Comparative study of feeding practices among children less than two years attending rural and urban primary health centers, Mysuru, Karnataka (original) (raw)
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National Journal of Research in Community Medicine, 2018
Introduction: After the age of six months the nutritional requirement of the child will no longer be met with breast milk alone. Timely introduction of solid and semisolid foods, appropriate quantity and quality is very essential failing which, risk of malnutrition increases. Therefore the present study was taken up with the objective of assessing the infant and young child feeding practices of children less than 24 months. Materials and methods: This cross sectional study was conducted in the urban field practice area of a medical college in Raichur, Karnataka. Based on DLHS 4 data on proportion of children under 6 months who were exclusively breast fed, a sample size of 171 was obtained. A pretested semi structured questionnaire was framed based on WHO IYCF questionnaire to collect data.. Results: Mothers of 178 children were included in the study. Proportion of male and female children exclusively breast fed were 45% and 55% respectively. Colostrum was discarded by 19.4% mothers and amongst them 11.3% perceived it to be dirty. Minimum acceptable diet (MAD) requirement was met only in 12.4% of the children. Conclusion: Inappropriate infant and young child feeding practices are highly prevalent. A minimum acceptable diet criterion according to the WHO recommendation was met only in 1/8 th of the study population. There is a need to create awareness on the importance of proper feeding practices in the community to improve the nutritional status of the under-five population.
A study on Infant Feeding practices among mothers of a Rural hilly area of District Dehradun
Bangladesh Journal of Medical Science, 2016
Background: Optimal infant-and young child-feeding (IYCF) practices are crucial for nutritional status, growth, development, health, and ultimately the survival of infants and young children. Practices like premature cessation of breastfeeding, early and unnecessary introduction of top feeding in incorrect dilutions and unhygienic pattern are also quite prevalent in many communities thereby aggravating malnutrition in children. The present study was undertaken to assess the feeding practices in the first six months among children less than three years, to know the barriers for the same and to study the effect of feeding practices on their nutritional status. Methodology: A cross sectional study was conducted in all the villages under Rural Health Training Centre, the field practice area of Department of Community Medicine. A total of 500 mothers with their underthree children were included in the study. A Predesigned pretested semi structured questionnaire was used to collect information on feeding practices within the first six months of life. Results: In the present study a total of 160 (33%) children were on top milk of which majority consumed cow's milk and were fed by bottle (91%). Majority of the mothers diluted milk (87.5%) in the proportion of 1:1 (38%). In appropriate feeding practices were more common males. Infants who had inappropriate feeding practices in the initial six months were found to be maximally undernourished. Conclusion: The present study revealed suboptimal feeding practices in the first six months, which was again found as one of the major risk factor for malnutrition among children.
International Journal of Research in Pharmaceutical Sciences
In the world, under-nutrition accounts for a large scale of infant and child mortality, one of the causes being suboptimal breastfeeding and complementary feeding. It is important that adequate nutrition have to be provided during the period of first and second year of life to prevent impaired developmental milestones and the overall health of the child since it is very common in India. The main aim of this study is to assess the knowledge and feeding practices among mothers of infants and children aged between 6 and 23 months. A cross-sectional study was conducted using a pre-tested structured questionnaire, which was developed based on (Infant and Young Children Feeding practices) IYCF, on 101 mothers of infants and children aged between 6 and 23 months in Thirumazhisai, Chennai. Among the 101 mothers interviewed, 93% of them had knowledge of early initiation of breastfeeding, but only 87.1% of the children were given breastfeeding within 1 hour of birth and exclusive breastfeedin...
National Journal of Research in Community Medicine, 2015
Background: Poor feeding practices are a major threat to social and economic development. Studies have demonstrated adverse consequences of inappropriate feeding practices on growth, development & survival of infants and children. Indian and global data have shown that exclusive breast feeding during first six months is associated with optimal infant growth and low morbidity. Breast feeding practices in rural communities are shaped by their beliefs, which are influenced by social, cultural and economic factors. Objectives: To study the infant feeding practices among mothers in the rural field practice area and to assess the nutritional status of the infants and children. Methodology: A community based descriptive study conducted in the rural field practice area among mothers of infants aged 12-23 months. Study period June 2013 to May 2014. The size of the sample is 347.Results & Conclusions: 13% of infants were given pre-lacteal feeds. 96.5% children were fed with colostrum. 99.2% of the children were breastfed, 82.2% were initiated breast feeding within one hour after delivery. Only 19.89% were breast fed exclusively for up to 6 months, 61.7% of the mothers practiced breast feeding on demand and 70.1% of mothers started complementary feeds before the age of 6 months.
International Journal Of Community Medicine And Public Health, 2019
In India, according to National Family Health Survey-4, 45% were initiated breastfeeding within one hour of birth. The trend of exclusive breastfeeding for six months has increased from 46% in 2005-06 to 55% in 2015-16. 52.6% of children were introduced on complementary feeding. Only 9.8% of children received minimum acceptable diet for 6 to 24 months. 4 Despite several programmes and policies implemented by the ABSTRACT Background: Adequate nutrition in first 24 months through optimal Infant and Young Child feeding is fundamental for the development of the child. Hence assessment of Infant and Young child feeding practices rank among the most effective intervention is to meet the deficit improve the child health. Hence this study is conducted with the objective to assess the prevalence and factors influencing infant and young child feeding practices among the rural mothers of children aged less than two years. Methods: A cross sectional study was undertaken in the rural area of Kancheepuram district, Tamil Nadu from January 2017 to August 2017. 247 children of age less than two years were selected by two stage random sampling method. Data was collected house to house using pretested questionnaire and WHO infant and young child feeding questionnaire. Proportions were calculated and Chi square was applied. Results: The median age of the study participants were 9±7.1 months. 226 (91.5 %) were given colostrum and 163 (66%) were initiated breastfeeding within one hour after birth. 58.6% of children were introduced on soft/solid/semi solid food at the end of 6 to 8 months. In multiple logistic regression education of the mother, working status of the mother, number of antennal visits and place of delivery were associated with appropriate feeding practices. Conclusions: Maternal decision determines how an infant to be fed but it reflects the atmosphere by how they are influenced and adopted the decision.
Infant and Young Child Feeding Practices in a Rural Area of North India
Asian Journal of Medical Sciences, 2015
Background: Infant and young child feeding practices directly affect the nutritional status of children under two years of age and, ultimately, impact child survival. Therefore, the objective of this study was to assess the WHO infant and child feeding indicators in a rural area of Ludhiana, Punjab, India. Methods: A community based cross sectional study was conducted in fifteen villages of Ludhiana district under rural health training centre of Department of Community Medicine, Dayan and Medical College & Hospital, Ludhiana, Punjab. The data was obtained from mothers/primary caregivers of 813 living children 0-23 months of age group and information about seven core and three optional WHO infant and young child feeding indicators was collected using WHO questionnaire. Prevalence estimates with 95% confidence interval were calculated. A Χ2 test and Odds Ratio (OR) with 95% CI was calculated wherever required. Results: Only 56.7% of infants were put to breast within one hour of birth,...
Infant and Young Child Feeding Practices in Rural Meerut, Uttar Pradesh, India
IOSR Journals , 2019
Infant and Young Child Feeding (IYCF) practices are a set of recommendations to achieve appropriate feeding of newborn and children under two years of age in order to achieve optimal nutrition and health & development outcome of children worldwide. The present study was a community based cross sectional study which was carried out in the rural area of one district of western UP with the help of WHO standardized 30 cluster sampling technique. The sample size was 360 children between age group 6-23 months of age.In all 65.0% children started breastfeeding within 1hr of birth. Only 28.3% children were exclusively breastfed. Maximum (85.6%) children were ever breastfed while 14.4% children were never breastfed. Predominant breastfeeding was58.1%. Only 30.3% started complimentary feeding at 6 months. Minimum dietary diversity, Minimum meal frequency and Minimum adequate diet was followed in 39.2%, 28.6 % and 24.4% respectively. Efforts should be made at increasing access of pregnant females to antenatal care and educating all females who are attending ANC clinics about timely initiation of breast feeding within 1 hour, adhering to exclusive breastfeeding for the first six months, introduction of complementary foods at 6 months with continued breastfeeding up to the age of two years.
International Journal of Community Medicine and Public Health, 2016
Background: Infant and young child is the future of the nation and constitute the most important human resource of any country. Adequate nutrition in first 24 months through optimal infants and young child feeding is fundamental for development of a child to its fullest potential. The present study is designed to assess the prevalence of optimal IYCF practices and its determinants in rural area of Kamrup, Assam. Methods: Mothers of children 0-23 months of age were interviewed using a semi structured schedule to record information on feeding practices. Results: A total of 200 infant and young children were studied for feeding practices. Breastfeeding (BF) was initiated within 1 h of birth in 49% of children. Early initiation of BF was significantly higher in children born in government institutions, normal births and in families with higher income. Colostrum was given by 79% of the mothers. Children born in the government institution were more likely to receive colostrum (P < 0.05).Pre-lacteal feeds were given 34% of mothers, children born at home and private institution and caesarean births received prelacteal feeds more often (P<0.05). The prevalence of exclusive BF (EBF) for 6 months or more was 62.5%.It was higher in children of first birth order and institutional births (P<0.05). Complementary feeding was started at 6 months in 53.8% of these children. Conclusions: Early initiation of breast feeding and exclusive breast feeding were higher in children born in government institutions. Therefore, awareness about IYCF practices has to be increased among the mothers.
National Journal of Community Medicine, 2015
Background: Infant nutrition is a key factor for child survival, optimal growth and development and breastfeeding improves immunity to prevent childhood illnesses. We aimed to estimate exclusive breast- feeding rates and assess complementary feeding practices among 9 months old infants. Methods: A cross-sectional study was carried out among mothers of infants coming for measles vaccination at three Primary Health Cen- tres from January to December, 2013. Trained medical interns inter- viewed the mothers about breastfeeding and feeding practices using a structured pretested questionnaire. Results: Of the 4232 women, 954 children came for measles vaccination. Majorities (94%) were fed with colostrum, and about 83% were initiated breastfeeding within an hour after delivery. Only about 34% were exclusively breastfed up to six months. A total of 602 infants (66%) were given herbal drops (janam ghutti), animal milk, formula feeds were introduced at various ages prior to 6 months and the main reason cited by the mothers was insufficient breast milk production. Conclusions: Though feeding practices at birth were good, prevalence of exclusive breastfeeding was low. Measures should be under- taken to improve exclusive breastfeeding. Mothers attending vaccination clinics should be counselled about child feeding practices.
The National medical journal of India
Infant feeding practices have a major role in determining the nutritional status of children and are associated with household socioeconomic and demographic factors. We did a cross-sectional household study to assess feeding practices of infants and young children in rural areas of Medak district, Andhra Pradesh. A total of 805 child-mother pairs were included using systematic random sampling. Age-specific feeding patterns were described using frequencies, proportions and survival analysis. Logistic regression was done with feeding practice as dependent and sociodemographic factors as independent variables. Breastfeeding was universal in the study area. Only 22% of mothers initiated breastfeeding within one hour whereas 44% initiated it within three hours after delivery. The median duration of exclusive breastfeeding was 5.5 months. Pre-lacteal use was high (44.7%). Only 41% of infants were exclusively breastfed for 6 months and 58% of infants (6-11 months) received complementary fe...