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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Associations of land, cattle and food security with infant feeding practices among a rural population living in Manyara, Tanzania

Authors: Bailey Hanselman, Ramya Ambikapathi, Estomih Mduma, Erling Svensen, Laura E. Caulfield, Crystal L. Patil

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Livelihoods strategies and food security experiences can positively and negatively affect infant and young child feeding (IYCF) practices. This study contributes to this literature by exploring how variation in household economics among rural farmers in Tanzania relates to IYCF patterns over the first 8 months of an infant’s life.

Methods

These data were produced from a longitudinal study in which a cohort of mother-infant dyads was followed from birth to 24 months. In addition to baseline maternal, infant, and household characteristics, mothers were queried twice weekly and monthly about infant feeding practices and diet. Weekly and monthly datasets were merged and analyzed to assess infant feeding patterns through the first 8 months. Standard statistical methods including survival and logistic regression analyses were used.

Results

Aside from breastfeeding initiation, all other IYCF practices were suboptimal in this cohort. Land and cattle ownership were associated with the early introduction of non-breastmilk food items. Food insecurity also played a role in patterning and inadequate complementary feeding was commonplace.

Conclusions

Health promotion programs are needed to delay the introduction of animal milks and grain-based porridge, and to achieve a minimum acceptable diet after 6 months of age among smallholder farmers in rural Tanzania. Results highlight that livelihoods-based health promotion interventions, built from a flexible and integrated design, may be an important strategy to address community-level variation in infant feeding practices and promote optimal IYCF practices.
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Metadata
Title
Associations of land, cattle and food security with infant feeding practices among a rural population living in Manyara, Tanzania
Authors
Bailey Hanselman
Ramya Ambikapathi
Estomih Mduma
Erling Svensen
Laura E. Caulfield
Crystal L. Patil
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5074-9

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