Effectiveness of Nutrition Education as Intervention on Complementary Feeding Practices & Growth of Children in Rural Area

Authors

  • Vidya Mallesh Chikkamagaluru institute of medical science, Chikkamagaluru, Karnataka, India
  • Shailaja S Patil BLDE (Deemed to be university) Shri BM Patil Medical college Hospital & Research Center Vijayapura, India

DOI:

https://doi.org/10.55489/njcm.150520243817

Keywords:

Educational intervention, nutritional education, complementary-feeding

Abstract

Background: The first 2years of a child's, feeding-pattern is an important determinant of childhood-malnutrition. Nutritional education on complementary feeding was provided, and the impact on Minimum-Meal-Diversity [MMD], Minimum-Meal-Frequency [MMF] & the children's growth, was evaluated & compared between the education-intervention group and the control group.

Methodology: The study was conducted in 2villages of Vijayapura-district 5Anganwadi from each village was selected for study and compared. Primary-outcome: improvement in MMD, MMF Secondary-outcome: weight for age Z-score [WAZ], weight for age Z-score [HAZ] &mid-arm-circumference.

Results: Overall education-intervention-group showed better weight-gain than control-arm significant-difference was observed in WAZi.e1.36 v/s1 (p<0.0017*) & HAZ-3.82 v/s -4 (p<0.00078*) respectively. In Intervention-arm mothers following MMF significantly increased &was statistically significant. There was a significant rise in the percentage of mothers in the intervention group who adopted MMD for their children. (p<0.0001*). Gender differences in mean WAZ scores &HAZ were observed in both groups persistently throughout the study period & were statistically significant.

Conclusion: Program interventions need to understand the local practices &needs of mothers & tailor interventions and nutritional education to improve child feeding practices including hygienic practices with regular follow-ups, is vital to prevent the vicious cycle of malnutrition.

References

Nutrition UNICEF[Internet].Unicef. in. 2019 [cited 19 October 2019]. Available from: https://unicef.in/Story/1124/Nutrition

NFHS. NFHS 4(2015-16) Fact sheet [Internet]. Available from: https://rchiips.org/NFHS/pdf/NFHS4/India.pdf

Joint-child-malnutrition estimates - Levels & trends (2019 edition)[Internet].

Kambli S. Mother's Knowledge Regarding Weaning-Process in Infants. Mother's Knowledge Regarding Weaning Process in Infants. 2014;3(7):1192-7.

National Health Mission. Breastfeeding and infant and young child feeding practices, Report card: India, State, UT's, 2019. Available at: https://www.bpni.org/wp-content/uploads/2019/09/BF-and-IYCF-Report-Cards.pdf.

Ananda Kumar TS, Rangaswamy KB, Viswanatha Kumar HM. Weaning practices in rural Tumkur. CurrPediatr Res.2013;17(2):115-17

Bhatia R, Jain U. Knowledge, attitude, practices & misconceptions among mothers regarding complementary-feeding. International Journal of Medical Science & Public Health. 2014;3(10):1251 Doi: https://doi.org/10.5455/ijmsph.2014.100720141

District Level Household & Facility Survey. [Internet].Rchiips.org. 2017[cited 10 October 2019]. Available from: http://rchiips.org/DLHS-4.html

The 2018 Global Nutrition Report reveals malnutrition is unacceptably high & affects every country in the world, but there is also an unprecedented opportunity to end it. [Internet]. Unicef.org. 2019[cited 19 October 2019]. Available from: https://www.unicef.org/press-releases/2018-global-nutrition-report-reveals-malnutrition-unacceptably-high-&-affects

Bhandari N, Mazumder S, Bahl R, Martines J, Black RE, Bhan MK. Community and International Nutrition Educational Intervention to Promote Appropriate Complementary Feeding Practices and Physical Growth in Infants and Young Children in Rural Haryana, India. Journal of Nutrition. 2004;134(9):2342-8. Doi: https://doi.org/10.1093/jn/134.9.2342 PMid:15333726

Innocenti U. The first 1,000 days of life: The brain's window of opportunity [Internet]. UNICEF-IRC. 2019 [cited 19 October 2019]. Available from: https://www.unicef-irc.org/article/958-the-first-1000-days-of-life-the-brains-window-of-opportunity.html

Menon P, Headey D, Avula R, Nguyen PH. Understanding the geographical burden of stunting in India: A regression-decomposition analysis of district-level data from 2015-16. Maternal & child nutrition. 2018 Oct;14(4):e12620. Doi: https://doi.org/10.1111/mcn.12620 PMid:29797455 PMCid:PMC6175441

WHO U, USAID A, AED U. Indicators for assessing infant and young child feeding practices. Geneva: World Health Organization. 2008

Khadilkar VV, Khadilkar AV, Choudhury P, Agarwal KN, Ugra D, Shah NK. IAP growth monitoring guidelines for children from birth to 18 years. Indian pediatr. 2007 Mar 1;44(3):187-97.

Shamim S, Naz F, Jamalvi SW, Ali SS. Effect of weaning period on nutritional status of children. J Coll Physicians Surg Pak. 2006 Aug 1;16(8):529-31.

Aggarwal A, Verma S, Faridi. Complementary-feeding reasons for inappropriateness in timing, quantity & consistency. Indian J Pedi-atrics. 2008;76(1):49-53. Doi: https://doi.org/10.1007/s12098-008-0006-9 PMid:18245935

Ahmad I, Khalique N, Khalil S. Complementary-feeding practices among children aged 6-23 months in Aligarh, Uttar Pradesh. Journal of family medicine & primary care. 2017 Apr;6(2):386. Doi: https://doi.org/10.4103/jfmpc.jfmpc_281_16 PMid:29302552 PMCid:PMC5749091

Dabar D, Das R, Nagesh S, Yadav V, Mangal A. A community-based study on growth and development of under-five children in an ur-banized village of South Delhi. Journal of tropical pediatrics. 2016 May 1:fmw026. Doi: https://doi.org/10.1093/tropej/fmw026 PMid:27143343

Shi L, Zhang J, Wang Y, Caulfield LE, Guyer B. Effectiveness of an educational-intervention on complementary-feeding practices & growth in rural China: a cluster randomized controlled trial. Public health nutrition. 2010 Apr;13(4):556-65. Doi: https://doi.org/10.1017/S1368980009991364 PMid:19706219

Aboud FE, Shafique S, Akhter S. A responsive feeding intervention increases children's self-feeding and maternal responsiveness but not weight gain. The Journal of nutrition. 2009 Jul 8;139(9):1738-43. Doi: https://doi.org/10.3945/jn.109.104885 PMid:19587124

Kulwa KB, Verstraeten R, Bouckaert KP, Mamiro PS, Kolsteren PW, Lachat C. Effectiveness of a nutrition education package in im-proving feeding practices, dietary adequacy and growth of infants and young children in rural Tanzania: rationale, design and meth-ods of a cluster randomized trial. BMC public health. 2014 Dec;14(1):1077. Doi: https://doi.org/10.1186/1471-2458-14-1077 PMid:25318980 PMCid:PMC4216379

Roy SK, Fuchs GJ, Mahmud Z, Ara G, Islam S, Shafique S, Akter SS, Chakraborty B. Intensive nutrition education with or without sup-plementary feeding improves the nutritional status of moderately-malnourished children in Bangladesh. Journal of Health, Popula-tion and Nutrition. 2005 Dec 1:320-30.

Penny ME, Creed-Kanashiro HM, Robert RC, Narro MR, Caulfield LE, Black RE. Effectiveness of an educational-intervention delivered through the health services to improve nutrition in young children: a cluster-randomized controlled trial. The Lancet. 2005 May 28;365(9474):1863-72. Doi: https://doi.org/10.1016/S0140-6736(05)66426-4 PMid:15924983

Santos I, Victora CG, Martines J, Gonçalves H, Gigante DP, Valle NJ, Pelto G. Nutrition counseling increases weight gain among Brazil-ian children. The Journal of nutrition. 2001 Nov 1;131(11):2866-73. Doi: https://doi.org/10.1093/jn/131.11.2866 PMid:11694610

Key-data[Internet].Unicef.org. 2022[cited 24 July 2022]. Available from: https://www.unicef.org/india/key-data

Ahmad N. Female feticide in India. Issues L. & Med. 2010;26:13

Jayachandran S, Kuziemko I. Why do mothers breastfeed girls less than boys? Evidence & implications for child health in India. The Quarterly journal of economics. 2011Aug1;126(3):1485-538. Doi: https://doi.org/10.1093/qje/qjr029 PMid:22148132

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Published

2024-05-01

How to Cite

1.
Mallesh V, Patil SS. Effectiveness of Nutrition Education as Intervention on Complementary Feeding Practices & Growth of Children in Rural Area. Natl J Community Med [Internet]. 2024 May 1 [cited 2024 Dec. 3];15(05):379-88. Available from: https://njcmindia.com/index.php/file/article/view/3817

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Original Research Articles