scholarly journals Validation of Infant and Young Child Feeding Questionnaire for the Assessment of Knowledge, Attitudes and Practices among Child Care Providers: The IYCF-CCPQ

2019 ◽  
Vol 16 (12) ◽  
pp. 2147
Author(s):  
Zakria ◽  
Tengku Ismail ◽  
Wan Mansor ◽  
Sulaiman
Keyword(s):  
Child Care ◽  
Young Child ◽  
Child Care Providers ◽  
Care Providers ◽  
Knowledge Domain ◽  
Child Feeding ◽  
Attitudes And Practices ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Knowledge Attitudes And Practices

The validation of a new questionnaire is essential to improving its credibility in the assessment and collection of evidence. This study aimed to validate a newly developed infant and young child feeding questionnaire for child care providers (IYCF-CCPQ) to measure the knowledge, attitudes, and practices regarding infant and young child feeding among them. A cross-sectional study was conducted with 200 child care providers who were involved in handling children less than two years old in child care centers in the northeastern part of Peninsular Malaysia. The IYCF-CCPQ was self-administered and consists of three domains: Knowledge (104 items), attitude (90 items), and practice (42 items). The dichotomous-scale items in the knowledge domain were analyzed using a two-parameter logistic model of item response theory (2-PL IRT). The Likert-type-scale items in the attitude section were assessed using exploratory factor analysis (EFA). The items in the practice section were assessed descriptively. Internal consistency by marginal reliability was assessed in the knowledge domain, and Cronbach’s alpha coefficient was used for the attitude domain. The marginal reliability values were 0.91 and 0.74 for the knowledge domains related to breastfeeding/formula feeding and complementary feeding, respectively, and the Cronbach’s alpha values were 0.89 and 0.90 for the attitude domains related to breastfeeding/formula feeding and complementary feeding, respectively. The analysis showed good psychometric properties (discrimination, difficulty index, factor loading, and communalities) and good reliability. The IYCF-CCPQ is valid for use assessing the knowledge, attitudes, and practices among Malaysian child care providers regarding infant and young child feeding.

scholarly journals Knowledge, attitudes and practices of mothers and caregivers on infant and young child feeding in peri-urban zones of Bobo-dioulasso in Burkina Faso

2020 ◽  
Vol 20 (06) ◽  
pp. 16703-16716
Author(s):  
Alain Hien ◽  
◽  
JW Some ◽  
IT Traore ◽  
C Meda ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Food Group ◽  
Child Feeding ◽  
Attitudes And Practices ◽  
Young Child Feeding ◽  
Adequate Knowledge ◽  
Infant And Young Child ◽  
Bobo Dioulasso ◽  
Knowledge Attitudes And Practices

Knowledge, attitudes and practices(KAP) of mothers/caregivers on infant and young child feeding are key factors for optimal nutritional status, health and growth of the children. A community-based, cross-sectional descriptive study was conducted during January 2017 to assess the knowledge, attitudes and practices on infant and young child feeding (IYCF) of mothers/ caregivers who lived in peri-urban areas of Bobo-Dioulasso, Burkina-Faso.This study was carried out before a nutrition education-based intervention and included 245 mothers/ caregivers that were randomly selected in the peri-urban communities of Bobo-Dioulasso. A semi-structured interviewer-administered questionnaire developed based on Food and Agriculture Organization knowledge, attitudes and practices assessment method was used to collect KAP and socio-economic data. Analyses were performed using SPSS version 20. For this study, authorization was obtained from the regional directorate of health of the Hauts-Bassins region. Verbal consent was obtained after the participants had been informed about the study objectives. Among the 245 study participants, 55.1% were aged less than 30 years. More than 3 out of 4 mothers/caregivers (76.3%) were Muslim and 59.2% of them were illiterate. Almost all mothers/caregivers (98.8%) had adequate knowledge for breastfeeding and 87.9% of them knew about exclusive breast feeding up to 6 months. In addition, 91.8% of mothers/caregivers reported that they gave colostrum at birth. Furthermore, 67.5% of the mothers started breastfeeding within one hour after delivery. Based on mothers/caregivers’ report on complementary foods consumed by 6-59 months children in the previous 24h before the interview, cereals were the most reported consumed food group (89.8%) followed by meat and fish products (28.6%). This study found that mothers/caregivers had adequate knowledge about IYCF in general. However, mothers/caregivers’ practice of complementary feeding was inappropriate. Cereals were the food group consumed by most of children aged 6-59 months raising the needs for interventions, such as cooking demonstrations during postnatal visits in health facilities,to improve complementary feeding in this population.

scholarly journals Big Sister, Big Brother: A Mixed Methods Study on Older Siblings’ Role in Infant and Young Child Feeding and Care in Rural Tanzania (P10-020-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Morgan Boncyk ◽  
Ramya Ambikapathi ◽  
Dominic Mosha ◽  
Evidence Matangi ◽  
Lauren Galvin ◽  
...  
Keyword(s):  
Child Care ◽  
Young Child ◽  
Mixed Methods Study ◽  
Older Children ◽  
Nutrition Interventions ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Rural Tanzania ◽  
Infant And Young Child ◽  
Older Siblings

Abstract Objectives Nutrition interventions to improve infant and young child feeding (IYCF) and care in developing countries usually target mothers, while critical roles of other family members, particularly older siblings, are not well known. As part of the Engaging Fathers for Effective Child Nutrition and Development in Tanzania (EFFECTS) cluster-randomized trial (ClinicalTrials.gov: NCT03759821), we examined the roles of older children and adolescents in IYCF and care in rural Tanzania to develop and administer informed quantitative questionnaires on IYCF and care by older siblings. Methods Twelve mothers, 12 fathers, 4 grandmothers, and 4 older siblings (7–17 years of age) were purposively sampled for qualitative interviews conducted July-August 2018. Open-ended questions explored older siblings’ roles in IYCF and care, managing time for child care, and responsiveness to young children's hunger cues. Inductive and deductive approaches were used to identify themes from transcribed interviews. Findings supported development of two questionnaires on older children's roles in IYCF and care (14 questions each) that were administered to mothers and siblings in the EFFECTS baseline. Results Qualitative data indicate older siblings (male and female) are involved in food preparation (e.g., starchy staples), daily feeding, hygiene (e.g., washing baby after toileting) and care when the mother is unavailable due to other household activities. The EFFECTS study enrolled 960 households across 80 villages in Mara, Tanzania, and 53% of households identified at least one sibling who cares for an index child aged 0–18 months. Baseline data collection is ongoing and indicates prevalence and types of child care (e.g., feeding, playing, hygiene, responding to crying) provided by older siblings. Conclusions To our knowledge, this is the first mixed methods study developing instruments to investigate the role of older siblings in providing IYCF and care in a rural, developing country setting. As parents seek to meet household and livelihood needs, older siblings are often engaged in child feeding and care. Nutrition interventions should consider roles of all family members, including older children, in child feeding and care. Further research is needed to evaluate the effect of family-based interventions. Funding Sources Eleanor Crook Foundation and Conrad N. Hilton Foundation.

scholarly journals Qualitative exploration of infant and young child feeding practices in rural field practice area of SSIMS and RC: a focus group discussion study

2017 ◽  
Vol 4 (8) ◽  
pp. 2787
Author(s):  
Geethalakshmi R. G. ◽  
Smitha Yadav J. S.
Keyword(s):  
Young Child ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Local Community ◽  
Group Discussion ◽  
Care Providers ◽  
Child Feeding ◽  
Homogenous Group ◽  
Young Child Feeding ◽  
Infant And Young Child

Background: The art of infant feeding is a blend of biology and culture. A large no of women in India are already traditionally inclined towards infant and young child feeding (IYCF) practices. The need is to identify specific problems in local community. The strong influence of socio-cultural milieu is detrimental to health of the child. It is important that every opportunity of contact of health personnel with care givers should be taken to counsel on infant feeding.Methods: A Focus group discussion Study was conducted between February and May 2017. Mothers with child less than 2 years of age, grand-mothers and health care providers (ASHA’s and ANM’s) who form the stake holders population of IYCF were involved after taking consent. Each Homogenous group had 6-12 participants. Qualitative information was collected till saturation was achieved.Results: 6 FGD’s in each homogenous group were conducted. Colostrum was considered impure, giving honey as pre lacteal feed was a ritual, inadequate milk secretion, lack of knowledge about when and what complementary feeds to be given and also about importance of breast feeding till 2 years of age and giving artificial feeds. These were reasons for improper IYCF practices.Conclusions: This study emphasises the importance of group opinion prevailing in the local community for IYCF practices which is essential for instituting health education.

scholarly journals Infant and young child feeding practices among mothers attending an Urban Health Training Centre (UHTC): a cross-sectional (mixed methodology) study in Berhampur, South Odisha, India

2017 ◽  
Vol 5 (1) ◽  
pp. 161 ◽  
Author(s):  
Nivedita Karmee ◽  
Sushree Priyadarsini Satapathy ◽  
Radha Madhav Tripathy
Keyword(s):  
Young Child ◽  
Qualitative Method ◽  
Quantitative Method ◽  
Mixed Methodology ◽  
Care Providers ◽  
Child Feeding ◽  
Cross Sectional ◽  
Training Centre ◽  
Young Child Feeding ◽  
Infant And Young Child

Background: Adequate nutrition during infancy and early childhood is essential to ensure the health, growth and development of children. The objective of this study was to assess infant and young child feeding practice among mothers with 0-24 months children as per WHO criteria. Methods: It was a cross sectional study, involving mixed methodology (quantitative method supplemented by qualitative method in-depth interview) among 374 respondents from 1st May 2017 to 31st August 2017. Results: In quantitative method: 49 (81.6%) reported to have started breast feeding within first hour after delivery. 47 (78.3%) respondents exclusively breast fed their infants. In qualitative method: 69.78% mother were of age group 18-29 years. 52.14% respondents were educated up to primary/middle school. In multiple logistic regression analysis educational status of mother, occupational status of mother, birth place, ANC follow up, EBF education at ANC, type of delivery was found to be significant. Conclusions: IYCF practice was poor. Therefore, there is a need for emphasizing upon the promotion of IYCF practice by health care providers.

scholarly journals Development and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Amber J Hromi-Fiedler ◽  
Grace J Carroll ◽  
Madelynn R Tice ◽  
Adam Sandow ◽  
Richmond Aryeetey ◽  
...  
Keyword(s):  
Health Care ◽  
Young Child ◽  
Health Care Providers ◽  
Care Providers ◽  
Systematic Observation ◽  
Child Feeding ◽  
Group Education ◽  
Cultural Appropriateness ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background The UNICEF Community-based Infant and Young Child Feeding Counseling Package (C-IYCFCP) currently has limited responsive feeding (RF) content, thus limiting dissemination of RF messages within infant and young child feeding (IYCF) counseling. Objectives This project 1) developed counseling cards based on existing evidence-based RF guidelines and 2) tested their feasibility in Ghana. Methods Five RF counseling cards were developed focusing on eating with family; introducing new foods; hunger/satiety cues; food texture; and calming a child. Four focus group discussions (FGDs) were conducted with adult mothers and fathers of children younger than 3 y of age to assess the cultural appropriateness of the cards and accompanying key messages. The feasibility of including cards as part of IYCF counseling was tested via 1) systematic observation of 8 group education sessions utilizing the cards with the same target audience and 2) in-depth interviews with health care providers involved in IYCF training and/or counseling. Results FGD findings guided changes to all cards to ensure comprehension and cultural appropriateness. The group education sessions suggested that the counseling cards provided important RF messages that are specific, clear, and feasible to implement. Health care providers strongly endorsed the need for and utility of the RF counseling cards and felt they were feasible and important to integrate into the C-IYCFCP currently being used to deliver IYCF training and counseling in Ghana. Conclusions The counseling cards have a strong potential to add key RF dimensions to IYCF training and counseling in Ghana.

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 Mothers’ perceptions on and learning from infant and young child feeding videos displayed in Mother and Child Health Centers in Kenya - a qualitative and quantitative approach

2021 ◽  
pp. 1-38
Author(s):  
Lauriina Schneider ◽  
Mikko Kosola ◽  
Kerttu Uusimäki ◽  
Sari Ollila ◽  
Crippina Lubeka ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Centers ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health ◽  
Child Health Centers

Abstract Objective The objective was to explore mothers’ perceptions of educational videos on infant and young child feeding practices, and to assess whether viewing frequencies would influence maternal knowledge, attitudes and feeding practices (KAPs). Design A set of 47 videos were displayed in health centers for 6 months. At three months, we conducted focus group discussions (FGDs) with mothers and at six months, administered KAP-questionnaire-based interviews to mothers. Using a quasi-experimental design we compared groups according to video viewing frequencies. Setting The study was conducted in a slum in Nairobi and a rural area in Machakos, Kenya. We installed TV screens in waiting rooms of six Mother and Child Health Centers, where mothers could choose to watch them. Participants Forty-three mothers with children aged 0 to 48 months participated in six FGDs and 547 mothers of children aged 0 to 23 months in KAP interviews. Results The mothers from the FGDs found the videos acceptable and beneficial. Videos enhanced mothers’ learning and empowered them to support others in learning. The KAP data showed that after adjustments, breastfeeding (p=0.06) and complementary feeding knowledge (p=0.01), complementary feeding attitudes (p=0.08), as well as hygiene knowledge and practices (p=0.003) were better among mothers who had seen videos three to four times, or five or more times, compared to mothers who had seen the videos once or twice. Conclusions Videos were an accepted form of education and were beneficial when watched repeatedly. The videos could be a good addition to current IYCF education efforts in Kenya.

scholarly journals Information seeking of French parents regarding Infant and Young Child Feeding: practices, needs and determinants

2021 ◽  
pp. 1-34
Author(s):  
Sofia De Rosso ◽  
Sophie Nicklaus ◽  
Pauline Ducrot ◽  
Camille Schwartz
Keyword(s):  
Young Child ◽  
Information Seeking ◽  
Parental Education ◽  
Online Survey ◽  
Medical Condition ◽  
Communication Strategy ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Child Age

Abstract Objective: As part of an update of feeding benchmarks targeting children aged 0 to 3 years, this study aimed to explore parental perceptions, information-seeking practices and needs concerning infant and young child feeding (IYCF) to design an efficient communication strategy. Design: Participants were recruited using the quota sampling to complete an online survey. Effects of parity, child age, prematurity, parental education and financial situation on parents’ responses were evaluated separately. Setting: France. Participants: A nationally representative sample of 1001 parents of children <4 years. Results: Parents whose child had any medical condition affecting feeding (CMC, 17%) were considered separately from healthy children’s parents. All the healthy children’s parents recognized the importance of IYCF for children’s health and growth; however, one-third considered the available advice contradictory and not guilt-free. The most used information sources were healthcare professionals (HCPs, 81%), internet (72%) and parental networks (63%). The most influential sources (mean influence ± SDs) included HCPs (7.7±1.7/10), childcare professionals (7.3±1.8/10) and parental networks (6.9±1.8/10). Parents searched for practical tips for implementing IYCF starting when their child was 5 months old. Differences regarding the type of source used by parents with higher vs. lower educations were small. Search strategies differed according to parity or child age but not to prematurity. The CMC parents reported slightly different practices and needs. Conclusions: Parents receive information from multiple sources, which can lead to confusion when deciding which advice to follow. A public health communication strategy adapted to the current parental needs should target these various sources.

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