Feeding practices among children 6-23 months attending in an outpatient department of a tertiary level hospital in Dhaka

Authors

  • Farhana Rahman Registrar (NICU), Holy Family Red Cresent Medical College Hospital, Dhaka, Bangladesh
  • Tasnova Rahman Department of Dental Public Health, Mandy Dental College, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20253131

Keywords:

Child nutrition, Complementary feeding, Exclusive breastfeeding, Malnutrition

Abstract

Background: As malnutrition is not considered a disease, it remains a hidden health problem and quietly steals energy, retards growth and development, and lowers body resistance to infection. This study aimed to assess the feeding practices among children aged 6-23 months attending the outpatient department (OPD).

Methods: This cross-sectional study was conducted among 125 purposively selected mothers having children of 6 months to 2 years of age who attended the outpatient department of Holy Family Red Crescent Hospital. Face-to-face interview was done through questionnaires.  Analysis of data was done with SPSS version 21.

Results: Among 125 respondent’s majority (66.4%) had their first child at the age of between 18-22 years. Only some of them (35.2%) had antenatal check-ups during pregnancy and most (88.8%) of the mothers did not have postnatal care after the delivery of the last child. Regarding the reason for not taking PNC nearly all (91.0%) did not know PNC. Maximum (56.8%) knew about feeding colostrum after childbirth and most (88.8%) feed colostrum to their child and almost all (95.2%) of them were only breastfeeding their child for six months.

Conclusions: The study highlighted a gap in maternal knowledge regarding antenatal and postnatal checkups, underscoring the need to raise awareness in these areas. However, most mothers demonstrated adequate awareness of proper breastfeeding practices, including colostrum feeding and complementary feeding.

Metrics

Metrics Loading ...

References

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-51. DOI: https://doi.org/10.1016/S0140-6736(13)60937-X

Dewey KG, Begum K. Long‐term consequences of stunting in early life. Matern Child Nutr. 2011;7:5-18. DOI: https://doi.org/10.1111/j.1740-8709.2011.00349.x

World Health Organization. WHO Guideline for complementary feeding of infants and young children 6-23 months of age. World Health Organization; 2023.

Iqbal A, Ahsan KZ, Jamil K, Haider MM, Khan SH, Chakraborty N, et al. Demographic, socioeconomic, and biological correlates of hypertension in an adult population: evidence from the Bangladesh demographic and health survey 2017-18. BMC Public Health. 2021;21(1):1229. DOI: https://doi.org/10.1186/s12889-021-11234-5

Kim SS, Rawat R, Mwangi EM, Tesfaye R, Abebe Y, Baker J, et al. Exposure to large-scale social and behavior change communication interventions is associated with improvements in infant and young child feeding practices in Ethiopia. PLoS One. 2016;11(10):e0164800. DOI: https://doi.org/10.1371/journal.pone.0164800

Menon P, Nguyen PH, Saha KK, Khaled A, Sanghvi T, Baker J, et al. Combining intensive counseling by frontline workers with a nationwide mass media campaign has large differential impacts on complementary feeding practices but not on child growth: results of a cluster-randomized program evaluation in Bangladesh. J Nutr. 2016;146(10):2075-84. DOI: https://doi.org/10.3945/jn.116.232314

Lassi ZS, Das JK, Zahid G, Imdad A, Bhutta ZA. Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: a systematic review. BMC Public Health. 2013;13:1-10. DOI: https://doi.org/10.1186/1471-2458-13-S3-S13

Saha S, Haque MA, Chowdhury MA. Health-seeking behavior and associated factors during the first episode of childhood diarrhea and pneumonia in a coastal area of Bangladesh. Int J Community Med Public Health. 2022;9(2):575-82. DOI: https://doi.org/10.18203/2394-6040.ijcmph20220214

Ali NB, Tahsina T, Hoque DM, Hasan MM, Iqbal A, Huda TM, et al. Association of food security and other socio-economic factors with dietary diversity and nutritional statuses of children aged 6-59 months in rural Bangladesh. PLoS One. 2019;14(8):e0221929. DOI: https://doi.org/10.1371/journal.pone.0221929

Ahmed T, Hossain M, Mahfuz M, Choudhury N, Ahmed S. Imperatives for reducing child stunting in Bangladesh. Matern Child Nutr. 2016;12(Suppl 1):242. DOI: https://doi.org/10.1111/mcn.12284

Nahar B, Hossain MI, Hamadani JD, Ahmed T, Huda SN, Grantham-McGregor SM, et al. Effects of a community-based approach of food and psychosocial stimulation on growth and development of severely malnourished children in Bangladesh: a randomised trial. Eur J Clin Nutr. 2012;66(6):701-9. DOI: https://doi.org/10.1038/ejcn.2012.13

Faruque AS, Ahmed AS, Ahmed T, Islam MM, Hossain MI, Roy SK, et al. Nutrition: basis for healthy children and mothers in Bangladesh. J Health Popul Nutr. 2008;26(3):325. DOI: https://doi.org/10.3329/jhpn.v26i3.1899

Haider R, Ashworth A, Kabir I, Huttly SR. Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial. Lancet. 2000;356(9242):1643-7. DOI: https://doi.org/10.1016/S0140-6736(00)03159-7

Uddin MF, Mim SA, Haque MA, Tariquajjaman M, Jabeen I, Latif MB, et al. Sociodemographic and maternal health-related factors associated with mortality among children under three in Bangladesh: an analysis of data from Bangladesh Demographic and Health Survey 2017-18. BMC Public Health. 2024;24(1):3324. DOI: https://doi.org/10.1186/s12889-024-20426-8

Chowdhury AI, Habib MA, Rahman T. Factors influencing the utilization of antenatal care, institutional delivery, and postnatal care services among women in Bangladesh. Makara J Health Res. 2022;26(3):1. DOI: https://doi.org/10.7454/msk.v26i3.1385

Rahman MA. Mobile phone support to sustain exclusive breastfeeding in the community after hospital delivery and counselling: a quasi-experimental study. Int Breastfeed J. 2020;15:14. DOI: https://doi.org/10.1186/s13006-020-00258-z

Sheikh N, Akram R, Ali N, Haque SR, Tisha S, Mahumud RA, et al. Infant and young child feeding practice, dietary diversity, associated predictors, and child health outcomes in Bangladesh. J Child Health Care. 2020;24(2):260-73. DOI: https://doi.org/10.1177/1367493519852486

Hasan MR, Azad MT, Chowdhury TJ, Akther N, Rahman Z, Ahmed T. Feeding practice during infancy: a hospital based study. Jalalabad Med J. 2023;20(1):23-30. DOI: https://doi.org/10.3329/jmj.v20i1.79415

Khatun H, Comins CA, Shah R, Munirul Islam M, Choudhury N, Ahmed T. Uncovering the barriers to exclusive breastfeeding for mothers living in Dhaka’s slums: a mixed method study. Int Breastfeed J. 2018;13:1-1. DOI: https://doi.org/10.1186/s13006-018-0186-5

Sharma IK, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breastfeed J. 2016;11:1-2. DOI: https://doi.org/10.1186/s13006-016-0076-7

Kegne T, Alemu YM, Wassie GT. Timely initiation of complementary feeding and associated factors among mothers having children aged 6 to 24 months in North-West Ethiopia: a comparative cross-sectional study. BMC Pediatr. 2024;24(1):428. DOI: https://doi.org/10.1186/s12887-024-04906-9

Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90. DOI: https://doi.org/10.1016/S0140-6736(15)01024-7

Heinig MJ, Follett JR, Ishii KD, Kavanagh-Prochaska K, Cohen R, Panchula J. Barriers to compliance with infant-feeding recommendations among low-income women. J Hum Lactat. 2006;22(1):27-38. DOI: https://doi.org/10.1177/0890334405284333

Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. J Nutr. 2004;134(10):2579-85. DOI: https://doi.org/10.1093/jn/134.10.2579

Soofi SB, Khan A, Kureishy S, Hussain I, Habib MA, Umer M, et al. Determinants of stunting among children under five in Pakistan. Nutrients. 2023;15(15):3480. DOI: https://doi.org/10.3390/nu15153480

Downloads

Published

2025-09-29

How to Cite

Rahman, F., & Rahman, T. (2025). Feeding practices among children 6-23 months attending in an outpatient department of a tertiary level hospital in Dhaka. International Journal of Research in Medical Sciences, 13(10), 3963–3967. https://doi.org/10.18203/2320-6012.ijrms20253131

Issue

Section

Original Research Articles