Vol. 16 No. 1 (2025)
Original Articles

Infant and Young Child Feeding Practices and Their Association with Women's Autonomy: A Community-Based Study in Rural West Bengal

Najir Hosen Sarkar
Junior Resident, Dept of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
Kuntala Ray
Professor, Dept of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
Subhra Samujjwal Basu
Professor, Dept of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
Kalpana Gupta
Junior Resident, Dept of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
Mamunur Rashid
Junior Resident, Dept of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
Mausumi Basu
Professor and Head, Dept of Community Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, India
Categories

Published 10-04-2025

Keywords

  • Breast feeding,
  • Dietary diversity,
  • Female self-government,
  • Growth and development

How to Cite

1.
Sarkar NH, Ray K, Basu SS, Gupta K, Rashid M, Basu M. Infant and Young Child Feeding Practices and Their Association with Women’s Autonomy: A Community-Based Study in Rural West Bengal. Healthline. 2025;16(1):35-44. doi:10.51957/Healthline_689_2025

Abstract

Introduction: In majority of societies women are the primary caregivers of children. Poor feeding habits in early childhood contribute to malnutrition and child mortality in India. While the effects of some of the resources such as education on child feeding practices have been extensively evaluated, women's autonomy have received less attention. Objective: To assess feeding practices among the infants and young children in Budge-budge II block of West Bengal. Method: A descriptive study with cross-sectional design was conducted among 161 children between 6-23 months of age and their respondent mothers in Budge-Budge II block, West Bengal, using multistage random sampling. Mothers were interviewed face to face, and data were collected using a predesigned, pretested and structured IYCF practice schedule and a Likert-type women's autonomy measurement scale and analysed using SPSS v26.0. Multivariable binary logistic regression and the Pearson's correlation was done to find association. Results: Among the study participants, 155 (96.3%) reported being breastfed, 29 (18%) received pre-lacteal feed, 60 (37.3%) had not initiated breastfeeding early within 1 hour, 149 (92.5%) received colostrum, 39 (24.2%) were not exclusively breastfed; 119 (73.9%) of the study participants had adequate meal frequency whereas 87 (54%) and 97 (60.2%) had inadequate dietary diversity and acceptable diet respectively. Overall IYCF practice was significantly poor 113 (70.2%). Among the mothers 88 (54.7%) had lower level of autonomy. Conclusion: More than half of the study participants had poor overall IYCF practices. A majority of the mothers were having a lower level of autonomy. IYCF practices were found to be poorer among the female children and those delivered by Caesarean Section. Moderately positive correlation was found between mothers' autonomy and IYCF practices.

References

  1. 1. World Health Organization. Infant and Young Child Feeding [Internet]. World Health Organization. 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
  2. 2. Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and Lifelong Effect. The Lancet. 2016;387(10017):475–90.
  3. 3. IFPRI. Exclusive breastfeeding in India-trends and data gaps. Available from: https://poshan.ifpri.info/2017/08/04/ exclusive-breastfeeding-in-india-trends-and-data-gaps.
  4. 4. Centers for Disease Control and Prevention. Breastfeeding Benefits Both Baby and Mom [Internet]. Breastfeeding. 2023. Available from: https://www.cdc.gov/breastfeeding/features/breastfeeding-benefits.html
  5. 5. Rathaur VK, Pathania M, Pannu C, Jain A, Dhar M, Pathania N et al. Prevalent infant feeding practices among the mothers presenting at a tertiary care hospital in Garhwal Himalayan region, Uttarakhand, India. J Family Med Prim Care. 2018 Jan-Feb;7(1):45-52. doi: 10.4103/jfmpc.jfmpc_413_16.
  6. 6. Engle PL, Menon P, Haddad L. Care and Nutrition: Concepts and Measurement. World Development [Internet]. 1999 Aug;27(8):1309–37. doi: 10.1016/S0305-750X(99)00059-5
  7. 7. Fantahun M, Berhane Y, Wall S, Byass P, Högberg U. Women's involvement in household decision-making and strengthening social capital-crucial factors for child survival in Ethiopia. Acta Paediatr. 2007 Apr;96(4):582-9. doi: 10.1111/j.1651-2227.2007.00147.x.
  8. 8. Hossain MB, Phillips JF, Pence B. The effect of women's status on infant and child mortality in four rural areas of Bangladesh. J Biosoc Sci. 2007 May;39(3):355-66. doi: 10.1017/S002193200600143X.
  9. 9. Antai D. Gender inequities, relationship power, and childhood immunization uptake in Nigeria: a population-based cross-sectional study. Int J Infect Dis. 2012 Feb;16(2):e136-45. doi: 10.1016/j.ijid.2011.11.004.
  10. 10. Mashal, T., Takano, T., Nakamura, K. et al. Factors associated with the health and nutritional status of children under 5 years of age in Afghanistan: family behaviour related to women and past experience of war-related hardships. BMC Public Health 8, 301 (2008). doi: 10.1186/1471-2458-8-301
  11. 11. Shroff M, Griffiths P, Adair L, Suchindran C, Bentley M. Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India. Matern Child Nutr. 2009 Jan;5(1):64-74. doi: 10.1111/j.1740-8709.2008.00161.x.
  12. 12. Shroff MR, Griffiths PL, Suchindran C, Nagalla B, Vazir S, Bentley ME. Does maternal autonomy influence feeding practices and infant growth in rural India? Soc Sci Med. 2011 Aug;73(3):447-55. doi: 10.1016/j.socscimed.2011.05.040.
  13. 13. Doan RM, Bisharat L. Female autonomy and child nutritional status: the extended-family residential unit in Amman, Jordan. Soc Sci Med. 1990;31(7):783-9. doi: 10.1016/0277-9536(90)90173-p.
  14. 14. Brunson EK, Shell-Duncan B, Steele M. Women's autonomy and its relationship to children's nutrition among the Rendille of northern Kenya. Am J Hum Biol. 2009 Jan-Feb;21(1):55-64. doi: 10.1002/ajhb.20815.
  15. 15. Smith LC, Ramakrishnan U & Ndiaye A (2003) The Importance of Women’s Status for Child Nutrition in Developing Countries. Research Report no. 133. Washington, DC: International Food Policy Research Institute.
  16. 16. Chakraborty A, Mukhopdhyay S, Mallick N. Assessment of Infant and Young Child Feeding Practices and its Relation with Nutritional Status of Under Two Children: A Community Based Study at Malda Town, West Bengal. J Comp Health. 2021;9(2):75-82. doi: 10.53553/JCH.v09i02.005.
  17. 17. Bhandari TR, Dangal G, Sarma PS, Kutty VR. Construction and Validation of a Women's Autonomy Measurement Scale with Reference to Utilization of Maternal Health Care Services in Nepal. JNMA J Nepal Med Assoc. 2014 Jul-Sep;52(195):925-34. PMID: 26982668.
  18. 18. © ECLAC - United Nations | Gender Equality Observatory [Internet]. Cepal.org. 2016 [cited 2025 Mar 25]. Available from: https://oig.cepal.org/en/c-eclac-united-nations
  19. 19. World Health Organization. Indicators for assessing infant and young child feeding practices. 2008. Available from: http://whqlibdoc.who.int/publications/2008/9789241596664_ eng.pdf
  20. 20. Agarwal N, Swami H, Kumar D. Socio-demographic correlates of breast-feeding in urban slums of Chandigarh. Indian Journal of Medical Sciences. 2006;60(11):461.
  21. 21. National Guidelines on Infant & Young Child Feeding | Women and Child Development Department, Haryana | India [Internet]. Available from: https://wcdhry.gov.in/document/national-guidelines-on-infant-young-child-feeding-size-151-kb-format-pdf-language-english/
  22. 22. Vyas S, Sharma P, Kandpal SD, Semwal J, Srivastava A, Nautiyal V. A community based study on breastfeeding practices in a rural area of Uttarakhand. National Journal of Community Medicine.2012;3(2):283-7.
  23. 23. Saxena V, Verma N, Mishra A, Jain B. Assessment of Infant and Young Child Feeding (IYCF) practices in rural areas of Dehradun, Uttarakhand. J Family Med Prim Care. 2022 Jul;11(7):3740-3745. doi: 10.4103/jfmpc.jfmpc_2502_21.
  24. 24. Aggarwal A, Verma S, Faridi M; Dayachand. Complementary feeding--reasons for inappropriateness in timing, quantity and consistency. Indian J Pediatr. 2008 Jan;75(1):49-53. doi: 10.1007/s12098-008-0006-9.
  25. 25. Saxena V, Kumari R. Infant and Young Child Feeding –Knowledge and Practices of ASHA workers of Doiwala Block, Dehradun District. Ind J Comm Health. 2014;26(1):68-75.
  26. 26. Davalgi S, S. VG. A study to know infant & young child feeding practices of mothers attending mother and child health clinic at a tertiary care teaching hospital, Davangere, India. Int J Community Med Public Health. 2017 Feb. 6;2(4):478-83. doi: 10.18203/2394-6040.ijcmph20151033
  27. 27. Saxena V, Verma N, Mishra A, Jain B. Assessment of Infant and Young Child Feeding (IYCF) practices in rural areas of Dehradun, Uttarakhand. J Family Med Prim Care. 2022 Jul;11(7):3740-3745. doi: 10.4103/jfmpc.jfmpc_2502_21.
  28. 28. Adhikari N, Acharya K, Upadhya DP, Pathak S, Pokharel S, Pradhan PMS. Infant and young child feeding practices and its associated factors among mothers of under two years children in a western hilly region of Nepal. PLoS One. 2021 Dec 16;16(12):e0261301. doi: 10.1371/journal.pone.0261301.
  29. 29. Shroff MR, Griffiths PL, Suchindran C, Nagalla B, Vazir S, Bentley ME. Does maternal autonomy influence feeding practices and infant growth in rural India? Soc Sci Med. 2011 Aug;73(3):447-55. doi: 10.1016/j.socscimed.2011.05.040.