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Contextualising complementary feeding in a broader framework for stunting prevention

Christine P Stewart1, Lora Iannotti, Kathryn G Dewey

  • 1Program in International and Community Nutrition, Department of Nutrition, University of California, Davis, CA.

Maternal & Child Nutrition
|October 1, 2013
PubMed

Insights

Child stunting, affecting 165 million children, stems from poor nutrition and infections during the critical 6-24 month complementary feeding period. Addressing this requires understanding broader societal factors influencing infant feeding practices.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition Science

Background:

  • Child stunting affects 165 million children globally, with severe consequences.
  • The complementary feeding period (6-24 months) is critical for development and sensitive to stunting.
  • Stunting results from a complex interplay of poor nutrition, infection, and inadequate stimulation.

Purpose of the Study:

  • To present a conceptual framework on stunting.
  • To highlight the role of complementary feeding in child development.
  • To identify contextual and causal factors influencing stunting.

Main Methods:

  • Literature review and conceptual framework development.
  • Analysis of contextual determinants of stunting.
  • Synthesis of factors influencing infant and young child feeding practices.

Main Results:

  • A framework is presented linking complementary feeding to stunting.
  • Contextual factors include political economy, health systems, education, socio-culture, food systems, and environment.
  • Infant feeding practices are influenced by societal conditions, impacting growth.

Conclusions:

  • Effective stunting prevention requires addressing multi-level contextual factors.
  • Interventions must consider proximal and distal determinants of child growth.
  • Transdisciplinary research and policy informed by comprehensive assessments are crucial.

Keywords:
World Health Organizationcomplementary feedingconceptual frameworkhealthy growth and developmentstunting, transdisciplinary approaches

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