Government information systems to monitor complementary feeding programs for young children
Abstract Accelerating progress to improve complementary feeding of young children is a global priority. Strengthening monitoring through government information systems may increase the quality and implementation of infant and young child feeding (IYCF) programs. Monitoring is necessary for the effective implementation of programs as it allows program managers to assess program performance, identify problems, and take corrective action. Program descriptions and conceptual models explain how program inputs and activities should lead to outputs and outcomes, and ultimately public health impact; thus, they are critical tools w...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Maria Elena D. Jefferds Tags: SUPPLEMENT ARTICLE Source Type: research

Tools to improve planning, implementation, monitoring, and evaluation of complementary feeding programmes
Abstract Adequate nutrient intake is a prerequisite for achieving good nutrition status. Suboptimal complementary feeding practices are a main risk factor for stunting. The need for systematic and user‐friendly tools to guide the planning, implementation, monitoring, and evaluation of dietary interventions for children aged 6–23 months has been recognized. This paper describes five tools, namely, ProPAN, Optifood, Cost of the Diet, Fill the Nutrient Gap, and Monitoring Results for Equity System that can be used in different combinations to improve situation analysis, planning, implementation, monitoring, or evaluation...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Juliawati Untoro, Rachel Childs, Indira Bose, Pattanee Winichagoon, Christiane Rudert, Andrew Hall, Saskia Pee Tags: SUPPLEMENT ARTICLE Source Type: research

Harnessing private sector expertise to improve complementary feeding within a regulatory framework: Where is the evidence?
Abstract Global recognition that the complex and multicausal problems of malnutrition require all players to collaborate and to invest towards the same objective has led to increased private sector engagement as exemplified through the Scaling Up Nutrition Business Network and mechanisms for blended financing and matched funding, such as the Global Nutrition for Growth Compact. The careful steps made over the past 5 to 10 years have however not taken away or reduced the hesitation and scepticism of the public sector actors towards commercial or even social businesses. Evidence of impact or even a positive contribution of ...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Marti J. Liere, Dessie Tarlton, Ravi Menon, M. Yellamanda, Ietje Reerink Tags: SUPPLEMENT ARTICLE Source Type: research

The potential role of micronutrient powders to improve complementary feeding practices
In conclusion, a limited but growing body of evidence suggests that MNP interventions can contribute to improve complementary feeding practices. However, there is scope for improvement even among integrated MNP and IYCF programmes in order to realize the full potential of MNP interventions for IYCF practices. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Kendra Siekmans, France B égin, Ruth Situma, Roland Kupka Tags: SUPPLEMENT ARTICLE Source Type: research

Linking agriculture and nutrition education to improve infant and young child feeding: Lessons for future programmes
Discussions (FGDs) were conducted with purposively selected project stakeholders (53 in Cambodia, 170 in Malawi), including government staff from the agriculture and health sectors. Results highlight that adoption of improved IYCF practices was facilitated by participation in nutrition education and practical cooking sessions, and supportive family and community structures. Barriers faced by families and caregivers were identified, such as women's workload and lack of access to high quality foods, namely fruits, vegetables, legumes, nuts and animal source foods. Implementation challenges regarding coordination of cross‐s...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Ellen Muehlhoff, Ramani Wijesinha ‐Bettoni, Elizabeth Westaway, Theresa Jeremias, Stacia Nordin, Julia Garz Tags: SUPPLEMENT ARTICLE Source Type: research

Using behavior change approaches to improve complementary feeding practices
We examined commonalities and differences in the design and implementation of social and behavior change approaches, use of program delivery platforms, challenges encountered, and lessons learned. We conclude that complementary feeding practices, in particular dietary diversity, can be improved rapidly in a variety of settings using available program platforms if interventions focus on specific constraints to food access and use effective strategies to encourage caregivers to prepare and feed appropriate foods. A five‐step process is presented that can be applied across a range of complementary feeding programs to streng...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Tina Sanghvi, Renata Seidel, Jean Baker, Ann Jimerson Tags: SUPPLEMENT ARTICLE Source Type: research

Scaling ‐up interventions to improve infant and young child feeding in India: What will it take?
Abstract We assessed India's readiness to deliver infant and young child feeding (IYCF) interventions by examining elements related to policy, implementation, financing, and evidence. We based our analysis on review of (a) nutrition policy guidance and program platforms, (b) published literature on interventions to improve IYCF in India, and (c) IYCF program models implemented between 2007 and 2012. We find that Indian policies are well aligned with global technical guidance on counselling interventions. However, guidelines for complementary food supplements (CFS) need to be reexamined. Two national programs with the opera...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Rasmi Avula, Vanessa M. Oddo, Suneetha Kadiyala, Purnima Menon Tags: SUPPLEMENT ARTICLE Source Type: research

Complementary feeding practices for infants and young children in South Asia. A review of evidence for action post ‐2015
Abstract Some 37% (~64 million) South Asian children under 5 years are stunted. Most stunting occurs during the complementary feeding period (6–23 months). Our objective was to (a) characterize complementary feeding practices in South Asia and (b) review the effectiveness of information, education, and counselling (IEC) interventions aiming to improve complementary feeding in South Asia. We conducted a comprehensive review of (a) the latest nationally representative survey data and (b) peer‐reviewed interventions (January 1990 to December 2015) that used IEC as the main strategy to improve complementary feeding. The ...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: V íctor M. Aguayo Tags: SUPPLEMENT ARTICLE Source Type: research

Risk factors of poor complementary feeding practices in Pakistani children aged 6 –23 months: A multilevel analysis of the Demographic and Health Survey 2012–2013
Abstract Appropriate feeding practices are crucial for survival, growth, and development in childhood. This paper analyzes Pakistan's Demographic and Health Survey 2012–2013 to fill the knowledge gap in risk factors of poor complementary feeding practices in Pakistani children. Multilevel models were applied to fit the multistage cluster sample of 2,827 children aged 6–23 months from 489 communities. Introduction of solid, semi‐solid, or soft foods (intro) was achieved in 67% infants aged 6–8 months. Among children aged 6–23 months, the proportion of children meeting minimum meal frequency, dietary diversity (...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Muzi Na, V íctor M. Aguayo, Mary Arimond, Christine P. Stewart Tags: SUPPLEMENT ARTICLE Source Type: research

Household food insecurity and children's dietary diversity and nutrition in India. Evidence from the comprehensive nutrition survey in Maharashtra
Abstract We analyse data from the 2012 Comprehensive Nutrition Survey in the State of Maharashtra, India, which surveyed 2,630 households. This is a unique dataset because in addition to nutritional status of mothers and children, it has information on diets of women and children and household food security. This rich dataset allows us to address three issues: whether household food security predicts higher diet diversity in children aged 6–23 months; whether household food security predicts lower risk of undernutrition; and whether the lower risk of undernutrition in children who live in food secure households is media...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: S. Chandrasekhar, V íctor M. Aguayo, Vandana Krishna, Rajlakshmi Nair Tags: SUPPLEMENT ARTICLE Source Type: research

Diet quality and risk of stunting among infants and young children in low ‐ and middle‐income countries
Abstract Age‐appropriate complementary feeding practices are far from optimal among low‐ and middle‐income countries with available data. The evidence on the association between feeding practices and linear growth is mixed. We sought to systematically examine the association between two indictors of dietary quality—dietary diversity and animal source food (ASF) consumption (WHO, 2008)—and stunting (length‐for‐age z‐score) employing existing data from 39 Demographic and Health Surveys. Data on 74,548 children aged 6–23 months were pooled and multiple logistic regression models, adjusting for child, matern...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Julia Krasevec, Xiaoyi An, Richard Kumapley, France B égin, Edward A. Frongillo Tags: SUPPLEMENT ARTICLE Source Type: research

Consumption of commercially produced snack foods and sugar ‐sweetened beverages during the complementary feeding period in four African and Asian urban contexts
Abstract The availability and consumption of commercially produced foods and beverages have increased across low‐income and middle‐income countries. This cross‐sectional survey assessed consumption of commercially produced foods and beverages among children 6–23 months of age, and mothers' exposure to promotions for these products. Health facility‐based interviews were conducted among 218 randomly sampled mothers utilizing child health services in Dakar, Senegal; 229 in Dar es Salaam, Tanzania; 228 in Kathmandu Valley, Nepal; and 222 in Phnom Penh, Cambodia. In the day prior to the interview, 58.7% of 6–23‐m...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Alissa M. Pries, Sandra L. Huffman, Mary Champeny, Indu Adhikary, Margaret Benjamin, Aminata Ndeye Coly, El Hadji Issakha Diop, Khin Mengkheang, Nd èye Yaga Sy, Shrid Dhungel, Alison Feeley, Bineti Vitta, Elizabeth Zehner Tags: SUPPLEMENT ARTICLE Source Type: research

Complementary feeding practices: Current global and regional estimates
Abstract Insufficient quantities and inadequate quality of complementary foods, together with poor feeding practices, pose a threat to children's health and nutrition. Interventions to improve complementary feeding are critical to reduce all forms of malnutrition, and access to data to ascertain the status of complementary feeding practices is essential for efforts to improve feeding behaviours. However, sufficient data to generate estimates for the core indicators covering the complementary feeding period only became available recently. The current situation of complementary feeding at the global and regional level is rep...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Jessica M. White, France B égin, Richard Kumapley, Colleen Murray, Julia Krasevec Tags: SUPPLEMENT ARTICLE Source Type: research

Emerging issues in complementary feeding: Global aspects
Abstract The complementary feeding period (6–24 months) is a window of opportunity for preventing stunting, wasting, overweight, and obesity and for improving long‐term development and health. Because WHO published its guiding principles for complementary feeding in 2003, new knowledge and evidence have been generated in the area of child feeding. The aim of this paper is to highlight some of the emerging issues in complementary feeding and potential implications on the guidelines revision. Evidence on the effect of the quality and quantity of protein and fat intake on child growth during the complementary feeding per...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: Kim F. Michaelsen, Laurence Grummer ‐Strawn, France Bégin Tags: SUPPLEMENT ARTICLE Source Type: research

First foods: Why improving young children's diets matter.
Abstract Globally, only 52% of children aged 6–23 months meet the minimum meal frequency and a mere 29% meet the minimum dietary diversity, with large disparities across and within regions. With most of the stunting occurring during the first thousand days—from conception to age 2 years—improving complementary feeding in children 6–23 months old is an urgent priority. With this evidence in mind, UNICEF collaborated with the governments of India and Maharashtra to convene a global meeting in Mumbai, India, under the theme: First Foods: A Global Meeting to Accelerate Progress on Complementary Feeding in Young Chil...
Source: Maternal and Child Nutrition - October 15, 2017 Category: Nutrition Authors: France B égin, Víctor M. Aguayo Tags: OVERVIEW Source Type: research