“Nourishing Recovery: Maternal Feeding Practices during Diarrhea and Acute Respiratory Infection (ARI) among under-five children in an urban resettlement area of Gautam Budh Nagar, Uttar Pradesh”

Authors

Keywords:

Feeding Practices, Diarrhea, ARI, Child Nutrition, Mothers, Child Health

Abstract

Background: Global studies have shown that children’s growth can be severely impacted during and after illnesses like Diarrhea and ARI if their diet fails to provide the necessary extra nutrients for recovery.  Increasing fluid intake while continuing to feed during illness can significantly impact child health outcomes.

Aim & Objective: To assess mothers’ feeding practices during diarrhea and ARI in urban resettlement areas and determine factors influencing the feeding practices.

Settings and Design: A cross-sectional study was conducted in an urban resettlement area of Gautam Budh Nagar district, Uttar Pradesh, India.

Methods and Materials: 418 mothers of under-five children were selected using a multi-stage sampling technique. Data was collected through face-to-face interviews using a pre-tested questionnaire.

Statistical analysis used: Descriptive statistics were used to summarize the data. Chi-Square test was used to find statistically significant associations between feeding practices during illness and different sociodemographic and healthcare-related factors.

Results: Appropriate feeding practices during diarrhea and ARI in the under-five children were followed by 19.9% mothers/ caregivers. On bivariate analysis, Associations between appropriate feeding practices and the child's age, mother's age, the number of PNC visits for the mother, and the child's current breastfeeding status were found to be statistically significant.

Conclusion: The study highlights the importance of targeted interventions to improve feeding practices during Diarrhea and ARI. Strengthening postnatal care services and providing support to mothers, particularly those who are younger, can have a positive impact on maternal feeding practices.

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Author Biographies

Mohammad Meraj Gohar

Designation: Assistant Professor

Department: Community Medicine

Institution: School of Medical Sciences &Research, Sharda University

Harsh Mahajan

Designation: Professor

Department: Community Medicine

Institution: School of Medical Sciences &Research, Sharda University

Shalini Srivastava

Designation: Professor & Head

Department: Community Medicine

Institution: School of Medical Sciences &Research, Sharda University

Neeraj Pal Singh

Designation: Assistant Professor

Department: Community Medicine

Institution: School of Medical Sciences &Research, Sharda University

References

World Health Organization. The Global Action Plan for Pneumonia and Diarrhea (GAPPD). Available at Ending preventable child deaths from pneumonia and diarrhoea by 2025. Last accessed on 1st June 2025.

Rani VP, Vaz LS, Kusneniwar GN. Knowledge and Attitude of Mothers about Diarrhea, ORS and Feeding Practices in Under-Five Children in a Rural Area of Ranga Reddy, Telangana. J Med Sci Clin Res.2016 Oct; 4(10):13201-13209.

Mohammed S, Tamiru D. Morbidity and associated factors of diarrheal diseases among under-five children in Arba Minch district, Southern Ethiopia. Sci J Public Health. 2013;1, (2):102–106.

Bani IA, Saeed AAW, Mohammed AA, Othman A. “Diarrhea and child feeding practices in Saudi Arabia. Public Health Nutr. 2002;5 (6):727–731.

Berhe F, Berhane Y. “Under-five diarrhea among model household and non-model households in Hawassa, South Ethiopia: a comparative cross-sectional community-based survey. BMC Public Health. 2014; 14:187

International Institute for Population Sciences (IIPS). National Family and Health Survey (NFHS-5), 2019-21. Compendium of factsheets, key indicators. IIPS, Mumbai, India; 2021.

Pan American Health Organization, World Health Organization. Guiding Principles for Complementary Feeding of the Breastfed Child 2003. P26. Available at https://iris.paho.org/handle/10665.2/752 Last accessed on 2nd June, 2025

World Health Organization. Symptoms of Diarrhea. Available at https://www.who.int/health.topics/diarrhea. Last accessed on 4th June, 2025

World Health Organization. Identification of ILI/ SARI/ ARI Cases as per WHO Case Definition. Available at https://dhr.gov.in/sites/default/files/Influenza%20Algorithm.pdf. Last accessed on 15 June 2025

Ahmad A, Faizi N, Siddiqui NA. Revised Prasad and Kuppuswamy socioeconomic scales for India in 2024: Methods and Updates. Indian J Comm Health. 2024;36(4):598-603.

Kishore E, Umamahesh RM, Matli VV, Nagaram PP. Feeding Practice during a Diarrheal Episode among Children aged between 6 to 23 Months in Nellore District, Andhra Pradesh, South India. Int J Heal Clin Res. 2021; 4(6):43-46

Tsehay CT, Aschalew AY, Dellie E, Gebremedhin T. Feeding Practices and Associated Factors During Diarrheal Disease Among Children Aged Less Than Five Years: Evidence from the Ethiopian Demographic and Health Survey 2016. Ped Heal Med Thera 2021:12 69-78

Masiha SA, Khalid A, Malik B, Shah SMA. Oral rehydration therapy-knowledge, attitude, and practice (KAP) survey of Pakistani mothers. J Rawalpindi Med Coll Students Supplement. 2015;19, (1):51–54.

Bimpong KA, Cheyuo EK, Abdul-Mumin A, Ayanore MA, Kubuga CK, Mogre V. Mothers’ knowledge and attitudes regarding child feeding recommendations, complementary feeding practices, and determinants of adequate diet. BMC Nutrition 2020. 6(67)

Jalil H, Chong MC, Jalaludin MY, Wong LP, Hmwe NTT. Knowledge, attitude, and practice among mothers toward breastfeeding and complementary feeding in community health setting, Malaysia. Sci Dir.Heliyon 2024. 10(21)

Paintal K and Aguayo VM. Feeding practices for infants and young children during and after common illnesses. Evidence from South Asia. Mat Chil Nutr 2016. 12(1), 39-71

Benakappa AD, Shivamurthy P. Beliefs regarding diet during childhood illness. IJCM 2012. 37,20–24.

Giri PA, Phalke DB. Beliefs and practices regarding diet in common childhood illnesses among rural caregivers. Jour Med Nutri Nutra 2014. 3,219–221.

Kassa S, Egata G, Gobena T, Mekonnen M. Feeding Practice During a Diarrheal Episode and Associated Factors Among Mothers/Caregivers with 6–59-Month-Old Children Visiting Health Centers in Shanan Dhuggo District, West Hararge Zone, Oromia Region, Ethiopia. Ped Heal Med Thera 2021:12 197-204

Khan SM, Speizer IS, Singh K, Angeles G, Twum–Danso NA, Barker P. Does postnatal care have a role in improving newborn feeding? A study in 15 sub–Saharan African countries. J Glob Health. 2017;7(2):2

Feleke Y, Legesse A, Abebe M. Prevalence of Diarrhea, Feeding Practice, and Associated Factors among Children under Five Years in Bereh District, Oromia, Ethiopia. Infect Dis Obstet Gynecol. 2022: 4139648.

Ahmad S, Mishra S. Impact of feeding practices on nutritional status of preschool children of Lucknow district: A community based cross-sectional study. Clin Epid Glob Health. 2022: 101011

Singh G, Lal M. Assessment of feeding practices and morbidity pattern of infants in a rural field practice area of Punjab: a longitudinal study. Int J Res Med Sci. 2020 Apr;8(4)

Neumann CG, Marquardt M, Bwibo NO. The impact of morbidity on food intake in rural Kenyan children. Sou Afri J of Clin Nutr. 2012 25 (3), 142–148.

Richard SA, Black RE, Gilman RH, Guerrant RL, Kang G, Lanata CF et al. Catch-up growth occurs after diarrhea in early childhood. J Nutr. 2014 144 (6), 965–971.

Muhammad HK, Syed HS, Ghulam S, et al. Factors affecting the frequency of infantile diarrhea. 2004. Gomal J Med Sci. 2004 Jun; 2(1).

Published

2026-01-01

How to Cite

1.
Barua K, Mohammad Meraj Gohar, Harsh Mahajan, Shalini Srivastava, Neeraj Pal Singh, Ishant Kumar. “Nourishing Recovery: Maternal Feeding Practices during Diarrhea and Acute Respiratory Infection (ARI) among under-five children in an urban resettlement area of Gautam Budh Nagar, Uttar Pradesh” . Indian Journal of Community Health [Internet]. 2026 Jan. 1 [cited 2026 Jan. 9];37(5). Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/3437

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