scholarly journals MOTHER’S CHILD FEEDING KNOWLEDGE AND PRACTICES ASSOCIATED WITH UNDERWEIGHT IN CHILDREN UNDER-FIVE YEARS: A STUDY FROM RURAL KONAWE, INDONESIA

2018 ◽  
Vol 4 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Tasnim Tasnim ◽  
Lillian Mwanri ◽  
Gour Dasvarma

Backgroud: Many rural mothers did not give appropriate child feeding which impacted to underweight for their children in Konawe Disrict of Southeast Island in Indonesia. This was also related to mother’s poor knowledge about child feeding. Objective: this study aimed to investigate the relationship between rural mothers’ knowledge and their practices of child feeding with underweight in under-5 children in Konawe District, Southeast Sulawesi Province in Indonesia.Methods: The case-control study was conducted in 5 rural areas in Konawe District, Southeast Sulawesi Province. The study involved 400 under five children and their mothers, including 100 of whom were cases and 300 of whom were age-matched contorls (1:3). Cases were underweight children, while the controls were children with a normal nutritional status. The independent variabels were mother’s knowledge and  their child feeding practices. The data analysis used Conditional Logistic regression.Results: poor mothers’ knowledge (odds ratio [OR], 8.9; 95% confidene interval [CI], 4.0 to 19.6;  p0.001), poor practices of under-5 children feeding  (OR, 15.2; 95% CI, 5.5-41.7; p0.001) significantly associated with underweight in rural children.Conclusion: Mothers’ knowledge about the availability of nutritious foods determines her child feeding practices. A mother’s level of knowledge about nutritious foods and her practices is related to her educational level and health information sources.

2006 ◽  
Author(s):  
Silvina A. Salvi ◽  
Liron Nemanim ◽  
Ivy Donaldson ◽  
Laura Juarez ◽  
Fary Cachelin

Author(s):  
Shubham Pandey ◽  
Ashish Gaur ◽  
Ankit Singh ◽  
Surabhi Kassere

Background: Child feeding practices are the major contributors to the growth of children and have a crucial impact on the nutritional status of children. Awareness about the role of breastfeeding and complementary foods along with the knowledge about their nutritional benefits for the development, growth of infants is very important especially in rural areas. Objective: To know breastfeeding practices and nutritional status among children with focus on strengthening these practices to improve the health of infants in Uttarakhand. Material and Methods: Z-score test for two population proportions was used for specifying the significance level and test P-value was used for comparing the state i.e. Uttarakhand and its districts according to the two divisions namely, Kumaon and Garhwal. Results: In Kumaon division, the districts with healthy child feeding practices was observed were Udham Singh Nagar and Bageshwar, whereas in Garhwal division, Haridwar, Pauri Garhwal, and Rudraprayag were the districts with better practices as compared to the whole state. It was also observed that Garhwal division is rated higher than Kumaon division for best child feeding practices adopted while raising children. Conclusion: Through this study, it has been concluded that breastfeeding was prevalent in rural women but there lies a scope of improvement in their knowledge pertaining to the feeding practices. Keywords: Child Feeding, Breastfeeding, Complementary feeding, Infants, Nutrition, Uttarakhand


2020 ◽  
Vol 122 (10) ◽  
pp. 3239-3248
Author(s):  
Jovita Raymond Leprince ◽  
Sarina Sariman ◽  
Rahmah Begam Basir Mohammed

PurposeThe purpose of this paper is to determine the relationship between parental child feeding practices with growth status of Orang Asli (OA) children in Negeri Sembilan.Design/methodology/approachThis is a cross-sectional study conducted amongst 190 OA children aged 4–6 years studying at Tabika KEMAS OA in Negeri Sembilan. Mothers were interviewed to obtain socio-demographic information while feeding practices were assessed using Malay version of Comprehensive Feeding Practices Questionnaire (CFPQ-M). Growth status of the children were determined using WHO ANTHRO Plus software. Three indicators of growth status assessed were weight-for-age (WAZ), height-for-age (HAZ) and body mass index (BMI)-for-age (BAZ) z-scores.FindingsThe mean score for feeding practices used by the mothers while feeding their child showed that most of the mothers practiced modelling (3.71 ± 0.82), encouraging balance and variety (3.52 ± 0.76) and environment (3.66 ± 0.66) while the practice of restriction to weight (1.85 ± 0.79) and emotional regulation (2.20 ± 0.96) were low. Most of the OA children had normal WAZ (70.0%), HAZ (71.1%) and BAZ (84.2%). Amongst the three indicators of growth status, BAZ was used to study the relationship with feeding practices. The use of feeding practices such as pressure (r = −0.34, p < 0.01), food as a reward (r = −0.23, p=<0.01), child control (r = −0.18, p = 0.01) and restriction to weight (r = 0.19, p = 0.01) were associated with BAZ.Research limitations/implicationsThis study only focussed on OA children of Temuan and Semelai sub-ethnics studying at kindergarten specific for OA children, thus findings could not be generalised to the entire OA population in Malaysia.Social implicationsThere is a need to address the OA population as they continue to be amongst the most disadvantaged population often affected with poor health and social outcomes.Originality/valueIn this study, a wide range of scales in that represents different feeding practices in CFPQ-M was assessed instead of focussing on limited type of feeding practices. Thus, a better understanding was observed regarding the healthy and unhealthy feeding practices. The result of this study could be useful to update the existing literature of OA research, and to plan suitable interventions with regards to feeding practices and growth status of the children, especially amongst this vulnerable community.


Author(s):  
Dilaram Acharya ◽  
Jitendra Kumar Singh ◽  
Rajendra Kandel ◽  
Ji-Hyuk Park ◽  
Seok-Ju Yoo ◽  
...  

This study aimed to investigate the maternal factors and utilization of maternal care services associated with infant feeding practices in rural areas of Southern Nepal. Data from a cluster randomized controlled trial ‘MATRI-SUMAN’(Maternal Alliance for Technological Research Initiative on Service Utilization and Maternal Nutrition) conducted between 2015–2016 were analyzed. A total of 426 pregnant women in their second trimester were recruited from the MATRI-SUMAN trial, which was conducted on six villages in rural areas of the Dhanusha district, Nepal. A total of 379 mothers that had ever breastfed their infants, and followed for at least seven months after birth were included in the analysis. Multivariate logistic regression analysis was used to identify independent risk factors associated with child feeding practices after controlling for potential confounders. Of the 379 mothers, 41.4%, 53%, and 43% initiated breast feeding within the first hour of birth (EIBF), practiced exclusive breastfeeding (EBF), and initiated timely complementary feeding (CF) at six months, respectively. Multiple logistic regression results revealed that maternal education (secondary or higher), an occupation in the service/business/household sectors, receipt of MATRI-SUMAN intervention, more than four ANC (antenatal care) visits, and delivery in a health facility were associated with higher odds ratios of EIBF. Similarly, mothers with a primary, secondary and higher level of education, that worked in the service/business/household sectors, primiparous mothers, those that received MATRI-SUMAN intervention, visited ANC more than four times, and made a PNC (postnatal care) visit had higher odds ratios of EBF, while mothers who were 35–45 years of age were less likely to have used EBF. In addition, education to the secondary or a higher level, a male baby, receipt of MATRI-SUMAN intervention and a PNC visit had higher odds ratios of CF initiation at six months. The promotion of maternal ANC visits, birth at a health institution, and postnatal visits should be recommended in order to improve child feeding practices in Nepal.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e048738
Author(s):  
Phuong Hong Nguyen ◽  
Shivani Kachwaha ◽  
Anjali Pant ◽  
Lan M Tran ◽  
Sebanti Ghosh ◽  
...  

ObjectivesThe COVID-19 pandemic has profound negative impacts on people’s lives, but little is known on its effect on household food insecurity (HFI) in poor setting resources. This study assessed changes in HFI during the pandemic and examined the interlinkages between HFI with child feeding practices and coping strategies.DesignA longitudinal survey in December 2019 (in-person) and August 2020 (by phone).SettingCommunity-based individuals from 26 blocks in 2 districts in Uttar Pradesh, India.ParticipantsMothers with children <2 years (n=569).Main outcomes and analysesWe measured HFI by using the HFI Access Scale and examined the changes in HFI during the pandemic using the Wilcoxon matched-pairs signed-rank tests. We then assessed child feeding practices and coping strategies by HFI status using multivariable regression models.ResultsHFI increased sharply from 21% in December 2019 to 80% in August 2020, with 62% households changing the status from food secure to insecure over this period. Children in newly or consistently food-insecure households were less likely to consume a diverse diet (adjusted OR, AOR 0.57, 95% CI 0.34 to 0.95 and AOR 0.51, 95% CI 0.23 to 1.12, respectively) compared with those in food-secure households. Households with consistent food insecurity were more likely to engage in coping strategies such as reducing other essential non-food expenditures (AOR 2.2, 95% CI 1.09 to 4.24), borrowing money to buy food (AOR 4.3, 95% CI 2.31 to 7.95) or selling jewellery (AOR 5.0, 95% CI 1.74 to 14.27) to obtain foods. Similar findings were observed for newly food-insecure households.ConclusionsThe COVID-19 pandemic and its lockdown measures posed a significant risk to HFI which in turn had implications for child feeding practices and coping strategies. Our findings highlight the need for further investment in targeted social protection strategies and safety nets as part of multisectoral solutions to improve HFI during and after COVID-19.


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