Infant and Young Child Feeding practices and risk factors of SAM among beneficiaries of Nutrition Rehabilitation Centre – a cohort study
Keywords:
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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Copyright (c) 2024 Dhwani Chauhan, Naresh T Chauhan, Mohamed Anas Patni, Pinakini Tollawala, J. K. Kosambiya
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