PMID- 35291273 OWN - NLM STAT- MEDLINE DCOM- 20220317 LR - 20220319 IS - 2048-6790 (Electronic) IS - 2048-6790 (Linking) VI - 11 DP - 2022 TI - Factors associated with minimum dietary diversity failure among Indian children. PG - e4 LID - 10.1017/jns.2022.2 [doi] LID - e4 AB - Recognising the importance of infant and young child feeding practices during the first 2 years of life, the World Health Organization's Global Nutrition Monitoring Framework developed a minimum dietary diversity (MDD) indicator for feeding children aged 6-23 months. MDD is defined as the consumption of food items from five or more groups out of a total of eight food groups. Food intake from less than five food groups is considered minimum dietary diversity failure (MDDF). Using the nationally representative National Family Health Survey (NFHS) dataset, the present study assessed the trend in MDDF between 2005-6 and 2015-16 and the factors associated with MDDF among children aged 6-23 months during 2015-16. The NFHS conducted in 2005-6 and 2015-16 covered a sample of 14 419 and 74 078 children aged 6-23 months, respectively. Overall, the MDDF reduced from 87⋅4 % (95 % confidence interval (95 % CI) 86⋅8 %, 87⋅9 %) in 2005-6 to 80⋅6 % (95 % CI 80⋅1 %, 81⋅0 %) in 2015-16. Multivariable logistic regression analysis revealed that increased child's age, second and third birth order children, higher maternal age and education, mass media exposure of mothers and more than four antenatal care visits had a negative association with the MDDF. Children living in rural areas and residing in high-focus states of India were observed with higher odds of experiencing MDDF. Exposure to community healthcare services was negatively associated with MDDF, and anaemic children were more likely to have MDDF. Socioeconomic status of mothers and children and encouragement of maternal and child healthcare use could be helpful in devising context-specific intervention to mitigate MDDF. CI - (c) The Author(s) 2022. FAU - Rai, Rajesh Kumar AU - Rai RK AUID- ORCID: 0000-0002-5249-9937 AD - Society for Health and Demographic Surveillance, Suri 731101, West Bengal, India. AD - Department of Economics, University of Gottingen, Gottingen 37073, Germany. AD - Centre for Modern Indian Studies, University of Gottingen, Gottingen 37073, Germany. AD - Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA 02115, USA. FAU - Kumar, Sandhya S AU - Kumar SS AD - World Vegetable Center - South and Central Asia, Hyderabad 502324, Telangana, India. FAU - Kumar, Chandan AU - Kumar C AUID- ORCID: 0000-0002-2351-2442 AD - Department of Policy and Management Studies, TERI School of Advanced Studies, New Delhi 110070, India. LA - eng PT - Journal Article DEP - 20220204 PL - England TA - J Nutr Sci JT - Journal of nutritional science JID - 101590587 SB - IM MH - Child MH - Child, Preschool MH - *Diet MH - Educational Status MH - Female MH - *Food MH - Humans MH - Infant MH - Mothers MH - Pregnancy MH - Social Class PMC - PMC8889227 OTO - NOTNLM OT - Child nutrition OT - India OT - Minimum dietary diversity OT - Nutrition deficiency OT - Nutrition policy EDAT- 2022/03/17 06:00 MHDA- 2022/03/18 06:00 PMCR- 2022/01/01 CRDT- 2022/03/16 05:06 PHST- 2021/08/20 00:00 [received] PHST- 2021/12/18 00:00 [revised] PHST- 2021/12/20 00:00 [accepted] PHST- 2022/03/16 05:06 [entrez] PHST- 2022/03/17 06:00 [pubmed] PHST- 2022/03/18 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - S2048679022000027 [pii] AID - 10.1017/jns.2022.2 [doi] PST - epublish SO - J Nutr Sci. 2022 Feb 4;11:e4. doi: 10.1017/jns.2022.2. eCollection 2022.