Preprint Review Version 1 This version not peer reviewed

Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns and Their Determinants

Version 1 : Received: 7 August 2017 / Approved: 8 August 2017 / Online: 8 August 2017 (12:00:26 CEST)

A peer-reviewed article of this Preprint also exists.

Bazzano, A.N.; Kaji, A.; Felker-Kantor, E.; Bazzano, L.A.; Potts, K.S. Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns. Nutrients 2017, 9, 1140. Bazzano, A.N.; Kaji, A.; Felker-Kantor, E.; Bazzano, L.A.; Potts, K.S. Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns. Nutrients 2017, 9, 1140.

Journal reference: Nutrients 2017, 9, 1140
DOI: 10.3390/nu9101140

Abstract

Continued high rates of both under- and over-nutrition in low- and low-middle-income countries highlight the importance of understanding dietary practices such as early and exclusive breastfeeding, and dietary patterns such as timely, appropriate complementary feeding—these behaviors that are rooted in complex cultural ecologies. A systematic review and synthesis of available qualitative research related to infant and young child dietary patterns and practices from the perspective of parents and families in low income settings is presented, with a focus on barriers and facilitators to achieving international recommendations. Data from both published and grey literature from 2006-2016 was included in the review. Quality assessment consisted of two phases (CASP guidelines and assessment using GRADE-CERQual), followed by synthesis of the studies identified, and subsequent thematic analysis and interpretation. The findings indicated several categories of both barriers and facilitators, spanning individual and system level factors. The review informs efforts aimed at improving child health and nutrition, and represents the first such comprehensive review of the qualitative literature, uniquely suited to understanding complex behaviors leading to infant and young child dietary patterns.

Subject Areas

qualitative research; infant feeding; complementary feeding; breast feeding; low income country

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