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INFANT AND YOUNG CHILD
FEEDING PRACTICE IN
NEPAL
Presented by:
Sachin Pokharel
Roll No:25
BPH 5th sem
3/20/2018
1
Contents
 Introduction
 Objectives
 Methodology
 Findings
 Conclusion
 Recommendations
 References
3/20/2018
2
Introduction
 The time between a child’s birth and 2 years of age
is critical window of opportunity to ensure the child’s
development through optimum feeding practices .
 Even mild or moderate under nutrition during this
period can cause irreversible damage . As an infant
completes 6 months of age, a mother’s milk is no
longer sufficient to fulfill the child’s increasing
nutritional need.
 Optimal infant and young child feeding can have the
potential to prevent an estimated 19 % of all under-
five deaths, more than any other single preventive
intervention .
3/20/2018
3
 Therefore, World Health Organization (WHO)
has recommended core indicators for infant and
young child feeding (IYCF), of which timely
introduction of soft, solid or semi-solid foods,
minimum dietary diversity, minimum meal
frequency, and minimum acceptable diet are
related to late infancy, and thereafter up to 2
years of age .
3/20/2018
4
Objectives
 General Objectives
To review the available literatures to find out the
current scenario of Infant and Young Children
feeding practice in Nepal.
 Specific Objectives
1.To find out the status of Infant and Young
Children feeding practice in Nepal.
2.To review different studies and researches
regarding the Infant and Young Children feeding
Practice in Nepal.
3/20/2018
5
Methodology
 To make this term paper, I took help from
different literatures and researches.
 I have used different search engines such as
pubmed, google scholer and so on. The
keywords used are “Infant and young child
feeding practice in Nepal”, “Feeding practice
and Nepal”, “WHO criteria and Infant and child
feeding practice” and so on. The number of
literatures I reviewed are about 20 and I used
information from about 12 literatures.
3/20/2018
6
Findings : IYCF In Nepal
 Nepal has achieved a significant reduction in
mortality and morbidity amongst children
under-five and women in the last decade .
 Policy commitment to decentralization and
implementation of priority programs has
improved access to maternal and child health
services and contributed to achievement of
most of the Millennium Development Goals
(MDGs) .
 Nepal is signatory to Agenda 2030, also
known as the Sustainable Development Goals.
3/20/2018
7
 The 2016 NDHS collected data on infant and young child
feeding (IYCF) practices for all children born in the 2 years
preceding the survey.
 Overall, 55% of last born children in the 2 years preceding
the survey were breastfed within 1 hour of birth.
 Contrary to the recommendation that children under age 6
months be exclusively breastfed, only 66% of the infants
under age 6 months were found to be exclusively breastfed.
 In addition to breast milk, 6% of these young infants
consume plain water, 6% consume non-milk liquids, 10%
consume other milk, and 12% consume complementary
foods.
 Eighty-three percent of children age 6-8 months receive
timely complementary foods, and only 10% of children age3/20/2018
8
3/20/2018
9
3/20/2018
10
3/20/2018
11
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12
3/20/2018
13
Findings from different
Researches in Nepal
 Researcher: Shrestha PS, Melander L et.al
 Place and Date: Bhaktapur, Nepal ,2012
 Sample Taken: 325
 Major Findings: Three quarters of all mothers
reported that they did not receive any
information on breastfeeding during the
antenatal visit. Two hundred and ninety five
(91%) mothers gave colostrum and 185 (57%)
initiated breastfeeding within one hour of
delivery.
3/20/2018
14
 Researcher: Chapaign RH
 Place and Date: Mahendranagar, Nepal , 2013
 Sample Taken: 1100
 Major Findings: More than half (56.81%)
mothers fed their children complementary food
of appropriate consistency; 366 (33.27%) fed
with recommended frequency and 834
(75.82%) with the appropriate amount.
3/20/2018
15
 Researcher: Gautam KP, Adikari M et.al
 Place and Date: Rupendehi, Nepal , 2016
 Sample Taken: 178
 Major Findings: Only 57 % of mothers initiated
complementary feeding at the age of 6
months.
3/20/2018
16
Conclusion
 From the above report or term paper I come to
the conclusion that the infant and young
children feeding practice in Nepal is
satisfactory .
 These kinds of feeding practice can lead to
prevalence of Protein Energy/Calorie
Malnutrition and many others nutritional
disorders in infants, children and even adult.
 The IYCF condition of Nepal is improving
nowadays but the country is not being able to
adopt the feeding guideline strictly,
3/20/2018
17
 Different research and studies are being
conducting in different areas of Nepal but
these studies are limited within the cross-
sectional.
 One third of the children are not attending
complementary feeding practices and some
are not even getting minimum acceptable
foods .
3/20/2018
18
Recommendations
 Initiation of breastfeeding within an hour of
birth.
 Exclusive breastfeeding for the first six
months.
 Complementary feeding after six months
 Continued breastfeeding for 2 years and
beyond.
 Protect, promote and support optimal feeding
practice of children through Infant and young
children feeding practice expansion.3/20/2018
19
3/20/2018
20
References
 Gautam KP, Adhikari M, Khatri RB, Devkota MD.
Determinants of infant and young child feeding practices in
Rupandehi, Nepal. BMC research notes. 2016;9:135.
 MOHP. Nepal Health Sector Strategy 2015–2020
Kathmandu,Nepal: Ministry of Health and Population;
2015.
 Karn S, Devkota MD, Uddin S, Thow AM. Policy content
and stakeholder network analysis for infant and young child
feeding in Nepal. BMC public health. 2017;17(Suppl
2):421.
 Subba SH, Joshi HS. Infant feeding practices of mothers in
an urban area in Nepal 2007.
 Chapagain RH. Factors Affecting Complementary Feeding
Practices of Nepali Mothers for 6 Months to 24 Months
3/20/2018
21
 Chandyo RK, Mellander L, Shrestha PS. Infant feeding
practices in Bhaktapur, Nepal: across-sectional, health
facility based survey. 2012.
 Raj SG, Jenifer C, John M, Pardumuna D. Infant and Young
Child Feeding Practices as Associated with Child
Nutritional Status in Nepal 2011.
 S SP, Lotta M, Chandyo RK. Infant feeding practices in
Bhaktapur, Nepal: across-sectional, health facility based
survey. 2012.
 Shraddha P, Kalpana T, Upyl S. Determinants of infant and
young child feeding practices in Nepal: Secondary data
analysis of Demographic and Health Survey 2006. 2006.
 Vishnu K, Kay S, Yuin Z. Determinants of Complementary
Feeding Practice Among Nepalese Children among 6-23
3/20/2018
22
3/20/2018
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Infant and young child feeding practice in nepal l sachin pokharel

  • 1. INFANT AND YOUNG CHILD FEEDING PRACTICE IN NEPAL Presented by: Sachin Pokharel Roll No:25 BPH 5th sem 3/20/2018 1
  • 2. Contents  Introduction  Objectives  Methodology  Findings  Conclusion  Recommendations  References 3/20/2018 2
  • 3. Introduction  The time between a child’s birth and 2 years of age is critical window of opportunity to ensure the child’s development through optimum feeding practices .  Even mild or moderate under nutrition during this period can cause irreversible damage . As an infant completes 6 months of age, a mother’s milk is no longer sufficient to fulfill the child’s increasing nutritional need.  Optimal infant and young child feeding can have the potential to prevent an estimated 19 % of all under- five deaths, more than any other single preventive intervention . 3/20/2018 3
  • 4.  Therefore, World Health Organization (WHO) has recommended core indicators for infant and young child feeding (IYCF), of which timely introduction of soft, solid or semi-solid foods, minimum dietary diversity, minimum meal frequency, and minimum acceptable diet are related to late infancy, and thereafter up to 2 years of age . 3/20/2018 4
  • 5. Objectives  General Objectives To review the available literatures to find out the current scenario of Infant and Young Children feeding practice in Nepal.  Specific Objectives 1.To find out the status of Infant and Young Children feeding practice in Nepal. 2.To review different studies and researches regarding the Infant and Young Children feeding Practice in Nepal. 3/20/2018 5
  • 6. Methodology  To make this term paper, I took help from different literatures and researches.  I have used different search engines such as pubmed, google scholer and so on. The keywords used are “Infant and young child feeding practice in Nepal”, “Feeding practice and Nepal”, “WHO criteria and Infant and child feeding practice” and so on. The number of literatures I reviewed are about 20 and I used information from about 12 literatures. 3/20/2018 6
  • 7. Findings : IYCF In Nepal  Nepal has achieved a significant reduction in mortality and morbidity amongst children under-five and women in the last decade .  Policy commitment to decentralization and implementation of priority programs has improved access to maternal and child health services and contributed to achievement of most of the Millennium Development Goals (MDGs) .  Nepal is signatory to Agenda 2030, also known as the Sustainable Development Goals. 3/20/2018 7
  • 8.  The 2016 NDHS collected data on infant and young child feeding (IYCF) practices for all children born in the 2 years preceding the survey.  Overall, 55% of last born children in the 2 years preceding the survey were breastfed within 1 hour of birth.  Contrary to the recommendation that children under age 6 months be exclusively breastfed, only 66% of the infants under age 6 months were found to be exclusively breastfed.  In addition to breast milk, 6% of these young infants consume plain water, 6% consume non-milk liquids, 10% consume other milk, and 12% consume complementary foods.  Eighty-three percent of children age 6-8 months receive timely complementary foods, and only 10% of children age3/20/2018 8
  • 14. Findings from different Researches in Nepal  Researcher: Shrestha PS, Melander L et.al  Place and Date: Bhaktapur, Nepal ,2012  Sample Taken: 325  Major Findings: Three quarters of all mothers reported that they did not receive any information on breastfeeding during the antenatal visit. Two hundred and ninety five (91%) mothers gave colostrum and 185 (57%) initiated breastfeeding within one hour of delivery. 3/20/2018 14
  • 15.  Researcher: Chapaign RH  Place and Date: Mahendranagar, Nepal , 2013  Sample Taken: 1100  Major Findings: More than half (56.81%) mothers fed their children complementary food of appropriate consistency; 366 (33.27%) fed with recommended frequency and 834 (75.82%) with the appropriate amount. 3/20/2018 15
  • 16.  Researcher: Gautam KP, Adikari M et.al  Place and Date: Rupendehi, Nepal , 2016  Sample Taken: 178  Major Findings: Only 57 % of mothers initiated complementary feeding at the age of 6 months. 3/20/2018 16
  • 17. Conclusion  From the above report or term paper I come to the conclusion that the infant and young children feeding practice in Nepal is satisfactory .  These kinds of feeding practice can lead to prevalence of Protein Energy/Calorie Malnutrition and many others nutritional disorders in infants, children and even adult.  The IYCF condition of Nepal is improving nowadays but the country is not being able to adopt the feeding guideline strictly, 3/20/2018 17
  • 18.  Different research and studies are being conducting in different areas of Nepal but these studies are limited within the cross- sectional.  One third of the children are not attending complementary feeding practices and some are not even getting minimum acceptable foods . 3/20/2018 18
  • 19. Recommendations  Initiation of breastfeeding within an hour of birth.  Exclusive breastfeeding for the first six months.  Complementary feeding after six months  Continued breastfeeding for 2 years and beyond.  Protect, promote and support optimal feeding practice of children through Infant and young children feeding practice expansion.3/20/2018 19
  • 21. References  Gautam KP, Adhikari M, Khatri RB, Devkota MD. Determinants of infant and young child feeding practices in Rupandehi, Nepal. BMC research notes. 2016;9:135.  MOHP. Nepal Health Sector Strategy 2015–2020 Kathmandu,Nepal: Ministry of Health and Population; 2015.  Karn S, Devkota MD, Uddin S, Thow AM. Policy content and stakeholder network analysis for infant and young child feeding in Nepal. BMC public health. 2017;17(Suppl 2):421.  Subba SH, Joshi HS. Infant feeding practices of mothers in an urban area in Nepal 2007.  Chapagain RH. Factors Affecting Complementary Feeding Practices of Nepali Mothers for 6 Months to 24 Months 3/20/2018 21
  • 22.  Chandyo RK, Mellander L, Shrestha PS. Infant feeding practices in Bhaktapur, Nepal: across-sectional, health facility based survey. 2012.  Raj SG, Jenifer C, John M, Pardumuna D. Infant and Young Child Feeding Practices as Associated with Child Nutritional Status in Nepal 2011.  S SP, Lotta M, Chandyo RK. Infant feeding practices in Bhaktapur, Nepal: across-sectional, health facility based survey. 2012.  Shraddha P, Kalpana T, Upyl S. Determinants of infant and young child feeding practices in Nepal: Secondary data analysis of Demographic and Health Survey 2006. 2006.  Vishnu K, Kay S, Yuin Z. Determinants of Complementary Feeding Practice Among Nepalese Children among 6-23 3/20/2018 22