Too many children don’t eat the nutrient-dense foods they need to grow and develop.
As infants grow, their nutritional needs change rapidly. At 6 months of age, it is recommended that children begin eating their first solid foods while continuing to breastfeed until age 2 or older to ensure that their nutrient intake is sufficient to fuel their brain and their developing body. In fact, the nutritional requirements for growth and development of children aged 6 to 23 months are higher per kilogram of body weight than at any other time in life. Therefore, frequent feeding with a variety of foods is important to ensure that nutritional needs are met. However, data shows that globally, most children aged 6 to 23 months are not fed according to global recommendations.
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Far too many children are not fed at the right time or with the right frequency and do not benefit from the dietary diversity necessary to grow and develop fully. More than one in four children aged 6 to 8 months (28%) did not receive any solid, semi-solid or soft foods – the indicator being called solid, semi-solid or soft food introduction. One in two children aged 6 to 23 months (50 percent) did not receive the minimum recommended number of meals or snacks each day – the metric known as minimum meal frequency. More than two in three children aged 6 to 23 months (69 percent) were not fed foods from at least five of the eight recommended food groups – the indicator called minimum dietary diversity. Despite the recommendation that children aged 6 to 23 months should be fed eggs, fish or meat daily, more than half of children (53%) did not consume any of these nutrient-rich foods at course of the previous day – the indicator refers to the consumption of eggs and/or meat. Additionally, nutrient-rich fruits and vegetables are lacking in the diets of too many young children. Globally, more than 2 in 5 (41%) children aged 6 to 23 months did not eat any fruit or vegetables in the previous day.
The data is sounding the alarm on the child food poverty crisis – a condition in which young children do not receive the bare minimum of food groups they need during early childhood. Today, in low- and middle-income countries, 2 out of 3 children under the age of five – or 478 million – suffer from food poverty. Even more worrying, one in three children under the age of five – or 202 million – live in extreme food poverty, meaning they are fed an extremely poor diet that includes at most two food groups, often cereals and maybe milk. Some regions face greater challenges than others: one in three children in South Asia, West and Central Africa, and East and Southern Africa live in extreme food poverty. And unfortunately, the prevalence of severe food poverty among children has remained the same throughout the last decade.
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Data Notes
Indicators
The Standard Indicators for Infant and Young Child Feeding Practices, developed in accordance with the WHO Guiding Principles on Breastfed and Non-Breastfed Child Feeding, are used to assess these practices within and between countries and to assess progress in this program area. The 2021 publication, Indicators for assessing infant and young child feeding practices includes a total of 17 recommended indicators.
This set of indicators provides an update to i) the 2008 guide which covered indicator definitions and ii) the 2010 guide which covered operational instructions. This edition no longer distinguishes between basic and optional indicators.
Indicators for infant and young child feeding practices
Indicator name | Definition | |
Numerator | Denominator | |
Introduction of solid, semi-solid or soft foods | Infants aged 6 to 8 months who have consumed solid, semi-solid and soft foods in the previous day | Infants 6 to 8 months old |
Minimal dietary diversity | Children aged 6 to 23 months who received foods from ≥ 5 of 8 food groups in the previous day | Children 6 to 23 months |
Minimum meal frequency | Breastfed children aged 6 to 23 months who received solid, semi-solid and soft foods the minimum number of times or more during the previous day | Breastfed children aged 6 to 23 months |
Non-breastfed children aged 6 to 23 months who received solid, semi-solid and soft foods or milk the minimum number of times or more in the previous day | Non-breastfed children aged 6 to 23 months | |
Minimum breastfeeding frequency for non-breastfed children | Non-breastfed children aged 6 to 23 months who have consumed at least two feedings of milk in the previous day | Non-breastfed children aged 6 to 23 months |
Minimum acceptable diet | Breastfed children aged 6 to 23 months who had at least minimal dietary diversity and minimum meal frequency during the previous day | Breastfed children aged 6 to 23 months |
Non-breastfed children aged 6 to 23 months who received at least two formula feedings and who had at least minimal dietary diversity, not including formula feedings and minimum meal frequency during the previous day. | Non-breastfed children aged 6 to 23 months | |
Consumption of eggs and/or flesh | Children aged 6 to 23 months who have consumed eggs and/or meat in the previous day | Children 6 to 23 months |
Consumption of sugary drinks | Children aged 6 to 23 months who consumed a sugary drink the day before | Children 6 to 23 months |
Unhealthy food consumption | Children aged 6 to 23 months who consumed certain sentinel unhealthy foods in the previous day | Children 6 to 23 months |
Zero consumption of vegetables or fruits | Children aged 6 to 23 months who did not eat any vegetables or fruit the day before | Children 6 to 23 months |
Bottle feeding | Children aged 0 to 23 months bottle-fed with a pacifier the day before | Children from 0 to 23 months |
Data collection and reporting
Data for these indicators are collected through household surveys such as DHS, MICS and other national nutrition surveys. With the exception of 3 indicators; having already been breastfed, having started breastfeeding early and breastfed exclusively for the first 2 days after birth, the other indicators are based on questions on the consumption of liquids and food of children aged 0 to 23 months within 24 hours preceding the investigation. Standard questions and other practical methodological instructions for collecting, analyzing and reporting these data are also available in this document. document.
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