Determinants of Infant and Young Child Feeding Practices in Lower Egypt: A Community- Based Cross-Sectional Survey
Abstract Background: The optimal feeding practice in infants and young children is the key in shaping their adequate growth and development. Methods: The study aimed to explore the multiple interactions that influence the complexity of infant feeding in Egypt and acknowledge the common beliefs, attitudes and practices regarding breastfeeding and weaning process. Energy and nutrients daily intake provided by complementary foods was also investigated. Structured interview survey gathering data on maternal feeding practices related to infants and young children, clinical and nutritional status of infants and their nutrient daily intake was administered to 235 mother-infant pairs recruited from Nile Delta. Results: Exclusive breastfeeding was significantly reported in 55.8% (p < 0.001), being optimum in only 8.9 % of infants and significantly predicted in mothers aged 25-29 years. The complementary feeding started at ≥ 6 months in 58.3 % of infants and significantly based on commercial recipes ((p < 0.001). Cessation of breastfeeding (34.5 %) was mainly associated with maternal perception of insufficient breast milk (16.2 %) and significantly associated with female gender (p<0.001), rural residence (p<0.001), maternal age (25-29 years), parental occupation and paternal education (p<0.001). Calcium (58.7 %), vitamin B2 (45.1 %) and vitamin C (55.7 %) were the only nutrients adequately consumed. Conclusions: In Egypt, infant and young feeding practices are still far from the recommended levels. Collaboration between government entities and non-profit organizations is required to improve maternal knowledge, beliefs, attitudes and practices.