Determinants Of Breast-Feeding Practices in Urban Slums of a Taluka Headquarter of District Anand, Gujarat


  • Amit M Varshney Subharti Medical College, Meerut
  • Dinesh Kumar Pramukhswami Medical College, Karamsad, Anand
  • Mahendra Patel Surat Municipal Corporation, Surat, Gujarat, India
  • Uday S Singh Pramukhswami Medical College, Karamsad, Anand


Antenatal breastfeeding counselling, Breastfeeding practices, Maternal education, Urban slums


Introduction: Medical and public health experts advocate breastfeeding as the best method of feeding young infants for a wide variety of reasons. Increasing urbanization and rising slum population is a ground reality even in the smaller towns of developing world. There are reports of improper child feeding practices in urban slums. The present study was undertaken to understand the determinants of breast feeding practices in urban slums of a small town (taluka head quarter, tire-IV) in district Anand of Gujarat state.

Methodology: A cross sectional study was conducted in the field practice area of Urban Health Training Centre of Pramukhswami Medical College. Out of six served areas two were selected by using simple random sampling. After taking consent, the mothers of all children between the ages of 0-2 years were interviewed using pretested questionnaire.

Results: Of the 75 mothers interviewed 4(5%) did not have any antenatal checkups (ANC) and 73 (97.3%) had institutional deliveries. Of the 71 mothers who had ANC only 28(39.4%) were counselled about breastfeeding. Prevalence of pre-lacteal feeding, exclusive breast feeding (EBF) and bottle feeding was 17(22.7%), 37(46.7%) and 10(13.3%) respectively. Maternal education beyond 7th grade and antenatal counselling about breastfeeding were associated with increased EBF and decreased pre-lacteal feeds.

Conclusions: Breast feeding practices though better than national average was far from satisfactory. Female literacy continues to be an important factor in child rearing practices. The breast feeding counselling services need great deal of improvement in all healthcare settings.


World Health Organization: Protecting, Promoting and Supporting Breast feeding. The Special Role of Maternity services. A Joint WHO/UNICEF Statement, Geneva. 1989.

Ministry of Women and Child Development (Food and Nutrition Board) .Government of India. National guideline on Infant and Yong Child Feeding, 2006, 2nd edition

Ministry of Health and Family Welfare: National Family Health Survey 3, India, 2007. Available at

Patil SS, Ameya AH, Pathare RS, Parmar A, Rashid A K, Narayan K A.Prevalence Of Exclusive Breast Feeding And Its Correlates In An Urban Slum In Western India. IeJSME 2009: 3 (2): 14-18.

The Great Indian Bazaar: Organized retail comes of age in India, Mumbai: McKinsey & Company Inc.August2008.p18. Available from http://

Kumar D, Agarwal N, Swami HM. Socio-demographic correlates of breast-feeding in urban slums of Chandigarh. Indian J Med Sci [serial online] 2006 [cited on: 23-Mar 2012 ]

Roy S, Dasgupta A, Pal B. Feeding Practices of Children in an Urban Slum of Kolkata Indian J Community Med. 2009 October; 34(4): 362–363.

Aneja B, Singh P, Tandon M, Pathak P, Singh C, Kapil U. Etiological factors of malnutrition among infants in two urban slums of Delhi. Indian Pediatr 2001; 38: 160-165.

Raval D,Jankar DV,Singh MP.A study of breast feeding practices among infants living in slums of Bhavnagar city, Gujarat, India . Healthline 2011:2(2):78-83

Health and Family Welfare Department, Government of Gujarat.Chiranjeevi Yojana and Janani Suraksha Yojana. Available from

Tiwari R, Mahajan PC ,Lahariya C .The Determinants of Exclusive Breast Feeding in Urban Slums: A Community Based Study. J Trop Pediatr 2009: 55 (1): 49-54. doi: 10.1093/tropej/fmn037.

Gurav RB, Kartikeyan S,Kale JC. Trends in bottle feeding in an urban slum. Bombay Health Journal 2001: 43(3) .Available from

Sinhababu A,Mukhopadhyay D K, Tanja T K,Saren A B,Mandal N K,Biswas A B. Infant- and Young Child-feeding Practices in Bankura District, West Bengal, India.J Health Popul Nutr 2010 Jun;28(3):294-299




How to Cite

Varshney AM, Kumar D, Patel M, Singh US. Determinants Of Breast-Feeding Practices in Urban Slums of a Taluka Headquarter of District Anand, Gujarat. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2024 Apr. 22];3(03):534-7. Available from:



Original Research Articles