International Journal of Community Medicine and Public Health | February 2017 | Vol 4 | Issue 2 Page 281
International Journal of Community Medicine and Public Health
Srikanth L et al. Int J Community Med Public Health. 2017 Feb;4(2):281-285
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Review Article
Beliefs and practices of newborn feeding in tribal areas of India:
a decennary review
Latha Srikanth
1
, Kamala Subbiah
2
, Srikanth Srinivasan
3
*
INTRODUCTION
According to Census 2011, the tribal population of India
is 10.43 crores, constituting 8.6% of the total population.
1
Their socio-cultural, economic and educational
backgrounds differ from the urban and rural communities
and between the States. Factors such as ignorance,
illiteracy, lack of accessibility and inadequate utilization
of health services contribute to poor health status of the
tribes.
1,2
A major brunt of these factors is observed
among the mothers and children in terms of morbidity
and mortality.
2
To date, compared to national statistics,
neonatal and infant mortality rates are high in tribal
areas.
1
Each tribe has its own exclusive practices in child
rearing.
3
These practices are deeply rooted in the day to
day life of tribes and more difficult to change. The beliefs
and practices related to breastfeeding during the newborn
period (birth to 28 days of life) have a critical impact on
the survival of infants. Baseline information about
traditional newborn feeding practices of tribal
communities is of paramount importance in planning
culturally sensitive child health programs.
3
Such
ABSTRACT
Background: Newborn feeding among tribes in India is influenced by traditional beliefs and practices. Each tribal
community has its own unique feeding practices which have considerable impact on the health and survival of infants.
Information about these practices is vital in planning effective child health services.
Methods: A review of published articles in Google Scholar and Pubmed databases during the period 2006 to 2016
was carried out to retrieve information on newborn feeding practices in tribal areas in various parts of India. Prelacteal
feeding, feeding of colostrums and time of initiation of breastfeeding were considered for analysis.
Results: Thirteen full text studies were reviewed. It was observed that the newborns had been fed with prelacteal
feeds such as plain water, sugar or salt solution, honey, diluted cow’s milk and milk mixed with jaggery. The beliefs
were that these feeds help to resist hunger, clean the tongue and stimulate suckling. The common beliefs for delayed
initiation of breastfeeding were that it was harmful or not ready to be fed for 3 days. The reasons for discarding
colostrums were that it was impure, causes indigestion or diarrhea. These harmful practices were observed to be
prevalent among most of the tribes in different geographic locations of India.
Conclusions: There is a need to explore the area specific tribal cultural feeding beliefs and practices. This could
enhance the knowledge of healthcare providers to promote proper newborn rearing.
Keywords: Breast feeding, Colostrums, Infant feeding, Prelacteal feed, Tribes
1
Department of Pediatric Nursing, Indirani College of Nursing, Puducherry, India
2
Department of Pediatric Nursing, Rani Meyyammai College of Nursing, Annamalai Nagar, Chidambaram, India
3
Department of Community Medicine, Sri Venkateshwaraa Medical College Hospital & Research Centre, Puducherry,
India
Received: 09 December 2016
Accepted: 07 January 2017
*Correspondence:
Dr. Srikanth Srinivasan,
E-mail: srikanthlatha2003@yahoo.co.in
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20170250