Knowledge, attitude and practices regarding complementary feeding among mothers of children 6 to 24 months of age in Konaseema region

Rajesh Kumar Sethi, Sadasiba Padhy, Datla V. S. L. N. Raju


Background: Complementary feeding is the introduction of semisolid or solid food in infant who is on breast feeding, when mother’s milk is no longer enough to meet the nutritional needs. Understanding the social beliefs, knowledge, attitude and practices about complementary feeding among mothers is an important step prior to designing an intervention strategy to prevent malnutrition in children. Aim of the study was to assess the knowledge, attitude and practices regarding complementary feeding among mothers and its effect on growth of the child.

Methods: Prospective study including 500 mothers with children between 6 to 24 months of age in KIMS, from December 2014 to November 2015.

Results: Mean age of knowledge regarding complementary feeding in mothers was 8.01 months. Most of the mothers 307/500 (61.4%) started complementary feeding because of insufficient milk, 183/500 (36.6%) mothers started complementary feeding as they felt the child required more milk, 30/500 (6%) mothers started complementary feeding as the child was sick and not drinking milk. There is significant positive correlation between age of complementary feeding and malnutrition in first 2 years of life.

Conclusions: Mother’s knowledge regarding timing of complementary feeding is inadequate and practices are inappropriate. Majority of them are not aware of the current recommendations. It is essential to give accurate information and education about complementary feeding to prevent malnutrition and improve the health status of children.  


Attitude, Complementary feeding, Knowledge, Malnutrition, Practices

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Elizebeth KE. Nutrition and child development. 3rd edition, Paras Medical Publisher, India. 2007:23-28.

Ruth A, Lawrence R, Lawrence M. Breast feeding a guide for the medical profession. 6th edition, Elsevier Publications. US. 2005:357-375.

WHO. Global strategy for infant and young child feeding. Geneva: World Health Organization. Available at WHA55/2002/REC/1 Annex 2, 2002. Accessed on 12 January 2016.

WHO/UNICEF. Complementary feeding of young children in developing countries: a review of current scientific knowledge. Geneva: World Health Organization, WHO/NUT/98.1:1998.

Aggarwal A, Verma S, Faridi. Complementary feeding reasons for inappropriateness in timing, quantity and consistency. Indian J Pediatrics. 2008;76(1):49-53.

Hervada AR, Newman DR. Weaning: historical perspective, practical recommendations, and current controversies. Current Problem Pediatrics. 1992;22:223.

Pant I, Chothia K. Maternal knowledge regarding breast feeding and weaning practices. Indian J Pediatrics. 1990;57(3):395-400.

Ezzat K. Infant feeding pattern and weaning practices in Kuwait. Journal Royal Society Promotion Health. 1989;109(5):178-80.

Banapurmath CR, Nagaraj MC, Shobha Banapurmath. Breastfeeding practices in villages of central Karnataka. Indian Pediatrics. 1996;33(6):477.

Ganjoo C, Rowlands R. Breast feeding and weaning practices of urban house wives in Srinagar. Indian J Nutrition and Diet. 1998;25(11):354-8.

Singh MB, Haldiya KR, Lakshminarayana J. Infant feeding and weaning practices in some semi-arid rural areas of Rajasthan. J Indian Med Assoc. 1997;95(11):576-8.

Khan ME. Breast - feeding and weaning practices in India. Asia-Pacific Population. 1990;5(1):71-88.

Isherwood RJ, Dimond C, Longhurst S. Breast feeding and weaning practices in relation to nutritional status of under-5 children in north Bangladesh. Journal Tropical Pediatrics. 1988;34(1):28-31.

NFHS-3. National Family Health Surveys, National fact sheet - India. 2007. Available at Accessed on 17 August 2017.

Medhi GK, Mahanta J. Breastfeeding, weaning practices and nutritional status of infants in tea garden workers of Assam. Indian Pediatrics. 2004;41:1277-9.

Bhandari N, Mazumder S, Bahl R. An educational intervention to promote appropriate complementary feeding practices and physical growth in infants and young children in rural Haryana, India. J Nutrition. 2004;134:2342-8.

Khokhar A, Singh S, Talwar R. A study of malnutrition among children aged 6 to 24 months from a resettlement colony in Delhi. Indian Journal Med Sci. 2003;57(7):287-9.

Padmadas SS, Hutter I, Willekens F. Weaning initiation patterns and subsequent linear growth progression among children aged 2 - 4 years in India. International J Epidemiology. 2002;31:855-63.

Kumar D, Goel NK, Poonam C. Influence of Infant - feeding practices on nutritional status of under-five children. Indian J Pediatrics. 2006;73(5):417-21.