Evidence map›Paper›PMID 32718334›Full record

ArticleJournal of health, population, and nutrition2020

A qualitative assessment of barriers and facilitators to implementing recommended infant nutrition practices in Mumbai, India.

Priyanka Athavale, Kristin Hoeft, Rupal M Dalal, Ameya P Bondre, Piyasree Mukherjee, Karen Sokal-Gutierrez

Abstract read
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In one paragraph

Article in Journal of health, population, and nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Using a systems thinking approach to map the global rise of ultra-processed foods in population diets.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  15. Exploring cultural influences in perinatal and early childhood nutrition.Revista de salud publica (Bogota, Colombia) · 2024
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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

6 authors.

Priyanka AthavaleUniversity of California, Berkeley, USA. priyanka222@gmail.com.
Kristin HoeftDepartment of Preventive & Restorative Dental Sciences and Center to Address Children's Oral Health, University of California, San Francisco, USA.
Rupal M DalalFoundation for Mother & Child Health, 93/C Kamgar Nagar, SG Barve Marg, Kurla East, Mumbai, Maharashtra, 400024, India.
Ameya P BondreNew Horizons Health and Research Foundation (NHF), Unit No 10, Techniplex II, Veer Savarkar Flyover Bridge, Off S V Road, Opposite Hotel Grand Sarovar, Goregaon West, Mumbai, 400062, India.
Piyasree MukherjeeFoundation for Mother & Child Health, 93/C Kamgar Nagar, SG Barve Marg, Kurla East, Mumbai, Maharashtra, 400024, India.
Karen Sokal-GutierrezBerkeley, School of Public Health, University of California, Berkeley, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood malnutrition has been a longstanding crisis in Mumbai, India. Despite national IYCF (Infant Young Child Feeding) guidelines to promote best practices for infant/toddler feeding, nearly one-third of children under age five are stunted or underweight. To improve child nutrition, interventions should address the cultural, social, and environmental influences on infant feeding practices. This study is an in-depth qualitative assessment of family barriers and facilitators to implementing recommended nutrition practices in two Mumbai slum communities, within the context of an existing nutrition education-based intervention by a local non-governmental non-profit organization.

methodsThe population was purposively sampled to represent a variety of household demographics. Data were collected through 33 in-depth semi-structured interviews with caregivers (mothers and paternal grandmothers) of children age 0-2 years. Transcripts were translated and transcribed, and analyzed using qualitative analysis procedures and software.

resultsA complex set of barriers and facilitators influence mothers'/caregivers' infant-toddler feeding practices. Most infants were fed complementary foods and non-nutritious processed snacks, counter to IYCF recommendations. Key barriers included: lack of nutrition knowledge and experience, receiving conflicting messages from different sources, limited social support, and poor self-efficacy for maternal decision-making. Key facilitators included: professional nutrition guidance, personal self-efficacy and empowerment, and family support. Interventions to improve child nutrition should address mothers'/caregivers' key barriers and facilitators to recommended infant-toddler feeding practices.

conclusionsNutrition interventions should prioritize standard messaging across healthcare providers, engage all family members, target prevention of early introduction of sugary and non-nutritious processed foods, and strengthen maternal self-efficacy for following IYCF recommended guidelines.

Indexed as

Health Knowledge, Attitudes, PracticeAdultChild Nutrition DisordersChild, PreschoolDietFamily CharacteristicsFeeding BehaviorFemaleGrowth DisordersHealth EducationHealth Plan ImplementationHealth PromotionHumansIndiaInfantInfant, NewbornBarriersComplementary feedingFeeding methodsIndiaInfant nutritional physiological phenomena practicesMalnutritionMaternal behavior

Identifiers

PMID32718334
PMCPMC7385866

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.