INFANT AND YOUNG CHILD FEEDING PRACTICES IN CHILDREN AGE 0-23 MONTHS AND ASSOCIATED FACTOR IN SON LA, VIETNAM, 2025

Viet Luan NGUYEN1, Thanh Do TRAN1, Danh Tuyen LE1, Van Tan VU1, Thi Huong LE2, Nam Phuong HUYNH1,
1 National Institute of Nutrition, Vietnam
2 Hanoi Medical University, Vietnam

Main Article Content

Abstract

Aims: To describe infant and young child feeding (IYCF) practices among children aged 0–23 months and analyze associated factors in Son La, Vietnam, in 2025.

Methods: A cross-sectional study was conducted with 597 children and their mothers. Data were collected via direct interviews and anthropometric measurements. IYCF indicators included exclusive breastfeeding (EBF), minimum dietary diversity (MDD), minimum acceptable diet (MAD), and underweight status (Weight-for-Height Z-score – WHZ < −2SD). Univariable and multivariable logistic regression analyses were performed to examine the associations between IYCF practices and potential factors.

Results: The prevalence of children were given bottle feeding among children aged 0–23 months was 16.2%. Among children aged 6–23 months, 58.8% achieved MDD and 34.6% achieved MAD, the prevalence of EBF was 4.4%. Children aged 6–23 months who achieved MDD had 7.33 times higher odds of being wasting than those not achieving MDD (OR = 7.33; 95% CI: 3.08–11.95; p = 0.042), reflecting reverse causality. Maternal education and residential area were also associated with IYCF practices.

Conclusions: Infant and young child feeding practices in Son La reflect diverse caregiving behaviors. Efforts are needed to educate parents, promote exclusive breastfeeding, reduce bottle feeding, and improve complementary feeding quality, along with regular monitoring of child growth to enhance nutritional outcomes.

Article Details

References

1. Choong ZC, Cheah FC. Early Life Nutrition during the First 1000 Days from a Malaysian Perspective. Med Health. 2023;18(2):279-99. doi:10.17576/MH.2023.1802.01.
2. World Health Organization. Infant and Young Child Feeding. Geneva: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
3. General Statistics Office, UNICEF, UNFPA. Viet Nam SDGCW Survey 2020–2021: Infant and Young Child Feeding. Hanoi: UNICEF; 2021. Available from: https://www.unicef.org/vietnam/media/8691/file/Infant%20and%20Young%20Child%20Feeding.pdf
4. World Health Organization. Indicators for Assessing Infant and Young Child Feeding Practices: Definitions and Measurement Methods. Geneva: WHO; 2021.
5. Bộ Y tế. Quyết định 3777/QĐ-BYT 2024: Hướng dẫn đánh giá tình trạng dinh dưỡng trẻ em bằng các chỉ số nhân trắc cơ bản. HaNoi: Bộ Y tế; 2024.
6. Tan PY, Som SV, Nguyen SD, Tran DT, Tran NT, et al. The Role of Complementary Feeding Practices in Addressing the Double Burden of Malnutrition among Children Aged 6-23 Months: Insight from the Vietnamese General Nutrition Survey 2020. Nutrients. 2024 Sep 25;16(19):3240. doi: 10.3390/nu16193240.
7. UNICEF Data. Infant and Young Child Feeding: A Statistical Snapshot. New York: UNICEF; 2020. Available from: https://data.unicef.org/resources/dataset/infant-young-child-feeding.
8. Duong TT Doan, Binns C, Lee A, Zhao Y, Dinh HTP, Nguyen CC, et al. Factors Associated with Intention to Breastfeed in Vietnamese Mothers: A Cross-Sectional Study. PLoS One. 2023;18(3):e0279691. doi:10.1371/journal.pone.0279691.
9. Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st Century: Epidemiology, Mechanisms, and Lifelong Effect. Lancet. 2016;387(10017):475–90. doi:10.1016/S0140-6736(16)31588-7.
10. Phan QA, Nguyen TTH, Nguyen TK, et al. Thực hành nuôi dưỡng trẻ 6–23 tháng tuổi của bà mẹ tại Phòng khám Tư vấn Dinh dưỡng và Tiêm chủng, Viện Đào tạo Y học Dự phòng và Y tế Công cộng năm 2022–2023. J Nutr Health. 2023;19(4+5):12–21.
11. Saha J, Chouhan P, Malik NI, Ghosh T, Das P, Shahid M, et al. Effects of Dietary Diversity on Growth Outcomes of Children Aged 6 to 23 Months in India: Evidence from National Family and Health Survey (NFHS-4, 2015–2016). Nutrients. 2023;15(1):159. doi:10.3390/nu15010159.