Abstract

A community-based, cross-sectional descriptive study was conducted during June-July 2008 to assess the infant- and young child-feeding (IYCF) practices in Bankura district, West Bengal, India. In total, 647 children aged less than two years selected through revised 40-cluster sampling using the indicators of the Integrated Management of Neonatal and Childhood Illness (IMNCI) and World Health Organization. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding under six months (57.1%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. Appropriate feeding as per the IMNCI protocol was significantly less among infants aged 6-11 months (15.2%) and children aged 12-23 months (8.7%) compared to infants aged less than six months (57.1%), which could be attributable to low frequency and amount of complementary feeding. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding, and inappropriate complementary feeding practices.

Highlights

  • Optimal infant- and young child-feeding (IYCF) practices are crucial for nutritional status, growth, development, health, and the survival of infants and young children [1,2,3]

  • Sex was not associated with early initiation of breastfeeding

  • Exclusive breastfeeding for six months, and timely introduction of age-appropriate complementary feeding are the key interventions to achieve the Millennium Development Goal 1 and 4, which address child malnutrition component of the targets and mortality respectively [1,14]

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Summary

Introduction

Optimal infant- and young child-feeding (IYCF) practices are crucial for nutritional status, growth, development, health, and the survival of infants and young children [1,2,3]. The poor complementary feeding practices mean that many children continue to be vulnerable to irreversible outcomes of stunting, poor cognitive development, and significantly increased risk of infectious diseases, such as diarrhoea and acute respiratory infection [3,5,6]. This has a tremendous impact in a developing country, like India, with a high burden of disease and low access to safe water and sanitation. Recent studies have underscored the role of IYCF practices in reducing child mortality [7,8]

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