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.
Background: Poor feeding practices in early childhood
contribute to the burden of childhood malnutrition and
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
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
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|Item Type:||Journal Article|
|Keywords:||Breastfeeding, determinants, infant feeding, Sri lanka, young child|
|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:||02 Nov 2010 08:32|
|Last Modified:||01 Mar 2012 00:18|
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