Evidence map›Paper›PMID 28936229›Full record

ArticleInternational breastfeeding journal2017

Determinants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: a cross-sectional survey.

Gul Nawaz Khan, Shabina Ariff, Ubaidullah Khan, Atif Habib, Muhammad Umer, Zamir Suhag, Imtiaz Hussain, Zaid Bhatti, Asmat Ullah, Ali Turab and 4 more

Abstract read
In one paragraph

Article in International breastfeeding journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Gul Nawaz KhanDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Shabina AriffDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Ubaidullah KhanDepartment of Paediatrics, King Edward Medical University, Lahore, Pakistan.
Atif HabibDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Muhammad UmerDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Zamir SuhagDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Imtiaz HussainDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Zaid BhattiDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Asmat UllahDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Ali TurabDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Ali Ahmad KhanWorld Food Programme, Islamabad, Pakistan.
Alba Cecilia GarzonWorld Food Programme, Islamabad, Pakistan.
Mohammad Imran KhanCenter of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan.
Sajid SoofiDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfant and young child feeding (IYCF) practices during the first two years of life are important for the growth and development of a child. The aim of this study was to assess IYCF practices and its associated factors in two rural districts of Pakistan.

methodsA cross-sectional study was conducted in two rural districts of Sindh province, Pakistan as part of a stunting prevention project between May and August 2014. A standard questionnaire on IYCF practices recommended by World Health Organization was used to collect information from 2013 mothers who had a child aged between 0 and 23 months.

resultsOnly 49% of mothers initiated breastfeeding within one hour of birth. Thirty-seven percent of mothers exclusively breastfed their infants for six months. Seventy-percent mothers introduced complementary feeding at 6-8 months of age. Eighty-two percent of mothers continued breastfeeding for at least one year and 75% for at least two years of age. IYCF practices were not significantly different for boys and girls in the study area. Being an employed mother (AOR 2.14; 95% CI 1.02, 4.51) was positively associated with the early initiation of breastfeeding. Children who were born at a health facility (AOR 0.65; 95% CI 0.50, 0.84) and were aged six to eleven months (AOR 0.70; 95% CI 0.54, 0.90) were less likely to be have an early initiation of breastfeeding. Mothers aged 25 to 29 years (AOR 1.83; 95% CI 1.05, 3.18), being literate (AOR 1.79; 95% CI 1.15, 2.78), and higher income (AOR 10.6; 95% CI 4.40, 25.30) were more likely to have an improved dietary diversity. Being an employed mother (AOR 2.18; 95% CI 1.77, 4.03) and higher income were more likely to have minimum acceptable diet (AOR 9.7; 95% CI 4.33, 21.71).

conclusionIYCF practices were below the acceptable level and associated with maternal age, maternal illiteracy, unemployment, and poor household wealth status. Emphasis should be given to improve maternal literacy and reduction in poverty to improve IYCF practices.

Indexed as

ChildFactorsFeedingInfantPakistanPracticesYoung

Identifiers

PMID28936229
PMCPMC5603092

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.