Abstract
BackgroundAppropriate breastfeeding and infant feeding practices are crucial to a child’s growth and development. The objective of this paper is to describe breastfeeding and general feeding practices and the nutrition status among children from birth to 6 months of age, in the Saharawi refugee camps located in Algeria.MethodsA cross-sectional study was carried out among 111 lactating mothers with infants from birth to 6 months of age. Data regarding breastfeeding practices and a 24 h dietary recall for the infants were collected to assess the World Health Organization’s (WHO) indicators for infant and young child feeding. For exclusive and predominant breastfeeding, age disaggregation for each month was applied to the data. Background characteristics from the mothers and infants were collected, together with anthropometrical measures. We explored predictors for breastfeeding and nutrition status in multiple regression models.ResultsIn total 13.8%, 8.2% and 16.5% of the infants were stunted, wasted and underweight, respectively. Approximately 65% initiated breastfeeding within 1 h after birth and 11.7 and 21.6% were exclusively or predominantly breastfed less than 6 months. The most commonly given solid foods were dates (27.0%) and bread (10.8%). In multiple regression models, initiation of breastfeeding within 1 h after birth gave increased probability of exclusive or predominant breastfeeding. Giving birth at home as opposed to in a hospital and increasing number of children gave increased probability of initiating breastfeeding early. Exclusive or predominant breastfeeding seemed to protect against underweight and wasting.ConclusionsExclusively or predominant breastfeeding was low among Saharawi refugee infants. Wasting and underweight was common and more likely to occur if the infants were not exclusively or predominantly breastfed. These findings support the current international breastfeeding recommendations, and suggest that there is an urgent need for promoting infant feeding practices in the Sahara refugee camps.
Highlights
Appropriate breastfeeding and infant feeding practices are crucial to a child’s growth and development
52% were born at home, 5% at the local health station and 43% were born at a hospital
In our study exclusive or predominant breastfeeding seemed to protect against underweight (WAZ) and wasting (WHZ) in the simple model, but after adjusting for disease, child’s age and mothers Body mass index (BMI), Weight-for-age z-score (WAZ) was no longer a significant associated with breastfeeding
Summary
Appropriate breastfeeding and infant feeding practices are crucial to a child’s growth and development. Optimal infant and young child feeding is crucial for health and development [1]. Breastfeeding is widely acknowledged as the best and safest form of infant feeding; containing most of the necessary nutrients and bio-active components needed the first 6 months of life [3] and it further protects the infant from acute infectious illnesses, such as gastroenteritis, respiratory disease and other infections [4, 5]. To emphasize the importance of breastfeeding, the recent published Lancet Breastfeeding series [6], have estimated that scaling up of breastfeeding could prevent 823,000 child deaths every year. Scaling up for breastfeeding would prevent child mortality and morbidity, and improve food security, education, equity, development and environmental issues [9]
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