Dr saira

How are infant and young children fed in peri-urban areas? Saira Mehnaz, Ali Jafer Abedi, Zulfia Khan, M.

Athar Ansari, Najam Khalique.

Department of Community Medicine, J. N.Medical College, Aligarh Muslim University,

Aligarh

INTRODUCTION

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:

1. Assess the prevalence of appropriate of feeding pattern in infants.

2. To assess the factors related to breast feeding pattern and appropriate complementary feeding practices in 12 to 24 months old children.

METHODOLOGY

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.

RESULTS

SOCIO-CULTURAL STATUS P>0.05

0-11 months- 56%12-23months- 45%

18-23 months12-17months6-11months0-5months

Age of the child

20

15

10

5

0

Percenta

ge

16

9

131411

9

1613

Female

MaleSex of the child

AGE AND SEX DISTRIBUTION OF THE CHILDREN


39.6%

45.54%

14.85%

High

Medium

Low

S L Index

39.6%

14.85%

45.54%


6.93%

4.95%

8.91%

10.89%

15.84%

52.48%

above

Intermediate

high School

Junior high school

Primary

illiterate

Education of the mother

52.48%6.93%

4.95%

3.91%

10.89%

15.84%

EARLY INITIATION OF BREASTFEEDINGChildren 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

43.56%

56.44%

No

Yes

How long after birth was the child put to breast?IMMEDIATELY

FACTORS RELATED TO INITIATION OFBREASTFEEDING(P<0.05)

aboveIntermediatehigh SchoolJunior highschool

Primaryilliterate


25

20

15

10

5

0

Per

centa

ge

12.28%

5.26%

12.28%14.04%

15.79%

40.35%

Initiation of breastfeeding and education of the mother

HighMediumLow

S L Index

30

25

20

15

10

5

0Per

cent

age

50.88%29

36.84%21

12.28%7

Initiation of breastfeeding and SLI

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

Exclusively breastfed

37%Not exclu-sively breast-

fed63%

Exclusive breastfeeding

FACTORS RELATED TO EXCLUSIVE BREASTFEEDING

P<0.05


Primaryilliterate


40

30

20

10

0

perc

enta

ge

7.04%2.82%

11.27%9.86%

15.49%

53.52%

Exclusive breastfeeding and Education of the mother

HighMediumLow

S L Index

40

30

20

10

0

Cou

nt

40.85%

49.3%

9.86%

Exclusive BF and SLI

CONTINUED BREASTFEEDING

Children 12–15 months of age who received breast milk during the previous day Children 12–15 months of age

29.7%

70.3%

no

yes

Continued breastfeeding

FACTORS RELATED TO CONTINUED BREASTFEEDINGP<0.05


Primaryilliterate


60

50

40

30

20

10

0

Per

centa

ge

23

14

5

15

5287

11

38

no

yesContinued breastfeeding

Cotinued breastfeeding and education of the mother

HighMediumLow

S L Index

40

30

20

10

0

Perc

enta

ge

11118

29

35

7

no

yes

ContinuedBreastfeeding

Continued breastfeeding and SLI

INTRODUCTION OF SOLID, SEMI-SOLID OR SOFT FOODSInfants 6–8 months of age who received solid, semi-solid or soft foods during the previous day Infants 6–8 months of age

36%64

%

Appropriate Complementary feeding

Complementary feed takenComplementary feed not taken

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

THANKYOU

Dr saira

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