Infant and young child feeding practices differ by ethnicity of Vietnamese mothers

Nguyen, Tuan Thanh; Nguyen, Phuong Hong; Hajeebhoy, Nemat; Nguyen, Huan Van; Frongillo, Edward A.

doi:10.1186/s12884-016-0995-8

Cited by 13 publications

(11 citation statements)

References 37 publications

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“…In terms of planned breastmilk supplements, mothers mostly indicated the use of infant formula, water and solids, which is similar to previous findings [ 34 ]. Few mothers considered vitamin and micronutrient supplementation.…”

Section: Discussionsupporting

confidence: 89%

“…Few mothers considered vitamin and micronutrient supplementation. Not a single mother indicated the use of herbal tea, which has been reported as a common supplement among ethnic minority groups in Viet Nam [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, mothers indicated strong decision autonomy, which argues against potential “social desirability bias”. Our study did not include any women from minority ethnic groups and therefore the study findings cannot be extrapolated to these populations, women from minority ethnic groups may have different barriers to exclusive breastfeeding [ 34 ]. We only documented breastfeeding initiation and intent and the lack of data on actual breastfeeding duration is a major limitation that has to be acknowledged.…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with breastfeeding intent among mothers of newborn babies in Da Nang, Viet Nam

et al. 2018

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BackgroundBreastfeeding is recognized as the single most cost-effective intervention to reduce child morbidity and mortality. However, few studies have explored perceived barriers to breastfeeding and factors associated with breastfeeding intent among mothers of newborn babies in Viet Nam. We conducted a study to assess breastfeeding initiation rates, intent to breastfeed exclusively for 6 months or more and perceived barriers to breastfeed among mothers of newborn babies in Da Nang, Viet Nam.MethodsWe conducted a cross-sectional questionnaire survey of mothers in the postnatal wards of Da Nang Hospital for Women and Children in central Viet Nam from 10 February 2017 to 24 February 2017, following implementation of the World Health Organization (WHO) Essential Newborn Care (ENC) package.ResultsOf 286 mothers surveyed, 259 (90.6%) initiated breastfeeding; 203/258 (78.7%) within 1 hour (h) of birth. Most (207, 72.4%) mothers indicated intent to breastfeed exclusively for 6 months or more, but this was lower among mothers of preterm babies (82.2% versus 20.0%, p < 0.001) and those without post-secondary school education (74.8% versus 55.6%, p = 0.02). Amongst mothers struggling to establish breastfeeding, 18/27 (66.7%) had a Cesarean section. Planned non-exclusive breastfeeding was mostly (39, 60.9%) motivated by mothers’ concern that their milk supply would be insufficient for their baby’s growth requirements. Most mothers had good knowledge about the benefits of breastfeeding and indicated strong decision autonomy.ConclusionsWe documented high rates of early breastfeeding establishment and intent to breastfeed exclusively for 6 months or more. This probably reflects high levels of maternal education and successful implementation of the WHO ENC package. Mothers of premature babies may benefit from additional support.Electronic supplementary materialThe online version of this article (10.1186/s13006-017-0144-7) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Factors associated with breastfeeding intent among mothers of newborn babies in Da Nang, Viet Nam

et al. 2018

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“…A very similar trend was found in the proportion of children receiving a minimal acceptable diet -meaning that both minimal dietary diversity and minimal meal frequency were met. Also here, large disparities are found across ethnic minority subgroups compared to the majority Kinh ethnic group (T. T. Nguyen et al 2016). In addition, Vietnamese infants and young children share similar disparity across wealth quintiles and between urban and rural areas (Development Initiatives 2018a).…”

Section: Dietary Diversity and The Consumption Of Nutritious Foodsmentioning

confidence: 77%

Determining key research areas for healthier diets and sustainable food systems in Viet Nam

Raneri¹,

Kennedy²,

Nguyen³

et al. 2019

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established in 1975, provides research-based policy solutions to sustainably reduce poverty and end hunger and malnutrition. IFPRI's strategic research aims to foster a climate-resilient and sustainable food supply; promote healthy diets and nutrition for all; build inclusive and efficient markets, trade systems, and food industries; transform agricultural and rural economies; and strengthen institutions and governance. Gender is integrated in all the Institute's work. Partnerships, communications, capacity strengthening, and data and knowledge management are essential components to translate IFPRI's research from action to impact. The Institute's regional and country programs play a critical role in responding to demand for food policy research and in delivering holistic support for country-led development. IFPRI collaborates with partners around the world.

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“…Despite this comparative success, the majority of children in both study groups were still not fed according to IYCF guidelines. Education interventions that improve linear growth, which was not assessed in the present study, have typically directed caregivers to feed diverse complementary foods and have encouraged the consumption of animal source foods [21,22,23]. Notably, less than 40% of children in the PP group consumed animal source foods, and just over 30% in the CG group.…”

Section: Discussionmentioning

confidence: 99%

Maternal participation in a nutrition education program in Uganda is associated with improved infant and young child feeding practices and feeding knowledge: a post-program comparison study

et al. 2017

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Background Cost-effective approaches to improve feeding practices and to reduce undernutrition are needed in low-income countries. Strategies such as nutritional counseling, food supplements, and cash transfers can substantially reduce undernutrition among food-insecure populations. Lipid-based nutrient supplements (LNS) are an increasingly popular strategy for treating and preventing undernutrition and are often delivered with nutrition education. The post-program effects of participation in a LNS-supported supplemental feeding program on Infant and Young Child Feeding (IYCF) practices and caregiver child feeding knowledge are not well understood. The objective of this study was to understand whether children’s diet quality and caregiver nutrition knowledge was improved after participation in such a program. Methods We conducted a post-program comparison group study to compare feeding practices and caregiver nutrition knowledge among mother-child dyads who completed a nutrition education program and a community comparison group in western Uganda. We administered a feeding practices survey and two 24-hour dietary recalls to 61 Post-Program (PP) caregivers and children ages 6 to 59 months (mean age = 25.1 months) who participated in a supplemental feeding program (which included growth monitoring, caregiver nutrition education, and LNS) and a Comparison Group (CG) of 61 children and caregivers. PP caregivers were recruited 4 to 8 weeks after program participation ended. We hypothesized that PP caregivers would report better IYCF practices and greater knowledge of key nutrition education messages related to IYCF. Results PP children had higher dietary diversity scores (3.0 vs 2.1, p =0.001) than CG children, and were more fed more frequently (3.0 vs 2.1 times per day, p=0.001). IYCF indicators were higher in the PP group for minimum meal frequency (44.8% vs. 37.9%), minimum dietary diversity (10.3 vs. 3.4%), iron-rich complementary foods (17.2 vs. 20.7%), and minimally acceptable diet (10.3% vs 3.6%), but differences were non-significant. Caregivers in the PP group demonstrated greater knowledge of healthful IYCF practices. Conclusions Nutrition education can be effective to improve caregiver feeding practices and children’s dietary diversity and the frequency by which they are fed. A 10-week nutrition education and supplemental feeding program appears to provide some benefit to children in terms of dietary diversity and frequency of meals, and caregiver knowledge of feeding 1 to 2 months after program completion. However, children in this rural Ugandan region have diets that are still largely inadequate, highlighting the need for enhanced interventions and policies to promote diverse and appropriate diets for young children in this region. Future follow-up work in LNS-supported programs is recommended to understand how other similar approaches influence children’s diet quality after program completion in other contexts.

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Infant and young child feeding practices differ by ethnicity of Vietnamese mothers

Cited by 13 publications

References 37 publications

Factors associated with breastfeeding intent among mothers of newborn babies in Da Nang, Viet Nam

Factors associated with breastfeeding intent among mothers of newborn babies in Da Nang, Viet Nam

Determining key research areas for healthier diets and sustainable food systems in Viet Nam

Maternal participation in a nutrition education program in Uganda is associated with improved infant and young child feeding practices and feeding knowledge: a post-program comparison study

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