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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Correlates of the Timely Initiation of Complementary Feeding among Children Aged 6⁻23 Months in Rupandehi District,
Dilaram Acharya1,2, Radha Subedi3, Kwan Lee4
1Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju, 123 Dongdae-ro, Gyeongju-si 38066, Korea. dilaramacharya123@gmail.com.
Insights
In Nepal, less than 60% of children aged 6-23 months start complementary feeding on time. Maternal education, occupation, and child factors like male gender and micronutrient intake are key predictors.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Timely initiation of complementary feeding is crucial for child development but under-researched in Nepal.
- Existing knowledge on predictors is limited in the Nepalese context.
Purpose of the Study:
- To identify factors associated with the timely initiation of complementary feeding in Nepalese children aged 6-23 months.
- To inform the Nepalese Infant and Young Child Feeding (IYCF) program.
Main Methods:
- Community-based cross-sectional study in Rupandehi district, Nepal.
- Simple random sampling of 155 mother-child pairs.
- Logistic regression analysis to identify independent associations.
Main Results:
- Only 3 in 5 children initiated complementary feeding at the recommended age (6 months).
- Maternal literacy and employment in service/business sectors were linked to timely initiation.
- Child factors including male gender, higher birth order, and micronutrient consumption were also associated with timely initiation.
Conclusions:
- Maternal education and occupation are significant predictors of timely complementary feeding in Nepal.
- Child characteristics such as gender and micronutrient intake also play a role.
- The Nepalese IYCF program should target these identified predictors in its strategies.
Abstract:
Although the predictors of the timely initiation of complementary feeding are well-known elsewhere, there is less awareness of the topic in Nepal. The current study was undertaken to identify the correlates of timely initiation of complementary feeding among children aged 6⁻23 months. A community-based cross-sectional study was conducted in the Rupandehi district, Nepal. A total of 155 mother-child pairs were selected using a simple random sampling technique. Logistic regression with adjustment for potential confounders was employed to examine the independent association between risk factors and the timely initiation of complementary feeding. Fewer than 3 in 5 children aged 6⁻23 months received complementary feeding at the recommended time. Literate mothers and a maternal occupation in the service or business sectors were found to be associated with complementary feeding at 6 months. In addition, child characteristics such as birth order, male children, and those fed micronutrients were also more likely to have been received complementary feeding at 6 months than their counterparts. Maternal education and occupation, and child characteristics such as, birth order, male gender, and micronutrient consumption, which are correlates of the timely initiation of complementary feeding, suggest that the Nepalese Infant and Young Child Feeding (IYCF) programme should target these predictors while designing preventive strategies.
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