Complementary feeding practices among rural Bangladeshi mothers

Results from WASH Benefits study

Kaniz Jannat, Luby P. Stephen, Leanne Unicomb, Mahbubur Rahman, Peter John Winch, Parvez M. Sarker, Kishor K. Das, Elli Leontsini, Pavani K. Ram, Christine P. Stewart

Research output: Contribution to journalArticle

Abstract

Inappropriate complementary feeding contributes to linear growth faltering in early childhood. Behaviour change interventions have been effective at improving practice, but few studies have investigated the effects of multicomponent integrated interventions. We conducted a cluster-randomized controlled trial in rural Bangladesh in which geographic clusters were randomized into seven arms: water treatment (W), sanitation (S), handwashing (H), water, sanitation, and handwashing (WSH), improved nutrition with infant and young child feeding messages and lipid-based nutrient supplementation for 6- to 24-month olds (N), N+WSH, and control. The objective of this paper was to examine the independent and combined effects of interventions on indicators of complementary feeding. Approximately 1 and 2 years after initiation of the intervention, research assistants surveyed mothers about infant feeding practices. Complementary feeding was examined using the World Health Organization indicators of infant and young child feeding practices. We used Poisson regression models to estimate prevalence ratios and linear regression models for prevalence differences with clustered sandwich estimators to adjust for clustering. A total of 4,718 households from 720 clusters were surveyed at year 1 and 4,667 at year 2. The children in the nutrition arms had a higher prevalence of meeting the minimum dietary diversity score compared with controls (year 1: N: 66.4%; N+WSH: 65.0% vs. C:32.4%; year 2: N: 91.5%; N+WSH: 91.6% vs. C:77.7%). Children in the nutrition arms received diverse food earlier than the children in control arm. In addition, the average consumption of lipid-based nutrient supplementation was >90% in each follow-up. Nutrition-specific interventions could be integrated with nutrition-sensitive interventions such as WSH without compromising the uptake of the nutrition intervention.

Original languageEnglish (US)
JournalMaternal and Child Nutrition
DOIs
StateAccepted/In press - Jan 1 2018

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Infant Nutritional Physiological Phenomena
Hand Disinfection
Sanitation
Mothers
Water
Food
Linear Models
Lipids
Bangladesh
Water Purification
Cluster Analysis
Randomized Controlled Trials
Growth
Research

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Complementary feeding practices among rural Bangladeshi mothers : Results from WASH Benefits study. / Jannat, Kaniz; Stephen, Luby P.; Unicomb, Leanne; Rahman, Mahbubur; Winch, Peter John; Sarker, Parvez M.; Das, Kishor K.; Leontsini, Elli; Ram, Pavani K.; Stewart, Christine P.

In: Maternal and Child Nutrition, 01.01.2018.

Research output: Contribution to journalArticle

Jannat, Kaniz ; Stephen, Luby P. ; Unicomb, Leanne ; Rahman, Mahbubur ; Winch, Peter John ; Sarker, Parvez M. ; Das, Kishor K. ; Leontsini, Elli ; Ram, Pavani K. ; Stewart, Christine P. / Complementary feeding practices among rural Bangladeshi mothers : Results from WASH Benefits study. In: Maternal and Child Nutrition. 2018.
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