scholarly journals The Implementation of Infant and Young Children Feeding Counseling

2021 ◽  
Vol 9 (E) ◽  
pp. 224-228
Author(s):  
Elvyrah Faisal ◽  
Fahmi Hafid ◽  
Dwi Erma Kusumawati ◽  
Nasrul Nasrul ◽  
Jurana Jurana

BACKGROUND: Counseling is an important part of successful infant and young child feeding (IYCF). Optimal IYCF is a key area for improving child survival and promoting healthy growth and development. AIM: The purpose of this study is to determine the characteristics and to provide an overview of the input, process, and output components of IYCF counseling in the Central Sulawesi stunting area. MATERIALS AND METHODS: This type of research is a semi-quantitative study which describes the knowledge and abilities of counselors. The population in this study were nutrition officers, midwives, and cadres who had received IYCF training and had followed the orientation of the IYCF module for at least 30 h in stunting focus locations. The sample in the study was counselors who received training in three subdistricts of Central of Sulawesi. RESULTS: The informants were 14 IYCF counselors. All respondents were female, aged 22–48 years. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. In general, inadequate counseling room facilities are the barrier faced by counselors. Training was only limited to orientation and there was no post-training monitoring. The activities carried out by the counselor are in the range of 70–86%. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children. IYCF increases knowledge about breastfeeding better than milk formulas, the right type and age of feeding. The training has referred to the module referring to the WHO/UNICEF module which is presented in 37 h of field lessons. CONCLUSIONS: Counseling is an important part of successful IYCF. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children.

Author(s):  
Sudhir Shankar Mane ◽  
Pranitha Reddy Chundi

Background: The objective of the study was to assess Infant and Young Child Feeding (IYCF) practices using World Health Organization indicators in infants and young children attending immunization clinics. Methods: A hospital based cross-sectional study was designed in a tertiary care hospital in an urban setup. Infant and young children from birth to 24 months attending immunization clinics were included. Main outcome measures were to assess IYCF Practices (8 Core and 7 Optional Indicators) and possible reasons for not practicing the same. Results: A total of 520 mothers attending immunization clinics were interviewed from June to July 2014. Mean age of the children was 32.5 weeks. 50.1% and 47.6% belonged to Hindu and Muslim religion respectively. Only 33.78% children were breastfed within one hour of birth. Among those who had not initiated breastfeeding within one hour of birth, 60.6% were not aware and the most common reason was caesarean section. In children older than 6 months, only 80% of children were exclusively breast fed for six months and the most common reason was insufficient breast milk. Only 72.5% of mothers introduced complementary foods from 6 to 9 months. Conclusions: The study shows poor IYCF practices in children attending immunization clinic at an urban tertiary care hospital. There is a clear knowledge gap among mothers. These faulty practices need to be addressed to improve feeding practices so as to maximize their benefits to the child. The study did not assess nutritional status of children. This would have been useful to see how inadequate IYCF practices were associated with nutritional status of the children. 


2020 ◽  
Author(s):  
Richard Mbusa Kambale ◽  
Gaylord Amani Ngaboyeka ◽  
Joe Bwija Kasengi ◽  
Sarah Niyitegeka ◽  
Boss Rutakaza Cinkenye ◽  
...  

Abstract Background In DRC, childhood undernutrition remains a serious public health concern. Internationally recommended infant and young child feeding (IYCF) practices may improve child nutritional status. This study aimed to describe IYCF practices, factors associated with inappropriate complementary feeding, and infant’s nutritional status.Methods A community-based cross-sectional study including 1,009 mother-infant pair was conducted in August 2019 in 32 health areas (16 in rural health zone and 16 in urban one) of South Kivu, Democratic Republic of Congo (DRC), among mothers who had infants under 24 months of age. Infant’s nutritional status was assessed using WHO Anthro plus software. To describe IYCF practices, we used the indicators recommended by the WHO. To study the factors associated with inappropriate complementary feeding practices, we performed univariable and multiple logistic regression analyzes. The data was analyzed in SPSS version 25.Results The prevalence of early initiation of breastfeeding and exclusive breastfeeding up to 6 months of age was 73.7% and 42.2% respectively. Of the 746 infants aged 6–23.9 months, 246 (32.3%) received appropriate complementary feeding. Of the 997 infants who had valid anthropometric parameters, 416 (41.7%) were well-nourished, 374 (37.5%) were undernourished and 207 (20.8%) were overweight. Multivariable logistic regression analysis revealed that residence in rural area [Adjusted Odds Ratio (AOR): 2.38 (95% Confidence Interval (CI): 1.49, 3.78)], non-attendance at postnatal care (AOR 1.63; 95% CI 1.12, 2.96), low household socioeconomic (AOR 1.72; 95% CI 1.14, 2.59) and low maternal education (AOR 1.83; 95% CI 1.20, 2.77) were factors associated with inappropriate complementary feeding. Mothers with inappropriate complementary feeding practices were 6.88 times more likely to have undernourished infants than their counterparts (AOR 6.88; 95% CI 1.24, 18.37).Conclusion Findings from this study provide strong evidence, both of association between inappropriate complementary feeding and undernutrition, and of the double burden of malnutrition with the co-existence of under- and overnutrition in the infant population in South Kivu. Interventions should focus on both preventing undernutrition and overweight to promote child well-being.


2018 ◽  
Vol 6 (3) ◽  
pp. 789-797 ◽  
Author(s):  
ABU AHAMMAD ABDULLAH ◽  
M. A. RIFAT ◽  
MD. TAREQ HASAN ◽  
MOHAMMAD ZAHIDUL MANIR ◽  
MD. MAHBUB MURSHED KHAN ◽  
...  

This study was conducted among people in the two southern most sub-districts or Upazilas (Teknaf and Ukhiya) of Bangladesh. This area is known nationally and internationally for a number of reasons including the presence of Rohingya refugees, the longest sea beach in the world, the location of a crucial international border between Bangladesh and Myanmar, and its Rakhaine ethnic population. This study focuses on the host community people of these two Upazilas from a nutritional lens. Objectives To assess the socio-economic status, infant and young child feeding (IYCF) practices, household food security levels, hygiene, sanitation and healthcare seeking behavior, and also the nutritional status of children under-five among the population of Teknaf and Ukhiya Upazilas of Cox's Bazar, Bangladesh. The study employed a cross sectional approach. A total of 300 households with at least one 6-59 month old child were randomly selected by two stage cluster sampling in 2014. Data was collected through direct interviews with the participants using a structured questionnaire. Analysis of the data was carried out using the Statistical Package for Social Sciences (version16.0 SPSS Inc, Chicago, IL, USA) and Emergency Nutrition Assessment (ENA) software. Food security was measured by Household Food Insecurity Access Score (HFIAS). The study found that 43.6% of the children were breastfed within 1 hour of birth, 41.9% ofthe children were exclusively breastfed up to six months, and the average duration of exclusive breastfeeding was 5.2 months. Age appropriate meal frequency was found inaccurate for 60.3% of the children aged 9-11 month. The rates of severe stunting, wasting, and underweight among the children were 16.0%, 3.0% and 14.6% respectively. Among the households, 46.9% were severely food insecure. It was found that household food insecurity was significantly associated with household income (p=0.000), maternal education (p=0.000),and stunting (p= 0.005) and wasting (p=0.044) for children under-five. Overall IYCF practices, nutritional status of under-five children and household food security among the studied population were not at a satisfactory level and the status was lower than reference data for the same region.


Author(s):  
Naomi Hull ◽  
Renee L Kam ◽  
Karleen D Gribble

Concerns of mothers seeking breastfeeding support during the COVID-19 pandemic, and the experiences of Australian Breastfeeding Association (ABA) volunteers who assisted them, were explored via an online survey. Surveys were completed 16th March to 18th of May 2020 and described the COVID-19 related concerns of 340 individuals. One hundred and thirty six mothers (64%) sought support to protect their infants by continuing breastfeeding, increasing milk supply, or restarting breastfeeding. Mothers were commonly stressed, isolated and needing reassurance. Thirty four (10%) raised concerns about COVID-19 and breastfeeding safety. One hundred and twenty nine (61%) informed volunteers they were unable to access face-to-face health services because of fear or unavailability. Most common breastfeeding concerns were related to insufficient milk or weight gain, painful breasts, relactation, and reducing supplemental milk. Volunteers reported mothers were worried stress had reduced milk supply, that milk supply concerns were exacerbated by the inability to weigh infants, and that seeking medical treatment was being delayed. ABA volunteers stated they felt supported and confident assisting mothers while also expressing distress at mothers situation. ABAs role in emergency response should be recognised and national planning for infant and young child feeding in emergencies, must be urgently developed, funded, and implemented.


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