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

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

2020 ◽  
Vol 32 (1) ◽  
pp. 43-50
Author(s):  
Sonali Kar ◽  
Angeleena Esther

Background: -To enhance child health, Indian Child Development Scheme (ICDS) and National Health Mission (NHM) strategized that reinforcement of Infant and Young Child Feeding (IYCF) practices would be a good take off. Anganwadis, where 78% of mothers of children below 6 receive services, can serve as an effective platform for mothers to receive counseling on appropriate breast feeding and complementary foods, in a priority state like Odisha.  Aim: -As a prelude to a detailed intervention, a rapid baseline situational analysis was planned in 4 intervention districts to know about the district specific variations and also the overall IYCF practices in the area. Objective: Assess the IYCF indicators in the districts with focus on feeding practices above 6 months of age. Assess the factors responsible for breast feeding and complementary feeding in the sample Materials and Methods: - Final sample of 600 was chosen using 30 cluster sampling based on proportions of less than 2 years children in the study districts (districts named A-D, as the interventions are in progress and state refrains the identity of districts), 30 clusters to be divided in the ratio of 10:8:5:7. From each cluster-mothers of 20 children, nearly equal proportions of children in 0-6months and 7-23 months, were interviewed for sociodemographic, health seeking and prevailing IYCF practices. BMI (Body Mass Index) and MUAC (Mid Upper arm Circumference) were used to corroborate the nutritional status of child. Results: - 606 interviews were conducted. Age groups ratio was 2:1.5. Exclusive breast feeding was noted at 68% and under nutrition was 59.2%. Advanced maternal age  were positively associated with declining breast-feeding practice; however good spacing and male child was protective for good IYCF practices. The complementary feeding practices, measured with 2 major indicators i.e. Minimum Food Diversity and Minimum Meal Frequency, were calculated as 40.7% and 20.6% respectively. Gender representation for both indicators was positively skewed for females, which was reasoned in FGDs as purely by chance and did not mean a preference for boys. Both service provider and the mothers’ knowledge was compromised regarding complementary feeding indicators, in spite of the fact that former had been trained on this aspect. Conclusion: - Targeted interventions are envisaged as scope for improvement in the IYCF indicators in the mixed mileu of a state, wherein some districts indicators markedly affect the overall state indicators. In Odisha, this study may give guidelines to the intervening districts to overhaul the load of under nutrition which is now more district and select population specific.


2018 ◽  
Vol 5 (2) ◽  
pp. 21-26
Author(s):  
Dede Setiawan

Background: Nutrition is an important part of the body needs for growth and development of children. Childhood, especially toddler is a period of growth and development of the most rapidly. Toddler nutritional adequacy is depend on the child's mother. Lack of knowledge about nutrition will reduced ability to apply in everyday life, this is one of the causes of malnutrition in toddler. In addition, nutritional problems in toddler is also due to breastfeeding practices and complementary feeding was not appropriate in terms of both quantity and quality. Purpose: Objective of this research is to determine correlation between mother’s knowledge, exclusive breestfeeding and patterns time of complementary feeding with nutritional status of toddlers at Kembaran village, Kembaran district, Banyumas regency. Method: The research design use descriptive correlation with cross-sectional approach. Population in this study were all mothers who have toddlers age 6-24 months at Kembaran village as many as 148 people. Sampling technique use simple random sampling with 66 samples. Data analyze with Chi Square test. Instrumental research use questionnaires and nutritional status with weight/aged indicators. Result: There was significant correlation between mother’s knowledge (p value = 0,012), exclusive breastfeeding (p value = 0,039) and patterns time of complementary feeding (p value = 0,039) with the nutritional status of toddlers at Kembaran village. Conclusion: There was correlation between mother knowledge, exclusive breestfeeding and patterns time of complementary feeding with the nutritional status of toddlers. It is recommended to the toddler's mother to improve the quality of breastfeeding, complementary feeding and give breesfeeding to their babies up to 2 years in order to maintain the nutritional status  who have been good status.


Author(s):  
N. T. Katole ◽  
J. S. Kale ◽  
Meghali Kaple ◽  
S. M. Waghmare

Introduction: According to WHO, exclusive breastfeeding is essential for first 6 moth of life, afterward by six months to meet raised energy and nutrient needs of growing infant complementary feeding is necessary [1]. Proper complementary feeding very essential for the proper physical, neurocognitive development of the child. Objectives: To assesses the knowledge, attitude, and practice among rural Indian mothers of age 6 to 24 month child regarding complementary feeding. Methods: This cross-sectional analysis study was conducted at a tertiary care teaching rural hospital in India between December 2020 and June 2021. A self-administrated questionnaire was distributed to mothers of 6 to 24 month age children attending pediatrics outpatient department at hospital. The questionnaire consisted of 3 parts; first part consist of demographic variables, second and third part regarding knowledge, attitude and practice of mother towards complementary feeding practice. SPSS 21 was used for data analysis. Results: Out of the 250 participants, 220(88%) completed questionnaire completely and validly, 96% mothers initiated breastfeeding within first 48 hrs of birth, and about 62% mothers continue exclusive breastfeeding till six moth age. 72 % mother knew that complementary feeding should start at 6 month of age but only 66% mother able to start at that age, major reason for delayed start is mother perception that her feeding is sufficient for baby, other that family member’s advice. 64% mother believe in homemade complementary feeds and 26% mothers believe in commercial feeds, though major source of knowledge is family members (69%), electronic media(12%) also important source of knowledge while only 19% mothers get information from health professionals. Significant number of mother have knowledge about iron rich foods(63%), iodized salt (50%) etc. however only 36% mother knows about dietary diversity. During illness 52% mothers prefer to decrease in feeding while, 10% prefer to withhold it. 91% mother practice washing hands before cooking and 85% practice giving boil water to baby. However, still 70% mother practice bottle feeding for their children’s. Conclusion: Though there is good knowledge among mothers regarding exclusive breastfeeding, complementary feeding in term of age of start, type of feeding, nutrient value of feeding, importance of consistency, however still there is lack of knowledge about dietary diversity, cultural and social food taboos, bottle feeding etc. Strategies need to employ like health education, awareness programs, training programs for mothers to improve their practice and attitude towards complementary feeding.


2020 ◽  
Vol 8 (3) ◽  
pp. 862-876
Author(s):  
Joyce Nzilani Mutuku ◽  
Sophie Ochola ◽  
Justus Osero

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.


2020 ◽  
Vol 47 (4) ◽  
pp. 324-329
Author(s):  
T. Yusuf ◽  
B. Jibrin

Background: Complementary feeding is the cornerstone of child’s nutrition. Most malnourished children had their predicament originating from  the period of transition from breastfeeding to family diet. Objectives: To determine the complementary feeding practices and nutritional status of young children in Gwiwa community. Materials and  Methods: This cross-sectional study was carried out in Gwiwa community, Wammakko LGA, Sokoto State between January and June,  2018. Three hundred and ten mothers with their children aged 6 –36 months were interviewed using structured interviewer - administered questionnaire and the children’s nutritional status was assessed using WHO classification of malnutrition. Data was analysed using SPSS version22.0.A p-value ≤0.05 was taken as significan. Results: One hundred and forty (45.2%) respondents were aged  15 – 24years and 168(54.2%) were of low socio-economic class. There were 190  males and 120 females with 66 (21.3%) children exclusively bre as t - fed for 6months. The mean age of cessation of breast feeding was 17.8 ±3.6 months. One hundred and sixty-nine (54.5%) children commenced complementary feeding at 6-8month of age with the mean age of 5.7(±2.6) months. One hundred and eighty-four (59.4%) used plain pap with 41.2% fed more than 3 times per day. Eighty-two (26.5%), 56(18.1%) and 76 (24.5%) children were underweight, wasted and stunted respectively. Conclusion: The complementary feeding practices were suboptimal in this community and might explain the poor nutritional status of their under- fives. Efforts should be geared towards optimal complementary feeding practices in this community. Key words: Complementary, Feeding, Practice, Nutritional, Status, Under-5.


2016 ◽  
Vol 30 (2) ◽  
pp. 74-79 ◽  
Author(s):  
Mustanshirah Lubna ◽  
Nazma Begum ◽  
Soofia Khatoon

Objective(s): To determine infant feeding practices along with the nutritional status of under 1 year children.Materials and Method: This descriptive type of cross sectional study was carried out in Department of Paediatrics of Shaheed Suhrawardy Medical College Hospital during the period from July to December 2012 on 52 admitted children of 29 days to 1 year of age.Results: Exclusive breastfeeding was found in 19 (86.4%) cases in under 6 months age group and 3 (10.0%) cases in more than 6 months age group. Complementary feeding with breastfeeding was found in 76% of more than 6 months old infant. Majority patients in both groups received breastfeeding >8 times / 24 hour. Ninety five percent infants of ? 6 months of age who were on exclusive breastfeeding and eighty three percent infants of > 6 months who were on breastfeeding plus complementary feeding were in normal nutritional status.Conclusion: Exclusive breastfeeding in infants upto 6 months of age and breastfeeding with complimentary feeding in more than 6 months of age provided better nutritional status.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 74-79


2017 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Md Saizuddin ◽  
Md Shahidul Hasan ◽  
Md Rashidul Islam ◽  
Md Alfazzaman ◽  
MM Mafizur Rahman ◽  
...  

A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January, 2015 to December, 2015. Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers are illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and only 30.7% had three or more children.Medicine Today 2016 Vol.28(1): 1-5


Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Wenny Artanty Nisman ◽  
Dea Aryas ◽  
Evi Ratnasari ◽  
Melinda Widya ◽  
Nevira Yonanta ◽  
...  

<p>The coverage rate of exclusive breastfeeding in Indonesia is still low despite its ability to affect a baby's health status and ability to survive. In 2017, only 35.73% of babies in Indonesia received exclusive breastfeeding for up to 6 months. This study aims to determine infant feeding practices and identify the factors that influence the practice of exclusive breastfeeding in Yogyakarta. This is a descriptive analysis study with a cross-sectional approach. The instruments that have been used in this study were the demographic data questionnaire, the Iowa Infant Feeding Attitude Scale (IIFAS) questionnaire, and the Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) questionnaire. A total of 421 mothers were involved in this study and the research was conducted between June 2019 to April 2020 in Sleman Regency, Yogyakarta, Indonesia. Correlation data analysis was performed using chi-square and point biserial correlation and the multivariate analysis used logistic regression. Infant feeding practice was high with 82.4% of infants receiving exclusive breastfeeding. It was found that employment status, knowledge, mothers’ attitudes, and self-efficacy about breastfeeding have significant correlations with exclusive breastfeeding. Employment status, knowledge, mothers’ attitudes, and self-efficacy about breastfeeding are factors that can encourage exclusive breastfeeding. <strong></strong></p>


Author(s):  
Bunga Astria Paramashanti ◽  
Hamam Hadi ◽  
I Made Alit Gunawan

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Stunting in children is one of public health problem in Indonesia. Stunting is a serious problem because it is linked with the quality of human capital in future. </em></p><p><em><strong>Objectives</strong>: To determine the association between exclusive breastfeeding practice and stunting in young children 6 – 23 months in Indonesia.</em></p><p><em><strong>Methods</strong>: This study used a cross-sectional design. Data was obtained from Basic Health Research (Riskesdas) 2013. Riskesdas 2013 used multistage cluster sampling. Subject in this study was 6.956 young children 6 – 23 months in Indonesia which was selected purposively. Data was analyzed by using descriptive analysis, chi-square, and multiple logistic regression by adjusting the sampling weight for survey analysis.</em></p><p><em><strong>Results</strong>: Exclusive breastfeeding was protective against stunting, but the result was not significant both for exclusive breastfeeding &gt;6 months (OR=0,99, 95% CI: 0,63–1,59) and exclusive breastfeeding 4-&lt;6 bulan (OR=0,93, 95% CI: 0,63–1,39). Young children with low birth weight history had higher risk to become stunting (OR=1,77, 95% CI: 1,33–2,37). Household economic status which were very poor (OR=1,96, CI: 1,53–2,52), poor (OR=1,62, 95% CI:1,30–2,03) and middle (OR=1,32, 95% CI: 1,06–1,64) were also associated with the risk of stunting.</em></p><p><em><strong>Conclusions</strong>: Exclusive breastfeeding is not the only factor contributing to stunting in children. Optimal complementary feeding practice should also be the focus of intervention. Improvement in nutritional status since the preconception and during the pregnancy, and household economy status may reduce stunting problem in children.</em></p><p><strong>KEYWORDS</strong>: <em>stunting, exclusive breastfeeding, feeding practice, growth</em></p><p> </p><p><strong>ABSTRAK</strong></p><p><strong></strong><em><strong>Latar belakang</strong>: Stunting pada anak-anak merupakan salah satu masalah kesehatan masyarakat yang utama di Indonesia. Stunting menjadi masalah yang serius karena dikaitkan dengan kualitas sumber daya manusia di kemudian hari.</em></p><p><em><strong>Tujuan</strong>: Untuk mengetahui hubungan antara praktik pemberian ASI eksklusif dan stunting pada anak usia 6 – 23 bulan di Indonesia.</em></p><p><em><strong>Metode</strong>: Desain penelitian ini adalah cross-sectional. Data didapatkan dari hasil riset kesehatan dasar (Riskesdas) 2013. Teknik pengambilan sampel pada Riskesdas 2013 adalah multistage cluster sampling. Subjek pada penelitian ini berjumlah 6.956 anak usia 6 – 23 bulan di Indonesia yang dipilih secara purposive. Data dianalisis dengan menggunakan analisis deskriptif, chi-square dan regresi logistik berganda dengan mempertimbangkan sampling weight untuk analisis survei.</em></p><p><em><strong>Hasil</strong>: ASI eksklusif bersifat protektif terhadap kejadian stunting pada anak, namun hasilnya tidak signifikan, baik untuk ASI eksklusif &gt;6 bulan (OR=0,99, 95% CI 0,63–1,59) maupun ASI eksklusif 4-&lt;6 bulan OR=0,93, 95% CI: 0,63–1,39). Anak yang lahir dengan berat badan lahir rendah (BBLR) memiliki risiko yang lebih tinggi untuk menjadi anak yang stunting (OR=1,77, 95% CI: 1,33–2,37). Status ekonomi rumah tangga sangat miskin (OR=1,96, 95% CI: 1,53–2,52), miskin (OR=1,62, 95% CI: 1,30–2,03) dan</em><br /><em>menengah (OR=1,32, 95% CI: 1,06–1,64) masing-masing berkontribusi terhadap peningkatan risiko stunting pada anak.</em></p><p><em><strong>Kesimpulan</strong>: ASI eksklusif bukanlah satu-satunya faktor yang berkontribusi terhadap kejadian stunting pada anak. Pemberian MPASI yang optimal juga harus diperhatikan. Perbaikan status gizi sejak masa prekonsepsi dan selama kehamilan, serta status ekonomi rumah tangga diharapkan mampu menurunkan kejadian stunting pada anak.</em></p><p><strong>KATA KUNCI</strong><em>: stunting, ASI eksklusif, praktik makan, pertumbuhan</em></p>


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