American Journal of Food Science and Technology
ISSN (Print): 2333-4827 ISSN (Online): 2333-4835 Website: http://www.sciepub.com/journal/ajfst Editor-in-chief: Hyo Choi
Open Access
Journal Browser
Go
American Journal of Food Science and Technology. 2019, 7(4), 104-112
DOI: 10.12691/ajfst-7-4-1
Open AccessArticle

Comparative Study of Growth Monitoring & Promotion of Children with Special Care (IYCF Counseling) and without Special Care

Taslima Arzu1, , Ariful Kabir Sujan2, Dipak Kumar Paul3, Tanvir Ahmad4, Farha Matin Juliana5 and Sabir Hossain5

1Jahangirnagar University, Department of Biochemistry and Molecular Biology, Savar, Dhaka, Bangladesh

2Senior Nutrition Program Manager, Nutrition Department, Save The Children International, Bangladesh

3Department of Applied Nutrition & Food Technology, Islamic University, Kushtia, Bangladesh

4Department of Nutrition & Food Technology, Jessore University of Science and Technology, Jessore, Bangladesh

5Department of Biochemistry and Molecular Biology, Jahangirnagar University, Savar, Dhaka, Bangladesh

Pub. Date: May 24, 2019

Cite this paper:
Taslima Arzu, Ariful Kabir Sujan, Dipak Kumar Paul, Tanvir Ahmad, Farha Matin Juliana and Sabir Hossain. Comparative Study of Growth Monitoring & Promotion of Children with Special Care (IYCF Counseling) and without Special Care. American Journal of Food Science and Technology. 2019; 7(4):104-112. doi: 10.12691/ajfst-7-4-1

Abstract

This comparative study was conducted to see the challenges and impact of counselling of Infant and Young Child Feeding (IYCF) to the mother’s knowledge and the practices of the mother from case group and control on best IYCF interventions, mainly targeted the behavioral change of the mother and to see the effect on the nutritional status of the children under 2 years. A total of 353; 177 mother of case group for counselling and 176 of control group for non-counselling, eligible mothers having children 0-11 months were approached with the purpose of study and informed consent was obtained from the mothers. Then all 177 mothers from case group received IYCF counseling according to the need of mothers as well as on key IYCF messages. At the same time the 176 mothers from control group didn’t receive any kind of IYCF support and counselling, they received only regular health services counselling and messages on IYCF. IYCF practices have a great impact on the physical and mental development of the child. The objective of this study was the lactating mothers with the children in the age group 0-11 months were studied and delivered IYCF counseling according to their need basis as well as key IYCF messages from case group and at the same time mothers from control group would not receive any kind of message from study and they would receive only regular health program messaging. Low percentage of mothers from the case group had knowledge on early initiation of breast feeding within one hour after birth, the exclusive breast-feeding up to 6 months. Timely initiation of complementary feeding after 6 months (61,0%, 58.7%, 61.6% & 55.4% respectively) before IYCF counselling to mothers. After IYCF counselling to the mothers of case group, they motivated and learnt to early initiation of breast feeding within one hour after birth, the exclusive breast-feeding up to 6 months. Timely initiation of complementary feeding after 6 months (79.1%, 75.7%, 75.2% & 65.5% respectively). For control group the results were 61.9%, 65.3%, 65.9% & 63.6% respectively before study and 66.5%, 67.7%, 66.8% & 64.1% after the study. The study result showed that the impact of IYCF counselling and messaging on the mother knowledge was great and it changed the knowledge level of the mother in dramatic way. The percentage of mothers from the case group & the control group those had children over 6 months practiced the exclusive breast-feeding were (60.2% & 73.5%) before study. After IYCF counselling to the mothers of case group, they motivated and changed their attitude to ensure the exclusive breast feeding for their children (73.5% and 73.9% from case and control group respectively). Before the study Minimum Dietary Diversity (MDD) was observed in only 30.3% & 36.6% respectively from case and control group for the children between 6- and 11months age group and after IYCF counselling mothers from the case group improved their practice for MDD for their children aged 6-23 months and increased to 39.0% in case group and in control group improved to 37.3%. Minimum Meal Frequency (MMF) was observed in the majority (63.6%) of children aged 6–23 months before the study and after IYCF intervention it increased to 74.6% in case group. But in Control group it changed from 72.6% to 73.1%. The indirect effect of IYCF counselling on the nutritional status of the children who are benefited from the improved mother knowledge and practices to good practices. ...

Keywords:
Infant and Young Child Feeding (IYCF) Brest feeding Complementary feeding Lactating mother

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  World Health Organization. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. France: World Health Organization, 2009.
 
[2]  Ten steps to successful Breastfeeding. UNICEF/WHO Baby Friendly Hospital Initiative (BFHI). Initiation of breastfeeding by breast crawl. Available at: http://breastcrawl.org/10steps.shtml.
 
[3]  Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? Lancet 2003; 361: 2226-34.
 
[4]  WHO. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Collaborative Study Team on the role of breastfeeding on the prevention of infant mortality. Lancet 2000; 355: 451-5.
 
[5]  Butte NF, Lopez-Alarcon MG, Garza C. Nutrient Adequacy of Exclusive Breastfeeding for the Term Infant during the First Six Months of Life. Geneva: World Health Organization, 2002.
 
[6]  Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet 2003;362:65-71.
 
[7]  WHO. Implementing the Global Strategy for Infant & Young Child Feeding. Geneva, 3-5 Feb, 2003.
 
[8]  Government of India. National Guidelines on Infant and Young Child Feeding. Ministry of Human Resource development, New Delhi; Department of Women and Child development, 9-10, 2006.
 
[9]  Bangladesh Demographic and Health Survey 2014.
 
[10]  The Multiple Indicator Cluster Survey 2012-13 (MICS-2012-13) by Bangladesh Bureau of Statistics and UNICEF, Bangladesh.
 
[11]  Indicators for Assessing Infant and Young Child Feed¬ing Practices: Conclusions of a Consensus Meeting Held 6–8 November 2007 in Washington, DC, USA. World Health Organization, 2008. Available at: http://whqlibdoc.who.int/publications/2008/9789241596664_eng.pdf.
 
[12]  Community Management of at risk Mothers and Infants under six months of age (C-MAMI); CMAMI Tools version-2.0, 2018. Available at. https://www.ennonline.net/attachments/2897/C-MAMI-Tool-Total-C-MAMI-Package-.pdf.
 
[13]  Indicators for Assessing Infant and Young Child Feed- ing Practices: Conclusions of a Consensus Meeting Held 6–8 November 2007 in Washington, DC, USA. World Health Organization, 2008. Available at:http://whqlibdoc.who.int/publications/2008/9789241596664_eng.pdf.
 
[14]  Individual Counselling: One-On-One Talk Therapy, https://www.betterhelp.com/advice/counseling/individual-counselling-one-on-one-talk-therapy/..