Complementary Feeding Practices Among Mothers of Rural Bangladesh; A Knowledge, Attitude, and Practice Study

Akteruzzaman, M.; Parveen, Shahana; Ahmed, Shafi; Afroza, Syeda; Habib, R; Jinnat, Mosammat Afroza; Monira, Sirajum

doi:10.3329/kyamcj.v11i1.47147

Cited by 2 publications

(6 citation statements)

References 18 publications

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“…Contrary to Akteruzzaman et al 3 we found that the appropriate consistency of CF among the study children as 51%. Findings of our study also revealed it as 20% children (55 of 273) whose mothers introduced CF appropriately, against ~80% who received it inappropriately.…”

Section: Discussioncontrasting

confidence: 99%

“…carbohydrate, protein, fat, vegetables, vitamin and food frequency per day) according to child"s age group were not significantly associated with CF practices. This finding from our study remain consistent with Demilew et al 22 and Akteruzzaman et al 3 who found 7% and 6.4% mothers followed appropriate CF practice that we found in our current study, as well.…”

Section: Discussionsupporting

confidence: 94%

“…In developing countries, inadequate knowledge and cultural practice on complementary feeding (CF) remains one of the main causes for childhood malnutrition 3,5 that are often influenced by cultural mal/practices, wrong beliefs and inadequate knowledge of parents regarding appropriate CF-practices. 4,5 But infant"s nutritional status basically depends on feeding practices in our community-where child rearing practices vary widely among people, religions, casts, and geographic location of regions and districts.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of Inappropriate Complementary Feeding Practice among 6 months-2 years old children attending Institute of Child and Mother Health (ICMH), Dhaka

Hossain,

Khanam,

Parven

et al. 2023

J. of Ad-din Women's Med. Coll.

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Background: Nutritional status of infants and young children chiefly depends on proper feeding practice; despite child rearing that often vary across population. Childhood malnutrition remains one of the major underlying causes of morbidity and mortality among younger children particularly from lower and mid income countries (LMIC) like Bangladesh. Objective: To identify determinants of practicing inappropriate complementary feeding (CF) among the infants and young children and to find out if these CF-determinants are associated with socio-demographic characteristics of child‟s families. Methods: This cross-sectionally designed study hybrid with some analytical methods were conducted among 6-24 months old children attending the out-patient and indoor departments of Pediatric, Institute of Child and Mother Health (ICMH). Results: Of total 273 children, only 20% received CF appropriately but 80% got it „inappropriately‟ based on all parameters studied, on an average. Good CF practice were significantly associated with child‟s age group (P<0.01), gender (0.02), parental education (<0.01) and monthly income (<0.01). None of the factors like time of starting CF (right after 6 months), type of food groups (carbohydrate, protein, fat, vegetables, vitamin) introduced to young children were not associated with any of 6 types of major food groups, significantly, except for citrous fruits (p>0.01). Frequency of feeding per day was also not significantly associated with CF-feeding practice (p>0,83). Similarly, none of the consistency of food (p>0.95), its amount (p>0.28), feeding technique (p>0.72) and mother‟s motivation for child‟s self-feeding (p>0.27) were not significantly associated with CF practices. Most common reason for delayed CF was „tried but failed‟ in 53% and „did not know‟ the reason exactly in 10.5%. However, 10.5% mother‟s felt that breast milk was enough for the child to feed, early starting of CF being mothers‟ insuflcient breast milk in 63% and the rest 24% were ignorant on earlier starting the CF. Conclusions: Major findings of this study revealed that factors like, gender, paternal education, monthly family income, citrus food significantly differed between appropriate and inappropriate CF practices. However we strongly recommend further muti-center studies involving larger sample size before refuting or accepting our findings that this study yielded based in one hospital set up only. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 21-27

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Determinants of Inappropriate Complementary Feeding Practice among 6 months-2 years old children attending Institute of Child and Mother Health (ICMH), Dhaka

Hossain,

Khanam,

Parven

et al. 2023

J. of Ad-din Women's Med. Coll.

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“…8 36% of the mothers started complementary feeding earlier than six months which was due mothers not being able to provide an adequate amount of breast milk to their child which leads them to give alternative foods to meet the dietary nutrition of the child. 37 In the current study, 60% of the mother had good knowledge about adding and utilizing iodized salt properly in food; this percentage was similar when compared with studies from other countries like India and South Africa, where the percentage was 57% and 63%, respectively. 14,38 A huge portion of the mothers had scanty knowledge about iron-rich foods; only 29% of them could identify, and 71% of them couldn't identify what iron-rich foods were, which upon further study was found to be related to the mother's education level(p<0.05) a finding was also seen in other south-Asian countries like India and Pakistan.…”

Section: Discussionsupporting

confidence: 80%

“…40 It was also reported that when it came to defining the criteria of complementary feeding practices, 52% of the mothers preferred homemade food and 22% preferred commercially available cereals and fast foods, which is higher than a study conducted on rural mothers of Bangladesh(12.6%). 37 However, when asked about the frequency of feeding, more than half (64%) of the mothers fed their children less than two times or two times whereas 36% mothers fed three or more than three times a day. In India, 39.3% of children take three or more feeds per day, and in Pakistan, 50% of 12-23month-old children receive complementary feeding at the recommended frequency of three or four times a day.…”

Section: Discussionmentioning

confidence: 99%

Practices of Complementary Feeding of Mothers Attending a Tertiary Care Teaching Hospital in the Northern Part of Bangladesh

Rahman

Islam

Tarafder

et al. 2022

TAJ: J of Teachers Assoc

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Background: Adequate nutrition during infancy and early childhood are essential to ensure growth and development, and it depends significantly on the pattern of complementary feeding. As Bangladesh is a high burden of infant malnutrition, the present study was designed to assess the practices regarding complementary feeding among mothers attending a tertiary care hospital. Objective: To observe the attitude and practices of mothers regarding complementary feeding. Methodology: This cross-sectional study was conducted at the Department of Pediatrics in Rajshahi Medical Hospital for one year. A total of 227 mothers of children aged between 6 to 24 months attending pediatric OPD at Rajshahi Medical Hospital were included in this study. Data collection was conducted through a pre-designed questionnaire. After data collection of data, data were analyzed by SPSS 23.0. Results: A total of 227 parents were interviewed. The mean age of the respondents was 26±8.42 (SD) years. Nearly half (45%) of the mothers belonged to lower-middle-income families. Of all, 82% of the mothers knew about the perception of complementary feeding, and about 21% knew the WHO recommended age for complimentary food initiation (at six months). About 71% and 60% had knowledge about iron-rich food and iodized salt accordingly. Half of them knew the appropriate consistency of complimentary food. About 64% of mothers gave complementary foods ≤2 times a day while 36% fed≥3 times a day. Regarding attitude, 78% of mothers approached the necessity of maintaining dietary diversity and variety of food for a balanced diet. In comparison, 52% preferred homemade food, 22% preferred commercially available food, and 26% preferred a combination of both. About 71.8% of mothers believed in different food taboos. In this study, dilution of cow's milk as a complementary food was done by 76% of mothers, while complementary feeding was discontinued by 80%. About 78% and 65% of the mothers reported washing their hands and utensils and baby's hand before feeding the child, 66% of them covered the food after cooking, and 43% reheated the food before serving. Conclusion: This study shed light on existing knowledge, attitude, and practice among mothers attending a tertiary care hospital. But to get the exact scenario, further extensive study is recommended. TAJ 2022; 35: No-1: 83-90

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Complementary Feeding Practices Among Mothers of Rural Bangladesh; A Knowledge, Attitude, and Practice Study

Cited by 2 publications

References 18 publications

Determinants of Inappropriate Complementary Feeding Practice among 6 months-2 years old children attending Institute of Child and Mother Health (ICMH), Dhaka

Determinants of Inappropriate Complementary Feeding Practice among 6 months-2 years old children attending Institute of Child and Mother Health (ICMH), Dhaka

Practices of Complementary Feeding of Mothers Attending a Tertiary Care Teaching Hospital in the Northern Part of Bangladesh

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