Knowledge and practice of complementary feeding among mothers of the children aged group 6-24 months
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261398Keywords:
Complementary feeding, Maternal knowledge, Feeding practices, Child nutrition, NepalAbstract
Background: Complementary feeding, initiated at six months of age, is essential to meet the nutritional needs of infants beyond breast milk. Inappropriate complementary feeding practices contribute to malnutrition, increased morbidity, and poor growth outcomes among young children in Nepal. This study aimed to assess the knowledge and practices of complementary feeding among mothers of children aged 6–24 months in Mahalaxmi Municipality, Lalitpur, Nepal.
Methods: A descriptive cross-sectional study was conducted among 208 mothers attending Primary Health Care services. Participants were selected using a non-probability purposive sampling technique. Data were collected using a semi-structured questionnaire and analysed using SPSS software using descriptive statistics.
Results: The mean age of respondents was 27.10±6.30 years. Most mothers (69.2%) correctly defined complementary feeding, with family members (42.2%) and Female Community Health Volunteers (25.3%) as the main sources of information. Exclusive breastfeeding up to six months was practiced by 52.4% of mothers, while 23.1% introduced complementary feeding before six months. Homemade foods were provided by 83.1% of mothers, and 63.9% continued breastfeeding after initiating complementary feeding. Although hygiene practices were optimal, gaps were observed in feeding timing, food consistency, and feeding during child illness.
Conclusions: Despite relatively good knowledge, suboptimal complementary feeding practices persist. Strengthening maternal nutrition education through health workers and community-based interventions is essential to improve child nutrition outcomes.
References
Shitemi C, Kyallo F, Kombe Y. Complementary feeding practices and associated factors among mothers of children 6–24 months in Kenya. Int J Nutr Sci. 2018;3(2):45-51.
WHO. Complementary feeding of young children in developing countries: A review of current scientific knowledge. Geneva: WHO. 2013. Available at: https://iris.who.int/handle/10665/65932. Accessed on 03 February 2026.
Bhujel S, Khadka R, Baskota S, Poudel L, Bista S, Gurung M. Knowledge and practices regarding complementary feeding among mothers of children aged 6–24 months in rural Nepal. JNHS. 2021;6(1):45-52.
Andualem A, Mekonnen T, Dagne H, Yeshaw Y, Ayele TA, Abebe M. Timely initiation of complementary feeding and associated factors among mothers in Dessie Referral Hospital, Ethiopia. BMC Nutr. 2020;6:23.
UNICEF. Nepal Nutrition Profile. UNICEF. 2016. Available at: https://www.unicef.org/nepal/reports/nepal-nutrition-profile. Accessed on 03 February 2026.
Shrestha S, Pokhrel M, Mathema S. Knowledge and practices of mothers on complementary feeding of children aged 6–24 months in Kathmandu Medical College and Teaching Hospital. J Nepal Health Res Counc. 2020;18(3):334-41.
Kumar M, Sharma P. Knowledge and practice of complementary feeding among postnatal mothers in India. Int J Community Med Public Health. 2022;9(4):1821-8.
Ulak KC, Tiwari R. Complementary feeding practices among mothers in Nepal: NDHS 2011 analysis. Nepal J Epidemiol. 2020;10(2):872-80.
Abeshu MA, Lelisa A, Geleta B. Complementary feeding: Review on practices, challenges, and interventions in developing countries. Glob Health Action. 2016;9:30936.
Mekonnen TC, Workie SB, Yimer TM. Timely initiation of complementary feeding and associated factors among mothers of children aged 6–24 months in Dessie Referral Hospital, Northeast Ethiopia, 2019. BMC Pediatr. 2021.
Shrestha S, Pokhrel M. Complementary feeding knowledge and practice among Nepalese mothers: A cross-sectional study. J Nepal Health Res Counc. 2020;18(2):234-42.
Owais A, Suchdev PS, Schwartz B, Kleinbaum DG, Faruque ASG, Das SK, et al. Maternal knowledge and attitudes towards complementary feeding in relation to timing of its initiation in rural Bangladesh. BMC Nutrition. 2019;5(1):7.
Khanal V, Sauer K, Zhao Y. Determinants of complementary feeding practices among Nepalese children aged 6–23 months: Findings from demographic and health survey data. BMC Pediatrics. 2013;13:131.
Paudel R, Pradhan B, Wagle RR, Pahari DP, Onta SR. Risk factors for stunting among children: A community-based case control study in Nepal. Kathmandu Univ Med J. 2012;10(3):18-24.
Joshi N, Agho KE, Dibley MJ, Senarath U, Tiwari K. Determinants of inappropriate complementary feeding practices in young children in Nepal. Matern Child Nutr. 2012;8(1):27-39.
Subba SH, Chandrashekhar TS, Binu VS, Joshi HS, Rana MS, Dixit SB. Infant feeding practices of mothers in an urban area in Nepal. Kathmandu Univ Med J. 2007;5(1):42-9.
WHO. Indicators for assessing infant and young child feeding practices: Part 1 Definitions. Geneva: WHO. 2008. Available at: https://www.who.int/publications/i/item/9789241596664. Accessed on 03 February 2026.
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