Rasheed Sabrina, Haider Rukhsana, Hassan Nazmul, Pachón Helena, Islam Sanjeeda, Jalal Chowdhury S B, Sanghvi Tina G
International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh (ICDDR,B).
Food Nutr Bull. 2011 Sep;32(3):192-200. doi: 10.1177/156482651103200302.
Child undernutrition remains high in South Asian and sub-Saharan African countries. Rapid declines in nutritional status occur before the age of 2 years, particularly during the period of complementary feeding. Improving complementary feeding practices is a neglected area in nutrition programs.
To understand community perspectives on complementary feeding practices in order to inform the design of future interventions for improved complementary feeding.
From May through August 2009, data were collected in two rural locations and one urban location in Bangladesh through semistructured interviews, food attributes exercises, 24-hour dietary recalls, opportunistic observations, and trials of improved practices (TIPs). Key informant interviews and focus group discussions were also carried out among family members and community opinion leaders.
Lay perceptions about complementary feeding differ substantially from international complementary feeding recommendations. A large proportion of children do not consume sufficient amounts of complementary foods to meet their energy and micronutrient needs. There was a gap in knowledge about appropriate complementary foods in terms of quality and quantity and strategies to convert family foods to make them suitable for children. Complementary feeding advice from family members, peers, and health workers, the importance given to feeding young children, and time spent by caregivers in feeding influenced the timing, frequency, types of food given, and ways in which complementary feeding occurred.
Perceptions and practices related to complementary feeding need to be effectively addressed to improve the levels of child undernutrition. Lack of understanding of children's nutritional needs and insufficient time for feeding children are key barriers to complementary feeding.
南亚和撒哈拉以南非洲国家儿童营养不良问题依然严重。营养状况在2岁前迅速下降，尤其是在辅食添加阶段。改善辅食喂养方式是营养项目中一个被忽视的领域。
了解社区对辅食喂养方式的看法，为未来改善辅食喂养的干预措施设计提供依据。
2009年5月至8月，通过半结构化访谈、食物属性分析、24小时膳食回顾、机会性观察以及改进措施试验（TIPs），在孟加拉国的两个农村地区和一个城市地区收集数据。还与家庭成员和社区意见领袖进行了关键信息访谈和焦点小组讨论。
公众对辅食喂养的认知与国际辅食喂养建议存在很大差异。很大一部分儿童没有摄入足够的辅食来满足其能量和微量营养素需求。在合适辅食的质量和数量以及将家庭食物转化为适合儿童食用的食物的策略方面，存在知识差距。家庭成员、同龄人及卫生工作者提供的辅食喂养建议、对幼儿喂养的重视程度以及照顾者喂养所花费的时间，影响了辅食喂养的时间、频率、食物种类以及喂养方式。
需要有效解决与辅食喂养相关的认知和做法问题，以提高儿童营养不良水平。对儿童营养需求的认识不足以及喂养儿童的时间不足是辅食喂养的关键障碍。
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