DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20183582

Breastfeeding and complementary feeding practices and nutritional status of children under 5 years in a tribal community of Nandurbar district, Maharashtra

Sanika R. Patil, Murlidhar P. Tambe, Malangori A. Parande, Aditi M. Patil, Rigved V. Jeurkar

Abstract


Background: Breastfeeding is the single most effective preventive intervention for improving the survival of children. Hence, the purpose of this research study to capture the firsthand breastfeeding perceptions and practices and nutritional status of children in tribal community of Nandurbar district (Maharashtra, India).

Methods: This was community based cross-sectional study carried out on parents of 100 children. A house to house survey was conducted and either one or both the parents were interviewed regarding ‘Early initiation of breastfeeding, exclusive breastfeeding and complementary feeding’ using a pretested, predesigned questionnaire after obtaining written informed consent. Every child below 5 years went through anthropometric measurements like mid upper arm circumference (MUAC), length/height and weight and was categorized as normal/MAM/SAM. The data was analyzed using Microsoft Excel and ENA (Emergency Nutrition Assessment) for SMART software.

Results: 85% mothers were aware of right breastfeeding practices but only 30% babies received breastfeeding within first hour of birth and 72% children were exclusively breastfed till 6 months. Practice of healthy breast feeding was significantly associated with education of mother and awareness of breast feeding. It was found that prevalence of malnourishment was more among children not receiving exclusive breast feeding.

Conclusions: The importance of breastfeeding is not well recognized by the people living in tribal area as there was a gap between knowledge and practice. There were various medical, social and psychological barriers for breastfeeding. Doctors, family members, television and ASHA have majorly contributed in spreading awareness.


Keywords


Early initiation of breastfeeding, Exclusive breastfeeding, Complementary feeding, Tribal community

Full Text:

PDF

References


Helsing E, King FS. Breast feeding in practice. Oxford University Press, New Delhi. 1984.

Edmond KM, Zandoh C, Quigey MA, Amenga-Etego S. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117:380-6.

Jana AK. Interventions for promoting the initiation of breastfeeding: RHL commentary. The WHO Reproductive Health Library. World Health Organization. 2009.

Barona-Vilar C, Escriba-Aguir V, Rerrero-Grandia. A qualitative approach to social support and breastfeeding decisions. Midwifery. 2009;25:187-94.

Victora CG, Bahl R, Barros AJD. Breastfeeding in the 21st century. Lancet. 2015;387:475-90.

Sandor M, Dalal K. Influencing factors on time of breastfeeding initiation among a national representative sample of women in India; IBFAN. 2007.

Bandyopadhyay M. Impact of the ritual pollution on lactation and breastfeeding practices in rural West Bengal, India. Int Breastfeeding J. 2009;4:2.

Govt. of India. National Family Health Survey NFHS IV (2015-2016). International Institute for Population Studies, Ministry of Health and Family Welfare, Mumbai, 2017.

WHO/UNICEF. Global strategy for infant and young child feeding. WHO Geneva. 2003:5-10.

Arifeen S, Robert EB. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics. 2001;108:67.

Zulfiqar AB, Tahmeed Ahmed, Robert EB. What works? Interventions for maternal and child undernutrition and survival. Lancet. 2008;6736(07):61693-6.

Aidam, Perez-Escamilla. Factors associated with exclusive breastfeeding in Accra, Ghana. European J Clin Nutr. 2005;59:789-96.

Yotebieng M, Labbok M. Ten steps to successful breastfeeding programme to promote early initiation and exclusive breastfeeding in DR Congo: a cluster-randomized controlled trial. Lancet. 2015;3:546-55.

Edmond K. Timing of initiation, patterns of breastfeeding, and infant survival: prospective analysis of pooled data from three randomized trials. Lancet. 2016;4:266-75.

Yoon PW, Black RE. Effect of not breastfeeding on the risk of diarrheal and respiratory mortality in children under 2 years of age in Metro Cebu, The Philippines. Am J Epidemiol. 1997;143:1142-8.

Brandtzaeg PE. Current understanding of gastrointestinal immunoregulation and its relation to food allergy. Ann N Y Acad Sci. 2002;964:13-45.