Department of Fertility and Social Demography, International Institute for Population Sciences (IIPS), Mumbai, India.
Research Scholar, International Institute for Population Sciences (IIPS), Mumbai, India.
Biodemography Soc Biol. 2024 Apr-Jun;69(2):90-101. doi: 10.1080/19485565.2024.2344481. Epub 2024 Apr 18.
Minimum acceptable diet (MAD) that combines minimum dietary diversity (MDD) and minimum meal frequency (MMF) is one of the eight core indicators for assessing infant and young child feeding (IYCF) practices for children aged 6-23 months. With low MAD, young children and infants are more susceptible to undernutrition. The study assesses the prevalence and predictors of MAD among tribal children aged 6-23 months in India. Descriptive, bivariate, and multivariate analyzes were performed on data from 6326 tribal children of the National Family Health Survey (2019-21). Stata was used for the analyzes, with a 5% significance level. Only 12% of tribal children were fed with a MAD, while 24% had MDD and 34% MMF. Children aged 18-23 months had a three times higher chance of MAD than their 6-8 months counterparts. Children receiving Integrated Child Development Services (ICDS), children of mothers with ten or more years of schooling, children whose mothers were exposed to mass media, and whose mothers had 4+ antenatal care visits in their last pregnancy had a higher likelihood of MAD. The study concludes that MAD among tribal children aged 6-23 months is unsatisfactory and varies significantly by socio-demographic characteristics, suggesting targeted intervention.
最低可接受饮食（MAD）结合了最低饮食多样性（MDD）和最低用餐频率（MMF），是评估 6-23 月龄婴幼儿喂养实践的八项核心指标之一。如果 MAD 较低，幼儿和婴儿更容易出现营养不良。本研究评估了印度 6-23 月龄部落儿童 MAD 的流行情况和预测因素。对来自国家家庭健康调查（2019-21 年）的 6326 名部落儿童数据进行了描述性、双变量和多变量分析。使用 Stata 进行分析，显著性水平为 5%。只有 12%的部落儿童采用了 MAD，而 24%的儿童具有 MDD，34%的儿童具有 MMF。18-23 月龄的儿童采用 MAD 的可能性是 6-8 月龄儿童的三倍。接受综合儿童发展服务（ICDS）的儿童、母亲受教育年限在 10 年或以上的儿童、母亲接触大众媒体的儿童以及在最近一次妊娠中接受了 4 次或以上产前护理的儿童，采用 MAD 的可能性更高。研究结论是，6-23 月龄部落儿童的 MAD 不尽如人意，且差异显著，受社会人口特征影响，提示需要采取有针对性的干预措施。
