Published: 2022-10-29

A cross sectional study on infant and young child feeding practices: a keep for successful nutrition in under-five children attending rural Anganwadi centres, Mysuru

Divya K. L., M. R. Narayana Murthy, K. Nimithamohan, Amoghashree .


Background: Optimal infant and young child feeding practices (IYCF) are crucial for nutritional status, growth, development, health, and ultimately the survival of children. Even with several national schemes and programs in place, India’s progress in tackling the problem of child malnutrition is slow. This study aims to estimate the prevalence of undernutrition and infant and young child feeding factors determining undernutrition among under five children in rural Mysuru.

Methods: A cross sectional study was conducted among under five children who are registered in Anganwadi centres in the rural field practice area of JSS Medical College. 261 children were chosen as per population proportionate to the size sampling technique.

Results: The mean age of the children was 2.8±1.2 years and 86.6% belonged to Below Poverty Line households.70.1% received breastfeeding within an hour of birth. Exclusive breastfeeding for 6 months was provided for 67.4% of the children. The prevalence of underweight, stunting, and wasting was 13.8%, 16.5%, and 5.7% respectively. The undernutrition among children was associated with the type of economic card and birth weight of the child.

Conclusion: IYCF is a key area to improve child survival and promote healthy growth and development. The study calls for attention to be placed on improving and promoting participatory nutrition education to raise awareness, health literacy, and foster behavioural change communication for improved child feeding and caring practices. Additionally, sociocultural determinants of feeding practices should be addressed in the design of nutritional interventions.


Children, Infant and young child feeding, Rural, Undernutrition, Under five

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Sulaiman A, Bushara S, Elmadhoun W, Noor S, Abdelkarim M, Aldeen I, et al. Prevalence and determinants of undernutrition among children under 5-year-old in rural areas: A cross-sectional survey in North Sudan. J Family Med Prim Care. 2018;7(1): 104.

Sathyanath MS, Rashmi R, Kiran NU. Prevalence and risk factors of under nutrition among under five children in a rural community. J Health Allied Sci. 2013;03(04):82-6.

The UNICEF/WHO/WB Joint Child Malnutrition Estimates (JME) 2021 edition-Levels and trends in child malnutrition.pdf. Available at: https://apps.who. int/iris/handle/10665/341135/.pdf. Accessed on 4 June 2022

Childhood Malnutrition in India. Available at: https://www.perspective-of-recentadvances-in-acute-diarrhea/childhood-malnutrition-in-india. Accessed on 7 June 2022.

Murarkar S, Gothankar J, Doke P, Pore P, Lalwani S, Dhumale G, et al. Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study. BMC Public Health. 2020;20(1):1551-9.

National Family Health Survey-5. 2019-20 - Karnataka State fact sheet. Available at: http://rchiips. org/nfhs/NFHS-5_FCTS/Karnataka.pdf. Accessed on 17 June 2021.

Silva VGP, Silva SGP. Nutritional Status of anganwadi children under the integrated child development services scheme in a rural area in Goa. BMC Public Health. 2015;3(7):5.

Moluguri A, Gayathry D, Gurnule S. A study on health and nutritional status of children in rural and urban ICDS projects in Karimnagar. Int J Community Med Public Health. 2019;6(4):1747.

Meshram II, Mallikharjun Rao K, Balakrishna N, Harikumar R, Arlappa N, Sreeramakrishna K, et al. Infant and young child feeding practices, sociodemographic factors and their association with nutritional status of children aged <3 years in India: findings of the National Nutrition Monitoring Bureau survey, 2011–2012. Public Health Nutr. 2019;22(1): 104-14.

Kumari P. Prevalence of protein energy malnutrition among under-five children belonging to rural areas of Ambala, Haryana, India. J Health Allied Sci. 2017;8: 34-9.

Infant and young child feeding- WHO factsheet. Available at: Accessed on 24 August 2022.

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M de, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890): 427-51.

De P, Chattopadhyay N. Effects of malnutrition on child development: Evidence from a backward district of India. Clin Epidemiol Global Health. 2019;7(3): 439-45.

Dhatrak PP, Pitale S, Kasturwar NB, Nayse J, Relwani N. Prevalence And Epidemiological Determinants of Malnutrition Among Under-Fives in An Urban Slum, Nagpur. Nat J Commu Med. 2013;4(01):91-5.

Sahu SK, Kumar SG, Bhat BV, Premarajan KC, Sarkar S, Roy G, et al. Malnutrition among under-five children in India and strategies for control. J Nat Sci Biol Med. 2015;6(1):18-23.

Khobragade AW, Yadav RG. Nutritional status of under five children attending Anganwadi in rural area of central India. Int J Community Med Public Health. 2020;7(12):5165.

Vincent V, Saju C. An assessment of the nutritional status of underfive children in a rural area of Thrissur district, Kerala, India. Int J Community Med Public Health. 2016;3479-86.

Jain M, Bhati JS, Jain M, Kumar V, Garg K, Gupta PK. Nutritional status of children under five year of age: a cross sectional study in rural area of Jhalawar, Rajasthan. Int J Community Med Public Health. 2019; 6(8):3321.

Gaidhane A, Dhakate P, Patil M, Zahiruddin QS, Khatib N, Gaidhane S, et al. Determinants of stunting and wasting among the children under five years of age in rural India. IJCRR. 2021;13(11):18-26.

Nirmalson SP, Vijayakarthikeyan M. Assessment of Nutritional status and its determinants among fewer than 5 children in a rural area of southern India. Natl J Community Med. 2022;13(05):287-93.

Purohit L, Sahu P, Godale LB. Nutritional status of under- five children in a city of Maharashtra: a community based study. Int J Community Med Public Health. 2017;4(4):1171.