Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: http://www.sciepub.com/journal/jfnr Editor-in-chief: Prabhat Kumar Mandal
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Journal of Food and Nutrition Research. 2020, 8(7), 347-354
DOI: 10.12691/jfnr-8-7-6
Open AccessArticle

Persistent Inadequacies in Infant and Young Child Feeding Practices and Their Determinants

Mariam Anees1, 2, , Atta -ur-Rehman1, Abdul Momin Rizwan Ahmad3, Sidra Bukhari2, Muhammad Hamid Siddique2, Umar Farooq3, Aneesa Sultan2, Iram Murtaza2 and Riffat Aysha Anis3,

1Institute of Health and Management Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan

2Department of Biochemistry, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan

3Institute of Diet and Nutritional Sciences, The University of Lahore, Islamabad Campus, Pakistan

Pub. Date: August 04, 2020

Cite this paper:
Mariam Anees, Atta -ur-Rehman, Abdul Momin Rizwan Ahmad, Sidra Bukhari, Muhammad Hamid Siddique, Umar Farooq, Aneesa Sultan, Iram Murtaza and Riffat Aysha Anis. Persistent Inadequacies in Infant and Young Child Feeding Practices and Their Determinants. Journal of Food and Nutrition Research. 2020; 8(7):347-354. doi: 10.12691/jfnr-8-7-6

Abstract

Background: Malnutrition is a major public health problem and is directly associated with poor infant and young child feeding (IYCF) practices. The study aimed to identify the inadequacies in the feeding practices for children aged 0-23 months through a cross-sectional KAP survey. Methods: Data was collected on demographic indicators, IYCF practices, 24 hours dietary recall, childhood illnesses and anthropometrics and compared with WHO guidelines. Results: Only 44.8% mothers timely initiated breastfeeding, 57% fed colostrum and 32.9% practiced exclusive breastfeeding. Only 63.2% children were breastfed beyond first year and 42.2% up to second year. Nearly half of the children were introduced to complementary feeding at 6-8 months. Minimum meal frequency (MMF) was offered to 57.5%, minimum dietary diversity (MDD) to 53.2% and minimum acceptable diet (MAD) to 37.1%. Prevalence of childhood illnesses was high. Prevalence of stunting, wasting and underweight was 19.1%, 4% and 11.4%, respectively. Mother’s working status was positively associated with timely initiation of breastfeeding (OR 1.82; 95% CI 1.17, 2.83) and MDD (OR 1.53; 95% CI 0.93, 2.51) but inversely associated with exclusive breastfeeding (OR 0.52; 95% CI 0.16, 1.66). Colostrum was given by mothers with better socioeconomic status (OR 1.3; 95% CI 0.84, 2.04) and higher education level (OR 1.22; 95% CI 0.71, 2.08). Socioeconomic status directly affected MDD (OR 2.32; 95% CI 1.40, 3.83) and MAD (OR 1.51; 95% CI 0.90, 2.54). The health status of children was positively impacted by exclusive breastfeeding (OR 2.33; 95% CI 0.89, 6.14), timely introduction of complementary feeding (OR 1.39; 95% CI 0.86, 2.26), MMF (OR 1.38; 95% CI 0.82, 2.32) and MAD (OR 1.30, 95% CI 0.77, 2.20) and negatively impacted by bottle feeding (OR 0.79; 95% CI 0.50, 1.27). Conclusions: The mothers showed moderate to low compliance to WHO IYCF indicators despite high educational status. The inadequacies in IYCF practices demand for immediate awareness interventions.

Keywords:
IYCF determinants breastfeeding complementary feeding childhood illnesses

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]  Liu, L., Oza, S., Hogan, D., Perin, J., Rudan, I., Lawn, J.E., Cousens, S., Mathers, C. and Black, R.E., “Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis,” The Lancet, 385(9966). 430-440. Jan.2015.
 
[2]  Rytter, M.J.H., Kolte, L., Briend, A., Friis, H. and Christensen, V.B., “The immune system in children with malnutrition—a systematic review”, PloS One, 9(8). e105017. Aug.2014.
 
[3]  Chiu, M., Dillon, A. and Watson, S., “Vitamin A deficiency and xerophthalmia in children of a developed country”, Journal of Paediatrics and Child Health, 52(7). 699-703. Jul.2016.
 
[4]  Song, P., Wang, J., Wei, W., Chang, X., Wang, M. and An, L., “The prevalence of vitamin A deficiency in Chinese children: A systematic review and Bayesian meta-analysis”, Nutrients, 9(12). 1285. Dec.2017.
 
[5]  UNICEF, Undernutrition contributes to nearly half of all deaths in children under 5 and is widespread in Asia and Africa, March 2017. https://data.unicef.org/topic/nutrition/malnutrition/ [Accessed 15 Sept 2017].
 
[6]  Abdulahi, A., Shab-Bidar, S., Rezaei, S. and Djafarian, K., “Nutritional status of under five children in Ethiopia: a systematic review and meta-analysis”, Ethiopian Journal of Health Sciences, 27(2). 175-188. Mar.2017.
 
[7]  Akombi, B.J., Agho, K.E., Hall, J.J., Wali, N., Renzaho, A. and Merom, D., “Stunting, wasting and underweight in sub-Saharan Africa: a systematic review”, International Journal of Environmental Research and Public Health, 14(8). 863. Aug.2017.
 
[8]  UNICEF, Malnutrition rates remain alarming: stunting is declining too slowly while wasting still impacts the lives of far too many young children - Monitoring the situation of children and women, 2018. https://data.unicef.org/topic/nutrition/malnutrition/ [Accessed 15 Mar 2019].
 
[9]  UNICEF, National Nutrition Survey 2018. Key findings report: A summary of the key insights and statistics, UNICEF Pakistan, 2019. [E-book] Available: https://www.unicef.org/pakistan/ reports/ national-nutrition-survey-2018-key-findings-report.
 
[10]  Chiabi, A., Mbanga, C., Mah, E., Nguefack Dongmo, F., Nguefack, S., Fru, F., Takou, V. and Fru III, A., “Weight-for-height Z score and mid-upper arm circumference as predictors of mortality in children with severe acute malnutrition”, Journal of Tropical Pediatrics, 63(4). 260-266. Aug.2017.
 
[11]  Mark, H., Been, J.V., Sonko, B., Faal, A., Ngum, M., Hasan, J., Prentice, A.M. and Unger, S.A., “Nutritional status and disease severity in children acutely presenting to a primary health clinic in rural Gambia”, BMC Public Health, 19(1). 668. Dec.2019.
 
[12]  Reinbott, A. and Jordan, I., Determinants of child malnutrition and infant and young child feeding approaches in Cambodia. In Hidden Hunger, Karger Publishers, Basel, 2016, (115) 61-67.
 
[13]  Hajeebhoy, N., Nguyen, P.H., Mannava, P., Nguyen, T.T. and Mai, L.T., “Suboptimal breastfeeding practices are associated with infant illness in Vietnam” International Breastfeeding Journal, 9(1). 12. Aug.2014.
 
[14]  Sheikh, N., Akram, R., Ali, N., Haque, S.R., Tisha, S., Mahumud, R.A., Sarker, A.R. and Sultana, M., “Infant and young child feeding practice, dietary diversity, associated predictors, and child health outcomes in Bangladesh”, Journal of Child Health Care, 24(2). 260-273. Jun.2020.
 
[15]  Bhagwat, B., Nooyi, S.C., Krishnareddy, D.H. and Murthy, S.N., “Association of Practices Regarding Infant and Young Child Feeding with Anthropometry Measurements Among an Urban Population in Karnataka, India”, Cureus, 11(3). Mar.2019.
 
[16]  Britto, P.R., Lye, S.J., Proulx, K., Yousafzai, A.K., Matthews, S.G., Vaivada, T., Perez-Escamilla, R., Rao, N., Ip, P., Fernald, L.C. and MacMillan, H., “Nurturing care: promoting early childhood development”, The Lancet, 389(10064). 91-102. Jan.2017.
 
[17]  Jones, A.D., Ickes, S.B., Smith, L.E., Mbuya, M.N., Chasekwa, B., Heidkamp, R.A., Menon, P., Zongrone, A.A. and Stoltzfus, R.J., “World Health Organization infant and young child feeding indicators and their associations with child anthropometry: a synthesis of recent findings”, Maternal & Child Nutrition, 10(1). 1-17. Jan.2014.
 
[18]  Fabrizio, C.S., van Liere, M. and Pelto, G., “Identifying determinants of effective complementary feeding behaviour change interventions in developing countries”, Maternal & Child Nutrition, 10(4). 575-592. Oct.2014.
 
[19]  UNICEF, Programming guide: Infant and young child feeding, UNICEF, May 2011. [E-book] Available: https://www.unicef.org/ nutrition/files/Final_IYCF_programming_guide_2011.pdf.
 
[20]  WHO, UNICEF, USAID, AED, UCDAVIS, IFPRI, Indicators for assessing infant and young child feeding practices: part 1: definitions, conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA, World Health Organization, 2010. [E-book] Available: https://apps.who.int/iris/ bitstream/handle/10665/43895/ 9789241596664_eng.pdf?sequence=1.
 
[21]  WHO, UNICEF, USAID, AED, UCDAVIS, IFPRI, Indicators for assessing infant and young child feeding practices: part 2: measurement, World Health Organization, 2010. [E-book] Available: https://apps.who.int/iris/bitstream/handle/10665/44306/ 9789241599290_eng.pdf?ua=1.
 
[22]  NIPS, ICF, Pakistan demographic and health survey 2017-18, National Institute of Population Studies, 2019. [E-book] Available: https://dhsprogram.com/pubs/pdf/FR354/FR354.pdf.
 
[23]  Bussemakers, C., van Oosterhout, K., Kraaykamp, G. and Spierings, N., “Women’s Worldwide Education–employment Connection: A Multilevel Analysis of the Moderating Impact of Economic, Political, and Cultural Contexts”, World Development, 99. 28-41. Nov.2017.
 
[24]  Khor, G.L., Tan, S.Y., Tan, K.L., Chan, P.S. and Amarra, M.S.V., “Compliance with WHO IYCF Indicators and Dietary Intake Adequacy in a Sample of Malaysian Infants Aged 6–23 Months”, Nutrients, 8(12). 778. Dec.2016.
 
[25]  WHO, UNICEF, USAID, AED, UCDAVIS, IFPRI, Indicators for assessing infant and young child feeding practices part 3: country profiles, World Health Organization, 2010. [E-book] Available: https://apps.who.int/iris/bitstream/handle/10665/44368/9789241599757_eng.pdf?ua=1.
 
[26]  Khan, G.N., Ariff, S., Khan, U., Habib, A., Umer, M., Suhag, Z., Hussain, I., Bhatti, Z., Ullah, A., Turab, A. and Khan, A.A., “Determinants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: a cross-sectional survey”, International Breastfeeding Journal, 12(1). 40. Dec.2017.
 
[27]  Vezir, E., Kaya, A., Toyran, M., Azkur, D., Dibek Mısırlıoğlu, E. and Kocabaş, C.N., “Anaphylaxis/angioedema caused by honey ingestion”, Allergy & Asthma Proceedings, 35(1). 71-74. Jan.2014.
 
[28]  Wikström, S. and Holst, E., “Infant botulism–why honey should be avoided for children up to one year”, Lakartidningen, 114. Jul.2017.
 
[29]  Agedew, E., Demissie, M., Misker, D. and Haftu, D., “Early initiation of complementary feeding and associated factors among 6 months to 2 years young children, Kamba Woreda, South West Ethiopia: A Community–Based Cross-Sectional Study”, Journal of Nutrition & Food Sciences, 4(6). 314. 2014.
 
[30]  Campbell, R.K., Aguayo, V.M., Kang, Y., Dzed, L., Joshi, V., Waid, J., Gupta, S.D., Haselow, N. and West Jr, K.P., “Infant and young child feeding practices and nutritional status in Bhutan”, Maternal & Child Nutrition, 14. e12762. Nov.2018.
 
[31]  Ogbo, F.A., Nguyen, H., Naz, S., Agho, K.E. and Page, A., “The association between infant and young child feeding practices and diarrhoea in Tanzanian children”, Tropical Medicine and Health, 46(1). 2. Dec.2018.