Department of Science and Technology, 69406Food and Nutrition Research Institute, Taguig City, Philippines.
Nutr Health. 2022 Dec;28(4):751-759. doi: 10.1177/02601060221103004. Epub 2022 May 22.
Maternal, infant and young child health and nutrition are affected during the COVID-19 pandemic. This study aimed to present the snapshot situation of maternal health practices of pregnant women including infant and young child feeding (IYCF) practices of children under two during the COVID-19 pandemic. A rapid nutrition assessment survey (RNAS) was conducted through phone interview in nine selected areas from November 3 to December 3, 2020. A multi-stage sampling design was employed in the selection of areas with low, medium, and high risk categories across the islands of Luzon, Visayas, and Mindanao in the Philippines. A total of 792 mother-child pairs, and 148 pregnant women were covered. Majority (84.5%) of pregnant women availed pre-natal check-ups, 82.4% of them had micronutrient supplements, of which 20.5% took IFA tablets. Almost 60.0% of children under two were currently breastfed during the pandemic, with 60.8% of infants less than 6 months receiving breastmilk exclusively. Appropriate complementary feeding practices based on this study were not drastically affected by the COVID-19 pandemic. However, access to pregnancy-related information, along with breastfeeding and complementary feeding messages and advice were disrupted during the community lockdown. Although maternal and child feeding practices were unchanged, innovative delivery of community health and nutrition services such as tele-visits by midwives, and community health workers are some of the ways to move forward in improving the health and nutrition of women and children in the wake of the pandemic and during subsequent waves.
孕产妇、婴幼儿健康和营养在 COVID-19 大流行期间受到影响。本研究旨在介绍 COVID-19 大流行期间孕妇的孕产妇保健实践情况,包括 2 岁以下儿童的婴幼儿喂养实践情况。2020 年 11 月 3 日至 12 月 3 日,通过电话访谈在菲律宾吕宋岛、米沙鄢岛和棉兰老岛的九个选定地区进行了快速营养评估调查(RNAS)。采用多阶段抽样设计在低、中、高风险类别的岛屿上选择地区,以覆盖吕宋岛、米沙鄢岛和棉兰老岛的所有地区。共纳入 792 对母婴,148 名孕妇。大多数(84.5%)孕妇接受了产前检查,82.4%的孕妇服用了微量营养素补充剂,其中 20.5%服用了 IFA 片剂。在大流行期间,近 60.0%的 2 岁以下儿童目前正在母乳喂养,其中 60.8%的 6 个月以下婴儿接受纯母乳喂养。根据本研究,适当的补充喂养实践并未受到 COVID-19 大流行的严重影响。然而,在社区封锁期间,获取与妊娠相关的信息以及母乳喂养和补充喂养信息和建议受到了干扰。尽管母婴喂养实践没有改变,但通过助产士和社区卫生工作者进行远程访问等创新方式提供社区卫生和营养服务是在大流行期间和随后的疫情浪潮中改善妇女和儿童健康和营养的前进方向。