Determinants of Infant and Young Child Feeding Practices in Nepal: Secondary Data Analysis of Demographic and Health Survey 2006

Pandey, Sharada; Tiwari, Kalpana; Senarath, Upul; Agho, Kingsley; Dibley, Michael J.

doi:10.1177/156482651003100222

Cited by 66 publications

(87 citation statements)

References 4 publications

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“…Our results indicated that infant and young child feeding practices in the South Asia region have not reached the expected levels that are required to achieve a substantial reduction in child a. The adjusted odds ratios for these factors from the multiple logistic regression models can be found in table 5 in the papers in this Special Section from Bangladesh [17], India [18], and Nepal [19] and in table 4 in the paper from Sri Lanka [20]. b.…”

Section: Discussionmentioning

confidence: 73%

“…a. The adjusted odds ratios for these factors from the multiple logistic regression models can be found in table 5 in the papers in this Special Section from Bangladesh [17], India [18], Nepal [19], and Sri Lanka [20].…”

Section: Discussionmentioning

confidence: 99%

“…The data sets for the Sri Lanka Demographic and Health Survey 2006-07 [14] and the Pakistan Demographic and Health Survey 2007 were not available at the time of this study. The details of survey methodology, sampling procedure, and questionnaires are available in the respective Demographic and Health Survey reports and are also described in the individual country papers in this series [17][18][19][20].…”

Section: Methodology Data Sourcesmentioning

confidence: 99%

See 2 more Smart Citations

Across-Country Comparisons of Selected Infant and Young Child Feeding Indicators and Associated Factors in Four South Asian Countries

Dibley

Senarath

et al. 2010

Food Nutr Bull

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Methodology Data Sourcesmentioning

confidence: 99%

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Across-Country Comparisons of Selected Infant and Young Child Feeding Indicators and Associated Factors in Four South Asian Countries

Dibley

Senarath

et al. 2010

Food Nutr Bull

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“…Some common factors such as changing lifestyles, aggressive promotion of formula milk, a general unawareness of the importance of breast-feeding and perceived insufficiency of milk could play important roles in contributing towards suboptimal feeding practices. In women delivered through Caesarean section there is a perceived insufficiency of milk contributing towards high bottle-feeding rate, which is a common finding in India, Nepal, Sri Lanka and China where it was the main reason for delayed contact (21,(34)(35)(36) . This perceived insufficiency was also found to be the most common cause for discontinuing breast-feeding of children in Australia (37) .…”

Section: Discussionmentioning

confidence: 99%

Determinants of suboptimal breast-feeding practices in Pakistan

Hazir

Akram²,

Nisar

et al. 2012

Public Health Nutr.

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Objective: Exclusive breast-feeding is estimated to reduce infant mortality in lowincome countries by up to 13 %. The aim of the present study was to determine the risk factors associated with suboptimal breast-feeding practices in Pakistan. Design: A cross-sectional study using data extracted from the multistage cluster sample survey of the Pakistan Demographic and Health Survey 2006-2007. Setting: A nationally representative sample of households. Subjects: Last-born alive children aged 0-23 months (total weighted sample size 3103). Results: The prevalences of timely initiation of breast-feeding, bottle-feeding in children aged 0-23 months, exclusive breast-feeding and predominant breastfeeding in infants aged 0-5 months were 27?3 %, 32?1 %, 37?1 % and 18?7 %, respectively. Multivariate analysis indicated that working mothers (OR 5 1?48, 95 % CI 1?16, 1?87; P 5 0?001) and mothers who delivered by Caesarean section (OR 5 1?95, 95 % CI 1?30, 2?90; P 5 0?001) had significantly higher odds for no timely initiation of breast-feeding. Mothers from North West Frontier Province were significantly less likely (OR 5 0?37, 95 % CI 0?23, 0?59; P , 0?001) not to breast-feed their babies exclusively. Mothers delivered by traditional birth attendants had significantly higher odds to predominantly breast-feed their babies (OR 5 1?96, 95 % CI 1?18, 3?24; P 5 0?009). The odds of being bottle-fed was significantly higher in infants whose mothers had four or more antenatal clinic visits (OR 5 1?93, 95 % CI 1?46, 2?55; P , 0?001) and belonged to the richest wealth quintile (OR 5 2?41, 95 % CI 1?62, 3?58; P , 0?001). Conclusions: The majority of Pakistani mothers have suboptimal breast-feeding practices. To gain the full benefits of breast-feeding for child health and nutrition, there is an urgent need to develop interventions to improve the rates of exclusive breast-feeding.

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“…This study has found that demographic determinants such as age of mother, level of education, age and gender of child, family type and size were found to be associated significantly with nutritional problems in 3-5 years old children of Kaski district [51], [59]. present study revealed that majority of respondents (57%) had more…”

Section: Discussionmentioning

confidence: 48%

Study on Nutritional Problems in Preschool Aged Children of Kaski District of Nepal

Acharya

Teijlingen

Murphy

et al. 2015

JMRH

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Undernutrition remains a key public health burden in Nepal. This study aimed to measure knowledge, attitudes, and beliefs about nutritious food amongst mothers of 3 – 5-year-olds from rural and urban areas. A cross-sectional mixed-methods approach comprised a quantitative survey and qualitative focus groups. The community-based survey included 524 mothers of children who are no longer breastfed. Open-ended and structured questions investigated knowledge, beliefs and attitudes about nutritious food, child feeding patterns, and major barriers, food insecurity, and health-seeking behaviours. Focus groups were held with key informants, a thematic analysis was applied to the qualitative data. Results: Major barriers to recommending nutritious foods included: lack of knowledge (19%); cost (21%); and culture/beliefs (7%). Nearly 55% children were given fruit once a week. Almost 37% of mothers never gave meat, fish and egg regularly to their children and 34% did not choose healthy food from stores, and 12% lacked food. Most children (57%) had been taken at least once to a spiritual healer and 16% had been taken more than once. The qualitative analysis suggested that important factors of knowledge, attitudes, and beliefs about healthy diet are poverty, education, strong cultural beliefs, family size, household income, time and a growing preference for fast food. Conclusion: Knowledge of and attitudes towards nutritious food is still poor. Beliefs about food practice are strongly embedded in Nepal. Thus, this study shows that policymakers should consider a public health intervention and approach based around changing these largely cultural beliefs and behaviours.

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Determinants of Infant and Young Child Feeding Practices in Nepal: Secondary Data Analysis of Demographic and Health Survey 2006

Cited by 66 publications

References 4 publications

Across-Country Comparisons of Selected Infant and Young Child Feeding Indicators and Associated Factors in Four South Asian Countries

Across-Country Comparisons of Selected Infant and Young Child Feeding Indicators and Associated Factors in Four South Asian Countries

Determinants of suboptimal breast-feeding practices in Pakistan

Study on Nutritional Problems in Preschool Aged Children of Kaski District of Nepal

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