Poster Topical Area: Maternal, Perinatal and Pediatric Nutrition
Location: Hall D
Poster Board Number: 267
Objectives: This paper aimed to examine the associations of maternal resources for care with infant and young child feeding (IYCF) practices and to investigate if the associations differ by the types of resources and IYCF practices.
Methods: This cross-sectional study is based on the baseline Alive & Thrive household survey collected in 2010 in Bangladesh. Maternal education, nutrition and hygiene knowledge, height, body mass index, mental well-being, financial autonomy, decision-making autonomy, employment status, support in chores, and perceived support were the measures of resources for care.Exclusive breastfeeding (EBF), minimum meal frequency, and dietary diversity score (range:0-7) were the measures of IYCF practices.Multiple regression analyses were performed to examine the influence of each measure of the resources for care on EBF (n=977 children <6 mo) and complementary feeding (n=1211 children 6-23.9 mo).The models were adjusted for child age and gender, father's occupation, household wealth, and number of children <5 years old in the household. We accounted for geographic clustering using primary sampling units as random effects.
Results: About half (49.9%) were exclusively breastfed and 40.0% and 31.1% met minimum meal frequency and dietary diversity, respectively. Mean dietary diversity was 2.85. Infants of mothers with one standard deviation higher knowledge and mental well-being were 1.20 times more likely to be to be exclusively breastfed. Infants of well-nourished mothers were more likely to be exclusively breastfed than those of underweight (OR=1.59, p<0.05). Children of employed mothers were more likely to meet minimum meal frequency (OR=1.85, p<0.05).Education (middle school: b=0.22, p<0.05; high school: b=0.43, p<0.05), knowledge (b=0.18, p<0.001) and support in chores (b=0.10, p<0.05) were positively associated with the dietary diversity.
Conclusions:Knowledge, education, body mass index, employment status, mental well-being, and support in chores were associated with IYCF practices. Some resources for care did not influence any IYCF practice, and some associations differed with IYCF practices. Strengthening maternal resources for care is essential to improve IYCF practices and should be given attention while designing the programs.
Funded by the Bill & Melinda Gates Foundation and the governments of Canada and Ireland through Alive & Thrive, managed by FHI 360, and the Patrice L. Engle Dissertation Grant in Global Early Child Development
University of South Carolina