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Effects of Maternal Use of the Continuum of Care on Complementary Feeding Practices in Bangladesh: Cross-Sectional Study

Rifat, M A ; Islam, Rokibul ; Didar, Rinath Bintey ; Bhowmick, Joya ; Sarkar, Plabon ; Amin, Md Ruhul and Saha, Sanjib LU orcid (2025) In JMIR Public Health and Surveillance 11.
Abstract
Background: The continuum of care (CoC) for maternal health, which includes ≥4 antenatal care (ANC) visits, delivery assisted by skilled birth attendants, and a postnatal care (PNC) visit within 48 hours of delivery, is a crucial health care package associated with survival and improved health outcomes for children and mothers. In addition, the CoC serves as a platform for delivering messages and counseling on child feeding practices. However, the effect of maternal use of the CoC on complementary feeding practices in Bangladesh remains unexamined. Objective: This study aimed to estimate the effect of maternal use of CoC on complementary feeding practices among children aged 6 to 23 months in Bangladesh. Methods: Data from 2 consecutive... (More)
Background: The continuum of care (CoC) for maternal health, which includes ≥4 antenatal care (ANC) visits, delivery assisted by skilled birth attendants, and a postnatal care (PNC) visit within 48 hours of delivery, is a crucial health care package associated with survival and improved health outcomes for children and mothers. In addition, the CoC serves as a platform for delivering messages and counseling on child feeding practices. However, the effect of maternal use of the CoC on complementary feeding practices in Bangladesh remains unexamined. Objective: This study aimed to estimate the effect of maternal use of CoC on complementary feeding practices among children aged 6 to 23 months in Bangladesh. Methods: Data from 2 consecutive nationally representative surveys—the Bangladesh Demographic and Health Survey 2017-2018 and 2022—were analyzed. Observations corresponding to the CoC for maternal health and complementary feeding indicators, including (1) timely introduction of solid, semisolid, and soft food (ISSSF); (2) minimum meal frequency (MMF); (3) minimum dietary diversity (MDD); and (4) minimum acceptable diet (MAD), were merged to prepare the analyzed samples. The differences in complementary feeding practice indicators by maternal use of the CoC were observed using chi-square tests. Multivariable logistic regression models were used to observe the associations. Results: The analysis included 887, 4967, 4967, and 4967 mother-child pairs for the timely ISSSF, MMF, MDD, and MAD indicators, respectively. The status of complementary feeding indicators was significantly different (P (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
antenatal care, ANC, postnatal care, PNC, complementary feeding, dietary diversity, minimum acceptable diet, Bangladesh, Bangladesh Demographic and Health Survey, BDHS
in
JMIR Public Health and Surveillance
volume
11
article number
e76666
publisher
JMIR Publications Inc.
external identifiers
  • pmid:41060072
ISSN
2369-2960
DOI
10.2196/76666
language
English
LU publication?
yes
id
3def561a-9a41-40a1-8c50-ac540d4ca6ba
alternative location
https://publichealth.jmir.org/2025/1/e76666
date added to LUP
2025-10-08 08:37:42
date last changed
2025-10-09 03:21:44
@article{3def561a-9a41-40a1-8c50-ac540d4ca6ba,
  abstract     = {{Background: The continuum of care (CoC) for maternal health, which includes ≥4 antenatal care (ANC) visits, delivery assisted by skilled birth attendants, and a postnatal care (PNC) visit within 48 hours of delivery, is a crucial health care package associated with survival and improved health outcomes for children and mothers. In addition, the CoC serves as a platform for delivering messages and counseling on child feeding practices. However, the effect of maternal use of the CoC on complementary feeding practices in Bangladesh remains unexamined. Objective: This study aimed to estimate the effect of maternal use of CoC on complementary feeding practices among children aged 6 to 23 months in Bangladesh. Methods: Data from 2 consecutive nationally representative surveys—the Bangladesh Demographic and Health Survey 2017-2018 and 2022—were analyzed. Observations corresponding to the CoC for maternal health and complementary feeding indicators, including (1) timely introduction of solid, semisolid, and soft food (ISSSF); (2) minimum meal frequency (MMF); (3) minimum dietary diversity (MDD); and (4) minimum acceptable diet (MAD), were merged to prepare the analyzed samples. The differences in complementary feeding practice indicators by maternal use of the CoC were observed using chi-square tests. Multivariable logistic regression models were used to observe the associations. Results: The analysis included 887, 4967, 4967, and 4967 mother-child pairs for the timely ISSSF, MMF, MDD, and MAD indicators, respectively. The status of complementary feeding indicators was significantly different (P}},
  author       = {{Rifat, M A and Islam, Rokibul and Didar, Rinath Bintey and Bhowmick, Joya and Sarkar, Plabon and Amin, Md Ruhul and Saha, Sanjib}},
  issn         = {{2369-2960}},
  keywords     = {{antenatal care; ANC; postnatal care; PNC; complementary feeding; dietary diversity; minimum acceptable diet; Bangladesh; Bangladesh Demographic and Health Survey; BDHS}},
  language     = {{eng}},
  publisher    = {{JMIR Publications Inc.}},
  series       = {{JMIR Public Health and Surveillance}},
  title        = {{Effects of Maternal Use of the Continuum of Care on Complementary Feeding Practices in Bangladesh: Cross-Sectional Study}},
  url          = {{http://dx.doi.org/10.2196/76666}},
  doi          = {{10.2196/76666}},
  volume       = {{11}},
  year         = {{2025}},
}