Reponsive Complementary Feeding in Rural Bangladesh  

Oleh:

Moore, Anna C. ; Akhter, Sadika ; Aboud, Frances E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 8 (Apr. 2006), page 1917-1930.
Topik: RURAL; responsive feeding; feeding practices; malnutrition; child development; bangladesh

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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It is now widely recognized that malnutrition can partly be attributed to caregiver child interaction during feeding episodes. Current conceptual frameworks emphasize the importance of responsiveness (including active and social behaviour), psychomotor abilities of the child to self feed, and a non distracting feeding environment. The present observational study had three main objectives : 1. to define operationally key terms such as responsive and active feeding and observe their frequency in a rural bangladesh sample 2. to examine whether self feeding, responsive and active behaviours of the mother and child varied with child's age and amounts eaten, and 3. to detemine associations between mother and child behaviours. Fifty four mother child pairs were observed during one feeding episode and behaviours were coded for 5 categories, namely self feeding, responsive, active, social and distracting behaviours. Children were between 8 and 24 months of age. Results indicated that the five behaviors could be observed and reliably coded. Two thirds of mothers had an active feeding style but only a third were responsive, the two styles did not overlap. With older children, mothers encouraged more eating and more self feeding, but children did not feed themselves more, instead older children were more nagatively responsive (refusing offered food). Positively responsive mothers tended to have active children who explicity signaled their desire for food or water, and who ate more mouthfuls of food. Positively active mothers adopted different strategies to encourage eating, such as verbally directing the child to eat, focusing and temporarily diverting. These mothers tended to have children who were negatively responsive and refused food. Children accepted on average 5.31 mouthfuls of food and rejected 2,13. Mothers who used intrusively active strategies (e.g. force feeding) tended to have chikdren who were both positively and negatively reponsive, thus partially reinforcing her forceful behaviour. Thus the responsive feeding framework, once operationalized, has the potential to identify specific behaviours that support or impede mother - child interaction during complementary feeding.

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