How are infant and young children fed in peri-urban areas? Saira Mehnaz, Ali JaferAbedi, Zulfia Khan, M. AtharAnsari, NajamKhalique. Department of Community Medicine, J. N.Medical College, Aligarh Muslim University, Aligarh
INTRODUCTION Impact on child survival. Critical to improved nutrition, health and development of children.
INTRODUCTION To evaluate the appropriateness of feeding , we can calculate certain indices in a simple manner. These indices can help us to manage the feeding of these children at the community level . Evidence base is the need of the hour
Aims and objectives
Aims and objectives The following study was carried out in a typical peri- urban area to: Assess the prevalence of appropriate of feeding pattern in infants. To assess the factors related to breast feeding pattern and appropriate complementary feeding practices in 12 to 24 months old children.
Methodology We used the indicators suggested by WHO in …… Indicators for assessing infant and young child feeding practices-Part 2 Measurement. A cross sectional house to house survey using PPS was conducted in the registerd families of UHTC, JNMC AMU, Aligarh. A preframed- pretested proforma was used for the study
Methodology 56 infants and 45 children 12 to 24 months were included in the study . An oral consent was taken Reason of study explained to mothers Mothers interviewed in friendly , non formal manner and care taken to give counseling regarding feeding and infant care where needed.
Methodology To calculate “IBF age in days”: Date of interview – date of birth If IBF age in days is less than 730 (2 years) the observation can be included in calculating Indicator, Early initiation of breastfeeding, and Indicator, Children ever breastfed.
Methodology To calculate “IYCF age in days”: Date of interview – date of birth. Use IYCF age in days to determine whether each observation belongs in each “current status” indicator calculation Example: 6 months = 6 * (365/12) = 183 days. All children less than 183 days of (estimated) age can be included in numerators and denominators for exclusive breastfeeding 0–5 months.
Socio-cultural status P>0.05 0-11 months- 56% 12-23months- 45%
Socio-cultural status P>0.05 14.85% 39.6% 45.54%
Socio-cultural status P>0.05 6.93% 52.48% 4.95% 3.91% 10.89% 15.84%
Early initiation of breastfeeding Children born in the last 24 months who were put to the breast within one hour of birth *100 Children born in the last 24 months
Factors related to Initiation ofbreastfeeding(p<0.05)
Exclusive breastfeeding under 6 months Infants 0–5 months of age who received only breast milk during the previous day Infants 0–5 months of age
Factors related to Exclusive breastfeeding P<0.05
Continued breastfeeding Children 12–15 months of age who received breast milk during the previous day Children 12–15 months of age
Factors related to Continued breastfeeding P<0.05
Introduction of solid, semi-solid or soft foods Infants 6–8 months of age who received solid, semi-solid or soft foods during the previous day Infants 6–8 months of age
Factors related to Introduction of solid, semi-solid or soft foods
100% CHILDREN CAME IN THE CATEGORY OF EVERBREASTFED
CONCLUSIONS Most of the children belonged to the medium SLI 56.4% children received breastmilk within 1st hour of life at the right time
CONCLUSIONS 37% children were exclusively breastfed Continued breastfeeding was found in about 70% of children 36% were introduced with the solid and semi solid soft food at the appropriate time.
Most of the mothers following appropriate feeding practices came in the medium and high SLI group