A study on infant feeding practices in the urban slums: a cross sectional study


  • Rajesh D. Department of Pediatrics, VIMS, Bellary, Karnataka, India
  • Bhavana D. Department of Pediatrics, VIMS, Bellary, Karnataka, India




Infant and young child feeding, Complementary feeding, Exclusive breast feeding, Urban slums


Background: Infant feeding practices comprising of both breastfeeding (BF) as well as complementary feeding (CF) have major role in determining the nutritional status of the child. Infant and young child nutrition is extremely important as it not only lays the foundation for good health throughout the life but, also provides a good workforce.

Methods: The purpose of the study was to assess the current infant feeding practices in children between the age group of 6months-1years, to find the reason for inappropriate CF practices and to assess the knowledge of mothers regarding CF.

Results: Out of 150 children studied, 33 (22%) had practiced exclusive breast feeding, and 91 (60.7%) children received CF at the appropriate time i.e., around 6 months, 87 (58%) gave complementary feeds with appropriate consistency, 49 (32%) gave with appropriate frequency and 98 (65.5%) with appropriate amount so overall prevalence of the optimal complementary feeding was only 28 (18.7%).

Conclusions: There is an urgent need to bridge the “knowledge gap” and “practice gap” of mother’s from urban slum and lower socio economic strata of the community by further strengthening the on- going breastfeeding programme, breastfeeding knowledge and practice of mothers in urban slum areas.


PAHO/WHO. Guiding principles for complementary feeding of the breastfed child. Washington, DC/Geneva, Switzerland: PAHO/WHO, 2003.

Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding. A systematic review. Adv Exp Biol. 2004;554:63-77.

World Health Organization. Global Strategy for Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization, 2003.

Martines JC, Rea M, DeZoysa J. Breastfeeding in the first six months. No needs for extra fluids. BMJ. 1992;304:1068-9.

National Guidelines on Infant and Young Child Feeding. Ministry of women and Child Development. Food and Nutrition Board. Government of India. 2006;1.

Jood S, Bishnoi S, Sehgal S. Nutritional status of rural pre-school children of Haryana State. Indian J Pediatr. 2000;67(3):189-96.

Fifth Report on the World Nutrition Situation. Nutrition for improved developmental outcomes. UN Standing Committee on Nutrition, SCN, Geneva, 2004.

Murray C, Lopez A. Global mortality, disability and the contrib ution of risk factors: Global burden of disease study. Lancet. 1997;349:1436-42.

Murray C, Lopez A. Mortality by cause for eight regions of the world: Global burden of disease study. Lancet. 1997;349:1269-76.

Brown KH, Black RE, Becker S, Nahar S, Sawyer J. Consumption of food and nutrients by weanlings in rural Bangladesh. Am J Clin Nutr. 1982;36:878-89.

Srivastava N, Sandhu A. Infant and Child Feeding Index. Indian J Pediatr. 2006;73(9):767-70.

Teneja DK, Misra A, Mathur NB. Infant Feeding -An evaluation of text and taught. Indian J Pediatr. 2005;72:127-29.

Manan WA. Breastfeeding and infant feeding practices in selected rural and semi- urban communities in Kemaman, Terengganu. Mal J Nutr. 1995;1:51-61.

Aggarwal A, Verma S, Faridi MMA, Dayachand. Complementary feeding - Reasons for inappropriateness in timing, quantity and consistency. Indian J Pediatr. 2006;75:49-53.

Kumar D, Goel NK, Mittal PC, Misra P. Influence of infant feeding practices on nutritional status of under five children. Indian J Pediatr. 2006;73(5):417-21.

Banapurmath CR, Nagaraj MC, Banapurmath S, Kesaree N. Breast- feeding practices in villages of central Karnataka. Indian Pediatr. 1996;33:477-9.

National Family Health Survey (NFHS-2) India, 1998-99 Mumbai: International Institute for population sciences and ORC Macro; 2000.

Aneja B, Singh P, Tandon M, Pathak P, Singh C, Kapil U. Etiological factor of malnutrition among infants in two urban slums of Delhi. Indian Pediatr. 2001;38:160-5.

Kulwa KB, Kinabo JL, Modest B. Constraints on good child - case practices and nutritional status in urban Dar-es-Salaam, Tanzania. Food Nutr Bull. 2006;27(3):236-44.

Sethi V, Kashyap S, Sethi V. Effects of nutritional education of mothers on infant feeding practices. Indian J Pediatr. 2003;70:463-6.

Vaahtera M, Kulmala T, Hietanen A, Mdekha M, Cullinan T, Salin ML, et al. Breastfeeding and complementary feeding practices in rural Malawi. Acta Paediatr 2001;90:328-32.






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