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Knowledge, Attitudes, and Practices of Responsive Feeding in Rural Sri Lanka (A Qualitative Study)
P Pallewaththa1, S B Agampodi, T C Agampodi
1Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka. vpvijihp@gmail.com
The Ceylon Medical Journal
|August 29, 2019
Summary
Responsive feeding (RF) is crucial for child development but lacking in Sri Lanka. Caregiver knowledge and practices are poor, necessitating community implementation of RF strategies.
Area of Science:
- Child Nutrition
- Public Health
- Pediatrics
Background:
- Responsive feeding (RF) is an effective method for early childhood development.
- RF is not widely adopted in primary healthcare settings and is a gap in Sri Lanka's nutrition programs.
Purpose of the Study:
- To investigate responsive feeding practices among caregivers of infants (6-12 months) in rural Anuradhapura, Sri Lanka.
- To identify challenges and opportunities for improving RF in the study area.
Main Methods:
- A qualitative study was conducted in Padaviya, Sri Lanka.
- Data were collected from 18 mothers and 10 Public Health Midwives using diary studies, interviews, and focus group discussions.
- The framework approach was used for data analysis.
Main Results:
- Caregivers demonstrated poor identification of hunger/satiety cues and lacked hunger-sensitive feeding schedules.
- Feeding environments were often not conducive to psycho-social stimulation, with a tendency towards forceful feeding.
- Knowledge, attitudes, and practices regarding RF were inadequate among both caregivers and health workers.
Conclusions:
- Poor RF practices among caregivers and health workers may negatively impact child growth and development.
- There is a critical need for community-based interventions to promote and implement responsive feeding practices in Sri Lanka.
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