Knowledge, Attitude and Practices (KAP) of low economy status women regarding Complementary Feeding in Northern Punjab.

Jump To References Section

Authors

  • Mona Saini
     ,IN
  • Kritika Gupta
     ,US
  • Yogesh Gat
     ,IN
  • Vidisha Tomer
     ,IN

Keywords:

Infant Nutrition, Infant Feeding Practices, taboos, Z Score, Complementary Feeding Practices

Abstract

Mothers of 200 infants (6-12 months) belonging to low-socioeconomic families were interviewed with the aim to study the existing complementary feeding practices and overall nutrition knowledge among them. The anthropometric assessment was carried out for the infants and was compared with WHO standardized z scores for indicators like weight-for-length/height, length/height-for-age, weight-for-age, and BMI-for-age. The latter three indicators were found to poorly comply with the WHO standards. The association between a mother's educational status and nutrition indicators was tested with Pearson's correlation coefficient. It was found that where the overall nutrition knowledge of the mothers showed satisfactory results, a huge gap existed concerning the feeding practices. A high prevalence of cultural beliefs and myths were found to be associated with infant malnutrition. The dietary pattern of the infants was studied in detail using 24-hour recall method and food frequency questionnaire. Less than half of the sample conformed to WHO nutrition indicators like minimum meal diversity. The minimum meal frequency for the whole sample was 0.74 whereas the minimum acceptable diet was 0.094. With such feeding practices, fighting micronutrient deficiencies has become a major challenge in India. It is suggested that grass root level initiatives be taken to curb all forms of malnutrition, right from infancy.

Downloads

Published

2021-06-10

How to Cite

Saini, M., Gupta, K., Gat, Y., & Tomer, V. (2021). Knowledge, Attitude and Practices (KAP) of low economy status women regarding Complementary Feeding in Northern Punjab. Journal of Indian Dietetics Association, 42(2), 48–64. Retrieved from https://www.informaticsjournals.com/index.php/jida/article/view/27927

Issue

Volume 42, Issue 2, December 2019

Section

Articles

 

References

Akinola, O. O., Opreh, O. P., & Hammed, I. a. (2014). Formulation of local ingredient-based complementary food in South West Nigeria. IOSR - Journal of Nursing and Health Science, 3(6), 5761.

Arulda, K., Khan, M. ., & Hazra, A. (2010). Increasing Appropriate Complementary Feeding In Rural Uttar Pradesh. The Journal of Family Welfare, 56(Special Issue), 51-56.

Bains, K., Kaur, H., Bajwa, N., Kaur, G., Kapoor, S., & Singh, A. (2015). Iron and zinc status of 6- month to 5-year-old children from low-income rural families of Punjab, India. Food and Nutrition Bulletin, 36(3), 254-263.

Bhanderi, D., & Choudhary, S. (2011). A Community Based Study Of Feeding And Weaning Practices In Under Five Children In Semi Urban Community Of Gujarat. N ational Journal of Community Medicine, 2(2), 277-283.

Bhandari, N., Mazumder, S., Bahl, R., Martines, J., & Black, R. E. (2004). Community and International Nutrition An Educational Intervention to Promote Appropriate Complementary Feeding Practices and Physical Growth in Infants and Young Children in Rural Haryana , India 1, (May), 2342-2348.

Caulfield, L. E., Bose, A., Chandyo, R. K., Nesamvuni, C., De Moraes, M. L , Turab, A .,... Ahmed, T. (2014). Infant feeding practices, dietary adequacy, and micronutrient status measures in the MAL-ED study. Clinical Infectious Diseases, 59(January), S248-S254.

Cribb, V. L , Warren, J. M., & Emmett, P. M. (2012). Contribution of inappropriate complementary foods to the salt intake of 8-month-old infants. European Journal o f Clinical Nutrition, 66(1), 104-110.

Jani, R., Udipi, S. A., &Ghugre, P. S. (2009). Mineral content of complementary foods. In d ia n Journal o f Pediatrics, 76(1), 37-44.

Javalkar, S. R., & Aras, R. Y. (2018). A study on complementary feeding practices among mothers in urban and rural areas. International Journal of Community Medicine and Public Health In t J Community Med Public Health, 55(3), 1162-1166.

Khadivzadeh, T., & Parsai, S. (2004). Effect of exclusive breastfeeding and complementary feeding on infant growth and morbidity. Eastern Mediterranean Health Journal, 10(3), 289-294.

Kambli, S. (2012). Mother's Knowledge Regarding Weaning Process in Infants. International Journal o f Science and Research (IJSR) ISSN (Online Impact Factor, 3(7), 23197064.

Lodha, S., & Bharti, V. (2013). Assessment of Complementary Feeding practices and misconceptions regarding foods in young mothers. Ijfans.Com, 2(3), 23207876.

Patel, A., Pusdekar, Y., Badhoniya, N., Borkar, J., Agho, K. E., & Dibley, M. J. (2012). Determinants of inappropriate complementary feeding practices in young children in India: Secondary analysis of National Family Health Survey 2005-2006. Maternal and Child Nutrition, 8(SUPPL. 1), 2844.

Pries, A. M., Huffman, S. L., Champeny, M., Adhikary, I., Benjamin, M., Coly, A. N .,... Zehner, E. (2017). Consumption of commercially produced snack foods and sugar-sweetened beverages during the complementary feeding period in four African and Asian urban contexts. Maternal and Child Nutrition, 13(May 2016).

Rajesh, D., & Bhavana, D. (2016). A study on infant feeding practices in the urban slums: a cross sectional study. International Journal of Contemporary Pediatrics, 3(2), 350-354.

Rao, N., & Kaul, V. (2018). India's integrated child development services scheme: challenges for scaling up. Child: Care, Health and Development, 44(1), 3140.

Sabharwal, V. (2014). Myths and Beliefs Surrounding Complementary Feeding Practices of Infants in India. Journal of Community Nutrition & Health,

(1), 3438.

Sahoo, J., Mahajan, P. B., Paul, S., Bhatia, V., Patra, A. K., & Hembram , D. K. (2016) . Operational Assessment of ICDS Scheme at Grass Root Level in a Rural Area of Eastern India: Time to Introspect. Journal of Clinical and Diagnostic Research: JCDR, 10(12), LC28-LC32.

Senarath, U., & Dibley, M. J. (2012). Complementary feeding practices in South Asia: analyses of recent national survey data by the South Asia Infant Feeding Research Network. Maternal & Child Nutrition.

Sethi, V., Kashyap, S., & Seth, V. (2003). Effect of nutrition education of mothers on infant feeding practices. The Indian Journal of Pediatrics, 70(6), 463-466.

Shankar, B., Agrawal, S., Beaudreault, A. R., Avula, L., Martorell, R., Osendarp, S., ... Mclean, M. S. (2017). Dietary and nutritional change in India: implications for strategies, policies, and interventions. Annals of the New York Academy of Sciences, 1395(1), 49-59.

Sinhababu, A., Mukhopadhyay, D. K., Panja, T. K., Saren, A. B., Mandal, N. K., & Biswas, A. B. (2010). Infant-and young child-feeding practices in Bankura district, West Bengal, India. Journal of Health, Population and Nutrition, 28(3), 294-299.

UNICEF. (2018). Infant and young child feeding, (July).

Vossenaar, M., Hernandez, L., Campos, R., & Solomons, N. W. (2013). Several "problem nutrients" are identified in complementary feeding of Guatemalan infants with continued breast feeding using the concept of "critical nutrient density." European Journal of Clinical Nutrition.

Wang, J., Chang, S., Zhao, L., Yu, W., Zhang, J., Man, Q .,... Yin, S. A. (2017). Effectiveness of community-based complementary food supplement (Yingyangbao) distribution in children aged 6-23 months in poor areas in China. PLoS ONE, 12(3), 114.

World Health Organization. (2009). Infant nutrition. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals, 199.

Zahiruddin, Q., Gaidhane, A., Kogade, P., Kawalkar, U., Khatib, N., & Gaidhane, S. (2016). Challenges and Patterns of Complementary Feeding for Women in Employment: A Qualitative Study from Rural India. Current Research in Nutrition and Food Science Journal, 4(1), 4853.