scholarly journals mHealth Series: Text messaging data collection of infant and young child feeding practice in rural China – a feasibility study

2013 ◽  
Vol 3 (2) ◽  
Author(s):  
Xiaozhen Du ◽  
Wei Wang ◽  
Michelle Helena van Velthoven ◽  
Li Chen ◽  
Robert W. Scherpbier ◽  
...  
2020 ◽  
Vol 10 (1) ◽  
pp. 54-59
Author(s):  
Mazhar Ul Haq ◽  
Rukhsana Khan ◽  
Arshia Bilal ◽  
Lajpat . ◽  
Saira Almas ◽  
...  

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.


2021 ◽  
Vol 9 (1) ◽  
pp. 190-201
Author(s):  
Afrin Iqbal

Optimum is. Adequate Infant and young child feeding (IYCF), critical for child’s growth and development, requires a significant amount of time andcan be challenging for working mothers. In Bangladesh, about four million women work long-hours in Readymade Garment (RMG) factories without proper maternity benefits which raises concern regarding optimum IYCF practice. We conducted a descriptive cross-sectional study in Dhaka, Bangladesh to identify the knowledge and common practices of IYCF among mothers working in Readymade Garment sector. Ninety-three women of reproductive age (15-49 years), working in Readymade Garment sector, with children aged 6-23 months, were interviewed. Our study revealed- majority knew about exclusive breast feeding (EBF) (76%), duration to continue breast feeding (73%) and early initiation of breast feeding (53%). The exclusive breast-feeding practice in mothers employed in RMG sector was 44%. Three-fourths of the mothers knew and initiated complementary feeding timely. Both knowledge regarding age-adjusted minimum meal frequency (MMF) (19.4%) and minimum quantity (8.6%) were low; compared to actual practices. Nearly two-fifth of the mothers (40%) had to start working before their child reached six months of age enabling them to provide their baby with breastmilk substitutes. Mothers employed in Readymade Garment sector had better IYCF practice than general population. Proper workplace environment with mandatory breast-feeding corners, daycare facilities and ensuring maternity benefits in these mothers could help achieve an even better IYCF practices for their children.


2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Joyce L. Kinabo ◽  
Akwilina W. Mwanri ◽  
Peter S. Mamiro ◽  
Kissa Kulwa ◽  
Nyamizi H. Bundala ◽  
...  

Background: Undernutrition in children has remained a challenge despite the success achieved in reduction of other childhood diseases in Zanzibar. Most empirical studies on infants and young child feeding (IYCF) have examined nutritional value of foods fed to the children in terms of energy and micronutrient content. Little is known on the role of culture, traditions and social norms in influencing IYCF practices. This study aimed at assessing the existing IYCF practices and socio-cultural factors influencing these practises using ProPAN tool to get an in-depth understanding of the mothers’ practices with respect to exclusive breastfeeding and infant and young child feeding.Methods: A cross sectional study involving mothers/caregivers was conducted using semi-structured interviews and opportunistic observations on Unguja Island, Zanzibar. A random selection of 36 Shehias and 213 households with children 0 – 23 months old was done proportional-to-size of Shehias and children. Quantitative and qualitative data were collected using the ProPAN tool and embedded software for analyses.Results: A total of 213 of mothers/caregivers were involved in the study. Almost all new-borns were fed colostrum (96%). Proportion of mothers who   initiated breastfeeding within one hour after giving birth was 63%. About 24% of the women practiced exclusive breastfeeding and 21% of the children were given pre-lacteal feeds 2-3 days after birth. The mean age of introduction of complementary foods was four months. Responsive feeding was not practiced by some mothers as 31% of the children 12-23 months of age were left to eat alone without any support from caregivers. The common reasons for non-adherence to the recommended feeding practices were related to income and socio-cultural norms which are strong in the community and supported by other family members.Conclusion: Infant and young child feeding in Unguja was suboptimal. Inadequate care practices, use of pre-lacteals, early introduction of complementary foods, low rate of exclusive breastfeeding and low meal frequency were among the common practices. The main causes of the observed feeding practice were related to socio-cultural norms and beliefs. There is a need to strengthen IYCF education into the antenatal clinic regime.


2019 ◽  
Vol 149 (Supplement_1) ◽  
pp. 2323S-2331S ◽  
Author(s):  
Wendy Gonzalez ◽  
Anabelle Bonvecchio Arenas ◽  
Armando García-Guerra ◽  
Mireya Vilar-Compte ◽  
Alejandría Villa de la Vega ◽  
...  

ABSTRACTBackgroundThe shortage of skilled, motivated, and well-supported health workers is a major barrier to scaling up nutrition interventions and services.ObjectiveThe objective of this study is to describe the process for developing and implementing a training of health personnel for the delivery of the Integrated Strategy for Attention to Nutrition (EsIAN), an evidence-based strategy for promoting infant and young child feeding through primary health care in Mexico. The specific objective is to provide a case study and highlight challenges, as well as elements to successfully mitigate these, and discuss potential applications of findings beyond the Mexican context.MethodsThe design and implementation of training followed a 5-phase process: situation analysis, formative research, large-scale feasibility study, redesign and scale up, and evaluation. We conducted document reviews, surveys, and focus groups during the first phases to inform and refine the training, as well as a pre- and posttraining telephone survey to evaluate change in knowledge.ResultsThe initial phases of the design provided a clear understanding of the opportunities and challenges for promoting infant and young child feeding, as well as health workers’ routines and practices, which informed training design. The feasibility study allowed tailoring and refinement of training. The vertical coherence and coordination between the federal and state levels during redesign and scale up facilitated compliance with training timeline and process. Evaluation results showed significant improvement in knowledge posttraining of up to 19 percentage points.ConclusionsThe EsIAN training component for health providers was developed using a systematic approach to consolidate and generate relevant evidence, following an iterative process to test, learn, and improve both design and implementation. This process allowed for flexibility to take advantage of new opportunities and respond to findings from iterations. Garnering and ensuring political support allowed for continuity and sustainability of actions.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246942
Author(s):  
Qiong Wu ◽  
Yiwen Huang ◽  
Michelle Helena van Velthoven ◽  
Wei Wang ◽  
Suying Chang ◽  
...  

Background Appropriate infant and young child feeding practices are the basis for child nutrition. In China, WeChat is gradually changing the channels through which people receive information. The paper aims to explore the feasibility of using WeChat to improve infant and young child feeding in rural China. Methods A mixed-methods study was carried out in Huzhu County, Qinghai province, China. We conducted two cross-sectional surveys with children aged 6–23 months and their caregivers in 2012 (N = 1804) and 2018 (N = 754), respectively. Quantitative data were collected on feeding knowledge and practices, caregiver’s use of smartphones and WeChat. Qualitative data were from 33 semi-structured interviews with pregnant women and mothers. In addition, we developed a WeChat feeding health education platform and asked women about their experiences with using it. Results In both cross-sectional surveys, less than 10% of caregivers knew that breastfeeding can be continued up to two years, less than 50% knew the accurate duration of exclusive breastfeeding, and only around 20% knew meat can be given to children from the age of 6–8 months. Similarly, the feeding practices were suboptimal and most key infant feeding practices did not change over the years. Only around 30% of caregivers ever received feeding information during pregnancy or after delivery in both surveys. Around 50% of caregivers received information from their relatives and friends, followed by 30% from health facilities and communities. More than 80% of mothers were currently using both a smartphone and the WeChat app, and 75.4% of them were willing to receive feeding information from WeChat official accounts. The WeChat feeding health education platform developed by our study team was generally well accepted by women. Conclusions There was an absence of accurate information sources on infant feeding and child nutrition. WeChat could be a potential way to deliver infant feeding recommendations to pregnant women and mothers in rural China. Trial registration ChiCTR-PRC-11001446 (The controlled intervention trial for complementary food supplements “Yingyangbao”); ChiCTR1800017364 (the randomized controlled trial for WeChat)


2020 ◽  
Vol 19 (1) ◽  
pp. 31-38
Author(s):  
Iswari Luitel ◽  
Rita Kumari Ban ◽  
Sabika Munikar

Introduction: Infant and young child feeding practices play vital role for the growth and development. It is recommended to exclusively breastfed for first six months and thereafter receive complementary foods with continued breastfeeding. However Chepang, the indigenous community of Nepal depends primarily upon forest food. This study aims to determine the infant and young child feeding practices among Chepang children. Methods: A cross sectional study was conducted among the mothers of 77 children aged six to 59 months through purposive sampling. Data was collected through face to face interview taking informed written consent. The collected data were analysed for descriptive and bivariate analysis using SPSS version 21. Results: In this study, mean age of respondents was 25.92 (±7.04) years, 68.8% followed Christian religion, 51.9% were educated, only 45.5% of respondent’s spouse were educated and 51.9% belonged to nuclear family. Among the respondents, 65.7% had good breast feeding practice and 88.3% had good complementary feeding practice. Statistically significant relationship was found between breast feeding practice and educational status and also between complementary feeding practice and family type. Conclusions: This study found that respondents had good breast feeding practice and complementary feeding practice. Among the respondent, seven out of 10 had good breast feeding practice and nine out of 10 had good complementary feeding practice. Association between breast feeding practice and educational status puts light upon the need for educating and empowering women for improved infant and young child feeding practices.  


2020 ◽  
Author(s):  
Qiong Wu ◽  
Yiwen Huang ◽  
Michelle Helena van Velthoven ◽  
Wei Wang ◽  
Suying Chang ◽  
...  

Abstract Background Appropriate infant and young child feeding practices are the basis for child nutrition, which can be influenced by mothers’ exposure to health promotion messages. In China, WeChat is gradually changing the channels people receive information. This paper aims to explore the feasibility of using WeChat as an intervention to improve Infant and young child feeding in rural China. Methods A mixed-methods study was carried out in Huzhu County, Qinghai province, China. Quantitative data were from two cross-sectional surveys with children aged 6-23 months and their caregivers to collected feeding knowledge and practices, caregiver’s use of smartphones and WeChat in 2012 (N=1804) and 2018 (N=754), respectively. Qualitative data were from 33 semi-structured interviews with pregnant women and mothers. In addition, we developed a WeChat feeding health education platform and asked women for their using experiences. Results In both surveys, less than 10% of caregivers knew that breastfeeding can be continued up to two years, less than 50% knew the accurate duration of exclusive breastfeeding, and only around 20% knew meat should be given to children from the age of 6-8 months. Similarly, the feeding practices were suboptimal and most key infant feeding practices did not change over the years. In both surveys, only around 30% of caregivers ever received feeding information during pregnancy or after delivery. Among them, around 50% of caregivers received from their relatives and friends, followed 30% from health facilities and communities. More than 80% of mothers were currently using both a smartphone and the WeChat app. Mothers could easily access the internet on their smartphones (90.8%), as WiFi was available at home or at the workplace. Furthermore, 75.4% of them were willing to receive feeding information from WeChat official accounts. The WeChat feeding health education platform was generally accepted by pregnant women and mothers. Conclusions Caregivers’ feeding knowledge and practices were poor in Huzhu County, and there was an absence of accurate information sources on infant feeding and child nutrition. WeChat could be a potential way to deliver infant feeding recommendations to mothers in rural China.


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