50% children respectively. Timely initiation of complementary feeding was found in 81%, breast feeding was continued upto 1 year in 68.8% and consumption of iron rich or iron fortified food was found in 54.5% children. Appropriate practices in terms of minimum meal frequency, minimum dietary diversity and minimum appropriate diet were found in 49.7%, 27% and 32.3% children respectively. Sex wise distributions have found significant association with minimum dietary diversity and minimum acceptable diet. Age wise distribution revealed significant association with minimum dietary frequency, minimum dietary diversity and minimum acceptable diet (p<0.005).Conclusions: Thus infant and young child feeding practices were not satisfactory. Mothers should be made aware about the appropriate feeding practices and health education should be given regarding correct child feeding practices.


2017 ◽  
Vol 20 (12) ◽  
pp. 2114-2123 ◽  
Author(s):  
Chandni Karmacharya ◽  
Kenda Cunningham ◽  
Jowel Choufani ◽  
Suneetha Kadiyala

AbstractObjectiveTo examine associations between grandmothers’ knowledge and infant and young child feeding (IYCF) practices and to test whether the associations are independent of or operate via maternal knowledge.DesignCross-sectional household survey data from households with a child under 5 years (n4080). We used multivariate regression analyses, adjusted for child, maternal, grandmother and household characteristics, and district-level clustering, to test associations between grandmothers’ knowledge and IYCF practices for children aged 6–24 months living with a grandmother. We used causal mediation to formally test the direct effect of grandmothers’ knowledge on IYCF practicesv. maternal knowledge mediating these associations.SettingTwo hundred and forty rural communities, sixteen districts of Nepal.SubjectsChildren aged 6–24 months (n1399), including those living with grandmothers (n748).ResultsWe found that the odds of optimal breast-feeding practices were higher (early breast-feeding initiation: 2·2 times,P=0·002; colostrum feeding: 4·2 times,P<0·001) in households where grandmothers had correct knowledgev. those with incorrect knowledge. The same pattern was found for correct timing of introduction of water (2·6), milk (2·4), semi-solids (3·2), solids (2·9), eggs (2·6) and meat (2·5 times; allP<0·001). For the two pathways we were able to test, mothers’ correct knowledge mediated these associations between grandmothers’ knowledge and IYCF practices: colostrum feeding (b=10·91,P<0·001) and the introduction of complementary foods (b=5·18,P<0·001).ConclusionsGrandmothers’ correct knowledge translated into mothers’ correct knowledge and, therefore, optimal IYCF practices. Given grandmothers’ influence in childcare, engagement of grandmothers in health and nutrition interventions could improve mothers’ knowledge and facilitate better child feeding.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen

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.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Nigatu Regassa Geda ◽  
Cindy Xin Feng ◽  
Bonnie Janzen ◽  
Rein Lepnurm ◽  
Carol J. Henry ◽  
...  

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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