Integrating a Six-Month Contact Point for Vitamin A Supplementation, Infant and Young Child Feeding Counselling and Family Planning within Routine Health Services in Sierra Leone

2015 ◽  
Vol 5 (5) ◽  
pp. 346-347
Author(s):  
Mary Hodges ◽  
Fatmata Sesay ◽  
Habib Kamara ◽  
Emmanuel Nyorkor ◽  
Mariama Bah ◽  
...  
Keyword(s):  
Family Planning ◽  
Young Child ◽  
Health Services ◽  
Vitamin A ◽  
Sierra Leone ◽  
Contact Point ◽  
Child Feeding ◽  
Vitamin A Supplementation ◽  
Young Child Feeding ◽  
Infant And Young Child

scholarly journals INFANT AND YOUNG CHILD FEEDING PRACTICES IN THE EAST END OF FREETOWN, SIERRA LEONE

2016 ◽  
Vol 8 (1) ◽  
pp. 4 ◽  
Author(s):  
Tamramat I Runsewe-Abiodun ◽  
Francis S Bondi ◽  
Adekunle D. Alabi ◽  
Ahmed M. Taqi
Keyword(s):  
Young Child ◽  
Sierra Leone ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
East End

scholarly journals Tracking of infant and young child feeding practices among 9- to 24-month-old children in Nepal: the MAL-ED Birth Cohort Study

2017 ◽  
Vol 21 (2) ◽  
pp. 355-364 ◽  
Author(s):  
Marianne S Morseth ◽  
Liv Elin Torheim ◽  
Mekdes K Gebremariam ◽  
Ram K Chandyo ◽  
Manjeswori Ulak ◽  
...  
Keyword(s):  
Young Child ◽  
Vitamin A ◽  
Dietary Diversity ◽  
Economic Status ◽  
Weighted Kappa ◽  
Birth Cohort Study ◽  
Meal Frequency ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

AbstractObjectiveThe present study aimed to assess infant and young child feeding (IYCF) practices and the tracking of dietary diversity score (DDS), intakes of Fe- and vitamin A-rich foods and meal frequency in a peri-urban area in Nepal. Furthermore, to explore whether sociodemographic factors were associated with tracking patterns of these IYCF practices.DesignLongitudinal study. Monthly food intake was measured by 24 h recall. Four time slots were used (9–12, 13–16, 17–20 and 21–24 months). Tracking of IYCF practices was investigated using generalized estimating equations (GEE) models and Cohen’s weighted kappa. Multinominal logistic regression was used to identify determinants for tracking of the IYCF practices.SettingBhaktapur municipality, Nepal.SubjectsChildren (n 229) aged 9–24 months, randomly selected.ResultsPrevalence of minimum meal frequency was higher than for minimum dietary diversity at all time slots. Tracking based on absolute measures (GEE models) was moderate for DDS (0·48) and meal frequency (0·53), and low for intakes of Fe- (0·23) and vitamin A-rich (0·35) foods. Tracking based on rank measured was moderate for DDS and meal frequency, and fair for Fe- and vitamin A-rich foods. Low socio-economic status significantly increased the odds (OR; 95 % CI) of tracking of low v. high DDS (3·31; 1·44, 7·60) and meal frequency (3·46; 1·54, 7·76).ConclusionsLow tracking for intakes of Fe- and vitamin A-rich foods implies that interventions to improve these IYCF practices must address underlying causes for irregular intake to have sustainable effects.

scholarly journals An Innovative Grandmother-Inclusive Approach for Addressing Suboptimal Infant and Young Child Feeding Practices in Sierra Leone

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Bridget A Aidam ◽  
Carolyn A MacDonald ◽  
Rebecca Wee ◽  
Joseph Simba ◽  
Judi Aubel ◽  
...  
Keyword(s):  
Young Child ◽  
Nutrition Education ◽  
Sierra Leone ◽  
Child Nutrition ◽  
Dietary Diversity ◽  
Intervention Group ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Inclusive Approach

ABSTRACT Background Suboptimal infant and young child feeding (IYCF) practices contribute to child undernutrition. Sierra Leone Demographic and Health Survey data show that IYCF practices remain poor despite modest improvements. Recent studies have identified the role of grandmothers as critical to child nutrition; however, in Sierra Leone to date, the potential for grandmothers to influence IYCF practices has not been investigated. Objectives We examined how an innovative grandmother-inclusive approach (GMIA) can be used to address suboptimal IYCF practices. Methods Using a quasi-experimental design, we compared IYCF beliefs and practices between GMIA intervention communities (receiving monthly dialogue sessions on nutrition, quarterly community praise sessions, and intergenerational forums) and comparison communities (receiving standard nutrition education) in Bum chiefdom from 2013 and 2016. The quantitative endline survey targeted 101 pregnant women, 291 women with children aged <2 y, and 219 grandmothers. Statistical analyses utilized t tests and χ2 tests to examine differences between intervention and comparison communities at endline. Multivariate regression was used to determine the intervention's effect on IYCF outcomes of interest. Results Awareness of and participation in the GMIA was high among mothers and grandmothers in intervention communities. The percentage of infants and young children aged 0–23 mo (n = 291) exclusively breastfed during the first week of life was significantly higher in the intervention group (90.2% compared with 79.4%, P = 0.01). Among infants aged 6–23 mo (n = 219), the percentage achieving minimum dietary diversity and minimum acceptable diet was significantly higher in the intervention group (77.2% compared with 51.8%, P < 0.001; and 53.8% compared with 22.6%, P < 0.001, respectively). Differences in percentages achieving minimum meal frequency (MMF) were only significant for infants aged 9–23 mo, with the intervention group achieving a higher MMF (54.6% compared with 36.9%, P = 0.02). Conclusions Results suggest that a GMIA that recognizes grandmothers’ roles and strengthens their knowledge can contribute to improved IYCF practices.

scholarly journals An Integrated Infant and Young Child Feeding and Micronutrient Powder Intervention Does Not Affect Anemia, Iron Status, or Vitamin A Status among Children Aged 12–23 Months in Eastern Uganda

2020 ◽  
Vol 150 (4) ◽  
pp. 938-944 ◽  
Author(s):  
Nicole D Ford ◽  
Laird J Ruth ◽  
Sarah Ngalombi ◽  
Abdelrahman Lubowa ◽  
Siti Halati ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Young Child ◽  
Vitamin A ◽  
Deficiency Anemia ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Micronutrient Status ◽  
Infant And Young Child ◽  
Eastern Uganda ◽  
Soda Ash

ABSTRACT Background Micronutrient powders (MNP) can reduce iron deficiency and anemia in children. Objective We evaluated the impact of an integrated infant and young child feeding (IYCF)–MNP intervention on anemia and micronutrient status among children aged 12–23 mo in Eastern Uganda. The intervention focused on MNP distribution, IYCF education, and caregiver behavior change. Methods Population-based cross-sectional surveys representative of children aged 12–23 mo in Amuria (intervention) and Soroti (nonintervention) districts were collected in June/July 2015 at baseline (n = 1260) and 12 mo after implementation at endline in 2016 (n = 1490). From pooled capillary blood, we assessed hemoglobin, malaria, ferritin, retinol binding protein (RBP), C-reactive protein, and ɑ1-acid glycoprotein. Ferritin and RBP were regression-adjusted to correct for inflammation. Caregivers reported sociodemographic characteristics and MNP knowledge and practices. Linear regression estimated the difference-in-difference (DiD) effect of MNP on hemoglobin, ferritin, and RBP, and logistic regression estimated DiD effect of MNP on anemia (hemoglobin <11.0 g/dL), iron deficiency (ferritin <12.0 µg/L), iron deficiency anemia (hemoglobin <11.0 g/dL and ferritin <12.0 µg/L), and vitamin A deficiency (VAD; RBP equivalent to <0.70 µmol/L retinol: <0.79 µmol/L at baseline and RBP <0.67 µmol/L at endline). Results In Amuria, 96% of children had ever consumed MNP versus <1% of children in Soroti. Fifty-four percent of caregivers reported organoleptic changes when MNP were added to foods cooked with soda ash. Adjusting for age, sex, malaria, recent morbidity, and household-level factors, the intervention was associated with −0.83 g/dL lower hemoglobin (95% CI, −1.36, −0.30 g/dL; P = 0.003) but not with anemia, ferritin, iron deficiency, iron deficiency anemia, RBP, or VAD. Conclusions Despite high program fidelity, the intervention was associated with reduced hemoglobin concentrations but not with change in anemia or micronutrient status among children aged 12–23 mo in Eastern Uganda. Contextual factors, such as cooking with soda ash, might explain the lack of effectiveness.

scholarly journals Infant and Young Child Feeding Practices in Urban Philippines and Their Associations with Stunting, Anemia, and Deficiencies of Iron and Vitamin A

2013 ◽  
Vol 34 (2_suppl1) ◽  
pp. S17-S34 ◽  
Author(s):  
Fabian Rohner ◽  
A. Woodruff Bradley ◽  
J. Aaron Grant ◽  
A. Yakes Elizabeth ◽  
May Antonnette O. Lebanan ◽  
...  
Keyword(s):  
Young Child ◽  
Vitamin A ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

scholarly journals Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen
Keyword(s):  
Social Support ◽  
Young Child ◽  
Coping Strategies ◽  
Low Income ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Personal Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.

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