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Regional Analysis of Associations between Infant and Young Child Feeding Practices and Diarrhoea in Indian Children

Author

Listed:
  • Mansi Vijaybhai Dhami

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus, Penrith, NSW 2571, Australia)

  • Felix Akpojene Ogbo

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus, Penrith, NSW 2571, Australia
    General Practice Unit, Prescot Specialist Medical Centre, Welfare Quarters, Makurdi, Benue State 972261, Nigeria)

  • Thierno M.O. Diallo

    (School of Social Sciences, Western Sydney University, Penrith Campus, Penrith, NSW 2571, Australia
    Statistiques & M. N., Sherbrooke, QC J1K 2Z4, Canada)

  • Kingsley E. Agho

    (Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus, Penrith, NSW 2571, Australia
    African Vision Research Institute (AVRI), University of KwaZulu-Natal, Durban 4041, South Africa
    School of Health Sciences, Western Sydney University, Campbelltown Campus, Penrith, NSW 2571, Australia)

  • on behalf of the Global Maternal and Child Health Research Collaboration (GloMACH)

    (Members of GloMACH are listed in the acknowledgments.)

Abstract

Studies on the association between infant and young child feeding (IYCF) practices and diarrhoea across regional India are limited. Hence, we examined the association between IYCF practices and diarrhoea in regional India. A weighted sample of 90,596 (North = 11,200, South = 16,469, East = 23,317, West = 11,512, Central = 24,870 and North-East = 3228) from the 2015–2016 National Family Health Survey in India was examined, using multivariate logistic regressions that adjust for clustering and sampling weights. The IYCF indicators included early initiation of breastfeeding (EIBF), exclusive breastfeeding (ExcBF), predominant breastfeeding (PBF), bottle feeding (BotF), continued breastfeeding (BF) at one-year, continued BF at two years, children ever breastfed and the introduction of solid, semi-solid or soft foods (ISSSF). Diarrhoea prevalence was lower among infants who were BF within one-hour of birth and those who were exclusively breastfed. Multivariate analyses revealed that continued BF at one and two years, and infants who were introduced to complementary foods had a higher prevalence of diarrhoea. EIBF and ExcBF were protective against diarrhoea in the regions of North, East and Central India. PBF, BotF and ISSSF were risk factors for diarrhoea in Central India. Continued BF at two years was a risk factor for diarrhoea in Western India. Findings suggested that EIBF and ExcBF were protective against diarrhoea in Northern, Eastern and Central India, while PBF, BotF, continued BF at two years and ISSSF were risk factors for diarrhoea in various regions in India. Improvements in IYCF practices are likely to reduce the burden of diarrhoea-related morbidity and mortality across regions in India.

Suggested Citation

  • Mansi Vijaybhai Dhami & Felix Akpojene Ogbo & Thierno M.O. Diallo & Kingsley E. Agho & on behalf of the Global Maternal and Child Health Research Collaboration (GloMACH), 2020. "Regional Analysis of Associations between Infant and Young Child Feeding Practices and Diarrhoea in Indian Children," IJERPH, MDPI, vol. 17(13), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4740-:d:379212
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    References listed on IDEAS

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    1. Santosh Kumar & Sebastian Vollmer, 2013. "Does Access To Improved Sanitation Reduce Childhood Diarrhea In Rural India?," Health Economics, John Wiley & Sons, Ltd., vol. 22(4), pages 410-427, April.
    2. Nandi, Arindam & Megiddo, Itamar & Ashok, Ashvin & Verma, Amit & Laxminarayan, Ramanan, 2017. "Reduced burden of childhood diarrheal diseases through increased access to water and sanitation in India: A modeling analysis," Social Science & Medicine, Elsevier, vol. 180(C), pages 181-192.
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