Determinants of infant and young child feeding practices in Sri Lanka : secondary data analysis of demographic and health survey 2000

Senarath, U., Dibley, M.J., Godakandage, S.S., Jayawickrama, H., Wickramasinghe, A., Agho, K., Roy, S.K., Kabir, I., Patel, A., Badhoniya, N., Khadse, S., Pandey, S., Tiwari, K., Hazir, T., Akram, D.S., & Mihrshahi, S. (2010) Determinants of infant and young child feeding practices in Sri Lanka : secondary data analysis of demographic and health survey 2000. Food and Nutrition Bulletin, 31(2), pp. 352-365.

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Background: Poor feeding practices in early childhood contribute to the burden of childhood malnutrition and morbidity.

Objective: To estimate the key indicators of breastfeeding and complementary feeding and the determinants of selected feeding practices in Sri Lanka.

Methods: The sample consisted of 1,127 children aged 0 to 23 months from the Sri Lanka Demographic and Health Survey 2000. The key infant feeding indicators were estimated and selected indicators were examined against a set of individual-, household-, and community- level variables using univariate and multivariate analyses.

Results: Breastfeeding was initiated within the first hour after birth in 56.3% of infants, 99.7% had ever been breastfed, 85.0% were currently being breastfed, and 27.2% were being bottle-fed. Of infants under 6 months of age, 60.6% were fully breastfed, and of those aged 6 to 9 months, 93.4% received complementary foods. The likelihood of not initiating breastfeeding within the first hour after birth was higher for mothers who underwent cesarean delivery (OR = 3.23) and those who were not visited by a Public Health Midwife at home during pregnancy (OR = 1.81). The rate of full breastfeeding was significantly lower among mothers who did not receive postnatal home visits by a Public Health Midwife. Bottlefeeding rates were higher among infants whose mothers had ever been employed (OR = 1.86), lived in a metropolitan area (OR = 3.99), or lived in the South-Central Hill country (OR = 3.11) and were lower among infants of mothers with secondary education (OR = 0.27). Infants from the urban (OR = 8.06) and tea estate (OR = 12.63) sectors were less likely to receive timely complementary feeding than rural infants.

Conclusions: Antenatal and postnatal contacts with Public Health Midwives were associated with improved breastfeeding practices. Breastfeeding promotion strategies should specifically focus on the estate and urban or metropolitan communities.

Impact and interest:

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ID Code: 38287
Item Type: Journal Article
Refereed: Yes
Keywords: Breastfeeding, determinants, infant feeding, Sri lanka, young child
ISSN: 0379-5721
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 01 Nov 2010 22:32
Last Modified: 23 Aug 2016 23:52

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