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Published on: September 22, 2023
Infant- and young child-feeding practices in Bankura district, West Bengal, India
Apurba Sinhababu1, Dipta K Mukhopadhyay, Tanmay K Panja
1Department of Community Medicine, B.S. Medical College, Bankura 722 102, West Bengal, India.
Insights
Infant and young child feeding (IYCF) practices in West Bengal, India, show low rates of early and exclusive breastfeeding, and inadequate complementary feeding. These suboptimal infant feeding practices require urgent public health interventions.
Area of Science:
- Public Health
- Nutrition
- Pediatrics
Background:
- Infant and Young Child Feeding (IYCF) practices are critical for child survival and development.
- Suboptimal IYCF practices contribute to malnutrition and increased morbidity in children under two years.
- Understanding local IYCF practices is essential for targeted interventions.
Purpose of the Study:
- To assess the current infant and young child feeding (IYCF) practices in Bankura district, West Bengal, India.
- To identify key challenges and deficiencies in breastfeeding and complementary feeding.
- To provide data for improving IYCF strategies in the region.
Main Methods:
- A community-based, cross-sectional descriptive study was conducted in June-July 2008.
- 647 children under two years were selected using revised 40-cluster sampling.
- Indicators from the Integrated Management of Neonatal and Childhood Illness (IMNCI) and WHO were used.
Main Results:
- Low proportions of early initiation of breastfeeding (13.6%) and exclusive breastfeeding under six months (57.1%).
- Complementary feeding at 6-8 months was low (55.7%).
- Appropriate feeding as per IMNCI protocol was significantly lower in older infants (6-11 months: 15.2%) and children (12-23 months: 8.7%) compared to infants <6 months (57.1%).
Conclusions:
- Key issues identified include late breastfeeding initiation, low exclusive breastfeeding rates, and inappropriate complementary feeding.
- Suboptimal complementary feeding frequency and amount likely contribute to poor feeding practices in older infants and young children.
- There is a critical need to improve IYCF practices in Bankura district through targeted interventions.
Abstract:
A community-based, cross-sectional descriptive study was conducted during June-July 2008 to assess the infant- and young child-feeding (IYCF) practices in Bankura district, West Bengal, India. In total, 647 children aged less than two years selected through revised 40-cluster sampling using the indicators of the Integrated Management of Neonatal and Childhood Illness (IMNCI) and World Health Organization. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding under six months (57.1%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. Appropriate feeding as per the IMNCI protocol was significantly less among infants aged 6-11 months (15.2%) and children aged 12-23 months (8.7%) compared to infants aged less than six months (57.1%), which could be attributable to low frequency and amount of complementary feeding. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding, and inappropriate complementary feeding practices.
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