Kamble Bhushan Dattatray, Kaur Ravneet, Acharya Bhabani Prasad, Gupta Mehul
Assistant Professor, Department of Community Medicine, North DMC Medical College and Hindu Rao Hospital, Delhi, India.
Associate Professor, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
J Family Med Prim Care. 2020 Jul 30;9(7):3392-3398. doi: 10.4103/jfmpc.jfmpc_164_20. eCollection 2020 Jul.
India, a low-middle income and a developing country is combating with a triple burden of malnutrition with a very cost-effective measure, infant and young child feeding (IYCF) practices. But there are a lot of challenges in its implementation which need to be catered. The objective of the present qualitative study was to assess IYCF practices among mothers of children aged 6 months to 2 years in a rural area of Haryana.
Qualitative study was carried out among mothers of children 6 months-2 years in villages of Ballabgarh block of Haryana using focussed group discussion (FGD) and in-depth interview methods. All recordings of FGDs and IDIs were transcribed into verbatim and codes were generated. Thematic analysis of the transcript of in-depth interview and FGD was performed with the help of Doc Tools in MS Word 2016.
The mothers had good knowledge about breastfeeding, importance of colostrum, and weaning practices of infants and children of less than 2 years. Though there is evidence of some cultural misbeliefs, most of the taboos are obsolete now. There was a knowledge gap regarding initiation and composition of complementary feeding practices. The awareness about food diversity, effects of junk food, and recommended complementary feeding practices was less.
There is need of creating awareness among mothers regarding importance of IYCF practices to reduce infant and under 5 mortality in rural area.
印度是一个中低收入的发展中国家，正在通过一项极具成本效益的措施——婴幼儿喂养（IYCF）做法，应对营养不良的三重负担。但其实施过程中存在诸多挑战，需要加以解决。本定性研究的目的是评估哈里亚纳邦农村地区6个月至2岁儿童母亲的婴幼儿喂养做法。
在哈里亚纳邦巴拉加尔区各村对6个月至2岁儿童的母亲开展定性研究，采用焦点小组讨论（FGD）和深入访谈方法。焦点小组讨论和深入访谈的所有录音都逐字转录，并生成编码。借助MS Word 2016中的Doc Tools对深入访谈和焦点小组讨论的文字记录进行主题分析。
母亲们对母乳喂养、初乳的重要性以及2岁以下婴幼儿的断奶做法有充分了解。尽管存在一些文化误解的证据，但现在大多数禁忌已经过时。在辅食添加的起始和构成方面存在知识差距。对食物多样性、垃圾食品的影响以及推荐的辅食添加做法的认识较低。
需要提高母亲们对婴幼儿喂养做法重要性的认识，以降低农村地区婴儿和5岁以下儿童的死亡率。
