'Health and nutrition' is one among the five areas covered by the Aspirational District Programme in India, which aims to achieve the Sustainable Development Goals (SDGs). The reduction of undernutrition in under-five children has remained a major focus of the SDGs, especially at the ages of 6-23 months as this affects child development. This study used National Family Health Survey 2015-16 data to examine appropriate feeding practices and their associations with undernutrition among children aged 6-23 months in the 124 aspirational districts of India. Multinomial logistic regression analysis was used to analyse the association between feeding practices and undernutrition, adjusting for covariates. A total of 13,851 children aged 6-23 months were included in the analysis. Child nutritional outcomes, and children receiving the recommended minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD), were poorer in the aspirational compared with non-aspirational districts. However, the proportions of children who continued to breastfed, i.e. currently breastfeeding and the proportion of children who were receiving appropriate breastfeeding, i.e. receiving complementary feeding, in addition to breast milk, were higher in the aspirational districts. Appropriate breastfeeding and MDD were found to be associated negatively with undernutrition. While the continuation of breastfeeding increased the odds of children being undernourished, appropriate breastfeeding lowered the odds. The significant predictors of undernourishment among the study children were the child being male, of higher birth order, older and of smaller than average birth size; mother's lower educational level, mother's lower BMI of mothers and being a teenage mother; and poor household drinking water, sanitation facilities and lower economic status. This study suggests that educating mothers, especially illiterate and poor mothers, about appropriate breastfeeding and dietary diversity could help prevent and reduce child undernutrition in the aspirational districts of India.
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http://dx.doi.org/10.1017/S0021932021000596 | DOI Listing |
JAMA Pediatr
January 2025
Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.
Importance: Preterm infants are recommended to receive most vaccinations at the same postnatal age as term infants. Studies have inconsistently observed an increased risk for postvaccination apnea in preterm infants.
Objective: To compare the proportions of hospitalized preterm infants with apnea and other adverse events in the 48 hours after 2-month vaccinations vs after no vaccinations.
Front Nutr
December 2024
Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Background: Inadequate dietary diversity among children aged 6-23 months remains a public problem in Ethiopia. Adequate dietary diversity is crucial for children to meet their nutritional demands and promote healthy growth and development in infancy and young childhood.
Objective: The study aimed to assess dietary diversity and associated factors among children aged 6-23 months in Awi Zone, Ethiopia, 2023.
Front Public Health
December 2024
School of Public Health, College of Medicine and Health Science, Wachemo University, Hossana, Ethiopia.
Background: Improving joint intra-household decision-making by spouses is a promising solution to improve child-feeding practices. Therefore, this study aimed to assess the status and barriers of intra-household joint decision making on child feeding in rural districts of South Ethiopia from the perspectives of primary caregivers and key individuals.
Methods: A mixed-method study was conducted from July 15 to September 15, 2023 in three randomly selected rural districts: Arba Minch Zuria, Mierab Abaya, and Chencha, in Southern Ethiopia.
PLoS One
December 2024
Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
Background: A minimum acceptable diet for children aged 6-23 months is limited globally, with Ethiopia's proportion reducing to one in nine. This study was aimed to assess the prevalence of the minimum acceptable diet and associated factors among children aged 6-23 months in Dera town, Oromia, Ethiopia.
Methods: A community-based cross-sectional study was conducted.
PLoS One
December 2024
Department of Epidemiology, College of Health Sciences and Medicine, Wolaita Sodo University, Soddo, Ethiopia.
Introduction: Anemia is a significant health problem that has a profound impact on young children under the age of five. It can result in severe consequences, such as stunted growth, impaired cognitive and motor development, increased illness, and even death. In Ghana, anemia is the leading cause of child mortality, yet there is a lack of information available on the prevalence of anemia and the factors associated with its severity in children under five in the country.
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