Foods and Liquids Consumed by Children

 

Percentage of breastfeeding and non-breastfeeding children consuming specific liquids and foods

 

Definition

 

1)      Percentage of youngest children under age 2 who are living with the mother consuming specific types of liquids during the previous day or night, disaggregated by whether breastfeeding or not.

2)      Percentage of youngest children under age 2 who are living with the mother consuming specific types of foods during the previous day or night, disaggregated by whether breastfeeding or not.

 

Coverage:

Population base: Youngest living child born in the 2 years preceding the survey living with the mother (KR file)

Time period: Previous day or night before the survey

 

Numerators:

Number of youngest children born in the 2 years preceding the survey who are living with their mother who consumed the specific liquids and foods, disaggregated by whether breastfeeding or not (m4 = 95):

 

Liquids:

1)      Plain water (v409 = 1)

2)      Infant formula (v411a = 1)

3)      Any fresh, packaged, or powdered animal milk (v411 = 1)

4)      Sweet/flavored fresh, packaged, or powdered animal milk (v411 = 1 and v411s = 1)

5)      Any yogurt drinks (v413a = 1)

6)      Sweet/flavored yogurt drinks (v413a = 1 and v413as = 1)

7)      Any soy milk and nut milks (v413b = 1)

8)      Sweet/flavored soy milk and nut milks (v413b = 1 and v413bs = 1)

9)      Fruit juice and fruit-flavored drinks (v410 = 1)

10)   Sodas, malt drinks, sports drinks, and energy drinks (v413d = 1)

11)   Any tea, coffee, and herbal drinks (v410a = 1)

12)   Sweetened tea, coffee, and herbal drinks (v410a = 1 and v410as = 1)

13)   Clear broth and clear soup (v412c = 1)

14)   Other liquids. (v413c = 1 or v413 = 1)

 

Solid or semi-solid foods:

1)      Food made from grains (v414e = 1)

2)      White/pale starchy roots, tubers, and plantains (v414f = 1)

3)      Beans, peas, lentils, nuts, and seeds (v414o = 1 or v414c = 1)

4)      Cheese and yogurt ((v414v = 1 and v413a ≠ 1) or v414p = 1)

5)      Meat, fish, poultry, organ meats (v414m = 1 or v414b = 1 or v414h = 1 or v414n = 1)

6)      Eggs (v414g = 1)

7)      Vitamin A rich fruits and vegetables (v414i = 1 or v414j = 1 or v414k = 1)

8)      Other fruits and vegetables (v414l = 1 or v414a = 1)

9)      Insects and other small protein foods (v414d = 1)

10)   Red palm oil (v414u = 1)

11)   Sweet foods such as chocolates, candies, pastries, cakes, biscuits, ice cream, popsicles (v414r = 1)

12)   Fried and salty foods such as chips, crisps, puffs, French fries, fried dough (v414t = 1)

13)   Other solid or semisolid food (v414s = 1)

 

Denominators: Number of youngest children born in the 2 years preceding the survey living with the mother, disaggregated by whether breastfeeding or not (m4 = 95). See Calculation for the selection for the denominator

 

Variables: KR file.

caseid

Case Identification

b5

Child is alive

b9

Child lives with whom

b19

Current age of child in months (months since birth for dead children)

m4

Duration of breastfeeding

v409

Gave child plain water

v410

Gave child juice

v410a

Gave child tea or coffee

v410as

Tea or coffee/herbal drink was sweetened

v411

Gave child tinned, powdered or fresh milk

v411s

Tinned, powdered or fresh milk was sweetened

v413

Gave child other liquid

v413s

Other liquid was sweetened

v413a

Gave child yogurt as a drink

v413as

Yogurt as a drink was sweetened

v413b

Gave child soy milk

v413bs

Soy milk was sweetened

v413c

Gave child chocolate flavored drink

v413d

Gave child sodas/malt/sports/energy drinks

v414a

Gave child any other vegetables

v414b

Gave child sausages, hot dogs, frankfurters, ham, bacon, salami, canned food

v414c

Gave child nuts, seeds

v414d

Gave child any insects

v414e

Gave child bread, noodles, other made from grains

v414f

Gave child potatoes, cassava, or other tubers

v414g

Gave child eggs

v414h

Gave child meat (beef, pork, lamb, chicken, etc)

v414i

Gave child pumpkin, carrots, squash (yellow or orange inside)

v414j

Gave child any dark green leafy vegetables

v414k

Gave child mangoes, papayas, other vitamin A fruits

v414l

Gave child any other fruits

v414m

Gave child liver, heart, other organs

v414n

Gave child fish or shellfish

v414o

Gave child food made from beans, peas, lentils, nuts

v414p

Gave child cheese, yogurt, other milk products

v414r

Gave child chocolates, sweets, candies, pastries, etc

v414s

Gave child other solid, semi-solid food

v414t

Gave child chips, crisps, french fries, fried dough, instant noodles

v414u

Gave child red palm oil

v414v

Gave child yogurt

v414w

Gave child common sentinel sweet food

 

Based on DHS-8 standard questionnaires. Other variables may be needed if additional survey-specific liquids and foods are included.

 

Calculation

 

Numerator divided by denominator, multiplied by 100.

 

Denominator:

To select the cases for the denominator, first filter or keep only living children living with the mother born in the preceding 24 months (keep/select if b19 < 24 & b9 = 0), then keep only the youngest child (keep/select if the first entry in the dataset (_n = 1) or the first for this respondent (caseid ≠ caseid[_n-1]) as the youngest child is the first listed for the respondent in the data file). The commands in Stata and SPSS are given below:

 

Stata

* keep if under 24 months and living with mother

keep if b19 < 24 & b9 == 0

* and keep the last born of those.

* if caseid is the same as the prior case, then not the last born

keep if _n == 1 | caseid != caseid[_n-1]

 

SPSS

* keep if under 24 months and living with mother.

Select if (b19 < 24 & b9 = 0).

* and keep the last born of those.

* if caseid is the same as the prior case, then not the last born.

Select if (caseid <> lag(caseid)).

 

Handling of Missing Values

 

Breastfeeding: Missing values and “don’t know” assumed not breastfeeding.

 

Specific liquids and foods: Missing values and “don’t know” excluded from numerators in all percentages but included in denominators.

 

Notes and Considerations

 

Country-specific liquids and foods may be added to each category. Percentages are based only on children living with their mother. Children living elsewhere are excluded from both the numerators and the denominators.

 

Changes over Time

 

The groupings of types of foods have changed over time. Other milk, and cheese, yogurt or other milk product were previously combined. Fruits and vegetables rich in vitamin A, and other fruits and vegetables were previously grouped together. Meat, fish, shellfish and poultry, and eggs were also grouped together in earlier surveys. Food made with oil, fat, or butter was also presented in DHS-IV and DHS-V surveys. Sugary foods, such as chocolates, sweets, candies, pastries, cakes of biscuits were also presented in DHS-V surveys.

 

Additional variables related to fresh milk, tea and coffee, porridge gruel, and other foods or drinks have been used in older surveys (see v412, v412b, v413a – d, v414a – d, t, u, w), and should be taken into consideration when comparing results with the surveys reports.

 

DHS-8 surveys report separately on the liquids and foods consumed. For several liquids (i.e. fresh, packaged, or powdered animal milk; yogurt drinks; soy and nut milks; tea, coffee and herbal drinks; and other liquids) consumption is also reported for the sweet/flavored versions of the drink.

 

Resources

 

DHS-8 Tabulation plan: Tables 11.6 and 11.7

 

API Indicator IDs:

Breastfeeding children:

CN_FDBF_C_INF, CN_FDBF_C_MLK, CN_FDBF_C_LIQ, CN_FDBF_C_BBY, CN_FDBF_C_GRN, CN_FDBF_C_VTA, CN_FDBF_C_FVG, CN_FDBF_C_RTS, CN_FDBF_C_LEG, CN_FDBF_C_MTF, CN_FDBF_C_EGG, CN_FDBF_C_MFE, CN_FDBF_C_CHS, CN_FDBF_C_OTH, CN_FDBF_C_SLD

(API link, STATcompiler link)

 

Non-breastfeeding children:

CN_FDNB_C_INF, CN_FDNB_C_MLK, CN_FDNB_C_LIQ, CN_FDNB_C_BBY, CN_FDNB_C_GRN, CN_FDNB_C_VTA, CN_FDNB_C_FVG, CN_FDNB_C_RTS, CN_FDNB_C_LEG, CN_FDNB_C_MTF, CN_FDNB_C_EGG, CN_FDNB_C_MFE, CN_FDNB_C_CHS, CN_FDNB_C_OTH, CN_FDNB_C_SLD

(API link, STATcompiler link)