Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Association between maternal dietary diversity (MDD) and neonatal survival in India
Rahul Bawankule

Last modified: 2018-07-23

Abstract


Background: Many studies reported the effect of maternal dietary diversity (MDD) on child growth and nutrition, but a little is known about its effect on child survival. The objective of the study is to examine the association between MDD and neonatal survival in India where neonatal mortality is highest in the world.

Materials and methods: The study analyzed the recently released nationally-representative population-based National Family Health Survey (NFHS)-4 data conducted in 2015-16 in India. The MDD score was generated using daily/weekly/occasionally/never consumption of 9 food items. The study used a multivariable binary logistic regression model for investigating the association between MDD and neonatal survival after adjusting for probable socioeconomic, bio-demographic, behavioral and reproductive confounding factors.

 

Results: One-fourth mother had low dietary diversity and 3 percent neonates died before 28 days of birth in India in 2015-16. The risk of neonatal death was 1.17 times (AOR: 1.17; 95% CI: 1.08-1.27) higher among mothers having low dietary diversity than those having high dietary diversity.

 

Conclusions: The study confirms the association between MDD and neonatal survival, independent of socioeconomic, bio-demographic, behavioral and reproductive factors related to mothers and children. Mothers must be educated and counseled about the most diverse and balanced diet during pregnancy for gain in neonatal and infant survival in India.

 

Acknowledgments: None

Keywords: Dietary diversity, mother, neonatal, survival, India