Determinants of inappropriate complementary feeding practices in young children in Sri Lanka

Secondary data analysis of Demographic and Health Survey 2006–2007

Dados Bibliográficos

ID15536892
AutoresUpul Senarath (0000-0001-6152-6258, University of Colombo, autor correspondente), Sanjeeva Godakandage (Ministry of Health, Nutrition and Indigenous Medicine), Sanjeeva S P Godakandage, Hiranya Jayawickrama (0000-0002-0462-7914, Ministry of Health, Nutrition and Indigenous Medicine), Indika Siriwardena (Information and Communication Technology Agency), Michael J Dibley (0000-0002-1554-5180, The University of Sydney)
Ano2011
Volume8
Fascículos1
Páginas60-77
Data de publicação2011-12-15
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1740-8709.2011.00375.x
PMID22168519
OpenAlexW2018849629
IdiomaEN
Citações recebidas36
Referências citadas9

Inappropriate complementary feeding increases risk of undernutrition, illness and mortality in infants and children. This paper aimed to determine the factors associated with inappropriate complementary feeding practices in Sri Lanka. The Sri Lanka Demographic and Health Survey 2006-2007 used a stratified two-stage cluster sample of ever-married women 15-49 years, and included details about foods given to children aged 6-23 months during the last 24 h. The new World Health Organization indicators for infant and young child feeding (IYCF) - (introduction of solid/semi-solid or soft foods; minimum dietary diversity; minimum meal frequency; and minimum acceptable diet) were calculated for 2106 children aged 6-23 months. These indicators were examined against explanatory variables with multivariate analyses to identify factors associated with inappropriate practices. Eighty-four per cent of infants aged 6-8 months were introduced to complementary food. The proportion of infants aged 6-8 months who consumed eggs (7.5%), fruits and vegetables other than those rich in vitamin A (29.6%) and flesh foods (35.2%) was low. Of children aged 6-23 months, minimum dietary diversity was 71%, minimum meal frequency 88% and minimum acceptable diet 68%. Children who lived in tea estate sector had a lower dietary diversity and minimum acceptable diet than children in urban and rural areas. Other determinants of not receiving a diverse or acceptable diet were lower maternal education, shorter maternal height, lower wealth index, lack of postnatal visits, unsatisfactory exposure to media and acute respiratory infections. In conclusion, complementary feeding indicators were adequate except in the 6-11 months age group. Subgroups with inappropriate feeding practices should be the focus of IYCF promotion programs

Agriculture · Dietary diversity · Environmental health · Food group · Food security · Geography · Malnutrition · Meal · Population · Socioeconomic status · South asia · Sri lanka · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Demography · Medicine · Pediatrics