Breastfeeding Practices and Nutritional Status of Children Aged One to Five Years in Jaffna District, Sri Lanka

Karthigesu, Kandeepan; Balakumar, S.; Arasaratnam, Vasanthy

doi:10.21048/ijnd.2017.54.2.14899

Cited by 4 publications

(7 citation statements)

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“…This low rate of exclusivity of BF noticed in this part of Africa is not surprising as it is in compliance with previous studies which revealed low rates of EBF (39%) in Africa (Cai et al, 2012), and this accounts partly for the high rate of infectious diseases such as diarrhea and pneumonia among under five children in this continent (Victora et al, 2016). Higher rates of EBF (63.9%) have been observed in Jaffna District, Sri Lanka (Karthigesu et al, 2017).…”

Section: Exclusive Breastfeedingsupporting

confidence: 88%

“…As shown in (Mananga et al, 2014). This finding is not in accordance with the results reported by Karthigesu, Sandrasegarampillai, and Vasanthy Arasaratnam (2017) in Jaffna District, Sri Lanka, where 56.4% of children were breastfed for more than 2 years. A higher percentage (97.8%) of BF duration up to two years and above was reported in the southwest region of Bangladesh (Islam et al, 2013).…”

Section: Duration Of Breastfeedingkcontrasting

confidence: 66%

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An assessment of the breastfeeding practices in Momo division, North West region of Cameroon

Mirabelle

Richard

2020

Food Science & Nutrition

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The aim of this study was to assess maternal breastfeeding practices of children aged 0 to 24 months in Momo Division. It was also to identify the maternal sources of breastfeeding information and determine their impact on maternal breastfeeding decision in this division. Structured interviewer questionnaires were administered to 540 mothers. Among the 540 children included in the study, 77% of them received no prelacteal foods. Despite the fact that 47% of mothers initiated breastfeeding early, only 38% exclusively breastfed their infants for 6 months. Complementary feeding was introduced before the age of 6 months (59.5%). Few infants (2.4%) received complementary feeding later than 6 months. Only 3.1% of the children were breastfed up to two years or beyond. The most common source of breastfeeding information for the mothers is from the family, friends, and neighbors but information from healthcare professionals had the most influential effect on maternal breastfeeding decision. Although a few mothers in Momo Division followed the recommended breastfeeding practices, the breastfeeding practices in this division are generally suboptimal.

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Section: Exclusive Breastfeedingsupporting

confidence: 88%

Section: Duration Of Breastfeedingkcontrasting

confidence: 66%

An assessment of the breastfeeding practices in Momo division, North West region of Cameroon

Mirabelle

Richard

2020

Food Science & Nutrition

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“…This study shows that the prevalence of EBF up to six months among the rural mothers was 71.2% based on “recall since birth”. It was previously reported that the prevalence of EBF until six months was 64.4% in Jaffna District [ 12 ]. The demographic and health survey (DHS) of Sri Lanka reported that the prevalence of EBF was 82%, but it was difficult to relate the DHS survey results with this study as DHS had obtained the data by a “24-h recall”, which can easily be an overestimation [ 18 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, the standard of living and health facilities of rural mothers of developing countries are low. Our previous study has shown that the prevalence of malnutrition was high in rural Jaffna [ 12 ]. The causes could be multifactorial, including the low rate of EBF.…”

Section: Introductionmentioning

confidence: 99%

Determinants of early cessation of exclusive breastfeeding practices among rural mothers from Jaffna District of Sri Lanka

2023

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Background Sri Lanka is an upper-middle-income country with excellent health statistics. However, 2016 Demographic and Health Survey data have shown 82% and 64% of mothers exclusively breastfed infants aged 0–6 months and 4–5 months, respectively. The short duration of exclusive breastfeeding (EBF) has an impact on the growth and development of babies. Since no studies have been reported on EBF practices of the rural mothers in Jaffna District, an administrative district among 25 districts of Sri Lanka, this study aimed to assess the factors influencing the early cessation of EBF. Methods For this community-based cross-sectional study, 338 mother–child pairs were selected from 2013–14. EBF was defined as children not receiving any food or drink, including complementary foods, formula milk or milk products except for medicines and vitamins or mineral drops, other than breast milk since birth. Socio-economic and demographic factors, the influence of the mode of delivery, and knowledge on EBF were obtained using an interviewer-administered questionnaire. The details of EBF and reasons for the cessation of breastfeeding before six months were obtained from a subgroup of mothers (n = 208). Multivariate analysis was performed to explore the correlates of breastfeeding. Results In this study, 71.2% (95% CI 64.5, 77.2) had practiced EBF for six months. Early discontinuation of EBF was practiced by employed mothers (AOR 4.3; 95% CI 1.3, 13.9), mothers of low birth weight babies (AOR 3.6; 95% CI 1.6, 8.2) and those who experienced Cesarean section birth (AOR 2.9; 95% CI 1.2, 6.9). The EBF practiced by mothers of rural Jaffna was not associated with the gender of the babies, type of family, number of children in a family, religion of the household, knowledge on EBF, or family income. Conclusion The prevalence of EBF up to six months was low in rural Jaffna, and it was influenced by employment, birthweight of the babies, and the mode of delivery. To enhance EBF, the Regional Directorate of Health Service, Jaffna, should take necessary action with policymakers to increase maternity leave for at least six months, reduce the Cesarean section rate, and provide nutritional support to pregnant mothers.

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“…), living in hilly areas, co-existence of micronutrient deficiencies, deprived socio-economic status of families, low maternal education, age, and sex of the child are associated with the ID [22,23]. Previously, it was reported that the children from Jaffna District were considerably malnourished [24] and were with low food security [25]. A study conducted among the pregnant mothers in Jaffna District revealed that 65.1% of mothers had ID [26].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the iodine status of children aged 12 to 59 months from Jaffna District, Sri Lanka in the post-iodization era; a descriptive, cross-sectional study

2021

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Background Iodine status, including Iodine Deficiency (ID) of the children aged 12–59 months of Jaffna District, Sri Lanka, have never been studied. This study thus aimed to assess ID among children aged 12–59 months by monitoring the Urinary Iodine Concentrations (UIC), the prevalence of goitre, and the factors causing ID. Method A cross-sectional study was conducted among 846 children aged 12–59 months in Jaffna District, Sri Lanka. Sociodemographic characteristics and other factors were collected using an interviewer-administered questionnaire. Dietary pattern of children was obtained using semi-quantitative food frequency questionnaire. We performed urinary iodine estimation and physical examinations to detect the goitre, according to the World Health Organization criteria. A multivariate logistic linear regression model was used to identify the factors that causing ID. Result The median UIC was 146.4 μg/L (interquartile range = 112.6–185.3 μg/L). Based on the UIC (<100 μg/L), 17.8% had ID, of which 15.7% and 2.1% had mild and moderate ID. The mean consumption of iodine from food was 128.7 (±20.2) μg/day. Gender variation had no influence on ID (p>0.05). Median UIC was significantly associated with living area, wealth status, type of drinking water, and method of iodized salt usage. A higher percentage of ID was significantly associated with younger age [AOR 2.32 (95% CI: 1.31–4.10)], urban area [AOR 1.94 (95% CI 1.27–2.96)], inland regions [AOR 3.20 (95% CI 1.85–5.55)], improper method of iodized salt usage [AOR 3.63 (95% CI: 1.38–9.56)], and low consumption of iodine-containing foods. The neck palpation revealed that only three children had goitre (0.4%). Conclusion This study revealed that high ID among the children in Jaffna children was due to improper usage of iodized salt, even though the iodized salt is freely available in the region, living area, and age, while the prevalence of goitre was not significantly identified as a public health problem.

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Breastfeeding Practices and Nutritional Status of Children Aged One to Five Years in Jaffna District, Sri Lanka

Cited by 4 publications

References 0 publications

An assessment of the breastfeeding practices in Momo division, North West region of Cameroon

An assessment of the breastfeeding practices in Momo division, North West region of Cameroon

Determinants of early cessation of exclusive breastfeeding practices among rural mothers from Jaffna District of Sri Lanka

Factors influencing the iodine status of children aged 12 to 59 months from Jaffna District, Sri Lanka in the post-iodization era; a descriptive, cross-sectional study

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