scholarly journals Mothers’ Competence in Child Feeding Recommendations, Complementary Feeding Practices and Determinants of Adequate Diet

2020 ◽  
Author(s):  
VICTOR MOGRE ◽  
Kingsley B Appiah ◽  
Ernest K Cheyuo ◽  
Abdul-Mumin Alhassan ◽  
Martin A Ayanore ◽  
...  
Keyword(s):  
Young Child ◽  
Nutrition Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Full Potential ◽  
Child Feeding ◽  
Adequate Diet ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background Appropriate complementary feeding is critical for optimal nutrition in infant and young children as it ensures their growth, health and development to attain their full potential. However, evidence shows children from developing countries do not meet the core indicators for appropriate complementary feeding. We evaluated mothers’ competency in infant and young child feeding recommendations and their association to complementary feeding practices among children aged 6–23 months.Methods This cross-sectional study included 200 children aged 6–23 months and their mothers/care givers recruited during the child welfare clinics of two health facilities in Ghana. Data was collected using a structured questionnaire. Multivariate logistic regression was used to assess determinants of appropriate diet.Results Sixty-eight percent of the mothers knew the recommended duration of continued breastfeeding, 56.5% how to ensure dietary diversity and enrich their children’s diets and 94% (n = 188) had positive attitude towards recommended infant and young child feeding practices. Majority of the mothers (92%, n = 183) practiced continued breastfeeding, 10.5% of the children met minimum diet diversity score, 39.5% minimum meal frequency and 8.5% received minimum acceptable diet. Determinants of receipt of minimum adequate diet were: having high knowledge in child feeding recommendations (100% vs. 0.0; p < 0.001) and child’s father reportedly earning enough financially (AOR = 12.1 (1.32–109.72; p = 0.027).Conclusion Poor complementary feeding practices were common and mother’s knowledge levels regarding infant and young child feeding recommendations as well as the income levels of the child’s father were important determinants of appropriate diet. Nutrition education should emphasis on improving mothers’ nutrition knowledge regarding infant and young child feeding and supporting mothers to overcome barriers to feed their children with appropriate complementary foods.

scholarly journals Mothers’ knowledge and attitudes regarding child feeding recommendations, complementary feeding practices and determinants of adequate diet

BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kingsley Appiah Bimpong ◽  
Ernest Kaa-Emabong Cheyuo ◽  
Alhassan Abdul-Mumin ◽  
Martin A. Ayanore ◽  
Clement K. Kubuga ◽  
...  
Keyword(s):  
Young Child ◽  
Positive Attitude ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Full Potential ◽  
Child Feeding ◽  
Adequate Diet ◽  
Young Child Feeding ◽  
Knowledge And Attitudes ◽  
Infant And Young Child

Abstract Background Complementary feeding is critical for optimal nutrition in infants and young children as it ensures their growth, health and development to attain their full potential. However, evidence shows that children from developing countries do not meet the core indicators for appropriate complementary feeding. We evaluated mothers’ knowledge and attitudes regarding child feeding recommendations and the determinants of adequate diet among children aged 6–23 months. Methods This cross-sectional study included 200 children aged 6–23 months and their mothers/care givers recruited during child welfare clinics of two health facilities in Ghana. Data was collected using a structured questionnaire. Multivariate logistic regression was used to assess determinants of adequate diet. Results Sixty-eight percent of the mothers knew the recommended duration of continued breastfeeding, 56.5% how to ensure dietary diversity and enrich their children’s diets and 94% (n = 188) had positive attitude towards recommended infant and young child feeding practices. Majority of the mothers (92%, n = 183) practiced continued breastfeeding, 10.5% of the children met minimum diet diversity score, 39.5% minimum meal frequency and 8.5% received minimum adequate diet. Determinants of receipt of minimum adequate diet were: having high knowledge in child feeding recommendations (100% vs. 0.0, p < 0.001) and child’s father reportedly earning adequate income to cater for the family (AOR = 12.1 (1.32–109.72, p = 0.027). Conclusion Motherss knowledge levels regarding infant and young child feeding recommendations had notable deficiencies although they generally had a positive attitude towards child feeding recommendations. Knowledge regarding infant and young child feeding recommendations as well as the child’s father having adequate income were important determinants of adequate diet. Nutrition education should emphasize on improving mothers’ nutrition knowledge regarding infant and young child feeding recommendations and supporting mothers to overcome barriers to feed their children with adequate diets.

scholarly journals Mothers’ knowledge and attitudes regarding child feeding recommendations, complementary feeding practices and determinants of adequate diet

2020 ◽  
Author(s):  
Kingsley B Appiah ◽  
Ernest K Cheyuo ◽  
Abdul-Mumin Alhassan ◽  
Martin A Ayanore ◽  
Clement K Kubuga ◽  
...  
Keyword(s):  
Young Child ◽  
Positive Attitude ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Full Potential ◽  
Child Feeding ◽  
Adequate Diet ◽  
Young Child Feeding ◽  
Knowledge And Attitudes ◽  
Infant And Young Child

Abstract Background: Complementary feeding is critical for optimal nutrition in infant and young children as it ensures their growth, health and development to attain their full potential. However, evidence shows children from developing countries do not meet the core indicators for appropriate complementary feeding. We evaluated mothers’ knowledge and attitudes regarding child feeding recommendations and the determinants of adequate diet among children aged 6-23 months. Methods: This cross-sectional study included 200 children aged 6-23 months and their mothers/care givers recruited during the child welfare clinics of two health facilities in Ghana. Data was collected using a structured questionnaire. Multivariate logistic regression was used to assess determinants of adequate diet. Results: Sixty-eight percent of the mothers knew the recommended duration of continued breastfeeding, 56.5% how to ensure dietary diversity and enrich their children’s diets and 94% (n=188) had positive attitude towards recommended infant and young child feeding practices. Majority of the mothers (92%, n=183) practiced continued breastfeeding, 10.5% of the children met minimum diet diversity score, 39.5% minimum meal frequency and 8.5% received minimum adequate diet. Determinants of receipt of minimum adequate diet were: having high knowledge in child feeding recommendations (100% vs. 0.0; p<0.001) and child’s father reportedly earning adequate income to cater for the family (AOR = 12.1 (1.32 – 109.72; p = 0.027). Conclusion: Motherss knowledge levels regarding infant and young child feeding recommendations had notable deficiencies although they generally had a positive attitude towards child feeding recommendations. Knowledge regarding infant and young child feeding recommendations as well as the child’s father having adequate income were important determinants of adequate diet. Nutrition education should emphasize on improving mothers’ nutrition knowledge regarding infant and young child feeding recommendations and supporting mothers to overcome barriers to feed their children with adequate diets.

scholarly journals Mothers’ knowledge and attitudes regarding child feeding recommendations, complementary feeding practices and determinants of adequate diet

2020 ◽  
Author(s):  
Kingsley B Appiah ◽  
Ernest K Cheyuo ◽  
Abdul-Mumin Alhassan ◽  
Martin A Ayanore ◽  
Clement K Kubuga ◽  
...  
Keyword(s):  
Young Child ◽  
Positive Attitude ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Full Potential ◽  
Child Feeding ◽  
Adequate Diet ◽  
Young Child Feeding ◽  
Knowledge And Attitudes ◽  
Infant And Young Child

Abstract Background: Complementary feeding is critical for optimal nutrition in infant and young children as it ensures their growth, health and development to attain their full potential. However, evidence shows children from developing countries do not meet the core indicators for appropriate complementary feeding. We evaluated mothers’ knowledge and attitudes regarding child feeding recommendations and the determinants of adequate diet among children aged 6-23 months. Methods: This cross-sectional study included 200 children aged 6-23 months and their mothers/care givers recruited during the child welfare clinics of two health facilities in Ghana. Data was collected using a structured questionnaire. Multivariate logistic regression was used to assess determinants of adequate diet. Results: Sixty-eight percent of the mothers knew the recommended duration of continued breastfeeding, 56.5% how to ensure dietary diversity and enrich their children’s diets and 94% (n=188) had positive attitude towards recommended infant and young child feeding practices. Majority of the mothers (92%, n=183) practiced continued breastfeeding, 10.5% of the children met minimum diet diversity score, 39.5% minimum meal frequency and 8.5% received minimum adequate diet. Determinants of receipt of minimum adequate diet were: having high knowledge in child feeding recommendations (100% vs. 0.0; p<0.001) and child’s father reportedly earning adequate income to cater for the family (AOR = 12.1 (1.32 – 109.72; p = 0.027). Conclusion: Motherss knowledge levels regarding infant and young child feeding recommendations had notable deficiencies although they generally had a positive attitude towards child feeding recommendations. Knowledge regarding infant and young child feeding recommendations as well as the child’s father having adequate income were important determinants of adequate diet. Nutrition education should emphasize on improving mothers’ nutrition knowledge regarding infant and young child feeding recommendations and supporting mothers to overcome barriers to feed their children with adequate diets.

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 Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen
Keyword(s):  
Social Support ◽  
Young Child ◽  
Coping Strategies ◽  
Low Income ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Personal Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

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.

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

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.

scholarly journals Infant and Young Child Feeding (IYCF) Practices by Rural Mothers of Bangladesh

2017 ◽  
Vol 2 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Md Saizuddin ◽  
Md Shaidul Hasan
Keyword(s):  
Young Child ◽  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Rural Mothers ◽  
Initiation Of Breastfeeding

Background: Infant and young child feeding (IYCF) practices play vital role for the growth & development in the early months of life. Objective: The purpose of the present study was to determine and to identify the patterns and influencing factors of feeding practices in infant and young children of 0-2 years old in Bangladesh. Methodology: A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January to December of 2015.Result: Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6–8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers were illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding, and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and 30.7% had three or more children.Conclusion: Majority of the respondents have the knowledge on complementary feeding, knowledge on preparation of complementary feeding, knowledge on preparation of food by grains, knowledge on preparation of food by milk and milk products and knowledge on preparation of food by meat, fish, poultry, liver.Journal of National Institute of Neurosciences Bangladesh, 2016;2(1):19-25

scholarly journals Knowledge and attitude regarding complementary feeding practices among medical interns in Yenepoya medical college, Mangalore

2020 ◽  
Vol 7 (11) ◽  
pp. 2137
Author(s):  
Sowmya R. Nathan ◽  
Haleema Nuwera ◽  
Shyam Sudhir ◽  
Rasheena Shamshu
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Workers ◽  
Feeding Practices ◽  
Child Feeding ◽  
Medical College ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Medical Interns

Background: The health of the child depends on the attainment of the nutritional requirements, which include breast-feeding followed by complementary feeding. The mother’s knowledge on complementary feeding is greatly relied upon health workers. Therefore it is important for the health workers to know the recommended practices for Infant and Young Child Feeding practices so that they can impart the same to mothers.Methods: Cross sectional hospital based questionnaire study conducted among 120 medical interns at Yenepoya Medical College Hospital, Mangalore. A score of more than 75% was considered good, 50 -74% moderate, and less than 50% as poor. Statistical Package of social science (SPSS) software was used for analysis of data.Results: Of the 110 respondents, majority of them (88.18%) of them agreed to initiate complementary feeding at 6 months. 82% of them responded that it should be initiated with rice/cereal-based diet. Of the 110 responded 87 of them agreed that for a 6–8 month old breastfed child the frequency of feeds needed to be at least 2 times or higher. Regarding the type of complementary feeding, 89.09% were aware that it should be started with mono-cereals.Conclusions: This study concluded that majority of the medical interns had a good knowledge on the recommended feeding practices for the infant and young child. There were very few medical interns who had to be informed regarding the correct infant and young child feeding practices.

scholarly journals Mothers Adherence to Global Infant and Young Child Feeding Strategies in Ketu North District, Volta Region - Ghana

2017 ◽  
Vol 13 (30) ◽  
pp. 183
Author(s):  
Prince Kubi Appiah ◽  
Wilson Mensah Dzata ◽  
Duut Abdulai Bonchel ◽  
Anang Rhoda Naa Korklu ◽  
Doe Jessica Naa Ayeley ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Descriptive Statistics ◽  
Feeding Strategies ◽  
P Value ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Volta Region

Background: Infant and young child nutrition has been engaging the attention of scientists and governments over the years. Their feeding practices comprise both breastfeeding as well as complementary feeding which have major role in determining the nutritional status of the child, therefore, there has been a well-established link between malnutrition and infant feeding. Children are the future of the world and yet the most vulnerable population, with some 6.6 million children dying before their fifth birthday globally. Studies have shown that poor breastfeeding and complementary feeding practices, coupled with high rates of morbidity from infectious diseases are the primary causes of malnutrition and death in the first two years of life. Ketu-North district noted that even though nutrition and health programmes were in place, breastfeeding coverage has been between 53% in 2013 and 69% in 2015. This study sought to assess mothers or caregivers adherence to Infant and Young Child Feeding (IYCF) practices in Ketu North District of the Volta Region in Ghana. Method: A crosssectional study among mothers/caregivers with children 0-24 months in the district. Multistage sampling techniques was used to select 518 respondents. A semi-structured questionnaire was used to conduct face-to-face interviews. Statistical software Epi Data version 3.1 and Stata version 12.1 were used for data entry and analysis respectively. Descriptive statistics was presented in tables and graphs. Beyond descriptive statistics, associations between the outcome and predictor variables were analysed using Pearson chi-square and logistics regression. P-value < .05 was considered as statistically significant. Findings: Respondents had a mean age of 25.6 years (±3.6 SD). Only 8.7% of the mothers adhered to IYCF strategies with practices of exclusive breastfeeding, complementary feeding, hygiene and sanitation practices, meal variety, and meal frequency being 57.9%, 38.0%, 16.2%, 37.1%, and 33.2% respectively. Ethnicity (p < .000), age of child (p = .032), employment (p =.041) and level of education (p = .042) were found to be associated with adherence to IYCF strategies. Conclusions: Adherence to infant and young child feeding practices were not encouraging in the district therefore the district health management team need to strengthen health education and implement other behaviour change interventions to improve on the adherence to feeding strategies. Further studies should be conducted to assess factors influencing the low adherence to the feeding strategies in the district.

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