A study of assessment of infant feeding practices in urban slum of Bhopal, Madhya Pradesh, India

Astha Tiwari, Umesh Patel, Deepti Singh, Sunita Lakhwani, Kirti Vishwakarma

Abstract


Background and Objective: Optimal breastfeeding and complementary feeding practices could reduce childhood morbidity and mortality dramatically in most cost-effective and efficacious way. Proper assessment of mothers knowledge regarding feeding practices and identifying the influencing factors that lead to faulty feeding practices is the need of the hour. Breastfeeding is of extreme importance for safeguarding health and welfare of growing infant and this practice must be preserved, protected and promoted by all means. with this background, this study was conducted to assess the infant feeding practices in urban slums and to determine the factors influencing it. Materials and Methods: A community based, cross sectional study conducted in urban slums in Bhopal. Madhya Pradesh for a period of 3 months A predesigned semi structured questionnaire using open and close ended questions were used to collect the information. Results: Out of the 170 mothers enrolled in the study, 53(31.17%) mothers had started feeding within 1 hour of delivery. Prelacteal feed and colostrums was given to82 (48.23%) and 61.76% respectively. Exclusive breastfeeding up to 6 months of age was 88 (51.76%). Significant association was observed between maternal literacy and practice of EBF. and giving prelacteal feeds.51.76% infants started receiving complementary feeding at right time .60(35.29%) breast feeding knowledge and awareness was obtained by health personnel. Conclusion: This study shows that inappropriate feeding practices like giving prelacteals, discarding colostrums, delayed initiation of breastfeeding are prevalent in urban slums. Prevalence of exclusive breast feeding up to 6 months is less than the national level data. Awareness of mothers regarding correct feeding practices should be done at primary health care level.

Full Text:

PDF

References


World Health Organization. Infant and young child feeding: Model chapter for textbooks for medical students and allied health professionals.

National guidelines on Infant and Young Child Feeding. Ministry of Human Resource Development. Department of Woman and Child Development. (Food and Nutrition Board). Government of India. 2004. Available: https://wcd.nic.in/sites/default/files/national guidelines.pdf

Tiwari S, Bharadva K, Yadav B, Malik S, Gangal P, Banapurmath CR et al. IYCF Chapter of IAP 70. Infant and Young Child Feeding Guidelines. 2016;53(8):703-713.

National Family Health Survey 2005‑2006 (NFHS‑3).Mumbai: International Institute of Population Sciences. Available at http://www.nfhsindia.org.

National Family Health survey (NFHS4): http://www.indiaenvironmentportal.org.in/content/440396/national-family-health-survey-2015-16-nfhs-4-india-fact-sheet.

Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS; Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet. 2003;362 (9377):65-71. doi:10.1016/S0140-6736(03)13811-1

WHO/UNICEF. Global Strategy for Infant and Young Child Feeding. 2003. Available at:https://www. unicef.org/nutrition/files/GlobalStrategy_Infant_and_ Young_ ChildFeeding.

Black RE, Bhutta ZQA, Caulfi LE, Onis Md, Ezzati M, Mathers C, et al. Maternal and child undernutrition global and regional exposures and health consequences. Lancet. 2008;371(9608):243-260. doi: https://doi.org/ 10. 1016/S0140-6736(07)61690-0

Srivastava N, Sandhu A. Infant and child feeding index. Indian J Pediatr. 2006;73(9):767-770. doi:10. 1007/ bf02790382

Saha KK, Frongillo EA, Alam DS, Arifeen SE, Persson LÅ, Rasmussen KM. Appropriate infant feeding practices result in better growth of infants and young children in rural Bangladesh. Am J Clinic Nutri. 2008;87(6):1852-1859. doi: 10.1093/ajcn/87.6.1852

Aggarwal A, Verma S, Faridi MM. Complementary feeding—reasons for inappropriateness in timing, quantity and consistency. Indian J Pediat. 2008;75(1): 49-53. doi: https://doi.org/10.1007/s12098-008-000 6-9

Improving Child Nutrition: The achievable imperative for global progress. UNICEF Doi: https:// www. unicef. org/nutrition/index_68661.

Wadde SK, Vedpathak VL, Yadav VB. Breast feeding practices in rural mothers of Maharashtra. Int J Recent Trends Sci Tech. 2011;1(3):115-119.

Rathaur VK, Pathania M, Pannu C, Jain A, Dhar M, Pathania N, Goel R. Prevalent infant feeding practices among the mothers presenting at a tertiary care hospital in Garhwal Himalayan region, Uttarakhand, India. J Fam Med Primary Care. 2018;7(1):45.

National Family Health Survey (NFHS-2), India, 1998-99. Mumbai: International Institute for Population Sciences and ORC Macro; 2000 Available at: https:// hetv.org/pdf/nfhs/india/indintro.

Ghosh S, Shah D. Nutritional problems in urban slum children. Indian Pediatr. 2004;41(7):682-696.

Dasgupta A, Naiya S, Ray S, Ghosal A, Pravakar R, Ram P. Assessment of Infant and Young Child Feeding Practices among the Mothers in a Slum Area of Kolkata: A Cross Sectional Study. Int J Biol Med Res. 2014;5(1):3855-3861.

Raval D, Jankar D, Singh M. A study of breast-feeding practices among infants living in slums of Bhavnagar city, Gujarat, India. Health, J Indian Associat Prevent Social Med. 2011;78(5.44):1-19.

Jain S, Borle A, Agrawal SS, Mishra MK, Gupta SK, Bathma V. Assessment of Infant and Young Child Feeding Practices Among Mothers in Rural Madhya Pradesh. National J Commun Med. 2014;5(4):419-423.

Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breast-feeding initiation increases risk of neonatal mortality. Pediatr. 2006;117(3): e380-e386. doi:10. 1542 / peds. 2005-1496.

11th Five Year Plan Report of Working Group on Integrating Nutrition with Health; Government of India, Ministry of Women and Child Development; 2006.p. 13 Available at https://motherchildnutrition.org/india.

Bagul AS, sahebrao Supare M. The infant feeding practices in an urban slum of Nagpur, India. Journal of clinical and diagnostic research: JCDR. 2012;6(9): 1525-1527. doi: 10.7860/JCDR/2012/4622.2549

Roy S, Dasgupta A, Pal B. Feeding practices of children in an urban slum of kolkata. Indian J Community Med. 2009;34(4):362-363. doi: 10.4103/ 0970-0218.58402.

Aneja B, Singh P, Tandon M, Pathak P, Singh C, Kapil U. Etiological factors of malnutrition among infants in two urban slums of Delhi. Indian Pediat. 2001; 38(2):160-165.


Refbacks

  • There are currently no refbacks.