Infant young child feeding practice and their nutritional status in a

Infant young child feeding practice and
their nutritional status in a national
nutrition program area
S Sharmin , Hoque M Asirul and F Saleh
Department of Community Nutrition, BIHS
EMINENCE , Hena Nibash,3/6 Asad Avenue, Mohammadpur,Dhaka-1207
Correspondence: sharmin@eminence-bd.org, sharmin.sk@gmail.com
Background
Infant and young child feeding (IYCF) practices include
breastfeeding and complementary feeding.
In Bangladesh 43% of children are breastfed within one
hour of birth. (BDHS 2007)
Only 43% of infants (<6 months) are exclusively breastfed, the remainders are given water, other milk, and other
liquids in addition to breast milk. (BDHS 2007)
Exclusive Breastfeeding rate has increased to 64% (BDHS
2011)
Continuation of breastfeeding is 98% (BDHS, 2007)
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Background
Complementary feeding among children age 6–9
months is 74 % . (BDHS 2007)
 Complementary foods given to infants and young
children in Bangladesh are often nutritionally inadequate
and unsafe, leading to malnutrition. (BBF, 2004; BDHS,
2004; BBS/UNICEF, 2003)
41% of children under 5 years are underweight, 43%
stunted and 17% wasted (BDHS, 2007)
 Nutritional status has imporved,36% underweight,41%
stunted and 16% wasted(BDHS 2011) .
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Objective
General objective:
To assess infant young child feeding practice and their
nutritional status in a national nutrition program area.
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Specific objectives
To assess the proportion of the mothers/caregivers followed
IYCF practice according to WHO guidelines in the NNP area.
To assess the IYCN status of under 2 children in the NNP
area.
To assess the association between socio-demographic
characteristics and IYCF.
To assess the association between socio-demographic
characteristics and IYCN.
To assess the association between IYCF and IYCN.
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Method
 A cross-sectional study was conducted in Kapasia
under Gazipur district, Bangladesh. In total, 150 children of
0-2 years were selected purposively.
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Results
Breast feeding status
98
100
90
80
70
60
50
40
30
20
10
0
82.7
67.3
Initiation of Exclusive BF Continuation
BF
of BF
Initiation of BF
Results were expressed as (%)
Exclusive BF
Continuation of BF
7
Starting time of Complementary feeding
100
90
80
70
60
50
40
30
20
10
0
83.1
16.9
Early
starting
Tim ely
starting
Early starting
Tim ely starting
Results were expressed as (%)
8
Strategy to attract children to feed
11.0
24.0
3.0
Feeding slowly
Talking during feeding
17.0
Forcing child to eat
Helping child to eat
45.0
Others
Results were expressed as (%)
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Steps taken by the caregivers for maintaining hygiene before feeding
Steps taken by the caregivers for maintain hygiene
%
Hand and utensil washing practices
Wash hands properly
Wash utensils properly
Wash hands & utensils properly
Nothing
76.0
5.6
11.3
7.0
Results were expressed as (%)
10
Steps taken by the caregivers for maintaining hygiene before feeding
Hand washing after toilet use
Soap
91.5
Ash
3.0
Nothing
4.0
Other
1.5
Type of utensils used
Bottles
34
Cups
26.6
Other
39.4
Results were expressed as (%)
11
Education of mother and EBF
Education
of mother
Pearson 2
EBF
P value
(df=2 )
Yes
No
Illiterate
80.0 %
20.0 %
Primary
94.0 %
6.0 %
Higher
73.0 %
27.0 %
11.247
.004
Results were expressed as (%), 2 test was performed and P<0.05 was level of significance
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Nutritional status
100
90
80
70
60
50
40
30
20
10
0
22
78
WAZ
Normal
11.6
31.7
88.4
68.3
HAZ
Underweight
WHZ
Stunting
Wasting
Results were expressed as (%)
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Sex and nutritional status (HAZ) of children
Sex of
children
Nutritional status
Pearson 2 P value
(df=2 )
Normal
Moderate
stunting
Severe
stunting
Male
42.3 %
46.1 %
11.6 %
Female
88.2 %
11.8 %
0%
15.005
.001
Results were expressed as number (%), 2 test was performed and P<0.05 was level of significance
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Conclusion
In the study area infant young child feeding practices
were good and their nutritional status was acceptable
and
the
prevalence
of
malnutrition
was
low.
Comprehensive policy response is required to address
infant young child nutrition in Bangladesh.
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THANK YOU
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