scholarly journals Knowledge, Attitude and Practices among Mothers of Children 6 to 24 months of Age Regarding Complementary Feeding

2020 ◽  
Vol 58 (230) ◽  
Author(s):  
Sabina Shrestha ◽  
Manoj Pokhrel ◽  
Smriti Mathema

Introduction: Complementary foods fill the gap between the total nutritional needs of the child and the amounts provided by breast milk. Inappropriate feeding practices are a major cause of the onset of malnutrition in young children. The objective of this study was to assess the knowledge, attitude, and practices of mothers of children between 6 to 24 months of age regarding complementary feeding. Methods: This Knowledge, Attitude, and Practice Study was conducted among 250 mothers in Kathmandu Medical College and Teaching Hospital from June 2019 to November 2019 after obtaining ethical approval from the institutional review committee (Ref no. 150320199). Convenient sampling method was applied. The mothers of children between 6 to 24 months were interviewed using a structured questionnaire to ascertain the knowledge, attitude, and practices regarding complementary feeding. Statistical analysis was done using SPSS version 20. Results: Two hundred and fifty mothers were interviewed. 151 (60.4%) mothers knew initiation of breastfeeding soon after birth and 179 (71.6%) were knowledgeable about exclusive breastfeeding for 6 months. 161 (64.4%) mothers knew the proper age of initiating complementary feeding but only 139 (55.6%) mothers practiced it. Early initiation of complementary feeding was done by 87 (34.8%) mothers while 24 (9.6%) mothers delayed it beyond 6 months. Conclusions: There was a gap in knowledge and practice among mothers regarding adequate age of initiation of complementary feeding, complementary foods, preparation, and practices.  

Author(s):  
Gayatri Aseri ◽  
Sudesh Agrawal

Background: This study was carried out to assess the knowledge, attitude, and practice of contraceptive methods among women attending a tertiary care hospital in Western Rajasthan.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology, PBM and the associated group of hospitals, attached to Sardar Patel Medical College, Bikaner, Rajasthan, India. Total 500 married women between age group 15-49 yrs were included. These all women interviewed using a structured questionnaire after approval of the hospital’s ethical committee.Results: Total 500 women interviewed for their knowledge, attitude, and practices about contraception. Out of which, 402 (80.4%) women had some knowledge of at least one contraception method at the time of the study.  The most common sources of information about contraception were husband and family member. Amongst the various contraceptives most commonly known was condom (78.4%). Only 265 (53%) women were practicing contraception at present. Most commonly used contraceptive was condom (40.8%). The most common reason for the non-practice of contraception was need of more child or male child in 34.8% families followed by opposition from in-laws (12.4%).Conclusions: Literacy was positively associated with family planning related knowledge and practices. Preconception knowledge and practices about contraception are poor in our study population. Many of the women were getting MTP pills over the counter without consulting to health care persons and then later presents with complications.


2014 ◽  
Vol 8 ◽  
pp. 71-74 ◽  
Author(s):  
Tulashi Adhikari ◽  
Ishwar Subedi

This descriptive explorative study was carried out with the aim of finding out the current status on breastfeeding among mothers of infants in Kanti Children Hospital, Maharajgunj, Kathmandu. A total of 100 mothers attending maternal and child health (MCH) Clinic of Kanti Children’s hospital were selected on the first come first basis. A semi- structured questionnaire was used to collect data that assess the knowledge and actual practices of mothers regarding breastfeeding. The study finding revealed that 52% responded has correct meaning of exclusive breastfeeding. Regarding the initiation of breastfeeding only 41% respondents fed their babies correctly within 1 hour. Twenty six percent of them had given Prelacteal feeding from 52.6% of mothers from rural and 20.8% mothers from urban area. Only 12% of respondents had knowledge about expressing breast milk (EBM) and among them only 8.3% practiced it. Regarding the duration of exclusive breastfeeding (EBF), 34% respondents had given EBF up to 6 months, 26% had given prelacteal feed and 26% respondents did not practice EBF from 1st day of life. DOI: http://dx.doi.org/10.3126/jfstn.v8i0.11754 J. Food Sci. Technol. Nepal, Vol. 8 (71-74), 2013


2018 ◽  
Vol 8 (4) ◽  
pp. 38-46
Author(s):  
Kamal Prasad Kandel ◽  
Sindhu Kafle

Nepal is one of the developing Countries in the South Asia. Early childhood is very important and the crucial period for the proper physical, mental and emotional development. Therefore child should be looked especially at this period. In Nepal, child below two years are suffering from malnutrition the most. The initiation of breastfeeding within one hour of birth has numerous nutritional and immunological benefits and has been found to reduce neonatal mortality. An improper feeding practice among young children par­ticularly 6-23 months is a major cause of malnutrition. Thus, the present study has been focused on feeding practices of fewer than two years children. The study was quantitative study. Main objective of the study was to know the feeding practices of under two years children after implementation of Baal Vita(Sprinkles) program in Raksirang VDC of Makwanpur district. Questionnaire was related to the Baal Vita(Sprinkles) program, Breast­feeding practices and Complimentary feeding practices. Altogether 132 mothers were taken for the study. The structured questionnaire was developed, pretested and used to collect the information. After the collection of data, it was analyzed by using SPSS 17.0.Also the data was presented in different tables to make it more clear and specific. Among 132 of the respondent, majority of the respondent were aged between21-25 years. 37.88% mothers were illiterate and only 1.52% had secondary level education. Some of the respondents were pregnant before the age 20 years. One of the mother was give birth to her child at age of 15 years.68.18% respondent had first Breastfed their child with in 1 hour of birth. Colostrum feeding was seen not good. This study found Still practice of squeezing colostrum. Current breastfeeding practice is seen good. About 88.64% of the respondent had started giving complementary food in correct time.


2019 ◽  
Vol 6 (2) ◽  
pp. 70-74
Author(s):  
Rashmila Bajracharya

Introductions: Injection medication is one of the major responsibilities of a nurse. The principles and techniques of intramuscular (IM) injections are associated with safe nursing practice. Methods: A self-administered questionnaire for knowledge and observational checklist for procedure was used to assess the level of knowledge and practice of IM injection of nurses at Patan Hospital, Patan Academy of Health Sciences (PAHS), Nepal, during August 12 to September 07, 2018. Ethical approval was taken from Institutional Review Committee of PAHS. SPSS 16 was used for statistical analysis. Results: Out of total 78 nurses included, 5 (6.4%) had adequate knowledge, 59 (75.6%) moderate, 14 (17.9%) inadequate knowledge regarding IM injection. Similarly, out of 26 nurses observed for IM injection practices, 10 (38.5%) had good practice, 16 (61.5%) fair, and none had poor practice regarding IM injection. There was significant association of knowledge and practice of IM injection (p=0.03). Conclusions: The study shows three fourth nurses have moderately adequate level of knowledge of IM injection and more than half of them have fair practice.


2021 ◽  
Vol 8 ◽  
Author(s):  
Halima S. Twabi ◽  
Samuel O. M. Manda ◽  
Dylan S. Small

Introduction: Appropriate complementary foods have been found to provide infants and young children with nutritional needs for their growth and development. In the absence of a randomized control trial (RCT), this study used observational data to evaluate the effect of appropriate complementary feeding practices on the nutritional status of children aged 6–23 months in Malawi using a propensity score matching statistical technique.Methods: Data on 4,722 children aged 6 to 23 months from the 2015–16 Malawi Demographic and Health Survey (MDHS) were analyzed. Appropriate complementary feeding practices were assessed using the core indicators recommended by the World Health Organization (WHO)/United Nations Children's Fund (UNICEF), and consist of the introduction of complementary feeding, minimum dietary diversity, minimum meal frequency and minimum acceptable diet based on a dietary intake during a most recent 24-h period.Results: The prevalence of stunting (height-for-age z-score < −2 SD) was 31.9% (95% CI: 29.3%, 34.6%), wasting (weight-for-height z-score < −2 SD) 3.5% (95% CI: 2.6%, 4.7%) and underweight (weight-for-age z-score < −2 SD) 9.9% (95% CI: 8.4%, 11.8%). Of the 4,722 children, 7.7% (95% CI: 6.9%, 8.5%) were provided appropriate complementary foods. Appropriate complementary feeding practices were found to result in significant decrease in stunting (OR = 0.7, 95% CI: 0.4, 0.95). They also resulted in the decrease of wasting (OR = 0.4, 95% CI: 0.1, 1.7) and underweight (OR = 0.6, 95% CI: 0.2, 1.7).Conclusion: Appropriate complementary feeding practices resulted in a reduction of stunting, wasting, and underweight among children 6 to 23 months of age in Malawi. We recommend the continued provision of appropriate complementary foods to infants and young children to ensure that the diet has adequate nutritional needs for their healthy growth.


2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Pratibha Manandhar ◽  
Naresh Manandhar ◽  
Sunil Kumar Joshi

Introduction: Almost a billion people in the world are affected by Vitamin D deficiency. During pregnancy, the deficiency of Vitamin D can manifest as gestational diabetes, pre-eclampsia, preterm birth, or miscarriage in the early stages of pregnancy. The objective of this study was to assess the knowledge, attitude, and practice, and importance of Vitamin D among pregnant women via a focus group. Methods: A qualitative study was carried out at Changu Narayan Municipality, Duwakot ward no. two, Bhaktapur district from November to December 2019 after approval from the Institutional Review Committee of Kathmandu Medical College (Ref. 181020192). Participants were selected via the Female Community Health Volunteer’s pregnant women list by purposive sampling method. Focus group discussion was conducted among pregnant women. The interview questions were open-ended and the data were analyzed using thematic analysis. Results: Study participants showed limited knowledge on vitamin D. Few participants had information regarding sun exposure for vitamin D. But many participants had negative attitudes towards sun exposure and lack of knowledge on sun exposure requirements. The participants have a huge knowledge gap between Vitamin D and its importance in pregnancy. Conclusions: Increasing awareness of the importance of Vitamin D among pregnant women is required.


2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Mukta Singh Bhandari ◽  
Pratibha Manandhar ◽  
Dipesh Tamrakar

Introduction: Breastfeeding provides ideal food for newborns and prevents recurrent infection and malnutrition in infants. In Nepal, breastfeeding is a universal practice but exclusive breastfeeding is low. As there is increased involvement of women in workforce, practice of breastfeeding may have been compromised. The main objective of the study was to examine the practice and barriers of breastfeeding among women working in tertiary level hospitals of Nepal. Methods: This was a hospital based descriptive cross-sectional study. Study participants were wom- en working in Dhulikhel Hospital and Kathmandu Medical College and Teaching Hospital and was conducted from December 2017 to June 2018. Ethical approval was taken from institutional review committee of both institutions. Total of 208 women were included in the study and face to face interview was conducted. Data entry and analysis was done using statistical package of social sciences (SPSS).Results: Breastfeeding practice was universal and colostrum was fed by 195 (94%) women. Pre- lacteal feeding was given by 14 (7%) women and 119 (57%) initiated breastfeeding within one hour of birth. Total of 93 (45%) children were exclusively breastfed for any duration while 10 (11%) were exclusively breastfed for six months. The mean duration of breastfeeding was 14.57 months and 90 (43%) started complementary feeding before six months. Total of 97 (51%) women and 42 (47%) women stated work as barrier for not exclusively breastfeeding and early complementary feeding respectively. Conclusions: Exclusive breastfeeding was very low and children were breastfed for less than two years. Complementary feeding was also started earlier and work was stated as the main barrier for poor breastfeeding practice. Keywords: breastfeeding; complementary feeding; working women.


2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Sanzida Khatun ◽  
Diwakar Kumar Shah

Introduction: The main blood supply for arm is provided by the brachial artery. It shows variation in branching and termination patterns in some individuals. Variation in brachial artery may cause difficulties during various clinical and surgical procedures. The present study aims to find out the prevalence of higher termination of brachial artery in cadavers in the department of anatomy of a medical college. Methods: A descriptive cross-sectional study was carried out from 10th January 2020 to 20th April 2021 after the ethical approval was taken from the Institutional Review Committee of Nobel Medical College (reference number: IRC-NMCTH 280/2020). The study was done in 58 upper limbs of 29 properly embalmed cadavers. Convenient sampling was done. They were carefully dissected. The level of termination of brachial artery was noted. The length of the brachial artery and the distance between its termination and the intercondylar line of humerus was recorded. Results: Higher termination of brachial artery was observed in 3 (5.17%) extremities; one (1.72%) at middle third of arm and two (3.45%) at lower third of arm. In 52 (89.66%) extremities, the site of termination was at the level of neck of radius. The brachial artery terminated a few centimeters below its usual site at the level of upper part of shaft of the radius in 3 (5.17%) extremities. Conclusions: The prevalence of higher termination of brachial artery in cadavers is slightly lower than the studies performed in similar settings. It is not an uncommon finding. It may have impact on clinical and surgical procedures.


2021 ◽  
Vol 4 (1) ◽  
pp. 12-19
Author(s):  
Qurratul A’yun

Complementary food to breast milk is food or drink given to babies aged 6-24 months to meet nutritional needs other than breast milk. Supplementary food or complementary feeding programs have been implemented in Indonesia with the hope of reaching 80%, but in this case it fulfills many things. According to the 2008 Ministry of Health's national data, there were 28.5% or 6 million undernourished toddlers because there were still many people who lacked knowledge about the importance of maintaining nutrition from infancy.The purpose of this study was to analyze the relationship between the level of knowledge of mothers about complementary foods and offering complementary foods at the age of 0-6 months.This type of research is analytical correlation with cross sectional design. The population is all mothers who have babies aged 0-6 months in Billa'an village. Sampling using a total sampling technique of 34 respondents. The independent variable is mother's knowledge, while the dependent variable is offering complementary foods to babies aged 0-6 months. The instruments used were questionnaires and KMS books.The results of the study of 34 obtained results as many as 3 respondents (8.82,%) who have knowledge of complementary foods and 27 respondents (79.4%) are not appropriate in giving complementary foods at the age of 0-6 months. The statistical test used is Chi-Square with a significant number a = 0.05, then it is obtained X2 count (14.008)> X2 table (5.991) so that Ho is rejected.From the results obtained, it can be ignored that there is a significant relationship between maternal knowledge and complementary feeding in infants aged 0–6 months. Therefore the need for mother's awareness to increase mother's knowledge in providing complementary breastfeeding on time or age, namely for babies aged 6 months so that it does not pose a risk because the function of the baby's digestive system is not optimal if given complementary feeding before the baby is 6 months old.


2021 ◽  
Vol 23 (4) ◽  
pp. 315-318
Author(s):  
Ajeevan Gautam ◽  
Rajib Chaulagain ◽  
Deepesh Dhungel

The lungs are the organs of respiration which are situated on either side of the heart and other mediastinal contents in its pleural cavity. A fresh lung is spongy, can float in water and crepitates when handled. Lungs are important with respect to its blood circulation. The lungs are divided by fissures into lobes which facilitate movements of lobes in relation to one another. The hilum of each lung is its gateway. In the present study, we aim to assess the morphological variations of human cadaveric lungs at Chitwan Medical College (CMC). An observational study was conducted at dissection hall of anatomy department at Chitwan Medical College from September 2019 to October 2020 after taking ethical approval form Institutional Review Committee of CMC. All the intact 70 lungs present in the department were studied. Photographs of the intact lungs were taken from different surface. The lungs were porus, highly elastic and spongy in texture. On keeping lungs to water tank it got floated. We found 34(80.96%) of the studied specimen of right side had horizontal fissure present in it. The remaining 8 (19.04%) specimens did not have horizontal fissures, while 3 (5.88%) specimens had incomplete fissures. The oblique fissure was not present in 2 (2.38%) of the study specimens. The left side of the study specimen has a variance of 1(4.16%). When the hilum right lung was examined, 40 (95.23%) of the structure had the usual organization pattern. In the left lung, the usual pattern of organization was 21(75%). The differences are thought to be present in the lung’s fissure and hilum. The current study’s findings are therapeutically important. The findings could prove beneficial to cardiovascular and thoracic surgeons.


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