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Dr saira


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Dr saira

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