Infant feeding practices among mothers in rural Rajamahendravaram, Andhra Pradesh
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20191830Keywords:
Infant feeding practices, Rural areasAbstract
Background: Maternal and child under nutrition remain extensive in low and middle-income population groups. Safe delivery practices and adequate nutrition during infancy is essential to ensure health, growth, and development of a child. Early under nutrition has a long-lasting effect on physical and cognitive growth. So it is essential to assess and promote the healthy child feeding & caring practices in the vulnerable groups.
Methods: Community-based cross-sectional study was conducted to enrol 160 mothers of infants by probability proportional to size (PPS) sampling procedure for 5 months in the field practicing areas of GSL Medical College. Primary data was collected through a validated questionnaire with variables of socio-demography, intra-natal, and infant feeding practices. Secondary data was obtained from MCP cards. The analysis was done using SPSS trial version 18, results were expressed as percentages and proportions and Chi-square test was used to assess the association.
Results: Majorities (90%) of the deliveries are institutional and the proportion of low birth weight was found to be 12.5%. Breastfeeding was initiated within 1st hour after delivery among 75.6% infants and 79.1% of the infants of 6-11m were reportedly exclusively breast fed. Working status and literacy status of mother are significantly associated with infant feeding practices.
Conclusions: In spite of many programmes targeted for promoting safe intra natal and infant feeding practices this study finds a relatively high proportion of faulty practices prevalent in rural areas.
Metrics
References
Black RE, Allen LH, Bhutta ZA, Caulfield LE. Onis Md, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9608):243–60.
Central Statistical Agency [Ethiopia], ICFInternational. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
Ezzati M, Lopez AD, Rodgers A, VanderHoorn S, Murray CJ. Selected major risk factors and global andregional burden of disease. Lancet. 2002;360:1347–60.
Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371(9609):340–57.
UNICEF. Programming guide,infant and young child feeding,nutrition section, programmes, UNICEF. New York. 2012.
World Bank. 2006. Repositioning nutrition as central to development : a strategy for large-scale action - overview. Directions in development. Washington, DC: World Bank. Available at: http://documents.worldbank.org/curated/en/ 185651468175733998/Repositioning-nutrition-as-central-to-development-astrategy-for-large-scale-action-overview. Accessed on 3 February 2019.
WHO and UNICEF. Global strategy for infant and young child feeding. Geneva: World health organization; 2003.
WHO. Infant and young child feeding.model chapter for textbook for medical students and allied health proffesions France: 2009.
Caetano MC, Ortiz TT, da Silva SG, de Souza FI, Sarni RO. Complementary feeding: inappropriate practices in infants. J Pediatr. 2010;86(3):196–201.
Tagbo B, Ughasoro M. Complementary feeding pattern of Infants attaining the University of Nigeria Teaching Hospital, Ituku, Ozalla. Enugu Nigerian J Peadiatr. 2009;36(3&4):51–9.
Safari JG, Kimambo SC, Lwelamira JE. Feeding practice and nutritional status in Morongo Municipality, Tanzania. Tanzania J Health Res. 2013;15(3):3–7.
Muhimbula HS, Issa-Zacharia A. Persistant child malnutrition in Tanzania: Risks associated with traditional complmentary food. Afr J Food Sci. 2010;4(11):679–92.
Garje RR, Thitame SK, Somasundaram KV, Gautam L, Gite MS. Infant feeding beliefs and practices among tribal mothers in Nashik district, Maharashtra. Int J Med Sci Public Health. 2016;5:2203-8
Gupta A, Dadhich JP, Faridi MMA. Breast feeding and complementary feeding as a public health intervention for child survival in India. Ind J Pediatr. 2010;7(4):412-7.
Indicators for assessing infant and young child feeding practices: of a consensus meeting held 6-8 November 2007 in Washington DC, USA. WHO, 2008. Available from: http://whqlibdoc.who.int/ publications/2008/9789241596664_eng.pdf. Accessed on 22 August 2015.
Iskandar MB, Costello C, Nasution Y. Initiation and duration of breast feeding in Indonasia. Asia Pac Popul J. 1990;5:89-112.
National Family Health Survey(NFHS-4) India, 2015-16. Mumbai: Available at: http://www. rchiips.org/nfhs. Accessed on 3 February 2019.
WHO. Indicators for assessing infant and young child feeding practices practices part 3: country profiles. 2010.
National family health survey (NFHS-4) (2015-16) India report International Institute for Population Sciences (IIPS) Mumbai. Available at: http://rchiips.org/NFHS/NFHS-4Reports/ India.pdf. Accessed on 3 February 2019.
Cacodkar J, Joglekar S, Dubhashi A. Breast feeding and infant feeding practices among rural mothers in Goa. Int J Community Med Public Health. 2016;3:184-9.
Dakshayani B, Gangadhar MR. Breast feeding practices among the Hakkipikkis: A tribal population of Mysore District, Karnataka. Ethno-Med. 2008;2(2):127-9.
22. UNICEF, Ten steps to promote successful breast feeding, Mother and Child Health Division, Geneva: World Health Organization; 1989.WHO.
23. Alwala RR, Dudala SR, Bolla CR, Patki MB, Kumar BPR. Infant feeding practices of a tribal community in a mandal of Khammam district, Telangana. Int J Community Med Public Health. 2018;5:5077-81.
24. Senarath U, Agho KE, Akram DE, Godakandage SS, Hazir T, Jayawickrama H, et al. Comparisons of complementary feeding indicators and associated factors in children aged 6-23 months across five south Asian countries. Matern Child Nutr. 2012;8:89–106.
Hasnain S, Majrooh MA, Anjum R. Knowledge and practices of mothers for complementary feeding in babies visiting pediatrics outpatient department of Jinnah Hospital, Lahore. Biomedica. 2013;29:221–30.
Chapagain RH. Factors affecting complementary feeding practices of Nepali mothers for 6 months to 24 months children. J Nepal Health Res Counc. 2013;11(24):205–7.
Tessema M, Belachew T, Ersino G. Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. Pan Afr Med J. 2013:14(75).