Infant Feeding (if) Score And Infant Mortality Rate

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Infant Feeding (if) Score And Infant Mortality Rate

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INFANT FEEDING (IF) SCORE AND INFANT MORTALITY RATE

Government of India, Ministry of Health and Family Welfare launched the “Breastfeeding and Infant & Young Child Feeding Practices Report Card: India, States and UTs” on 8th August 2019. Based on this report card, the table shows three indicators on which the IF Score is based i) % values of the initiation of breastfeeding within an hour of birth, ii) exclusive breastfeeding until six months and iii) complementary feeding at 6-8 months. The States are ranked according to the infant feeding score. The map below provides colour-coded representation of the IF score of each state.

Jammu & Kashmir

Himachal Pradesh

Chandigarh Punjab

Uttarakhand

Haryana Delhi
Rajasthan

Uttar Pradesh

Gujarat

Madhya Pradesh

Sikkim

Arunachal Pradesh

Bihar

Assam

Meghalaya

Nagaland

Manipur

Jharkhand

Tripura Mizoram

West Bengal

Chhattisgarh

Daman & Diu Dadra and Nagar Haveli

Maharashtra

Odisha

Telangana

Karnataka Goa

Puducherry Andhra Pradesh

Lakshadweep

Puducherry
Tamil Nadu Kerala

Andaman and Nicobar Islands

0-40 % 41-60% 61-80% 81-100%

Data not available

Note: Based on the score of each State, a composite index has been developed and given a colour code according to its performance. 0-40%: Red (Poor), 4160%: Yellow( Fair), 61-80%: Blue (Good), 81% and above: Green(Very Good)

States Manipur Mizoram Odisha Puducherry Sikkim Kerala Chhattisgarh Assam Arunachal Pradesh Tamil Nadu Tripura Nagaland Andhra Pradesh Meghalaya Jammu & Kashmir Himachal Pradesh Telangana Karnataka Maharashtra Andaman & nicobar Islands Gujarat West Bengal Jharkhand Madhya Pradesh Uttarakhand Haryana Punjab
Bihar Rajasthan
Delhi Uttar Pradesh
Goa Dadra & Nagar Haveli
Lakshadweep Daman & diu Chandigarh
Source: NFHS-4

Initiation of breastfeeding within 1 hour
65.6 73.3 69 64.6 69.7 63.3 47.4 65.4 61.1 55.4 46.2 53.1 39.2 60.8 47.2 40.6 35.9 57.7 57 43.4 49.8 47.5 33 34.6 28.8 42.3 29.9 35.4 28.4 28 25.4 75.4 47.8 61.3 53.8 35.1

Exclusive Complementary

breastfeeding Feeding

(0-6 months) (6-9 months)

73.6

78.8

60.6

67.9

65.6

54.9

47.6

76.6

54.6

61.8

53.2

63.1

77.2

53.9

63.6

49.4

57.7

53.9

48.3

67.5

70.7

53.4

44.5

70.5

70.2

54

35.8

66.6

65.4

50

67.2

52.9

67.3

55.9

54.6

45.5

56.6

43.2

66.8

45.1

55.8

49.4

52.3

52

65

47.2

58.4

37.9

51

46.4

50.4

32.7

53.1

37.5

53.5

30.6

58.2

28.9

49.6

35.4

41.9

32.4

60.9

0

72.7

0

54.8

0

52.3

0

0

0

IF Score 7.27 6.73 6.32 6.29 6.20 5.99 5.95 5.95 5.76 5.71 5.68 5.60 5.45 5.44 5.42 5.36 5.30 5.26 5.23 5.18 5.17 5.06 4.84 4.36 4.21 4.18 4.02 3.98 3.85 3.77 3.32 4.54 4.02 3.87 3.54 1.17

Rank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 * * * * *

* Note: Ranking not done because data of all 3 indicators not available Scoring and Ranking Method: It is the composite score of 3 indicators based on actual values, e.g. 65.6% gets a score of 6.56. Ranking is done in the descending order of the score out of 10.

Effect of Infant Feeding score on Infant Mortality
High infant-feeding score indicates good support to mothers. We studied the relationship of infant feeding score with infant mortality rate (IMR)of Indian states using SRS-2017 data.
Statistical analyses were carried out using R program version 3.6.1# and a scatter graph was constructed. The qqnorm and histogram suggested that data is normally distributed. Thereby, a linear model was run with infant mortality rate (IMR) as the dependent variable and infant feeding score (IF Score) as the independent variable. The graph shows there is a significant effect of infant feeding score on infant mortality rate with a p-value of 0.03758. The regression line shown in the graph above suggests that with increase in infant feeding score there is a decrease in infant mortality rate. Most states with higher IF score have a lower IMR 1000 live births, those with low score have a high IMR.
# R Core Team, 2019, R Foundation for Statistical Computing, Vienna, Austria; https://www.R-project.org/.

Way forward: The results suggest that all states are to have their targets of the three indicators that comprise IF score, develop a plan of action for improving the score, secure funding for intervention to protect, promote and support breastfeeding and establish a mechanism for monitoring annually. This paper provides a detailed analysis of infant and young child feeding in India's States and recommendations.
http://drarungupta.net/articles/PINSA_2018_Art49.pdf

www.bpni.org

Source: Breastfeeding and Infant & young Child Feeding Practices Report Card (Ministry of Health and Family Welfare, Government of India),August 2019, NFHS-4 (2015-16), SRS bulletin September 2017
February 2020
ScoreInfantBreastfeedingInfant Mortality RateIndia