scholarly journals Understanding the Enablers and Barriers to Appropriate Infants and Young Child Feeding Practices in India: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 825
Author(s):  
Mansi Dhami ◽  
Felix Ogbo ◽  
Blessing Akombi-Inyang ◽  
Raphael Torome ◽  
Kingsley Agho ◽  
...  
Keyword(s):  
Young Child ◽  
Dietary Diversity ◽  
Meta Analysis ◽  
Bottle Feeding ◽  
Bibliographic Databases ◽  
Child Feeding ◽  
Factors Associated ◽  
Young Child Feeding ◽  
Semi Solid ◽  
One Year

Despite efforts to promote infant and young child feeding (IYCF) practices, there is no collective review of evidence on IYCF enablers and barriers in India. This review was conducted using 2015 Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines. Six computerized bibliographic databases, Scopus, PubMed, PsycINFO, CINAHL, Embase, and Ovid MEDLINE, were searched for published studies on factors associated with IYCF practices in India from 1 January 1993, to 30 April 2020. IYCF practices examined were early initiation of breastfeeding, exclusive breastfeeding, continued breastfeeding at one year, introduction to solid semi-solid or soft foods, minimum dietary diversity, minimum meal frequency, minimum acceptable diet, continued breastfeeding at two years, predominant breastfeeding, and bottle feeding. In total, 6968 articles were retrieved, and 46 studies met the inclusion criteria. The common enablers of IYCF were higher maternal socioeconomic status (SES) and more frequent antenatal care visits (ANC) (≥3). Common barriers to IYCF practices were low SES and less frequent ANC. The review showed that the factors associated with IYCF practices in India are largely modifiable and multi-factorial. Improving IYCF practices would require the adoption of both facilities- and community-based policy interventions at the subnational and national levels in India.

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 Different Combinations of Behavior Change Interventions and Frequencies of Interpersonal Contacts Are Associated with Infant and Young Child Feeding Practices in Bangladesh, Ethiopia, and Vietnam

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Sunny S Kim ◽  
Phuong Hong Nguyen ◽  
Lan Mai Tran ◽  
Silvia Alayon ◽  
Purnima Menon ◽  
...  
Keyword(s):  
Young Child ◽  
Mass Media ◽  
Behavior Change ◽  
Dietary Diversity ◽  
Child Feeding ◽  
Factors Associated ◽  
Young Child Feeding ◽  
Behavior Change Interventions ◽  
Infant And Young Child ◽  
The Impact

ABSTRACT Background Social and behavior change communication interventions are integral to improving dietary and care practices, but evidence on the impact of the combination and intensity of these interventions in different contexts is scarce. Objectives We examined the extent of and factors associated with intervention exposure: interpersonal communication (IPC) alone or with other interventions (i.e., mass media, community mobilization, or nutrition-sensitive agricultural activities), number of and factors associated with IPC contacts, and combinations of intervention components and number of contacts associated with infant and young child feeding (IYCF) practices. Methods We used endline survey data from impact evaluations in Bangladesh, Ethiopia, and Vietnam (n = 1001, 1720, and 1001 mothers with children aged <2 y, respectively). Multivariable regression models were used for analyses. Results Exposure to the interventions varied in all 3 countries. On average, mothers received 8 visits in the last 6 mo in Bangladesh, 2 visits in the last 3 mo in Ethiopia, and 1 visit in the last 6 mo in Vietnam. Across countries, the factors associated with intervention exposure and number of IPC contacts differed. In Ethiopia, exposure to IPC with other interventions was associated with higher odds of achieving minimum meal frequency (OR: 1.6), minimum dietary diversity (OR: 1.8), and consumption of iron-rich foods (OR: 4.7). In Vietnam, exposure to IPC alone or with mass media was associated with higher odds of exclusive breastfeeding (EBF; OR: 2.8–3.7). Near-monthly visits were associated with 2–3 times higher odds of IYCF practices in Bangladesh and Ethiopia. In Vietnam, even 1 IPC visit was associated with 2 times higher odds of EBF. Conclusions Exposure matters for impact, but the combination of behavior change interventions and number of IPC contacts required to support IYCF behavior change are context specific. This trial was registered at www.clinicaltrials.gov as NCT01678716 (Bangladesh), NCT02775552 (Ethiopia), and NCT01676623 (Vietnam).

scholarly journals Infant and young child feeding practices among tribal mothers in Sambalpur district, Odisha, India

2020 ◽  
Vol 7 (3) ◽  
pp. 1072
Author(s):  
Samyak Sahu ◽  
Subrat K. Pradhan ◽  
Sadhu C. Panda
Keyword(s):  
Young Child ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Study Participants

Background: Indicators of infant and young child and feeding (IYCF) practices have been devised by WHO in order to help objectively assess the prevalence of these practices in the population. IYCF practices play a vital role in the control of infant and child deaths. This study was undertaken to assess the IYCF practices among children aged less than 2 years among the tribal population. Objective of this study to measure the indicators of IYCF practices in children in the 0-23 months age group.Methods: It is a community based, cross sectional study of infant and young child feeding practices among tribal mothers having children younger than 24 months, in Sambalpur district of Odisha from October 2017 to December 2019. The study participants were tribal mothers having children less than 24 months of age. The sample size was 384.Results: Among the study participants, 93.5% belonged to the 21-30 years age bracket, 37.5% had middle school certificate education and 75.3% belonged to the upper lower socioeconomic class. The indicators were continued breastfeeding at 1 year (100%), continued breastfeeding at 2 years (100%) and children ever breastfed (100%), exclusive breastfeeding (98.71%) and bottle feeding (16.36%). A significant association was found between delivery by lower segment caesarean section and delayed initiation of breastfeeding.Conclusions: The indicators related to breastfeeding and complementary feeding were adequate except for minimum dietary diversity and minimum adequate diet.

scholarly journals Determination of the impact of infant and young child feeding counselling services on the knowledge of mother-children dyads less than two years

2021 ◽  
Author(s):  
Karen Janice Moras ◽  
Asha D. Benakappa ◽  
Gangadhar Belavadi
Keyword(s):  
Young Child ◽  
Growth And Development ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Counselling Services ◽  
Infant And Young Child ◽  
The Impact

Background: Optimum infant and young child feeding (IYCF) practices are essential for adequate growth and development of infants and children. Malnutrition in children occurs almost entirely during the first two years of life, is virtually irreversible after that. Despite the IYCF guidelines, there is no consistent literature on the prevalence of existing IYCF practices and impact of optimum IYCF practices. This study was conducted to estimate the prevalence of existing IYCF practices and to determine the impact of IYCF counseling in children less than 2 years.Methods: A cross-sectional before and after study was done in mother-children dyads (aged 0-24 months). All 125 mother-children dyads were interviewed using prevalidated IYCF questionnaire after obtaining informed consent. The pre-counseling knowledge of mothers, on existing IYCF practices were analyzed using IYCF core and optional indicators. At 6 weeks, the post-counselling knowledge of the mothers was assessed using the same core and optional indicators.Results: Exclusive breastfeeding was seen in 18 of 43 (41.8%) mothers who showed statistically significant improvement to 40 (93%) (p<0.001) after counseling. Children ever breastfed were 62.4%. Predominat breastfeeding was observed in 24%. Initiation of complementary feeding at 6 months of age, improved significantly (p<0.001) post-counseling from 19 mothers (82.6%) to 23 mothers (100%). Minimum dietary diversity improved significantly post counseling, from 23 (28.7%) children to 70 children (87.5%) (p=0.03). Minimum meal frequency was only 22 (48.8%) in breastfed and 8 (22.9%) in non-breastfed children before counseling and improved to 40 (88.9%) in breastfed and 28 (80%) in non-breastfed children (p=0.04). The minimum acceptable diet was given to 2 (4.4%) children aged 6-23 months out of 45 in the breastfed group and on counseling, it improved to 37 (82.23%), which was statistically significant (p<0.001). Among the 35 non-breastfed children, with 2 children aged 6-23 months receiving minimally acceptable diet increased to 28 (80%) post counseling, which was found to be statistically significant (p<0.0001). A significant reduction in bottle feeding was observed from 52 (41.6%) mothers bottle feeding pre counseling, to 18 (1.4%) post counseling (p<0.001).Conclusions: The present study concludes that maternal education on IYCF practices improves their knowledge significantly irrespective of their socioeconomic and education status. Effective IYCF counselling services improve the growth and development of a child. IYCF counselling services provide a critical window of opportunity to tackle the malnutrition crisis and ensure and promote appropriate child growth and survival.

scholarly journals Regional Analysis of Associations between Infant and Young Child Feeding Practices and Diarrhoea in Indian Children

2020 ◽  
Vol 17 (13) ◽  
pp. 4740 ◽  
Author(s):  
Mansi Dhami ◽  
Felix Ogbo ◽  
Thierno Diallo ◽  
Kingsley Agho ◽  
Keyword(s):  
Risk Factors ◽  
Young Child ◽  
Central India ◽  
Bottle Feeding ◽  
Indian Children ◽  
Sampling Weights ◽  
Child Feeding ◽  
Young Child Feeding ◽  
North East ◽  
Infant And Young Child

Studies on the association between infant and young child feeding (IYCF) practices and diarrhoea across regional India are limited. Hence, we examined the association between IYCF practices and diarrhoea in regional India. A weighted sample of 90,596 (North = 11,200, South = 16,469, East = 23,317, West = 11,512, Central = 24,870 and North-East = 3228) from the 2015–2016 National Family Health Survey in India was examined, using multivariate logistic regressions that adjust for clustering and sampling weights. The IYCF indicators included early initiation of breastfeeding (EIBF), exclusive breastfeeding (ExcBF), predominant breastfeeding (PBF), bottle feeding (BotF), continued breastfeeding (BF) at one-year, continued BF at two years, children ever breastfed and the introduction of solid, semi-solid or soft foods (ISSSF). Diarrhoea prevalence was lower among infants who were BF within one-hour of birth and those who were exclusively breastfed. Multivariate analyses revealed that continued BF at one and two years, and infants who were introduced to complementary foods had a higher prevalence of diarrhoea. EIBF and ExcBF were protective against diarrhoea in the regions of North, East and Central India. PBF, BotF and ISSSF were risk factors for diarrhoea in Central India. Continued BF at two years was a risk factor for diarrhoea in Western India. Findings suggested that EIBF and ExcBF were protective against diarrhoea in Northern, Eastern and Central India, while PBF, BotF, continued BF at two years and ISSSF were risk factors for diarrhoea in various regions in India. Improvements in IYCF practices are likely to reduce the burden of diarrhoea-related morbidity and mortality across regions in India.

scholarly journals Knowledge and Practices Regarding Infant and Young Child Feeding among Mothers’ Children 0-23 Months of Matli, District Badin, Sindh

2020 ◽  
Vol 10 (1) ◽  
pp. 54-59
Author(s):  
Mazhar Ul Haq ◽  
Rukhsana Khan ◽  
Arshia Bilal ◽  
Lajpat . ◽  
Saira Almas ◽  
...  
Keyword(s):  
Young Child ◽  
Maternal Education ◽  
Strong Association ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Feeding Practice ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Background: Lack of proper practices account for the deaths of 1.4 million children of <5 years globally. Optimal Infant and Young Child Feeding practices are recognized as the most valuable approach for improving child survival and development. We aimed to assess the knowledge and practices and to determine the factors affecting Infant and Young Child Feeding practices among mothers of children 0-23 months of Taluka Hospital Matli, Badin District, Sindh Methods: A descriptive hospital-based cross-sectional study was conducted with the sample of 279 mothers visiting pediatric OPD of Taluka Hospital Matli, Badin District, Sindh-Pakistan from 1st October to 31st December 2016. The sample was collected by using non probability consecutive sampling technique and structured pretested questionnaire. Results: 94% of women had the knowledge of when to start breastfeeding after delivery. There is a strong association between maternal education and 0-23 month’s children receiving bottle feed and also a strong association between the information providers and bottle feeding practice. Conclusion: We have found a good dependence of birth weight of the newborn with the monthly income of the household. LHWs and nurses were main sources of information provider about breastfeeding.

scholarly journals Infant and Young Child Feeding Practices upto Two Years of Age and Their Nutritional Status

2014 ◽  
Vol 41 (1) ◽  
pp. 14-20 ◽  
Author(s):  
M Salim ◽  
SA Mita ◽  
MN Uddin ◽  
NWB Jahan ◽  
MZ Ali ◽  
...  
Keyword(s):  
Young Child ◽  
Nutritional Status ◽  
Breast Feeding ◽  
Feeding Rate ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices

This cross sectional study was conducted during the period of May 2008 to June 2009, a total of 455 mothers having their children of less than two years of age were interviewed in paediatric OPD of Sir Salimullah Medical College and Mitford Hospital to know the infants and young child feeding practices and their nutritional status. The mothers were mostly from the lower middle and poor socioeconomic condition. About one forth of the mothers had no institutional education. Most of the mothers live in a joint family. Pre-lacteal feeding rate were 60% and most common pre-lacteal food were honey and sugar water. More than 98% mothers gave colostrums to their newborn babies. Over 24% mothers initiated breast feeding within one hour and 18% did so within 30 minutes after birth. Exclusive breastfeeding rate up to 6 completed months of age was found in only 24.4% cases and it was more in educated mothers. Continued breast feeding rate was 34.5% in 19 - 24 months age group of children. About 24% mothers started complementary feeding timely at 6 completed months of age and about 50% mothers started early before 6 months. Most common complementary foods were carbohydrate rich cooked suji, barley or rice powder mixed with either cow's milk or powdered milk. Only 18.5% mother gave khichuri as a complementary food. Bottle feeding was still higher and it was 59.3% cases. In this study, 17.4% children were severely underweight and more than twenty four percent (24.4%) was severely stunted and 2.0% were severely wasted. Malnutrition was common in those children who were nonexclusively breast fed and start complementary feeding either early or late with carbohydrate rich food. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18774 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 14-20

scholarly journals Breastfeeding and infant/young child feeding in Nepal

2018 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
Sunil Shah ◽  
Jose Augusto R. Simoes
Keyword(s):  
Young Child ◽  
Breast Feeding ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Bottle Feeding ◽  
Iodized Salt ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Child Feeding Practices

Background: Under nutrition being a major problem in Nepal, it is necessary to meet the minimum dietary standard which is essential for growth and development of young children, so promotion of infant and young child feeding practices among children is important intervention.Methods: A descriptive, cross sectional study was conducted among mothers of children of Bardia and Kailali districts of under 2 years and data was collected using the pre-tested questionnaire.Results: The study shows 30.3 percent of the mothers initiated breastfeeding within an hour of birth, 47.9 percent gave colostrums, 25.5 percent were practicing exclusive breastfeeding at 6 or more months,60 percent mothers fed anything else as prelacteal feed before breast feeding, 60 percent of mothers started complementary feeding between 3-6 months, 47.9 percent of mothers used anything from a bottle with a nipple yesterday or last night, 74.8 percent of mothers were currently breast feeding their children, 58 percent used iodized salt and 70.05 percent revealed that their child received Vit A within last six months.Conclusions: The present study showed that late initiation of breast feeding and practice of prelacteal feeds among home delivered mothers being high. The frequency of complementary feeding ranged was less and early/late weaning are still widely prevalent, use of bottle feeding is high, use of iodized salt is still low. There is a need to educate the mothers regarding proper infant/child feeding practices. 

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 Infant and Young Child Feeding Pattern in Children Attending in the Outpatient Department of an Urban Hospital

2017 ◽  
Vol 40 (2) ◽  
pp. 92-97
Author(s):  
Banani Chakraborty ◽  
Jubaida Rumana ◽  
Hosne Ara Begum ◽  
Afsana Afroz
Keyword(s):  
Young Child ◽  
Breast Feeding ◽  
Dietary Diversity ◽  
Early Initiation ◽  
Outpatient Department ◽  
Feeding Pattern ◽  
Urban Hospital ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Background: Proper feeding practices during the first two years of life is essential for growth nutrition and development of young children. Optimum infant and young child feeding can reduce childhood mortality and morbidity significantly. Present study was done to know the infant and young child feeding pattern in the children of 0-23 months of age attending out patient department of an urban hospital.Methods: This cross sectional study was conducted among 314 mother/child pair attending the outpatient department of an urban hospital during the period of September 2014 to December 2014.Result: 68.5% children had early initiation of breast feeding and exclusive breast feeding among children below 6 months was 66.8%.Continued breast feeding among the children of 12 to 15 months was 80.4% and 84.2 % children were given solid food at 6 months of age. Adequate minimum dietary diversity, minimum meal frequency and minimal acceptable diet among children 6-23 months were 61.4%,57.3% and 39.4% respectively.64.5%% children were taking iron rich food or supplementation.Conclusion: Early initiation of breast feeding(0-23mo) and Exclusive breastfeeding(0- 6mo) were satisfactory in the study children but IYCF practice in children of 6-23 months was not optimum and far away from the HPNSDP 2011-2016 target of 52% of children to be fed with minimum acceptable diet.Bangladesh J Child Health 2016; VOL 40 (2) :92-97

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