Complacent Child feeding practices versus Infant feeding practices affecting the nutritional status of Under Two children situational analysis

Abstract

Background: -To enhance child health, Indian Child Development Scheme (ICDS) and National Health Mission (NHM) strategized that reinforcement of Infant and Young Child Feeding (IYCF) practices would be a good take off. Anganwadis, where 78% of mothers of children below 6 receive services, can serve as an effective platform for mothers to receive counseling on appropriate breast feeding and complementary foods, in a priority state like Odisha. Aim: -As a prelude to a detailed intervention, a rapid baseline situational analysis was planned in 4 intervention districts to know about the district specific variations and also the overall IYCF practices in the area. Objective: Assess the IYCF indicators in the districts with focus on feeding practices above 6 months of age. Assess the factors responsible for breast feeding and complementary feeding in the sample Materials and Methods: - Final sample of 600 was chosen using 30 cluster sampling based on proportions of less than 2 years children in the study districts (districts named A-D, as the interventions are in progress and state refrains the identity of districts), 30 clusters to be divided in the ratio of 10:8:5:7. From each cluster-mothers of 20 children, nearly equal proportions of children in 0-6months and 7-23 months, were interviewed for sociodemographic, health seeking and prevailing IYCF practices. BMI (Body Mass Index) and MUAC (Mid Upper arm Circumference) were used to corroborate the nutritional status of child. Results: - 606 interviews were conducted. Age groups ratio was 2:1.5. Exclusive breast feeding was noted at 68% and under nutrition was 59.2%. Advanced maternal age were positively associated with declining breast-feeding practice; however good spacing and male child was protective for good IYCF practices. The complementary feeding practices, measured with 2 major indicators i.e. Minimum Food Diversity and Minimum Meal Frequency, were calculated as 40.7% and 20.6% respectively. Gender representation for both indicators was positively skewed for females, which was reasoned in FGDs as purely by chance and did not mean a preference for boys. Both service provider and the mothers’ knowledge was compromised regarding complementary feeding indicators, in spite of the fact that former had been trained on this aspect. Conclusion: - Targeted interventions are envisaged as scope for improvement in the IYCF indicators in the mixed mileu of a state, wherein some districts indicators markedly affect the overall state indicators. In Odisha, this study may give guidelines to the intervening districts to overhaul the load of under nutrition which is now more district and select population specific.

Breastfeeding practices in urban primi mothers in the field practice area of Department of Community Medicine-a cross-sectional study

“…Male children were more exclusively breastfed than female and the difference was found to be statistically significant. Similar findings were reported in studies conducted by Shashank KJ et al 7 and Singh N et al 11 .…”

“…Only 5.25% felt that breastfeeding is old-fashioned while it leads to loss of figure was felt by 1.25% of mothers, 67.5% of mothers agreed that breast milk is the best milk, 5.0% agreed it is pure and costs nothing, 4.25% of mothers felt that breastfeeding in public was embarrassing and 5.5% of mothers felt that breastfeeding prevents going to work. Similar findings were reported in studies conducted by Kar M et al 11 , Naseem et al 9 in tertiary care hospital of Hyderabad and Grover et al 12 in rural area of East Delhi.…”

Status Gizi Baduta dan Grafik Pertumbuhan Anak Usia 0-23 Bulan di Wilayah Kerja Puskesmas Pantoloan

“…16 Usia lanjut ibu secara positif terkait dengan penurunan praktik menyusui; namun jarak yang baik dan status anak laki-laki melindungi praktik PMBA yang baik. 17 Pemberian MP-ASI yang baik sangat berpengaruh dalam pencegahan stunting. 18 Sebuah intervensi Kelas edukasi MP-ASI yang dilakukan di wilayah kerja Puskesmas Pantoloan berpengaruh terhadap nilai z-score PB/U sebelum dan sesudah intervensi.…”