dr saira
DESCRIPTION
TRANSCRIPT
How are infant and young children fed in peri-urban areas? Saira Mehnaz, Ali Jafer Abedi, Zulfia Khan, M.
Athar Ansari, Najam Khalique.
Department of Community Medicine, J. N.Medical College, Aligarh Muslim University,
Aligarh
INTRODUCTION
INTRODUCTION
Impact on child survival.
Critical to improved nutrition, health and development of children.
INTRODUCTION
To evaluate the appropriateness of feeding , we can calculate certain indices in a simple manner.
These indices can help us to manage the feeding of these children at the community level .
Evidence base is the need of the hour
AIMS AND OBJECTIVES
AIMS AND OBJECTIVES
The following study was carried out in a typical peri- urban area to:
1. Assess the prevalence of appropriate of feeding pattern in infants.
2. To assess the factors related to breast feeding pattern and appropriate complementary feeding practices in 12 to 24 months old children.
METHODOLOGY
METHODOLOGY
We used the indicators suggested by WHO in ……
Indicators for assessing infant and young child feeding practices-Part 2 Measurement.
A cross sectional house to house survey using PPS was conducted in the registerd families of UHTC, JNMC AMU, Aligarh.
A preframed- pretested proforma was used for the study
METHODOLOGY
56 infants and 45 children 12 to 24 months were included in the study .
An oral consent was taken
Reason of study explained to mothers
Mothers interviewed in friendly , non formal manner and care taken to give counseling regarding feeding and infant care where needed.
METHODOLOGY
To calculate “IBF age in days”: Date of interview – date of birth
If IBF age in days is less than 730 (2 years) the observation can be included in calculating Indicator, Early initiation of breastfeeding, and Indicator, Children ever breastfed.
METHODOLOGY
To calculate “IYCF age in days”: Date of interview – date of birth.
Use IYCF age in days to determine whether each observation belongs in each “current status” indicator calculation
Example: 6 months = 6 * (365/12) = 183 days. All children less than 183 days of (estimated) age can be included in numerators and denominators for exclusive breastfeeding 0–5 months.
RESULTS
SOCIO-CULTURAL STATUS P>0.05
0-11 months- 56%12-23months- 45%
18-23 months12-17months6-11months0-5months
Age of the child
20
15
10
5
0
Percenta
ge
16
9
131411
9
1613
Female
MaleSex of the child
AGE AND SEX DISTRIBUTION OF THE CHILDREN
SOCIO-CULTURAL STATUS P>0.05
39.6%
45.54%
14.85%
High
Medium
Low
S L Index
39.6%
14.85%
45.54%
SOCIO-CULTURAL STATUS P>0.05
6.93%
4.95%
8.91%
10.89%
15.84%
52.48%
above
Intermediate
high School
Junior high school
Primary
illiterate
Education of the mother
52.48%6.93%
4.95%
3.91%
10.89%
15.84%
EARLY INITIATION OF BREASTFEEDINGChildren born in the last 24 months who were put to the breast within one hour of birth *100 Children born in the last 24 months
43.56%
56.44%
No
Yes
How long after birth was the child put to breast?IMMEDIATELY
FACTORS RELATED TO INITIATION OFBREASTFEEDING(P<0.05)
aboveIntermediatehigh SchoolJunior highschool
Primaryilliterate
Education of the mother
25
20
15
10
5
0
Per
centa
ge
12.28%
5.26%
12.28%14.04%
15.79%
40.35%
Initiation of breastfeeding and education of the mother
HighMediumLow
S L Index
30
25
20
15
10
5
0Per
cent
age
50.88%29
36.84%21
12.28%7
Initiation of breastfeeding and SLI
EXCLUSIVE BREASTFEEDING
UNDER 6 MONTHS
Infants 0–5 months of age who received only breast milk during the previous day Infants 0–5 months of age
Exclusively breastfed
37%Not exclu-sively breast-
fed63%
Exclusive breastfeeding
FACTORS RELATED TO EXCLUSIVE BREASTFEEDING
P<0.05
aboveIntermediatehigh SchoolJunior highschool
Primaryilliterate
Education of the mother
40
30
20
10
0
perc
enta
ge
7.04%2.82%
11.27%9.86%
15.49%
53.52%
Exclusive breastfeeding and Education of the mother
HighMediumLow
S L Index
40
30
20
10
0
Cou
nt
40.85%
49.3%
9.86%
Exclusive BF and SLI
CONTINUED BREASTFEEDING
Children 12–15 months of age who received breast milk during the previous day Children 12–15 months of age
29.7%
70.3%
no
yes
Continued breastfeeding
FACTORS RELATED TO CONTINUED BREASTFEEDINGP<0.05
aboveIntermediatehigh SchoolJunior highschool
Primaryilliterate
Education of the mother
60
50
40
30
20
10
0
Per
centa
ge
23
14
5
15
5287
11
38
no
yesContinued breastfeeding
Cotinued breastfeeding and education of the mother
HighMediumLow
S L Index
40
30
20
10
0
Perc
enta
ge
11118
29
35
7
no
yes
ContinuedBreastfeeding
Continued breastfeeding and SLI
INTRODUCTION OF SOLID, SEMI-SOLID OR SOFT FOODSInfants 6–8 months of age who received solid, semi-solid or soft foods during the previous day Infants 6–8 months of age
36%64
%
Appropriate Complementary feeding
Complementary feed takenComplementary feed not taken
FACTORS RELATED TO INTRODUCTION OF SOLID, SEMI-SOLID OR SOFT FOODS
100% CHILDREN CAME IN THE CATEGORY OF EVERBREASTFED
CONCLUSIONS
Most of the children belonged to the medium SLI
56.4% children received breastmilk within 1st hour of life at the right time
CONCLUSIONS
37% children were exclusively breastfed
Continued breastfeeding was found in about 70% of children
36% were introduced with the solid and semi solid soft food at the appropriate time.
Most of the mothers following appropriate feeding practices came in the medium and high SLI group
THANKYOU