Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: Secondary data analysis of Demographic Health Survey 2007

Kabir, Iqbal, Khanam, Mansura, Agho, Kingsley E., Mihrshahi, Seema, Dibley, Michael J. and Roy, Swapan K. (2012) Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: Secondary data analysis of Demographic Health Survey 2007. Maternal and Child Nutrition, 8 Supplement s1: 11-27. doi:10.1111/j.1740-8709.2011.00379.x


Author Kabir, Iqbal
Khanam, Mansura
Agho, Kingsley E.
Mihrshahi, Seema
Dibley, Michael J.
Roy, Swapan K.
Title Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: Secondary data analysis of Demographic Health Survey 2007
Journal name Maternal and Child Nutrition   Check publisher's open access policy
ISSN 1740-8695
1740-8709
Publication date 2012-01
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1740-8709.2011.00379.x
Volume 8
Issue Supplement s1
Start page 11
End page 27
Total pages 17
Editor Purnima Menon
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2012
Language eng
Formatted abstract
Suboptimal and inappropriate complementary feeding practices are one of the major causes of child undernutrition in the first 2 years of life in South Asian countries including Bangladesh. The aim of this study was to use the newly developed World Health Organization infant feeding indicators to identify the potential risk factors associated with inappropriate complementary feeding practices. We used data for 1728 children aged 6–23 months obtained from nationally representative data from the 2007 Bangladesh Demographic and Health Survey to assess the association between complementary feeding and other characteristics using multivariate models. Only 71% of infants were consuming soft, semi-solid and solid food by 6–8 months of age. In the multivariate analysis, mothers who had no education had a higher risk for not introducing timely complementary feeds [adjusted odds ratio (AOR) = 2.14; 95% confidence interval (CI): 1.08–4.23, P = 0.03], not meeting the minimum dietary diversity (AOR = 1.69; 95% CI: 1.14–2.54, P = 0.01), minimum acceptable diet (AOR = 1.70, 95% CI: 1.09–2.67, P = 0.02) and minimum meal frequency (AOR = 1.73; 95% CI: 1.20–2.49, P = 0.003) than the mothers who had secondary or higher education. Infants born in Sylhet, Chittagong and Barisal division had higher risks for not meeting minimum dietary diversity, meal frequency and acceptable diet (P < 0.001). The poorest two quintiles had poor levels of minimum meal frequency but dietary quality improved with age. In Bangladesh addressing the fourth Millennium Development Goal (MDG) target will require substantial improvement in complementary feeding practices. Appropriate Infant and Young Child feeding massages should to be development and delivered through existing health system.
Keyword Complementary feeding
South Asia
New indicators
Infant feeding
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 15 DEC 2011. Special Issue: Complementary feeding practices in South Asia: Analyses by the South Asia Infant Feeding Research Network [SAIFRN].

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
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