Understanding the Enablers and Barriers to Appropriate Infants and Young Child Feeding Practices in India: A Systematic Review

Dhami, Mansi Vijaybhai; Ogbo, Felix Akpojene; Akombi-Inyang, Blessing; Torome, Raphael; Agho, Kingsley

doi:10.3390/nu13030825

Cited by 14 publications

(11 citation statements)

References 95 publications

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“…Although many of the trials have shown a positive association between maternal education and breastfeeding practices, there are some data suggesting maternal education to be negatively associated with exclusive breastfeeding. [ 32 ] In our study, we found it negatively associated with nighttime feeds. This may again be a region-specific finding.…”

Section: Discussionsupporting

confidence: 50%

Infant and young child feeding (IYCF) practices and their determinants in two Urban districts of India

Bansal

Odedra

Talati³

et al. 2021

Journal of Family Medicine and Primary Care

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Introduction: It is essential to maintain optimal nutrition during the early years of life when the growth rate is maximum. Aims and Objectives: Our study investigated the prevalence of various feeding practices. We also explored their association with different sociodemographic, biomedical variables, and childhood morbidity. Methodology: This was a cross-sectional community-based study. Data were collected through a questionnaire-based survey of mothers of school-going children aged 2–6 years in the districts of Anand and Vadodara, Gujarat. Results: A total of 367 mothers participated in the study. About 78% of the mothers did early initiation of breastfeeding within 1 h of birth, and 68% gave colostrum to the newborn. Around 30% of the mothers practiced bottle feeding, and 25% gave prelacteal feeds. Most mothers received good family support for breastfeeding (93.73%). On univariate analysis, we found the following associations of feeding practices—breastfeeding initiation with the gender of the baby ( P value—0.006) and type of delivery ( P value < 0.001); the duration of exclusive breastfeeding with the time difference between two deliveries ( P value—0.027) and maternal age ( P value—0.004); prelacteal feeds with the type of delivery ( P value—0.034); feeding difficulty with the time difference between two deliveries ( P value < 0.001) and breastfeeding at night with maternal education ( P value—0.002). The time of the initiation of breastfeeding was associated with cough and cold episodes. No other association was found between breastfeeding variables and health indicators. Conclusion: Maternal age, maternal education, the time difference between two deliveries, the type of delivery, and gender of the baby were significantly associated with different Infant and Young Child Feeding (IYCF) practices. Identifying these factors might help in the development of strategies for optimizing feeding practices.

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Section: Discussionsupporting

confidence: 50%

Infant and young child feeding (IYCF) practices and their determinants in two Urban districts of India

Bansal

Odedra

Talati³

et al. 2021

Journal of Family Medicine and Primary Care

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“…erefore, mothers who had higher household wealth had better ACFP compared to mothers who had lower household wealth. Other studies support this finding [42,43,[45][46][47]49]. Mothers who have higher household wealth are more likely to have food security for their babies.…”

Section: Discussionmentioning

confidence: 73%

“…erefore, the odds of ACFP increased, and mothers who had repeated ANC visits, repeated PNC visits, and institutional delivery had more ACFP than mothers who did not have these. Different studies also revealed that mothers who had repeated ANC visits, repeated PNC visits, and institutional delivery increased ACFP [41][42][43][45][46][47]. is might be because IYC feeding advice and counseling are components of ANC, PNC, and delivery services.…”

Section: Discussionmentioning

confidence: 99%

Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis

Dagne

Zewude

Semahegn

2022

Journal of Nutrition and Metabolism

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Background. Appropriate complementary feeding practices prevent malnutrition among children. The proportion and determinant factors of appropriate complementary feeding practices identified by different studies were inconsistent in Ethiopia. Therefore, this systematic review and meta-analysis aimed to assess the pooled proportion and determinants of appropriate complementary feeding practices among mothers. Methods. Databases (PubMed, HINARI, Google Scholar, Cochrane Library, and Web of Science) and university repositories were used to search for important articles. A critical appraisal of the studies was conducted. Data analysis was conducted using STATA version 11. Cochran (Q test) and I2 test were used to test the heterogeneity of the studies. Publication bias was checked using the funnel plot for asymmetry and Egger’s regression test. Results. Seventeen primary studies with a total sample size of 9166 mothers were involved in this study. The pooled proportion of appropriate complementary feeding practices among mothers who had infants and young children aged between 6 and 24 months was 21.77 (with a 95% CI: 14.07–29.48). Mothers’ educational status of secondary school and above (OR = 3.36 with a 95% CI: 3.03–3.69), having repeated antenatal care visits (OR = 4.77 with a 95% CI: 3.49–6.05), child’s age between 12 and 24 months (OR = 3.7 with a 95% CI: 2.75–4.65), having repeated postnatal care visits (OR = 3.17 with a 95% CI: 1.96–4.38), health education (OR = 4.88 with a 95% CI: 3.86–5.9), knowledge of mothers (OR = 4.85 with a 95% CI: 3.77–5.93), maternal age between 18 and 35 years (AOR = 2.67 with a 95% CI: 1.64–3.72), institutional delivery (OR = 2.23 with a 95% CI: 1.79–2.68), and higher household wealth (OR = 2.65 with a 95% CI: 1.46–3.84) were found to be statistically significant associated factors of appropriate complementary feeding practices among mothers. Conclusions. The pooled proportion of appropriate complementary feeding practices was low in Ethiopia. Knowledge of mothers and maternal health service uptake such as antenatal care, postnatal care, and institutional delivery increase appropriate complementary feeding practices. More focus is required for mothers who have children aged less than 12 months, mothers aged above 35 years and less than 18 years, lower mothers’ educational status, and lower household wealth. Therefore, integrated interventions are still required to improve appropriate complementary feeding practices.

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“…Similarly, studies in South Asia and West Africa also reported that the birth interval and birth order were associated with EIBF [ 19 , 22 ]. Findings from studies in Ethiopia and India also concluded that birth order and birth interval were among the predictors of EBF [ 23 , 24 ]. First-time mothers are less likely to use healthcare services regarding delivery and breastfeeding; therefore, the prevalence of EIBF and EBF was lower in this group.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey

Nurokhmah

Rahmawaty

Puspitasari

2022

J Prev Med Public Health

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Objectives: Understanding the factors influencing mothers’ decision to breastfeed their infants is essential to formulate effective breastfeeding interventions. This study explored the determinants of optimal breastfeeding indicators in Indonesia.Methods: We used the 2017 Indonesia Demographic and Health Survey to analyze factors associated with early initiation of breastfeeding, exclusive breastfeeding (EBF), and continued breastfeeding at 1 year (CBF-1) and 2 years (CBF-2). Multivariate logistic regression models were used to examine bio-demographic, socio-cultural, and behavioral characteristics associated with breastfeeding after considering the survey design effect.Results: The risk of delayed breastfeeding initiation was higher among infants who were born smaller, first-born children, were delivered via cesarean delivery, and did not have immediate skin-to-skin contact (p<0.01). Infant’s age, birth pattern, household wealth index, and the mother’s occupation and smoking status were predictors of EBF (p<0.05). CBF-1 was less common among first-time mothers and those working in the non-agricultural sector, mothers from wealthier families, and mothers who had cesarean deliveries (p<0.01). Infant’s age was negatively associated with CBF-2 (adjusted odds ratio [aOR], 0.85; 95% confidence interval [CI], 0.74 to 0.99). Mothers attending college were less likely to practice CBF-2 than those with no education or primary education (aOR, 0.45; 95% CI, 0.26 to 0.77). The absence of postnatal visits was a risk factor for CBF-1 and CBF-2 (p<0.05).Conclusions: Breastfeeding interventions in Indonesia should pay particular attention to at-risk groups such as women from wealthier families, working outside the agricultural sector, and with a higher education level. Nutrition-sensitive programs (e.g., postnatal care and smoking cessation) should also be encouraged.

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Understanding the Enablers and Barriers to Appropriate Infants and Young Child Feeding Practices in India: A Systematic Review

Cited by 14 publications

References 95 publications

Infant and young child feeding (IYCF) practices and their determinants in two Urban districts of India

Infant and young child feeding (IYCF) practices and their determinants in two Urban districts of India

Appropriate Complementary Feeding Practice and Its Associated Factors among Mothers Who Have Children Aged between 6 and 24 Months in Ethiopia: Systematic Review and Meta-Analysis

Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey

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