scholarly journals A study on infant and young child feeding practices among mothers attending the immunisation clinic of a tertiary care hospital, Kolkata, West Bengal

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.

2021 ◽  
Author(s):  
Junayde Abdurahmen Ahmed ◽  
Kebede Kumsa ◽  
Kelil Hussen ◽  
Aster Yalew

Abstract The scheme youngsters are fed has a huge impact on their development. Poor breastfeeding and infant feeding practices have a negative impact on children's health and nutritional status.Purpose: The study's aim was to analyze mothers’ knowledge, attitudes, and practices (KAP) regarding supplemental feeding of children aged 6–23 months in Shashamene City, Oromia Ethiopia.Methods : A community based cross-sectional study was conducted from January 1-january 28 using a two-stage sampling procès to chose 536 women with children aged 6 to 23 months for the study. The Statistical Package for the Social Sciences (SPSS) software were used to analyze the data. The characteristics related with complementary feeding (CF) practice were identified using logistic regression, and statistical significance was determined at p-value of less than 0.05.Results: This study found that complementary food was first introduced at the age of 6 months, 353 (68.4 %) and 167 (32.1 %) at greater and Less than 6 months age with bottle feeding (AOR: 0.27, 95 % CI: (0.13, 0.55)). Sources of information about the advantages of breast milk (AOR:4.3495 % CI (1.96,9.60)), minimum dietary diversity (AOR:2.21,95 % CI(1.01,4.85)), knowledge about iron-rich foods (AOR:0.029,95 % CI (0.04,0.21)), knowledge about iodine-rich foods (AOR:0.022,95 % CI (0.03,0.16)) were discovered to be independent predictors of mother’s knowledge on appropriate infant feedingConclusion: Mothers' knowledge about the timing of CF practices is low in this study. Botte feeding, sources of information about the benefits of breast Milk, a minimum dietary diversity, knowledge about infant and young child feeding were the indépendant factors that significantly associated with mother's knowledge of appropriate infant and Young Child feeding practices.


Author(s):  
Arulprasad Radjasegarane ◽  
Anandaraj Rajagopal ◽  
Prakash Mathiyalagen ◽  
Kavita Vasudevan

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.


2021 ◽  
Vol 21 (04) ◽  
pp. 17834-17853
Author(s):  
Edward Kansiime ◽  
◽  
MK Kabahenda ◽  
E Bonsi ◽  
◽  
...  

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.


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.  


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):  
Samyak Sahu ◽  
Subrat K. Pradhan ◽  
Sadhu C. Panda

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.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Mercy Sosanya ◽  
Ayodele Gbemileke ◽  
Jeanne Freeland-Graves ◽  
Molly Bray

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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