breastfeeding and complementary feeding: situation in india
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BREASTFEEDING AND COMPLEMENTARY FEEDING: SITUATION IN INDIA. DR. SHRIRAM V GOSAVI PG COMMUNITY MEDICINE DEPT. MGIMS, SEVAGRAM. GLOBAL RECOMMENDATIONS FOR INFANT AND YOUNG CHILD FEEDING. Initiation of early BF Exclusive breastfeeding Introduction of Complementary - PowerPoint PPT PresentationTRANSCRIPT
BREASTFEEDING AND COMPLEMENTARY FEEDING:
SITUATION IN INDIA
DR. SHRIRAM V GOSAVI PG COMMUNITY MEDICINE DEPT.
MGIMS, SEVAGRAM
GLOBAL RECOMMENDATIONS FOR INFANT AND YOUNG CHILD FEEDING
Initiation of early BF
Exclusive breastfeeding
Introduction of Complementary feeding
RISK OF NEONATAL MORTALITY ACCORDINGTO TIME OF INITIATION OF BF
If increasing delay in initiation of breastfeeding
American Academy of Pediatrics Overall late initiation (after day 1) was associated with a 2.6-fold
risk of death from infectious disease
Partial breastfeeding during first month associated with 6 fold adjusted risk of death from infectious disease
Source: Pediatr, 2005; 115:496–506.
U-5 Deaths & Breastfeeding
PROGRESS IN EXCLUSIVE BREASTFEEDING RATES IN <6 MTHS OLD CHILD IN WORLD
AFRICA ASIA DEVELPOING COUNTRIES
05
1015202530354045
26
383332
4237
AROUND 1996 AROUND 2008
TRENDS IN THREE INDICATOR OF Breastfeeding IN INDIA
020406080
15.841.2 3524.5
46.4 56.750
80 75
NFHS-2 (98-99) NFHS-3 (2005-06) Tenth Plan Goal
State wise situation of early initiation of Breastfeeding with in 1 hr, NFHS-3 (2005-06)
Mizoram
Goa
Tamil Nadu
Maharashtra
Jharkhand
Uttar Pradesh
Bihar
India
Tenth Plan Goal
0 10 20 30 40 50 60 7066.4
59.4
58.8
52
10.7
7.3
3.7
24.5
50
Early initiation of Breastfeeding & education of mother, NFHS-3 (2005-06)
0
20
40
60
80
1627.6 27 31.6 33 33.516.7
28.628
33 34.4 34.643.161.4 61.8 67.7 69.8 71.6
With in half an hour of birth With in one hour of birthWith in one day of birth
Early initiation of breastfeeding & wealth status, NFHS-3 (2005-06)
Lowest Secondary Middle Fourth Highest Total01020304050607080
17 19.725 27.7 31
23.617.9 20.6 2629 32 24.5
45.3 4757
64.4 68.7
55.3
Within half an hour of birth Within one hour of birth Within one day of birth
Early initiation of breastfeeding & the place of delivery, NFHS-3 (2005-06)
Health facility At home01020304050607080
33
16.9
34
17.8
71.3
44.1
With in half an hour of birth With in one hour of birthWith in one day of birth
State wise situation of Exclusive Breastfeeding (0-6 Mths), NFHS-3 (2005-06)
Chhattisgarh
Assam
Andhra Pradesh
Maharashtra
Madhya Pradesh
Goa
Haryana
India
Tenth Plan Goal
0 10 20 30 40 50 60 70 80 9082
63.1
62.1
53
21.6
17.7
16.9
46.4
80
State wise situation of complementary feeding (6-9 Mths), NFHS-3 (2005-06)
Kerala
Sikkim
Mizoram
Maharashtra
Uttar Pradesh
Hryana
Rajasthan
India
Tenth Plan Goal
0 10 20 30 40 50 60 70 80 90 10093.6
89.6
84.6
47.8
45.5
44.8
38.7
56.7
75
POSSIBLE REASONS FOR SUBOPTIMAL BREASTFEEDING & COMPLEMENTRY FEEDING
Lack of proper information to mothers Lack of counseling on feeding of infants Lack of proper feeding skill’s Inadequate health care support Inability of health care providers to help mothers experiencing
breastfeeding difficulty Aggressive promotion of baby foods by commercial
industries & Lack of proper support structures at community & work place
like maternity entitlements & crèches
References National Family Health Survey - 3. International Institute for
Population Sciences. Available at: http://www.nfhsindia.org/nfhs3_national_report.html
WHO/UNICEF Global Strategy for Infant and Young Child Feeding, World Health Organization (WHO), 2002. Available at: http://www.who.int/child-adolescent health/NUTRITION/ global_strategy.htm American Academy of Pediatrics. Section on breastfeeding -
Breastfeeding and the use of human milk. Pediatr 2005; 115: 496–506.
Dr. Arun Gupta et al. Breastfeeding and Complementary Feeding as a Public Health Intervention for Child Survival in India,
Indian Journal of Pediatric, Jan-2010.