Document Detail


Determinants of infant and young child feeding practices in Nepal: secondary data analysis of Demographic and Health Survey 2006.
MedLine Citation:
PMID:  20707237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Childhood undernutrition and mortality are high in Nepal, and therefore interventions on infant and young child feeding practices deserve high priority. OBJECTIVE: To estimate infant and young child feeding indicators and the determinants of selected feeding practices. METHODS: The sample consisted of 1906 children aged O to 23 months from the Demographic and Health Survey 2006. Selected indicators were examined against a set of variables using univariate and multivariate analyses. RESULTS: Breastfeeding was initiated within the first hour after birth in 35.4% of children, 99.5% were ever breastfed, 98.1% were currently breastfed, and 3.5% were bottle-fed. The rate of exclusive breastfeeding among infants under 6 months of age was 53.1%, and the rate of timely complementary feeding among those 6 to 9 months of age was 74.7%. Mothers who made antenatal clinic visits were at a higher risk for no exclusive breastfeeding than those who made no visits. Mothers who lived in the mountains were more likely to initiate breastfeeding within 1 hour after birth and to introduce complementary feeding at 6 to 9 months of age, but less likely to exclusively breastfeed. Cesarean deliveries were associated with delay in timely initiation of breastfeeding. Higher rates of complementary feeding at 6 to 9 months were also associated with mothers with better education and those above 35 years of age. Risk factors for bottle-feeding included living in urban areas and births attended by trained health personnel. CONCLUSIONS: Most breastfeeding indicators in Nepal are below the expected levels to achieve a substantial reduction in child mortality. Breastfeeding promotion strategies should specifically target mothers who have more contact with the health care delivery system, while programs targeting the entire community should be continued.
Authors:
Sharada Pandey; Kalpana Tiwari; Upul Senarath; Kingsley E Agho; Michael J Dibley;
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Publication Detail:
Type:  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:  334-51     Citation Subset:  IM    
Affiliation:
Ministry of Health, Kathmandu, Nepal. spandey@mail.com.np
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MeSH Terms
Descriptor/Qualifier:
Adult
Aging
Ambulatory Care
Bottle Feeding / statistics & numerical data
Breast Feeding* / statistics & numerical data
Cesarean Section
Educational Status
Feeding Behavior*
Female
Health Promotion*
Health Surveys
Humans
Infant
Infant Food / statistics & numerical data
Infant, Newborn
Male
Maternal Age
Maternal Health Services
Mothers
Nepal
Patient Acceptance of Health Care
Patient-Centered Care
Rural Population
Investigator
Investigator/Affiliation:
S K Roy / ; Iqbal Kabir / ; Archana Patel / ; Neetu Badhoniya / ; Sandhya Khadse / ; S S P Godakandage / ; Hiranya Jayawickrama / ; Tabish Hazir / ; D S Akram / ; Seema Mihrshahi /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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