Exploring Infant & young child feeding practices and perceptions in Tower Hamlets, London and the role of Early Years’ service providers in supporting healthy feeding practices

Keith, R., Mba, E., Li, X., Wright, D., Twite, S., Trenchard-Mabere, E., Adegboye , A.R.A. and Mondkar, A. 2019. Exploring Infant & young child feeding practices and perceptions in Tower Hamlets, London and the role of Early Years’ service providers in supporting healthy feeding practices. World Nutrition. 10 (1). doi:10.26596/wn.201910118-37

TitleExploring Infant & young child feeding practices and perceptions in Tower Hamlets, London and the role of Early Years’ service providers in supporting healthy feeding practices
TypeJournal article
AuthorsKeith, R., Mba, E., Li, X., Wright, D., Twite, S., Trenchard-Mabere, E., Adegboye , A.R.A. and Mondkar, A.
Abstract

Introduction: The aim of the research was to gain a greater understanding of infant and young child feeding
perceptions and practices in the London Borough of Tower Hamlets and the role of early years’ providers in
supporting healthy feeding practices. The research was used to feed into ongoing commissioning and resource
allocation priorities, taking into consideration continuing budget restrictions, to achieve nutrition outcomes
through effective early years’ public health interventions.

Methodology: A qualitative methodology was applied. The target groups were mothers with children under
five years old, early years ‘service providers and carers. The participants were selected using purposeful,
convenience and snowball sampling methods. In total 18 focus group discussions, 36 interviews and 3 direct
observation sessions were carried out with 144 participants across the borough.

Findings: There was generally widespread knowledge that breastfeeding is best for infants, however, there
was less clarity on the best time for introducing complementary food and drinks to infants. Mothers trust
health providers for information, but most used the internet, family and friends for information as it was
easier to access. Some mothers reported mixed messages, pain, and pressure from the media, families and
friends as the main reasons for changing from exclusive breastfeeding to mixed feeding. Some mothers
reported lack of support postnatally and inconsistent advice such as service providers giving mixed
messages, especially regarding feeding in public, mixed feeding and when to introduce other fluids and
foods. The borough’s infant and young child feeding support workers were valued, but not all mothers knew
about the service. Certain groups, such as those with English as a second language, teenage mothers and
mothers without childcare reported not using services routinely.

Conclusions: Following presentation of the key findings, and a discussion with early years’ service
providers, the Tower Hamlets Public Health Division suggested practice changes which were adopted by
the LBTH council. The council committed to continue supporting the Infant Feeding & Wellbeing Service
(known as the Baby Feeding Service) to continue to improve infant and young child feeding practices.
Health visitors are encouraged to use their new 3-4 month contact with post-natal mothers, in addition to
the five mandated universal contacts, as an opportunity to offer nutrition support to mothers. The council
also approved increased nutrition capacity within the Health Visiting and Public Health team. More
information is now available on the Tower Hamlets website to support mothers with clear nutrition and
infant feeding information with details of the many services mothers can access in the borough.

KeywordsInfant and Young child feeding, complementary feeding, exclusive breastfeeding
JournalWorld Nutrition
Journal citation10 (1)
ISSN2041-9775
Year2019
PublisherOpen Journal Systems
Publisher's version
Digital Object Identifier (DOI)doi:10.26596/wn.201910118-37
Web address (URL)https://worldnutritionjournal.org/index.php/wn/article/view/622
Publication dates
Published04 Apr 2019

Related outputs

Malawi’s food security: two decades of agriculture’s trends and challenges, new perspectives.
Rodriguez, K., Keith, R. and Chinamale, G. 2020. Malawi’s food security: two decades of agriculture’s trends and challenges, new perspectives. World Public Health Nutrition Congress Brisbane 2020. Meant to be in Brisbane but moved to virtual 30 Mar - 03 Apr 2020

Food sovereignty and agroecology as an alternate agricultural approach: lessons from Malawi
Cressall, K., Woloshynowych, M. and Keith, R. 2020. Food sovereignty and agroecology as an alternate agricultural approach: lessons from Malawi . World Public Health Nutrition Congress Brisbane 2020. Meant to be in Brisbane but moved to virtual 30 Mar - 03 Apr 2020 Online.

Exploration of parental perceptions and practices concerning sugar/oral health of children
Baker, C.R.L., Adegboye, A.R.A. and Keith, R. 2020. Exploration of parental perceptions and practices concerning sugar/oral health of children . World Public Health Nutrition Congress Brisbane 2020. Meant to be in Brisbane but moved to virtual 30 Mar - 03 Apr 2020 Online.

Perceived Pathways to Kwashiorkor or Marasmus in Ameya, Ethiopia
Zigah, F. and Keith, R. 2020. Perceived Pathways to Kwashiorkor or Marasmus in Ameya, Ethiopia. World Public Health Nutrition Congress Brisbane 2020. Meant to be in Brisbane but moved to virtual 30 Mar - 03 Apr 2020 Online.

Achieving Global Nutrition Targets, through an increased investment in voice and equity
Keith, R. 2020. Achieving Global Nutrition Targets, through an increased investment in voice and equity . World Public Health Nutrition Congress Brisbane 2020. Meant to be in Brisbane but moved to virtual 30 Mar - 03 Apr 2020

Symposium on Global Nutrition themes 1B – “Are we there yet?” Are Health systems supporting the achievement of the Global Nutrition Goals?
Keith, R. 2020. Symposium on Global Nutrition themes 1B – “Are we there yet?” Are Health systems supporting the achievement of the Global Nutrition Goals? World Public Health Nutrition Congress Brisbane 2020. Meant to be in Brisbane but moved to virtual 30 Mar - 03 Apr 2020

Food and Mood: Exploring the determinants of food choices and the effects of food consumption on mood among women in Inner London.
Leeds, J., Keith, R. and Woloshynowych, M. 2020. Food and Mood: Exploring the determinants of food choices and the effects of food consumption on mood among women in Inner London. World Nutrition. 11 (1), pp. 68-96. doi:10.26596/wn.202011168-96

Impact of the lipid-based nutrient supplements on prevention and treatment of childhood moderate undernutrition
Oluwaniyi, .R., Keith, R., Alvarez, J-L. and Amorim. A.R. 2019. Impact of the lipid-based nutrient supplements on prevention and treatment of childhood moderate undernutrition. International Journal of Food, Nutrition and Public Health. 11 (1/2), pp. 1-25.

Tributes to Prof David Sanders
Keith, R. 2019. Tributes to Prof David Sanders. World Nutrition. 10 (3), pp. 106-108. doi:10.26596/wn.2019103106-108

Exploring Infant and Young Child Feeding Practices in the Royal Borough of Greenwich, London, to Improve Health and Nutrition Outcomes in Children Under 2 Years of Age
Kenyangi, B.D., Keith, R. and Adegboye, A.R.A. 2019. Exploring Infant and Young Child Feeding Practices in the Royal Borough of Greenwich, London, to Improve Health and Nutrition Outcomes in Children Under 2 Years of Age. World Nutrition. 10 (3), pp. 26-50. doi:10.26596/wn.201910326-50

The importance of the Alma Ata principles of equity and voice, through intersectoral investment and leadership, in achieving the health and nutrition Sustainable Development Goals by 2030. A reflection on the upcoming Astana Conference, to be held on the 40th anniversary of the Alma Ata Declaration of 1978
Keith, R. 2018. The importance of the Alma Ata principles of equity and voice, through intersectoral investment and leadership, in achieving the health and nutrition Sustainable Development Goals by 2030. A reflection on the upcoming Astana Conference, to be held on the 40th anniversary of the Alma Ata Declaration of 1978. World Nutrition. 9 (2). doi:10.26596/wn.201892121-126

Strengthening iron folate supplementation of pregnant women in Ntchisi District, Malawi
Museka-Saidi, T.M., Mlambo, T.T., Aburto, N. and Keith, R. 2018. Strengthening iron folate supplementation of pregnant women in Ntchisi District, Malawi. World Nutrition. 9 (3), pp. 254-260. doi:10.26596/wn.201893254-260

Achieving Sustainable Development Goals 2 and 3 through an increased investment in the Alma Ata principles of voice and equity through an intersectoral approach
Keith, R. 2018. Achieving Sustainable Development Goals 2 and 3 through an increased investment in the Alma Ata principles of voice and equity through an intersectoral approach. International Development: present research and future perspectives. Westminster Business School, University of Westminster, London 22 - 22 Jun 2018

Understanding Infant and Young Child Feeding and oral health practices and perceptions in Tower Hamlets
Keith, R. 2018. Understanding Infant and Young Child Feeding and oral health practices and perceptions in Tower Hamlets . Second University of Westminster Research Conference, organised by the Researcher Network. University of Westminster, London 20 - 20 Jun 2018

Book Review of Alex De Waal's new book, Mass Starvation: The History and Future of Famine:
Keith, R. 2018. Book Review of Alex De Waal's new book, Mass Starvation: The History and Future of Famine: World Nutrition. 9 (1), pp. 70-71. doi:10.26596/wn.20189170-71

Questioning the Solutions: Reaching the 800 million people living with hidden hunger in South and South east Asia, with effective interventions
Keith, R. 2018. Questioning the Solutions: Reaching the 800 million people living with hidden hunger in South and South east Asia, with effective interventions. Critical Public‭ ‬ Health‭ ‬ Consequences of the Double ‭ ‬Burden ‭ ‬of ‭ ‬Malnutrition and the Changing Food Environment in South and South East Asia‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬. New Delhi, India 27 - 30 Mar 2018

Understanding infant and young child feeding and oral health practices and perceptions in Tower Hamlets: moving from knowledge to practice and impact
Keith, R., Draper, A., Adegboye, A.R., Senior, L., Mba, E. and Azagba Nyako, J. 2017. Understanding infant and young child feeding and oral health practices and perceptions in Tower Hamlets: moving from knowledge to practice and impact. University of Westminster.

What works for Nutrition? Stories of success from Vietnam, Uganda and Kenya
RESULTS, U.K., Concern Worldwide, University of Westminster and Keith, R. 2015. What works for Nutrition? Stories of success from Vietnam, Uganda and Kenya. London, UK Results UK.

How to prevent 804,000 children under five dying
Keith, R. 2013. How to prevent 804,000 children under five dying. BMJ Blog.

Letter to editor on Neonatal Survival Series
Keith, R. 2005. Letter to editor on Neonatal Survival Series. The Lancet. 365 (9474), p. 1845. doi:10.1016/S0140-6736(05)66608-1

Permalink - https://westminsterresearch.westminster.ac.uk/item/qvy2v/exploring-infant-young-child-feeding-practices-and-perceptions-in-tower-hamlets-london-and-the-role-of-early-years-service-providers-in-supporting-healthy-feeding-practices


Share this
Tweet
Email

Usage statistics

22 total views
25 total downloads
1 views this month
0 downloads this month
These values are for the period from September 2nd 2018, when this repository was created

Export as