scholarly journals Index for Measuring the Quality of Complementary Feeding Practices in Rural India

2010 ◽  
Vol 27 (6) ◽  
Author(s):  
Aashima Garg ◽  
Ravinder Chandha
2020 ◽  
Author(s):  
Asnake Ararsa Irenso ◽  
Shiferaw Letta ◽  
Addisu Sebsibe ◽  
Abiyot Asfaw ◽  
Gudina Egata ◽  
...  

Abstract Background: Ethiopia is affected by recurrent drought and food insecurity crises including from El Niño, the climatic change that lasted from mid-2014 through 2016 and caused the failure of the rainy seasons in eastern Ethiopia. The event is expected to have a detrimental effect on the already suboptimal complementary feeding practices. However, there is a lack of research on how climatic events affect child feeding. Hence, the study was intended to explore how El Niño influenced the complementary feeding practices and experiences of the food-insecure community of eastern Ethiopia from March to September 2016.Methods: This study was an exploratory qualitative study that used a phenomenological approach. The study was conducted in the food-insecure setting of Gale Mirga kebele of Kersa district. The study involved 11 focus group discussion (FGD) comprising a total of 76 participants, including three FGDs with mothers, three FGDs with Health Development Army leaders (HDA); two FGDs with fathers, two FGDs with traditional birth attendants, and one FGD with religious leaders. The Atlas.ti software was used for coding and thematic analysis.Results: El Niño aggravated failed crop and livestock loss were reported to directly reduce the quantity and quality of food available to feed young children, resulting in more frequent skipping of meals, less animal protein sources and over-reliance of cereal-based food. The impact of El Nino on livelihoods often resulted in both parents working away from home with child feeding delegated to older children or other family members. Maternal absence from home was a barrier to participation in community-based nutrition activities. Short birth spacing and low fathers’ involvement in feeding also reduced the time available to mothers to devote to child feeding.Conclusions: The maternal suboptimal time allocation to child feeding is central to the poor complementary feeding practices in El Niño stricken food-insecure settings of Eastern Ethiopia. The women should be supported with climate-resilient livelihoods options in their villages, thus allowing them both to feed their children and attend nutrition education sessions with HDA. Such sessions should focus on food processing demonstrations to improve the nutritional quality of plant-based complementary foods.


2019 ◽  
Vol 6 (3) ◽  
pp. 966
Author(s):  
Bharath Kumar Thirunavukkarasu ◽  
Sujay Kumar Earan

Background: Nutritional factors like breast feeding practices, weaning practices and diet during illness influence the growth and development of children. Recurrent   infections are other important factors that lead to malnutrition.Methods: This was a non-randomized prospective study using pretested, predesigned questionnaires. Study was done in a single centre to determine the pattern of feeding practices and malnutrition among infant and young children. This study was carried out in the Department of Paediatrics at Sri Manakula Vinayagar Medical College and hospital, Puducherry.Results: Out of the 200 babies studied, 22% of the babies were exclusively breast fed and 5% of the babies were bottle fed. The remaining 73% of the babies were on both breasts feeding and bottle feeding. A 52% of children in the age group 6-12 months, 50% children under12-24 months and 52% of children >24 months were found to be malnourished according to WHO growth standards.Conclusions: Quantity and quality of complementary feeds given is inadequate due to lake of awareness, fear and food stigmata. Hence feeding practices are far from satisfactory. Complementary feeding and weaning practice guidelines are better practiced as the age advances but their practice at a younger age would lead to a better outcome.


2021 ◽  
pp. 1-3
Author(s):  
Nikki Kumari ◽  
Khodaija Mahvish ◽  
Binod Kr Singh

Background and objectives: Complementary feeding (CF) means introducing other foods when breast milk alone is not enough to meet the nutritional requirements of infants. WHO recommends starting complementary feeding after 6 months of age while continuing breast feeding up to 2 years of age for continued benefits. WHO also emphasizes on diet diversity to ensure a heterogeneous nutrient intake that provides all nutrients needed by the growing infant. In context of rural India, in-depth studies of complementary feeding practices are limited, revealing a clear knowledge gap. The present study was undertaken to assess the complementary feeding practices and factors influencing them among mothers of 6-24 months children. Methodology: This hospital based descriptive cross-sectional study was conducted over 2 years from April 2018-March 2020 including children aged >6 months and <24 months belonging to rural area visiting OPD or admitted in I.P.D of our hospital. Data was collected by direct interviewing of mothers regarding various aspects of breastfeeding and complementary feeding. Results: Over the study period, we enrolled 226 children in our study. Mean age was 9.7 months (SD 3.4months). Male: female ratio was 1.3:1. Mean age of mothers was 24.1 ± 4.2 years. Breastfeeding was initiated within 1 hour of birth in only 118(52.2%) babies. Complementary feeds were started at the end of 6 months in dismally low 21.2% children. It was started between 6-9 months in 38.5%, 9-12 months in 25.7% and after 12 months in 7.5% children. Proportion of infants getting minimal meal frequency was 59.3%, minimum dietary diversity only 45.6% and minimum acceptable diet only 47.8%%. The most commonly used complementary food was milk and milk & cereal based preparations (61.5%). There was a statistically significant positive association between socioeconomic class and correct time of initiating CF as well as maternal education and minimum acceptable diet (p <0.01). However, a significant negative association was found between working mother and proper consistency of feeds (p<0.01). Conclusion: Our findings clearly indicate that lot more needs to be done for rural children. Whenever there is opportunity for health care workers, mothers should be educated about proper complementary feeding practices.


2001 ◽  
Vol 90 (3) ◽  
pp. 328-332
Author(s):  
M. Vaahtera, T. Kulmala, A. Hietanen,

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.


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