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Prevalence and factors associated with complementary feeding practices among children aged 6-23 months in India: a

Mansi Vijaybhai Dhami1, Felix Akpojene Ogbo2,3, Uchechukwu L Osuagwu4

  • 1Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, NSW, 2571, Australia.

BMC Public Health
|August 3, 2019
PubMed

Insights

Complementary feeding practices vary widely across Indian regions, impacting child nutrition. Targeted subnational efforts are crucial to improve infant feeding, especially for vulnerable mothers.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • South Asian Studies

Background:

  • Inappropriate complementary feeding practices are a major cause of undernutrition in Indian children under two.
  • Limited up-to-date evidence exists on regional variations in these practices and their associated factors in India.

Purpose of the Study:

  • To investigate the regional prevalence of complementary feeding practices in India.
  • To identify factors associated with these practices at the subnational level.

Main Methods:

  • Utilized data from 69,464 maternal responses in the 2015-16 National Family Health Survey (NFHS).
  • Estimated prevalence of complementary feeding indicators across six administrative regions: North, South, East, West, North-East, and Central.
  • Employed logistic regression (GLLAMM) to analyze factors associated with practices, adjusting for clustering and sampling weights.

Main Results:

  • Significant regional disparities observed in the introduction of complementary foods (South: 61%, Central/North: 38%) and minimum dietary diversity (South: 33%, Central: 12%).
  • Minimum meal frequency and minimum acceptable diet also showed substantial regional variation.
  • Associated factors differed by region, with household wealth, maternal education, and antenatal care visits being significant modifiable factors.

Conclusions:

  • Wide regional differences in the prevalence and determinants of complementary feeding practices necessitate tailored national and subnational interventions.
  • Efforts should prioritize vulnerable mothers, including those with limited education and healthcare access, to improve infant feeding outcomes.
Abstract

Keywords:
Complementary feedingFactors associatedIndiaInfant and young child feedingMalnutrition

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