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在2013-2019年期间的203个基于人口的调查中,难民环境中的婴儿和幼儿养实践
Behzad Kianian1, Eva Leidman1, Oleg Bilukha1
1Emergency Response and Recovery Branch, Division of Global Health Protection, Global Health Center, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Maternal & child nutrition
|November 2, 2023
概括
婴儿和幼儿养 (IYCF) 实践显示难民中母乳养率很高,但固体和肉类食品的及时引入较低. 需要在这些领域进行改进,以获得更好的儿童营养结果.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 全球健康 全球健康
背景情况:
- 婴儿和幼儿养 (IYCF) 对儿童发育至关重要.
- 了解难民环境中的IYCF实践对于有针对性的干预至关重要.
研究的目的:
- 总结和比较最近的IYCF在难民中的实践与东道国的实践.
- 在非洲各地的不同难民群体中评估IYCF关键指标.
主要方法:
- 分析了来自15个国家和120个地点的203项难民调查.
- 评估八个IYCF指标,包括母乳养和补充养做法.
- 东部和南部非洲 (ESA) 和西部和中部非洲 (WCA) 地区之间的IYCF数据的比较,以及东道国人口.
主要成果:
- 母乳养指标的高中位患病率:96.6%曾经母乳养,81.2%早期开始,76.9%纯母乳养 (0-5个月),75.0%继续母乳养 (12-23个月).
- 与WCA相比,ESA的早期启动率和纯母乳养率明显较高.
- 适时引入固体食品 (51.8%) 和肉类食品消费 (16.1%) 的中位数低,WCA中肉类食品消费较高.
- 难民与东道国人口的母乳摄入量指标相似或更高,而其他指标通常较低.
结论:
- 难民IYCF实践表明,强烈坚持母乳养,但在及时引入固体和肉类食品方面存在重大缺陷.
- 在难民群体中,母乳养实践存在区域差异 (ESA与WCA).
- 迫切需要改善难民的补充食实践,以确保足够的营养和发展.
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