Infant and Young Child Feeding practices and risk factors of SAM among beneficiaries of Nutrition Rehabilitation Centre – a cohort study
DOI:
https://doi.org/10.47203/IJCH.2024.v36i03.014Keywords:
IYCF, NRC, Nutritional OutcomeAbstract
Introduction: Mission Balam Sukham's Nutrition Rehabilitation Centre (NRC) combats malnutrition through prevention, treatment, and community engagement, ensuring children receive adequate nutrition for healthy growth. Objective: To document IYCF practices and risk factors of severe acute malnutrition (SAM) among NRC beneficiaries Methodology: A prospective cohort study was conducted comprising of 63 children aged 6 months to 5 years having SAM alongwith complications admitted at NRC of South Gujarat over the duration of 10 months. Observations: 90.5% poverty, 57.1% migrants, 7.9% single parent. 69.8% initiated breastmilk within 1hr, 15.9% weren’t fed with colostrum, 6.3% were given pre-lacteals. 93.7% were exclusively breastfed, 6.3% initiated breastmilk at the time of 6 months. 16%, 60% and 9.8% met the criteria of MDD, MMF and MAD respectively. Boys show significant association on admission and discharge both (t = 2.43, p= 0.026 on admission and t= 2.66, p= 0.015 on discharge). In 13-24 months, MDD group (t = 2.34, p=0.02), children not suffering from anaemia shows significant weight (t=-2.540, p=0.18). Conclusion & Recommendations: Children's weight improvement is linked to better IYCF practices, emphasizing its importance of caregiver attention and education, highlighting need to address cultural barriers and promote practices like exclusive breastfeeding and continuous breastfeeding, focusing on empowering mothers and caretakers.
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References
National Rural Health Mission Department of Health & Family Welfare Government of Gujarat. Guidelines for Management of Severe Acute Malnutrition ( SAM ) Children at Nutrition Rehabilitation Center. 2012.
WHO. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
UNICEF. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/.
Kabashneh S, Alkassis S, Shanah L, Ali H. A Complete Guide to Identify and Manage Malnutrition in Hospitalized Patients. Cureus. 2020;12(6):6–13.
Rabbani A, Padhani ZA, A Siddiqui F, Das JK, Bhutta Z. Systematic review of infant and young child feeding practices in conflict areas: What the evidence advocates. BMJ Open. 2020;10(9):1–20.
CDC. https://www.cdc.gov/nutrition/emergencies-infant-feeding/index.html.
Faul F, Erdfelder E, LAng AG BA. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences.Behav Res Methods. 2007. p. 175–91.
World Health Organization. Minimum Meal Frequency (6-23 months). https://www.who.int/data/nutrition/nlis/info/infant-and-young-child-feeding.
World Health Organization. Infant and young child feeding. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
World Health Organization (WHO) & United Nations Children’s Fund (UNICEF). (2021). Guidelines on complementary feeding of breastfed and non-breastfed children aged 6-23 months. https://www.unicef.org/media/93981/file/Complementary-Feeding-Guidance-2020.pd.
Tufts University. (n.d.). Minimum Acceptable Diet (MAD-IYCF). International Dietary Data Expansion Project (INDDEX). https://inddex.nutrition.tufts.edu/data4diets/indicator/minimum-acceptable-diet-mad-iycf.
Kotecha P V. Nutritional Anemia in Young Children with Focus on Asia and India. Indian J Community Med. 2011;36(1):1–4.
Taneja G, Dixit S, Khatri A, Raghunath D, Yesikar V, Chourasiya S. A study to evaluate the effect of nutritional intervention measures on admitted children in selected nutrition rehabilitation centers of Indore and Ujjain divisions of the state of Madhya Pradesh (India). Indian J Community Med. 2014;37(2):107.
Hashmi G, Kumar S. Evaluation of the effects of nutrition intervention measures on admitted children in nutritional rehabilitation center, Gulbarga, India. Int J Community Med Public Heal. 2016;3(9):2550–4.
Patel D, Upadhyay N. Evaluation of anthropometric indicators in malnourished children at Nutritional Rehabilitation Center , Gujarat , India. Int J Contemp Pediatr. 2019;6(4):1410–3.
Sanghvi J, Mehta S, Kumar R. Predicators for Weight Gain in Children Treated for Severe Acute Malnutrition: A Prospective Study at Nutritional Rehabilitation Center. ISRN Pediatr. 2014;2014:1–5.
Indian Institute of Population Sciences. National Family Health Survey - 5 State Fact Sheet Gujarat. 2020;
Udoh EE, Amodu OK. Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area, Cross River State Nigeria. Springerplus. 2016;5(1).
Zhong J, Kuhn L, Wang T, Liu C, Luo R. The interrelationships between parental migration, home environment, and early child development in rural China: A cross-sectional study. Int J Environ Res Public Health. 2020;17(11):1–13.
Aprameya HS, Kamath SP, Kini PK, Baliga BS, Shenoy U V, Jain A. Socioepidemiological determinants of severe acute malnutrition and effectiveness of nutritional rehabilitation center in its management. Int J Heal Allied Sci. 2015;4(3):148–53.
Chandwani H, Prajapati A, Rana B, Sonaliya K. Assessment of infant and young child feeding practices with special emphasis on IYCF indicators in a field practice area of Rural Health Training Centre at Dabhoda, Gujarat, India. Int J Med Sci Public Heal Online. 2015;
White JM, Bégin F, Kumapley R, Murray C, Krasevec J. Complementary feeding practices: Current global and regional estimates. Matern Child Nutr. 2017;13(S2):1–12.
Kalaiselvi Selvaraj, Tovia Stephen1 , S. Princy Priyadharshini2 , Nikita Radhakrishnan2 , Mohamed Ashic2 R team. Exploration of Dietary Diversity and its Associated Factors among Infant and Young Children in Rural Tamil Nadu – A Mixed?Method Study. Indian J Public Health. 2021;65:218–25.
Choraria N, Anas PM, Vaidya J, Nimavat H, Mushirabanu A. Infant And Young Child Feeding Practices and Infections Pattern in Children Up To 24 Months Age Attending Outdoor Patient Department of a Tertiary Care Hospital of South Gujarat. Natl J Community Med. 2023;14(3):172–9.
Sinha RK, Dua R, Bijalwan V, Rohatgi S, Kumar P. Determinants of Stunting , Wasting , and Underweight in Five High ? Burden Pockets of Four Indian States. Indian J Community Med. 2018;43(4):279–83.
Aguayo VM, Jacob S, Badgaiyan N, Chandra P, Kumar A, Singh K. Providing care for children with severe acute malnutrition in India: new evidence from Jharkhand. Public Health Nutr. 2014;17(1):206–11
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Copyright (c) 2024 Dhwani Chauhan, Naresh T Chauhan, Mohamed Anas Patni, Pinakini Tollawala, J. K. Kosambiya
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