Maternal Factors and the Utilization of Maternal Care Services Associated with Infant Feeding Practices among Mothers in Rural Southern Nepal

Bibliographic Data

ID15515470
AuthorsD Acharya (0000-0003-2270-7667, Dongguk University), Jitendra Kumar Singh (0000-0003-1691-8062), Rajendra Kandel (London School of Economics and Political Science), Ji-Hyuk Park (0000-0002-1041-2266, Dongguk University), Seok‐Ju Yoo (0000-0001-9764-8097, Dongguk University), Kwan Lee (0000-0002-9454-1945, Dongguk University, corresponding author)
Year2019
Volume16
Issue11
Pages1887-1887
Publication date2019-05-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16111887
PMID31142032
OpenAlexW2947949949
LanguageEN
Citations received2
References cited17

This study aimed to investigate the maternal factors and utilization of maternal care services associated with infant feeding practices in rural areas of Southern Nepal. Data from a cluster randomized controlled trial 'MATRI-SUMAN'(Maternal Alliance for Technological Research Initiative on Service Utilization and Maternal Nutrition) conducted between 2015-2016 were analyzed. A total of 426 pregnant women in their second trimester were recruited from the MATRI-SUMAN trial, which was conducted on six villages in rural areas of the Dhanusha district, Nepal. A total of 379 mothers that had ever breastfed their infants, and followed for at least seven months after birth were included in the analysis. Multivariate logistic regression analysis was used to identify independent risk factors associated with child feeding practices after controlling for potential confounders. Of the 379 mothers, 41.4%, 53%, and 43% initiated breast feeding within the first hour of birth (EIBF), practiced exclusive breastfeeding (EBF), and initiated timely complementary feeding (CF) at six months, respectively. Multiple logistic regression results revealed that maternal education (secondary or higher), an occupation in the service/business/household sectors, receipt of MATRI-SUMAN intervention, more than four ANC (antenatal care) visits, and delivery in a health facility were associated with higher odds ratios of EIBF. Similarly, mothers with a primary, secondary and higher level of education, that worked in the service/business/household sectors, primiparous mothers, those that received MATRI-SUMAN intervention, visited ANC more than four times, and made a PNC (postnatal care) visit had higher odds ratios of EBF, while mothers who were 35-45 years of age were less likely to have used EBF. In addition, education to the secondary or a higher level, a male baby, receipt of MATRI-SUMAN intervention and a PNC visit had higher odds ratios of CF initiation at six months. The promotion of maternal ANC visits, birth at a health institution, and postnatal visits should be recommended in order to improve child feeding practices in Nepal

Breast feeding · Breastfeeding · Environmental health · Logistic regression · Odds ratio · Postnatal Care · Pregnancy · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Pediatrics

Tools

Open DOISci-HubOpen Access