Document Detail

Across-country comparisons of selected infant and young child feeding indicators and associated factors in four South Asian countries.
MedLine Citation:
PMID:  20707239     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Information on infant and young child feeding is widely available in Demographic and Health Surveys and National Family Health Surveys for countries in South Asia; however, infant and young child feeding indicators from these surveys have not been compared between countries in the region. OBJECTIVE: To compare the key indicators of breastfeeding and complementary feeding and their determinants in children under 24 months of age between four South Asian countries. METHODS: We selected data sets from the Bangladesh Demographic and Health Survey 2004, the India National Family Health Survey (NFHS-03) 2005-06, the Nepal Demographic and Health Survey 2006, and the Sri Lanka 2000 Demographic and Health Survey. Infant feeding indicators were estimated according to the key World Health Organization indicators. RESULTS: Exclusive breastfeeding rates were 42.5% in Bangladesh, 46.4% in India, and 53.1% in Nepal. The rate of full breastfeeding ranged between 60.6% and 73.9%. There were no factors consistently associated with the rate of no exclusive breastfeeding across countries. Utilization of health services (more antenatal clinic visits) was associated with higher rates of exclusive breastfeeding in India but lower rates in Nepal. Delivery at a health facility was a negative determinant of exclusive breastfeeding in India. Postnatal contacts by Public Health Midwives were a positive factor in Sri Lanka. A considerable proportion of infants under 6 months of age had been given plain water, juices, or other nonmilk liquids. The rate of timely first suckling ranged from 23.5% in India to 56.3% in Sri Lanka. Delivery by cesarean section was found to be a consistent negative factor that delayed initiation of breastfeeding. Nepal reported the lowest bottle-feeding rate of 3.5%. Socioeconomically privileged mothers were found to have higher bottlefeeding rates in most countries. CONCLUSIONS: Infant and young child feeding practices in the South Asia region have not reached the expected levels that are required to achieve a substantial reduction in child mortality. The countries with lower rates of exclusive breastfeeding have a great potential to improve the rates by preventing infants from receiving water and water-based or other nonmilk liquids during the first 6 months of life.
Michael J Dibley; S K Roy; Upul Senarath; Archana Patel; Kalpana Tiwari; Kingsley E Agho; Seema Mihrshahi;
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Food and nutrition bulletin     Volume:  31     ISSN:  0379-5721     ISO Abbreviation:  Food Nutr Bull     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7906418     Medline TA:  Food Nutr Bull     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  366-75     Citation Subset:  IM    
Sydney School of Public Health, University of Sydney, NSW, Australia.
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MeSH Terms
Ambulatory Care
Asia, Western
Bottle Feeding / statistics & numerical data
Breast Feeding* / statistics & numerical data
Delivery, Obstetric / methods
Feeding Behavior
Health Promotion* / methods
Health Surveys
Hospitals, Maternity / utilization
Infant Nutrition Disorders / prevention & control
Infant, Newborn
Patient Acceptance of Health Care
Practice Guidelines as Topic
Socioeconomic Factors
World Health Organization
Iqbal Kabir / ; Neetu Badhoniya / ; Sandhya Khadse / ; Sharada Pandey / ; S S P Godakandage / ; Hiranya Jayawickrama / ; Tabish Hazir /

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