Association of Infant Feeding Indicators and Infant Feeding Practices with Coexisting Forms of Malnutrition in Children under Six Months of Age

Khaliq, Asif; Wraith, Darren; Miller, Yvette D.; Nambiar, Smita

doi:10.20944/preprints202209.0087.v1

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…We can postulate that exclusive breastfeeding (EBF) recommendation for children aged below six months can be one of the preponderant reasons for the low adherence among young children. During the EBF period, it is advisable to use ORS, medicine, multivitamins, and vaccines in conjunction with breast milk (32,33). However, any solid, semi-solid, liquid, and soft food during the first six months of life reflect a deviation from the recommended feeding standards (32).…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan

Khaliq¹,

Holmes-Stahlman²,

Ali³

et al. 2023

Preprint

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Worldwide, diarrhoea in children under-five years of age is the second leading cause of death. Despite having high morbidity and mortality, diarrhoeal diseases can be averted by simple and cost-effective interventions. The Integrated Management of Childhood Illness (IMCI) has proposed the use of Oral Rehydration Salt (ORS) and zinc together with adequate food and fluid intake for the management of acute non-dysenteric watery diarrhoea in children. In the past, few studies examined the determinants of adherence to diarrhoea case management. Therefore, this study measured the determinants of therapeutic and dietary adherence to diarrhoea case management using the third and fourth wave of Pakistan Demographics & Health Surveys (PDHS) datasets. Data from 4,068 children between 0 to 59.9 months with positive history of diarrhoea were included, while data on children with dysentery, severe dehydration, and co-morbid condition was excluded. This study reported therapeutic adherence in less than 10% of children in Pakistan, while dietary adherence was reported in 39.2% of children (37.7% in 2012-2013 ~ 40.7% in 2017-2018). A significant improvement in therapeutic (0.8% in 2012-2013 ~ 8.1% in 2017-2018) and dietary adherence (37.7% in 2012-2013 ~ 40.7% in 2017-2018) was reported in the 2017-2018 survey, compared to the 2012-2013 survey. In general, children over the age of one year (compared to children <1 year) and of the richer/richest socioeconomic class (compared to poorest/poorer socioeconomic class) have showed higher therapeutic and dietary adherence. Therapeutic and dietary adherence among diarrhoeal children can be improved by increasing the awareness and accessibility of ORS, zinc, and essential foods.

show abstract

Section: Discussionmentioning

confidence: 99%

“…During the EBF period, it is advisable to use ORS, medicine, multivitamins, and vaccines in conjunction with breast milk (32,33). However, any solid, semi-solid, liquid, and soft food during the first six months of life reflect a deviation from the recommended feeding standards (32).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan

Khaliq¹,

Holmes-Stahlman²,

Ali³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan

Khaliq

Holmes-Stahlman

Ali

et al. 2023

Life

Self Cite

View full text Add to dashboard Cite

Worldwide, diarrhoea in children under five years of age is the second leading cause of death. Despite having high morbidity and mortality, diarrhoeal diseases can be averted by simple and cost-effective interventions. The Integrated Management of Childhood Illness (IMCI) has proposed the use of Oral Rehydration Salt (ORS) and zinc together with adequate food and fluid intake for the management of acute non-dysenteric watery diarrhoea in children. In the past, few studies examined the determinants of adherence to diarrhoea case management. Therefore, this study measured the determinants of therapeutic and dietary adherence to diarrhoea case management using the third and fourth wave of Pakistan Demographics and Health Surveys (PDHS) datasets. Data from 4068 children between 0 to 59.9 months with positive history of diarrhoea were included, while data on children with dysentery, severe dehydration, and co-morbid condition was excluded. This study reported therapeutic adherence in less than 10% of children in Pakistan, while dietary adherence was reported in 39.2% of children (37.7% in 2012–2013 and 40.7% in 2017–2018). A significant improvement in therapeutic (0.8% in 2012–2013 and 8.1% in 2017–2018) and dietary adherence (37.7% in 2012–2013 and 40.7% in 2017–2018) was reported in the 2017–2018 survey compared to the 2012–2013 survey. In general, children over the age of one year (compared to children <1 year) and of the richer/richest socioeconomic class (compared to poorest/poorer socioeconomic class) showed higher therapeutic and dietary adherence. Therapeutic and dietary adherence among diarrhoeal children can be improved by increasing the awareness and accessibility of ORS, zinc, and essential foods.

show abstract

Association of Infant Feeding Indicators and Infant Feeding Practices with Coexisting Forms of Malnutrition in Children under Six Months of Age

Cited by 2 publications

References 30 publications

Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan

Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan

Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan

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