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Table 1 Variables and scoring system used to create the child feeding index for 6 to 23 months old children, by age group

From: Infant and young child feeding practices are associated with childhood anaemia and stunting in sub-Saharan Africa

 

Age category

 

Variables

6 to 8 months

9 to 23 months

Rationale for scoring

Is breastfed

No = 0; Yes = 2

No = 0; Yes = 2

Breast milk provides at least half of the energy requirements for children 6 to 12 months and one third for those between 12 to 24 months. Reduces risk of acute disease and chronic diseases provides long-term coronary health (Brown et al., 1990; Kathyrn Dewey, 2008)

Uses bottle

No = 1; Yes = 0

No = 1; Yes = 0

Bottle feeding is linked to unhygienic conditions increasing the risk of illness and mortality (Boone et al., 2016; Muhammad et al., 2018)

For past 24 h

 Dietary diversity scorea

0 = 0

1 to 3 = 1

 ≥ 4 = 2

0 = 0

1 to 3 = 1

 ≥ 4 = 2

Having a more diverse diet is a proxy for adequate micronutrient-dense foods. Consumption from at least 4 food groups over 24 h. is considered adequate and likely to contain at least one fruit or vegetable and one animal source food in addition to a staple food, usually cereals or other starchy staples (Working Group on Infant and Young Child Feeding Indicators, 2006)

 Meal frequency

0 meals/d = 0

1 meal/d = 1

 ≥ 2 meals/d = 2

0 meals/d = 0

1 to 2 meals/d = 1

 ≥ 3 meals/d = 2

The required meal frequency for children is dependent on their energy requirement (Kathyrn Dewey, 2008)

 Maximum score

7 points

7 points

 
  1. aDietary diversity from 24-h recall; maximum score of 7 when a child consumes food items from all 7 food groups: grains and tubers, legumes, dairy, flesh (red meat, fish, offal), eggs, vitamin A rich fruits, fruits and vegetables