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Infant and young child feeding indicators and determinants of poor feeding practices in India : secondary data analysis of National Family Health Survey 2005–06

By A. Patel, N. Badhoniya, S. Khadse, U. Senarath, K. Agho, M. Dibley, S.K. Roy, I. Kabir, S. Pandey, K. Tiwari, S.S.P. Godakandage, H. Jayawickrama, T. Hazir, D.S. Akram and S. Mihrshahi


Background: In India, poor feeding practices in early\ud childhood contribute to the burden of malnutrition and\ud infant and child mortality.\ud Objective. To estimate infant and young child feeding\ud indicators and determinants of selected feeding practices\ud in India.\ud \ud Methods: The sample consisted of 20,108 children\ud aged 0 to 23 months from the National Family Health\ud Survey India 2005–06. Selected indicators were examined\ud against a set of variables using univariate and\ud multivariate analyses.\ud \ud Results: Only 23.5% of mothers initiated breastfeeding\ud within the first hour after birth, 99.2% had ever\ud breastfed their infant, 89.8% were currently breastfeeding,\ud and 14.8% were currently bottle-feeding. Among\ud infants under 6 months of age, 46.4% were exclusively\ud breastfed, and 56.7% of those aged 6 to 9 months received\ud complementary foods. The risk factors for not exclusively\ud breastfeeding were higher household wealth index\ud quintiles (OR for richest = 2.03), delivery in a health\ud facility (OR = 1.35), and living in the Northern region.\ud Higher numbers of antenatal care visits were associated\ud with increased rates of exclusive breastfeeding (OR for\ud ≥ 7 antenatal visits = 0.58). The rates of timely initiation\ud of breastfeeding were higher among women who were\ud better educated (OR for secondary education or above =\ud 0.79), were working (OR = 0.79), made more antenatal\ud clinic visits (OR for ≥ 7 antenatal visits = 0.48), and\ud were exposed to the radio (OR = 0.76). The rates were\ud lower in women who were delivered by cesarean section\ud (OR = 2.52). The risk factors for bottle-feeding included\ud cesarean delivery (OR = 1.44), higher household wealth\ud index quintiles (OR = 3.06), working by the mother\ud (OR=1.29), higher maternal education level (OR=1.32),\ud urban residence (OR=1.46), and absence of postnatal\ud examination (OR=1.24). The rates of timely complementary\ud feeding were higher for mothers who had more\ud antenatal visits (OR=0.57), and for those who watched\ud television (OR=0.75).\ud \ud Conclusions: Revitalization of the Baby Friendly Hospital\ud Initiative in health facilities is recommended. Targeted\ud interventions may be necessary to improve infant\ud feeding practices in mothers who reside in urban areas,\ud are more educated, and are from wealthier households

Topics: 111700 PUBLIC HEALTH AND HEALTH SERVICES, Breastfeeding, determinants, India, infant feeding, young child
Publisher: United Nations University Press
Year: 2010
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