It takes a village: An empirical analysis of how husbands, mothers‐in‐law, health workers, and mothers influence breastfeeding practices in Uttar Pradesh, India

Simple item page
cg.authorship.typesCGIAR single centreen_US
cg.contributor.donorBill & Melinda Gates Foundationen_US
cg.coverage.countryIndiaen_US
cg.coverage.iso3166-alpha2INen_US
cg.coverage.regionSouthern Asiaen_US
cg.coverage.regionAsiaen_US
cg.creator.identifierPhuong H Nguyen: 0000-0003-3418-1674en_US
cg.creator.identifierShivani Kachwaha: 0000-0002-6893-6839en_US
cg.creator.identifierPurnima Menon: 0000-0001-5988-2894en_US
cg.creator.identifierRasmi Avula: 0000-0003-0066-6964en_US
cg.identifier.doihttps://doi.org/10.1111/mcn.12892en_US
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Divisionen_US
cg.identifier.publicationRankAen_US
cg.isijournalISI Journalen_US
cg.issn1740-8695en_US
cg.issue2en_US
cg.journalMaternal and Child Nutritionen_US
cg.reviewStatusPeer Reviewen_US
cg.volume16en_US
dc.contributor.authorYoung, Melissa F.en_US
dc.contributor.authorNguyen, Phuong Hongen_US
dc.contributor.authorKachwaha, Shivanien_US
dc.contributor.authorTran, Lan Maien_US
dc.contributor.authorGhosh, Sebantien_US
dc.contributor.authorAgrawal, Rajeeven_US
dc.contributor.authorEscobar-Alegria, Jessicaen_US
dc.contributor.authorMenon, Purnimaen_US
dc.contributor.authorAvula, Rasmien_US
dc.date.accessioned2024-05-22T12:11:05Zen_US
dc.date.available2024-05-22T12:11:05Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/142800en_US
dc.titleIt takes a village: An empirical analysis of how husbands, mothers‐in‐law, health workers, and mothers influence breastfeeding practices in Uttar Pradesh, Indiaen_US
dcterms.abstractEvidence on strategies to improve infant and young child feeding in India, a country that carries the world's largest burden of undernutrition, is limited. In the context of a programme evaluation in two districts in Uttar Pradesh, we sought to understand the multiple influences on breastfeeding practices and to model potential programme influence on improving breastfeeding. A cross‐sectional survey was conducted among 1,838 recently delivered women, 1,194 husbands, and 1,353 mothers/mothers‐in‐law. We used bivariate and multivariable logistic regression models to examine the association between key determinants (maternal, household, community, and health services) and breastfeeding outcomes [early initiation of breastfeeding (EIBF)], prelacteal feed, and exclusive breastfeeding (EBF). We used population attributable risk analysis to estimate potential improvement in breastfeeding practices. Breastfeeding practices were suboptimal: EIBF (26.3%), EBF (54%), and prelacteal feeding (33%). EIBF was positively associated with maternal knowledge, counselling during pregnancy/delivery, and vaginal delivery at a health facility. Prelacteal feeds were less likely to be given when mothers had higher knowledge, beliefs and self‐efficacy, delivered at health facility, and mothers/mothers‐in‐law had attended school. EBF was positively associated with maternal knowledge, beliefs and self‐efficacy, parity, and socio‐economic status. High maternal stress and domestic violence contributed to lower EBF. Under optimal programme implementation, we estimate EIBF can be improved by 25%, prelacteal feeding can be reduced by 25%, and EBF can be increased by 23%. A multifactorial approach, including maternal‐, health service‐, family‐, and community‐level interventions has the potential to lead to significant improvements in breastfeeding practices in Uttar Pradesh.en_US
dcterms.accessRightsOpen Accessen_US
dcterms.bibliographicCitationYoung, Melissa F.; Nguyen, Phuong Hong; Kachwaha, Shivani; Mai, Lan Tran; Ghosh, Sebanti; Agrawal, Rajeev; Escobar-Alegria, Jessica; Menon, Purnima; and Avula, Rasmi. 2020. It takes a village: An empirical analysis of how husbands, mothers‐in‐law, health workers, and mothers influence breastfeeding practices in Uttar Pradesh, India. Maternal and Child Nutrition 16(2): e12892. https://doi.org/10.1111/mcn.12892en_US
dcterms.issued2020-12-01en_US
dcterms.languageenen_US
dcterms.licenseCC-BY-4.0en_US
dcterms.publisherJohn Wiley & Sonsen_US
dcterms.relationhttps://doi.org/10.1093/cdn/nzz034.P10-149-19en_US
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/7639en_US
dcterms.subjecthealthen_US
dcterms.subjecthouseholdsen_US
dcterms.subjectfamiliesen_US
dcterms.subjectfamily structureen_US
dcterms.subjectinfant feedingen_US
dcterms.subjectmarriageen_US
dcterms.subjectbreastfeedingen_US
dcterms.subjectparentsen_US
dcterms.typeJournal Articleen_US

Files

Collections

IFPRI Journal Articles