scholarly journals “PATTERN AND DETERMINANTS OF COMPLEMENTARY FEEDING PRACTICES AMONG 6-24 MONTHS CHILDREN OF RURAL INDIA”

2021 ◽  
pp. 1-3
Author(s):  
Nikki Kumari ◽  
Khodaija Mahvish ◽  
Binod Kr Singh
Keyword(s):  
Maternal Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Rural India ◽  
Hospital Data ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Female Ratio ◽  
Diet Diversity

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.

scholarly journals Determinants and Current Level of Optimal Complementary Feeding Practices among Lactating Mothers of Children in Ambo Town, Oromia, Ethiopia

2020 ◽  
Vol 1 (1) ◽  
pp. 31-50
Author(s):  
Haile Abebe ◽  
◽  
Belay Assefa ◽  
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Current Level ◽  
Meal Frequency ◽  
Maternal Knowledge ◽  
Complementary Foods ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

An appropriate diet is critical in the growth and development of children especially in the first two years of life. Poor complementary feeding of children aged 6 months - 23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Therefore, this study aimed to assess determinants and current level of optimal complementary feeding practices among mothers of children aged 6 months to 23 months in Ambo town, Oromia Region. The study used cross sectional study design and targeted 336 mothers with children 6 months - 23 months olds. Information from the respondents were collected using standard questionnaire. Data entry and analysis was done using SPSS version 21.0 windows statistical software. All (100%) the children 6 months - 8 months old had received solid, semi-solid/soft foods. The minimum meal frequency was attained by 88.3% (95% CI 84.3-91.4) whereas the minimum dietary diversity was attained by 17.9% (95% CI 14.1-22.5). The minimum acceptable diet was attained by 15.4% (95% CI 11.9-19.8). Maternal knowledge on: importance of breastfeeding (87.3%); age of introduction of complementary foods (85.4%) and correct meal frequency for age (74.5%) was high. On the contrary, knowledge on the importance of enriching complementary foods (34.5%) was low. Mothers who knew the importance of a diverse diet were likely (chi-square test; p=0.001) to feed their children on a diverse diet. On the other hand, mothers who knew the importance of enriching complementary foods were likely to feed their children on a minimum acceptable diet (chi-square test; p = 0.007) and maternal knowledge on enriching complementary foods (OR = 3.41, p = 0.040) were significant predictors of consumption of Vitamin A rich foods, minimum meal frequency and minimum acceptable diet, respectively. Behaviour change and communication involving all the stakeholders in infant and young child feeding should be emphasized. Messages on appropriate feeding practices should include importance of dietary diversity

scholarly journals Factors Associated With Recommended Complementary Feeding Practices Among Children in Sidama and Oromia Regions in Ethiopia

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 164-164
Author(s):  
Ana Moyeda Carabaza ◽  
Mary Murimi ◽  
Alemneh Kabeta Daba ◽  
Jessie Vipham
Keyword(s):  
Food Insecurity ◽  
International Development ◽  
Nutrition Education ◽  
Maternal Employment ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional ◽  
Factors Associated ◽  
Feed The Future

Abstract Objectives To determine complementary feeding practices (CFP) among 6-to-23-month-old children and to identify associations between maternal and household characteristics with CFP. Methods Cross-sectional study conducted among rural communities located within the Sidama and Oromia regions in Ethiopia. Pairs of mothers and their children (N = 190) were randomly selected to participate in the survey. Data was collected using the WHO Infant and Young Child Feeding indicators, Household Food Insecurity Access Scale, and Knowledge on CFP. Multivariate logistic regressions were used to analyze factors associated with CFP. Results Most (87.4%) of the children achieved minimum meal frequency, while only 27.4% achieved minimum dietary diversity (MDD) and 26.8% minimum acceptable diet (MAD). Majority (80%) of the households were food insecure, with 40% of the households reporting severe food insecurity. Half (50.0%) of participating mothers showed poor levels of knowledge on CFP. Children of employed mothers were more likely to meet MDD (P = .014) and achieve MAD (P = .034). Furthermore, children of mothers that had adequate knowledge on the recommended CFP were more likely to achieve MDD (P &lt; .001) and MAD (P &lt; .001). In contrast, children living in households with an estimated annual income lower than $254 dollars were less likely to achieve MDD (P &lt; .05) and MAD (P &lt; .05). Similarly, children living in households with moderate to severe levels of food insecurity were less likely to achieve MDD (P = .003 and P = .012, respectively) and MAD (P = .005 and P = .023, respectively). Conclusions Complementary feeding practices were suboptimal in the Sidama and Oromia region in Ethiopia. Low household income and food insecurity seem to hinder the achievement of MDD and MAD, while maternal employment and knowledge on CFP contributed to a diversified and adequate diet among children. Thus, policies and interventions that target poverty, food insecurity, maternal unemployment, and nutrition education are necessary for the improvement of CFP. Funding Sources United States Agency for International Development (USAID) Bureau for Food Security as part of Feed the Future Innovation Lab for Livestock Systems.

scholarly journals Complementary Feeding Practices and Associated Factors Among Infants and Young Children 6–23 Months in Fort Portal Kabarole District Uganda (P11-049-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sharon Bagaaya ◽  
Henry Wamani ◽  
Richard Kajura
Keyword(s):  
Young Children ◽  
Low Income ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Child Feeding ◽  
Cross Sectional ◽  
Infants And Young Children

Abstract Objectives To determine the prevalence of appropriate complementary feeding practices and associated factors among infants and young children 6–23 months in Fort Portal municipality Kabarole Uganda Methods A community based cross sectional study was conducted among 206 mothers/caregivers of infants and young children 6–23 months using both quantitative and qualitative methods. Probability proportionate to population size technique was used to select study subjects. A pretested WHO standard questionnaire for measuring infant and young child feeding practices was adopted for assessing complementary feeding practices. Appropriate complementary feeding was defined as attaining both minimum meal frequency and minimum dietary diversity in the last 24 hours. Prevalence ratios and there 95% confidence intervals were generated. Modified poisson regression analysis method was used to generate factors associated with appropriate complementary feeding. Five focus group discussions were conducted to capture participants perceptions on appropriate complementary feeding practices. Results The prevalence of appropriate complementary feeding was 21.4%. Formal employment (PR: 7.05; CI:1.69-29.36), cohabiting (PR: 2.15; CI: 1.10-4.18) and having no child illness (PR: 1.85; CI: 0.88-4.35) were associated with appropriate complementary feeding. Qualitative results showed that inadequate information and low income as major challenges towards appropriate complementary feeding practices. Conclusions Appropriate complementary feeding practices were low. unless interventions such as; health services access and women entrepreneurship are put in place, the inappropriate complementary feeding practices are unlikely to change. Funding Sources Ministry of Health Uganda. Supporting Tables, Images and/or Graphs

scholarly journals Minimum Diet Diversity and Minimum Meal Frequency – Do They Matter Equally? Understanding IYCF Practices in India

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1012-1012
Author(s):  
Ayushi Jain ◽  
Muneer Kalliyil ◽  
Satish Agnihotri
Keyword(s):  
Child Nutrition ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Family Health ◽  
Feeding Practices ◽  
Meal Frequency ◽  
Child Feeding ◽  
Diet Diversity ◽  
Minimum Dietary Diversity ◽  
Nutritional Outcomes

Abstract Objectives Infant and Young Child Feeding practices, mainly, complementary feeding in children between 6 months and two years of age, is found to be sub-optimal and emerge as the weakest link in improving child nutrition outcomes in India. Minimum Acceptable Diet (MAD), comprising of two sub-indicator – Minimum Dietary Diversity (MDD) and Minimum Meal Frequency (MMF), serves as an essential indicator to understand the diet adequacy pattern in children. The objective of this study was thus to investigate the role of MDD-MMF dyad in influencing the nutritional outcomes in children and its pattern across regions in India. Methods Data was obtained from the National Family Health Survey – 4 (NFHS-4) from the DHS Program website. The prevalence of MMF and MDD was calculated for 640 districts in India. The MMF and MDD were classified into three categories - high, medium and low based on equal percentile distribution of their prevalence range. Districts with high MMF and high MDD formed one cohort. Similarly, eight other cohorts were created based on their performance on MMF and MDD indicator. The prevalence of Stunting (St), Wasting (Wa) and Underweight (Uw) in children between 6 months and two years of age was then calculated for each of the nine cohorts. The districts were also mapped based on their cohort category to study the variation across regions in India. Results All three anthropometric indicators – stunting, wasting and underweight showed significant decline moving across low MMF- low MDD cohort (40% St; 26.2% Wa; 37.1% Uw) to medium MMF – medium MDD cohort (38.6% St; 23.8% Wa; 35.4% Uw) to high MMF – high MDD cohort (29% St; 15.5% Wa; 19.2% Uw). Second, the importance of minimum dietary diversity in improving nutritional outcomes was revealed, as opposed to minimum meal frequency, which shows improvement only when it reaches a certain threshold. Third, mapping revealed sharp differences across various regions in MMF-MDD pattern, especially in the states like Odisha, Assam and Andhra Pradesh. States in the central region performed poorly on complementary feeding indicators, specifically diet diversity. Conclusions The study highlights the importance of optimal complementary feeding practices in improving nutrition outcomes and the need to consider the regional heterogeneities while promoting IYCF practices in India. Funding Sources None.

scholarly journals Complementary Feeding Practices and Child Growth in a Region with a High Burden of Child Undernutrition in Madagascar

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 891-891
Author(s):  
Hasina Rakotomanana ◽  
Deana Hildebrand ◽  
Gail Gates ◽  
David Thomas ◽  
Barbara Stoecker
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Survey Design ◽  
Feeding Practices ◽  
Optimal Growth ◽  
Child Growth ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Growth Standards ◽  
Child Undernutrition

Abstract Objectives The Vakinankaratra region of Madagascar has the highest stunting rates of the country, yet it is one of most agriculturally productive regions. The purpose of this study was to assess maternal complementary feeding practices and their association with child growth. Methods Data from a cross-sectional study of 391 mothers and their infants aged 6–23 months were analyzed. The WHO infant and young child feeding (IYCF) indicators were used to assess complementary feeding practices. A questionnaire for collection of sociodemographic information and 24-hour dietary recall was translated and pre-tested before data collection. Child length and weight were converted to length-for-age (LAZ), weight-for-age (WAZ), and weight-for-length (WLZ) using the 2006 WHO Growth Standards. Linear regression models were conducted while adjusting for survey design and confounding variables. Results Stunting (69.4%) and undernutrition (23.4%) rates were very high. The proportion of children achieving minimum dietary diversity (35.8%), minimum acceptable diet (30.2%) and consuming flesh foods (14.1%) were low. Higher dietary diversity score was associated with increased LAZ [β = 0.2, P &lt; 0.05, R2 = 0.16] in 9–11 months infants only. Consuming flesh foods was associated only with higher WAZ [β = 0.41, P &lt; 0.01, R,2 = 0.10]. None of the indicators were associated with WLZ. Conclusions Complementary feeding practices were suboptimal in the Vakinankaratra region. Although crucial for optimal growth, improving feeding practices alone may not be sufficient to reduce the high prevalence of child undernutrition in the region. Funding Sources This study was funded by the Marilynn Thoma Chair in Human Sciences at Oklahoma State University.

scholarly journals Exclusive breastfeeding for the first six months followed by complementary feeding along with breastfeeding is crucial for proper growth and development of a child. This study aims to determine the factors that influence the feeding practice of mothers ha

2019 ◽  
Vol 5 (1) ◽  
pp. 14-20
Author(s):  
Dipika Khatri ◽  
Naveen Shrestha
Keyword(s):  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cluster Sampling ◽  
Feeding Practice ◽  
Cross Sectional ◽  
Nutrition Messages

Exclusive breastfeeding for the first six months followed by complementary feeding along with breastfeeding is crucial for proper growth and development of a child. This study aims to determine the factors that influence the feeding practice of mothers having the children 6-23 months in Kaski district and to correlate the relationship between complementary feeding practices and nutritional status of children 6-23 months. A community-based cross sectional analytical study was conducted among 453 mothers having the children 6-23 months, applying cluster sampling technique and using the structured questionnaire, salter scale weighing machine, stadiometer and sakir tape were used as research tools. From all respondents 67% started complementary feeding at 6-8 months of age. The practices of minimum meal frequency, minimum dietary diversity, and minimum acceptable diet were 93.8%, 45.9% and 42.4% among mothers of 6–23 months aged children, respectively. More than half of children have worst feeding practices. Types of family, mother’s education, father’s education, mother’s occupation were significantly associated with feeding practices. In term of nutritional status, 62.26% of children were stunted, 7.3% of children were underweight and 3.4% of children were wasted. Feeding practices were significantly associated with children nutritional status based on wasting and mid upper arm circumference. Overall in Kaski district, it was found that majority of mother had poor feeding practices which contribute to the under nutrition. Nutrition messages on Infant and Young Child Feeding Practices (IYCF) should emphasis dietary diversity and frequency of feeding for all the children. Keywords: Associated factors, Children, Feeding practices, Nutritional status

scholarly journals Maternal complementary feeding practices and anthropometric status of children (6-23 months) in Abakaliki Nigeria, a facility based study

2021 ◽  
Vol 12 (2) ◽  
pp. 48-62
Author(s):  
Linda Obianuju Edafioghor ◽  
Uzoma Asiegbu ◽  
Chinonyelum Ezeonu ◽  
Gideon Onyedikachi Iheme ◽  
Haadi Adeduntan ◽  
...  
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Sampling Technique ◽  
Feeding Practices ◽  
Child Growth ◽  
University Teaching ◽  
Cross Sectional ◽  
Adequate Diet ◽  
One Year ◽  
Minimum Dietary Diversity

Sub-optimal complementary feeding practices among children aged 6-23 months is a major cause of under-nutrition in developing countries. This study was designed to assess the complementary feeding practices and nutritional status of children 6-23 months attending an immunization clinic at Alex-Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria. The study was descriptive and cross-sectional in design. A total of 320 children were selected using a two-stage sampling technique. WHO/PAHO/UNICEF recommendations and WHO Child Growth Standard charts were used to categorize their complementary feeding and anthropometric indices, respectively. Statistical analysis was performed using descriptive statistics and inferential statistics. Complementary feeding indicators such as timely complementary feed introduction (54.1%) and minimum dietary diversity (68.7%) were met by more than half of the respondents. But overall, complementary feeding practices were considerably poor. Low minimum meal frequency, minimum adequate diet and continued breastfeeding at one year were reported. Wasting, stunting and underweight prevalences were 12.5%, 11.3% and 8.3% respectively. Children who continued breastfeeding at one year (AOR = 0.34; CI= 0.15-0.76) or met minimum dietary diversity criteria (AOR = 0.43; CI= 0.17-1.05) were less likely to be stunted. Increased attention towards breastfeeding continuation and dietary diversity improvement using locally available/affordable food stuffs is needed.

scholarly journals Maternal Knowledge and Complementary Feeding Practices and their Relationship with Nutritional Status Among Children 6-23 Months Old in Pastoral Community of Marsabit County, Kenya: A Cross-Sectional Study

2020 ◽  
Vol 8 (3) ◽  
pp. 862-876
Author(s):  
Joyce Nzilani Mutuku ◽  
Sophie Ochola ◽  
Justus Osero
Keyword(s):  
Nutritional Status ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Positive Impact ◽  
Feeding Practices ◽  
Nutrition Status ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Pastoral Community ◽  
Validated Questionnaire

Appropriate complementary feeding practices have positive impact on health and growth of children aged 6-23 months. Little is known about complementary feeding practices among the pastoralists. The aim of this study was to document the influence of maternal knowledge on child feeding and complementary practices on the nutritional status of children aged 6-23 months amongst a pastoral community in Kenya. A WHO standard validated questionnaire was used to collect data from 289 randomly selected mothers/primary caregivers and their children aged 6-23 months. The interviews were conducted through face-to-face in a one-time household visit. The findings showed that half (50.2%) of the children received complementary foods at the age of six months. The proportion of breastfed and non-breastfed children that achieved the recommended Minimum Meal Frequency (MMF) was 28.7% and 2.6% respectively. About one-quarter (23.9%) achieved the recommended Minimum Dietary Diversity (MDD). A total of 5.9% achieved the Minimum Acceptable Diet (MAD). Majority of the mothers/caregivers (95.1%) knew that children should be encouraged to feed while 61.6% knew that children should be fed more frequently during and after illness. The timing of introduction of complementary feeding ([OR]=0.307, P=0.001) and child’s dietary diversity ([OR]=3.112, P=0.020 were predictors of wasting among the children while timing of introduction of complementary feeding ([OR]=0.226, P=0.000) and maternal knowledge on the duration of breastfeeding ([OR]=6.359, P=0.012) predicted child underweight.. Complementary feeding practices are not optimal and the nutritional status of the children is poor. Complementary feeding practices predicted child nutritional status whereas maternal/caregivers’ knowledge on complementary feeding practices had limited impact on child nutrition status.

scholarly journals Appropriate Complementary Feeding Practices and Associated Factors Among Caregivers of Children Age 6-23 Months in Rural Areas of Hunan Province, China: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Minghui Liao ◽  
Qun Huang ◽  
Huixia Li ◽  
Yi Liao ◽  
Guangwen Huang
Keyword(s):  
Migrant Workers ◽  
Rural Areas ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Hunan Province ◽  
Nutrition And Health ◽  
Cross Sectional

Abstract BackgroundThis study aimed to evaluate the quality and associated factors that potentially influence complementary feeding practices among Chinese caregivers living in Hunan, a rapidly developing province in China. MethodsThree indicators( minimum dietary diversity(MDD), minimum meal frequency(MMF) and minimum acceptable diet(MAD)) were used to evaluate the rationality of complementary feeding. A multi-factor unconditional logistic regression model was employed to analyzeanalyse the relevant factors of complementary feeding. ResultsThe eligibility rates of MDD, MMF and MAD for children aged 6-23 months were 62.3%, 75.1% and 44.0%, respectively. The ineligible OR values of MDD for children aged 12-17 and 18-23 months were 0.238 and 0.103, respectively, and those of MAD were 0.425 and 0.376, respectively, compared with those for children aged 6-11 months. Compared children whose mothers moved out for work, the ineligible MMF for children whose mothers were not migrant workers was 2.069. Compared with parents who scored less than 60 in knowledge and attitude towards nutrition and health, the ineligible OR values of MDD, MMF and MAD for children whose parents obtained 60-79 were 0.653, 0.689 and 0.668, respectively, and those for children whose parents obtained 80-100 were 0.543, 0.428 and 0.496, respectively (all P values <0.05). ConclusionThe complementary feeding of children in rural areas of Hunan Province needs to be improved. Younger month-age, mothers’ not going out to work and parents’ lacking in knowledge about nutrition and health are high risk factors for poor complementary feeding.

scholarly journals 150Trends and factors associated with complementary feeding practices in Ethiopia from 2005 to 2016

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kedir Yimam Ahmed
Keyword(s):  
Maternal Education ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Optimal Growth ◽  
Complementary Foods ◽  
Service Usage ◽  
Low Education ◽  
Antenatal Visits ◽  
Minimum Dietary Diversity

Abstract Background Introducing appropriate complementary feeding at sixth months of age is crucial for the optimal growth and development of an infant. The aim of this study is to investigate the trends and determinants of complementary feeding practices in Ethiopia from 2005 to 2016. Methods The study was conducted using the Ethiopia Demographic and Health Survey (EDHS) data for 2005 (N = 2520), 2011 (N = 2850), and 2016 (N = 2864). Multivariate logistic regression was used to examine the association between socioeconomic, demographic, health service and community-level factors and (i) the introduction of complementary foods, (ii) minimum dietary diversity (MDD), (iii) minimum meal frequency (MMF) and (iv) minimum acceptable diet (MAD). Results The proportion of mothers who met MDD increased from 6.3% to 13.5% and MAD increased from 4.1% to 7.1% from 2005 to 2016. Improvements in the introduction of complementary foods (from 50.3% to 59.5%), and MMF (from 41.3% to 43.6%) were not statistically significant. Maternal education and occupation were associated with the introduction of complementary foods, MDD, MMF and MAD. Higher partner education and frequent antenatal visits were associated with MDD and MAD. Children whose mothers listened to the radio had higher odds of MDD, MMF, and MAD. Conclusions Interventions aiming to improve complementary feeding practices in Ethiopia should also target mothers with low education, antenatal service usage and media exposure Key messages The study showed that there were improvements in the proportion MDD and MAD.

Sign in / Sign up

Export Citation Format

Share Document