Influence of Feeding Practices and Associated Factors on the Nutritional Status of Infants in Rural Areas of Madhya Pradesh State, India

Meshram, Indrapal I.; Kodavanti, Mallikharjun Rao; Chitty, Gal Reddy; Ravindranath, M; Kumar, Sharad; Kakani, Sreerama Krishna; Kodavalla, Venkaiah; Laxmaiah, Avula; Veera, Brahmam Ginnela Narsimhachary

doi:10.1177/1010539513486174

Cited by 37 publications

(56 citation statements)

References 24 publications

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“…20 A study conducted in Vietnam shows that the main contributing factors for under-five stunting were found age of introduction of complementary feeding and method of feeding in addition to other factor. 21 In present study inadequate hygienic practice by the mother is significantly associated with malnutrition which is similar to study of Meshram II et al 22 He also observed in another study that absence of hand washing with soap by the mother before feeding the child was significantly associated with underweight and stunting. 23 Furthermore, it was observed in a cross-sectional analysis of 171 Demographic and Health Surveys conducted worldwide (India not included), access to improved sanitation was shown to be associated with a 27% lower risk of child stunting.…”

supporting

confidence: 88%

Prevalence of malnutrition among under five children of urban slums of Berhampur, Odisha, India: a community a community based cross-sectional study

Sethy

Jena

et al. 2017

Int J Contemp Pediatr

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Background: Under five children constitute the most vulnerable segment and their nutritional status and mortality rate is a sensitive indicator of the community’s health and nutrition. Prevalence of underweight is 35.7%, wasting is 21% and stunting 38.4% in India and for Odisha, it is 34.4%, 20.4 % and 34.1% respectively. Health indices of slum children are worst among all urban groups and are even poorer than rural average. Severe PEM is often associated with infection contributing to high child mortality in underprivileged communities of slum dwellers. Objectives of present study were to find out prevalence of under nutrition and its severity among the study population and to identify socio-demographic factors associated with malnutrition.Methods: A community based cross-sectional study was conducted from October 2015 September2016 in urban slum area of Berhampur city. Data were collected from 300 mothers of children aged 6-59 months using pre-tested semi structured questionnaires and measuring weight, height and MUAC of the children. Analysis was done using spss version- 20, Chi-square values and proportions were calculated.Results: 69% of 300 children were having under nutrition in the form of underweight (55.3%), wasting (75%) and stunting (42%). Overlapping of different type of malnutrition was seen. Maximum number of underweight children belongs to age group 37-60 months (52.6%) followed by other two age groups. 21.3% were severely wasted and 20% were severely underweight. Factors found to be significantly associated with prevalence of malnutrition were maternal education, hygienic and feeding practices of mother.Conclusions: Malnutrition is widely prevalent among study population more than the state and national prevalence. With increasing age cumulative increase in prevalence of malnutrition is seen perhaps due to persistence and addition of causative factors. Maternal education, faulty feeding practice and hygienic practice are contributory factor of this high prevalence of disease.

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supporting

confidence: 88%

Prevalence of malnutrition among under five children of urban slums of Berhampur, Odisha, India: a community a community based cross-sectional study

Sethy

Jena

et al. 2017

Int J Contemp Pediatr

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“…Meshhram II. et al [11] found that 57% of children 6-11 months old received CF. Rasania SK [12] et al in a study in urban settings found that 42.9% children started CF in optimal time, 24% children started early while in rest it was delayed.…”

Section: Discussionmentioning

confidence: 99%

Complementary feeding practices and its determinants in rural areas of Kamrup district, Assam, India

Kakati¹,

Barua²,

Borah³

2016

SJAMS

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Abstract:Complementary feeding practices are often far from optimal, involving food with poor quality and limited variety that are not hygienically prepared and that are given in too small amount or not frequently enough. These are mainly responsible for aggravating malnutrition. The present study is designed to assess the prevalence of optimal complementary feeding practices and its determinants in rural area of Kamrup, Assam. A cross-sectional study was conducted from 1 st February 2014 to 31 st July 2014. Considering the prevalence of complementary feeding amongst 7-12 months infants in rural areas of Assam as 67% (DLHS-3), relative precision of 10% of P and design effect of 1.5, sample size was calculated as 250. A total of 250 infants were studied for complementary feeding practices (CF). CF was initiated by the 54.4% of mothers at the age of 6 months, 19.2% were initiated before 6 months and 26.4% were initiated after 6 months. Most of the mothers (33.3%) reason behind the early initiation of CF was insufficient breast milk and 50% of mothers replied reason behind the delayed initiation of CF was infant could not digest. The infants born at Govt. institution (61.5%) received CF at 6 months as compared to private institution (32.1%) or home (31.2%) (P<0.0001). 60.8% of normally delivered infants started CF at 6 months to as compared to 50% of infants born by caesarean section (P<0.0005). Most of the mothers (56.8%) have given semi-solid food followed by Animal milk (35.2%) as CF.

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“…The amount of schooling completed by mothers is highly associated with improved child health, diet and nutritional outcomes, especially in low-income settings (26,(29)(30)(31)(32) . Therefore, it is surprising that this association does not hold in our study.…”

Section: Discussionmentioning

confidence: 99%

Household food security and infant feeding practices in rural Bangladesh

Owais

Kleinbaum

Suchdev

et al. 2015

Public Health Nutr.

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Objective: To determine the association between household food security and infant complementary feeding practices in rural Bangladesh. Design: Prospective, cohort study using structured home interviews during pregnancy and 3 and 9 months after delivery. We used two indicators of household food security at 3-months' follow-up: maternal Food Composition Score (FCS), calculated via the World Food Programme method, and an HHFS index created from an eleven-item food security questionnaire. Infant feeding practices were characterized using WHO definitions. Setting: Two rural sub-districts of Kishoreganj, Bangladesh. Subjects: Mother-child dyads (n 2073) who completed the 9-months' follow-up. Results: Complementary feeding was initiated at age ≤4 months for 7 %, at 5-6 months for 49 % and at ≥7 months for 44 % of infants. Based on 24 h dietary recall, 98 % of infants were still breast-feeding at age 9 months, and 16 % received ≥4 food groups and ≥4 meals (minimally acceptable diet) in addition to breast milk. Mothers' diet was more diverse than infants'. The odds of receiving a minimally acceptable diet for infants living in most food-secure households were three times those for infants living in least food-secure households (adjusted OR = 3·0; 95 % CI 2·1, 4·3). Socio-economic status, maternal age, literacy, parity and infant sex were not associated with infant diet. Conclusions: HHFS and maternal FCS were significant predictors of subsequent infant feeding practices. Nevertheless, even the more food-secure households had poor infant diet. Interventions aimed at improving infant nutritional status need to focus on both complementary food provision and education.

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Influence of Feeding Practices and Associated Factors on the Nutritional Status of Infants in Rural Areas of Madhya Pradesh State, India

Cited by 37 publications

References 24 publications

Prevalence of malnutrition among under five children of urban slums of Berhampur, Odisha, India: a community a community based cross-sectional study

Prevalence of malnutrition among under five children of urban slums of Berhampur, Odisha, India: a community a community based cross-sectional study

Complementary feeding practices and its determinants in rural areas of Kamrup district, Assam, India

Household food security and infant feeding practices in rural Bangladesh

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