ASSESSMENT OF DETERMINANTS OF COMPLEMENTARY FEEDING PRACTICES IN MOTHERS OF LESS THAN 2 YEARS CHILDREN IN RURAL SETTING OF ISLAMABAD
Abstract
Background: Complementary feeding plays a significant role in determining child health up to 2 years of age. This study aimed to determine awareness among mothers about the timely initiation, nutritional adequacy and risks associated with early initiation of CF. Methods: A cross sectional study was conducted on 110 mothers living in Farash town Islamabad.List of women having index child less than 2 years was taken from LHW of that area.Subjects were chosen by simple random sampling.Mothers of children less than 2 years were included and children with any congenital abnormalities and mothers who didn’t give consent were excluded. Structured questionnaire was used for data collection.Descriptive statistic was used to categorize the study population. Summary statistics was used for continuous variable. Results: Ninety-six (87.3%) mothers had knowledge about CF and 88.2% practiced it. Thirty-three (30%) of the respondents had knowledge about correct age of CF and 35 (32%) mothers got CF information from the family members.The risks were known by only 46 (41.8%). Forty (36.4%) had introduced CF at 6 months.Sixty-one (55.5%) faced difficulties while introducing CF. Twenty-eight (45.90%) of children only accepted certain solid foods. Twenty-one (35%) children experienced vomiting. Association was seen between age appropriate CF practice with mother’s education (p=0.034), type of family (p=0.002), father’s profession (p=0.019) and total number of children (p=0.020). Conclusion: Improper feeding practices and inadequate knowledge regarding initiation of CF among mothers was observed.One third mothers initiated CF to their child at the age of 6 months.Same numbers of mothers were giving their child homemade food.Slightly less than half of the mothers knew about risks associated with early introduction of CF.Keywords: Mothers; Complementary feeding practices; DeterminantsReferences
WHO. Infant and young child feeding. Model chapters for text books for medical students and allied health professionals: World Health Organization; 2009. www.thelancet.com/series/breastfeeding
Motee A, Jeewon R. Importance of Exclusive Breastfeeding and Complementary Feeding among Infants. Curr Res Nutr Food Sci 2014;2(2). Doi http://dx.doi.org/10.12944/CRNFSJ.2.2.02
Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. J Nutr 2004;134(10):2579–85.
Kassa T, Meshesha B, Haji Y, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of children age 6-23 months in Southern Ethiopia, 2015. BMC Pediatr 2016;16:131.
Rao S, Swathi P, Unnikrishnan B, Hegde A. Study of complementary feeding practices among mothers of children aged six months to two years-a study from coastal south India. Australas Med J 2011;4(5):252–7.
Kronborg H, Foverskov E, Væth M. Predictors for early introduction of solid food among Danish mothers and infants: an observational study. BMC Pediatr 2014;14(1):243.
Romulus‐Nieuwelink JJ, Doak C, Albernaz E, Victora CG, Haisma H. Breast milk and complementary food intake in Brazilian infants according to socio‐economic position. Int J Pediatr Obes 2011;6(2-2):e508–14.
Khan GN, Ariff S, Khan U, Habib A, Umer M, Suhag Z, et al. Deter minants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: a cross-sectional survey. Int Breastfeed J 2017;12:40.
Aga Khan University, Pakistan. National trends in malnutrition. In: National nutritional survey 2011.2012 [Internet]. Pakistan Medical Research Council (PMRC) Nutrition Wing, Ministry of Health, Pakistan. p.49–50. [cited 2013 Nov 16]. Available from: https://www.mhinnovation.net/sites/default/files/downloads/innovation/research/Pakistan%20National%20Nutrition%20Survey%202011.pdf
Conroy R. Sample size A rough guide. [Internet]. 2015. [cited 2013 Nov 16]. Available from: http://www.beaumontethics.ie/docs/application/samplesizecalculation.pdf
Alzaheb RA. Factors Associated with the Early Introduction of Complementary Feeding in Saudi Arabia. Int J Environ Res Public Health 2016;13(7):702.
Radwan: Patterns and determinants of breastfeeding
and complementary feeding practices of Emirati Mothers in the UnitedArab Emirates. BMC Public Health 2013 13:171.
Kimani-Murage et al.: Patterns and determinants of
breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health 2011 11:396.
Gonah L, Mutambara J. Determinants of Weaning Practices Among Mothers Of Infants AgedBelow 12 Months in Masvingo, Zimbabwe. Ann Glob Health 2016;82(5),875–84.
Gardner H, Green K, Gardner A. Infant feeding practices of Emirati women in the rapidly developing city of Abu Dhabi, United Arab Emirates. Int J Environ Res Public Health 2015;12(9):10923–40.
deOnis M, Blossner M. The World Health Organization Global Database on Child Growth and Malnutrition: methodology and applications. Int J Epidemiol 2013;32(4):518–26.
Mohsin SS, Shaikh AS. Shaikh R, Haider N, Parkash A. Knowledge attitude and practice of mothers regarding complementary feeding. J Dow Univ Health Sci 2014;8(1):21–25.
Scott JA, Dashti M, Al-Sughayer M, Edwards CA. Timing and determinants of the introduction of complementary foods in kuwait: Results of a prospective cohort study. J Hum Lact 2015;31(3):467–73.
Sibeko L, Dhansay MA, Charlton KE, Jhons T, Gray-Donald K. Beliefs, attitudes and practices of breastfeeding mothers from a periurban community in South Africa. J Hum Lact 2005;21(1):31–8.
Scott JA, Binns CW, Graham KI, Oddy WH. Predictors of the early introduction of solid foods in infants: Results of a cohort study. BMC Pediatr 2009;9:60.
El Hassan Al Awad AM, Sonuga‐Barke EJ. Childhood problems in a Sudanese city: A comparison of extended and nuclear families. Child Dev. 1992;63(4):906–14.
Hasnain S, Majrooh MA, Anjum R. Knowledge and practices of mothers for complementary feeding in babies visiting pediatrics outpatient department of Jinnah Hospital, Lahore. Biomedica 2013;29(4):221–30.
Khan MAS, Hossain MM, Banik AK. Factors influencing the weaning knowledge of mothers of under 5 children: A hospital based study. ORION Med J 2007;28:487–9.
Liaqat P, Rizvi MA, Qayyum A, Ahmed H. Association between complementary feeding practice and mothers education status in Islamabad. J Hum Nutr Diet 2007;20(4):340–4.
Issaka AI, Agho KE, Page AN, Burns P, Stevens GJ, Sibley MJ. Determinants of Early Introduction of Solid, Semi-Solid or Soft Foods among Infants Aged 3-5 months in four Anglophone West African Countries. Nutrients 2014;6(7):2602–18.
Memon S, Shaikh S, Kousar T, Memon Y, Rubina. Assessment of Infant Feeding Practice at a tertiary care hospital. J Pak Med Assoc 2010;60(12):1010–5.
Sanwalka N. Inadequate Knowledge and Practice Regarding Complementary Feeding in Mothers from South Asian Countries - Need for Global Public Health Intervention Program. J Clin Nutr Diet 2016;2(4):26.
Osie-Efetie B, Oyibo PG, Okperi BO. Weaning Practices among nursing mothers in Ethiope East Local Government Area of Delta State, Nigeria. Continent J Biomed Sci 2011;5(2):19–28.
Manzoor I, Daud S, Hashmi NR, Bukhari FSA, Munir MK, Mameer S, et al. Weaning: knowledge & practices. Professional Med J 2009;16(2)279–84.
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