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IJSTR >> Volume 2- Issue 9, September 2013 Edition

International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616

Hygiene For Preparation Of Infant Formular In A Developing Country

[Full Text]



Usai T., Mutonhodza B., Makamure C., Tshalibe R.S., Chinofunga D.



Index Terms: commercial infant formula, caregivers, contamination, hygiene, infants, milk, risk.



Abstract: The study determined the efficacy of protocols employed in replacement/artificial feeding using commercial infant formula. The study was carried out in the different suburban locations of Harare, Zimbabwe. A sample size of 20 mothers/caregivers giving commercial infant formula to their babies at between 0-6 months was targeted. Convenience and snowball sampling techniques were used to identify the participants. Interviews using a structured questionnaire were conducted and complemented by direct observation of the participants as they prepared the infant formula. The results were tallied against a checklist of recommended practices and label instructions. The results established that there were short falls in the preparation procedures as employed by the caregivers, mainly the mixing order of powder and water, temperature of the water for reconstitution and handling of left over formula after feed; 50 percent of caregivers were not adhering to the label instructions as given by the manufacturers and to recommendations proposed by World Health Organisation. Poor hand washing was indicative in 80% of the cases. Bottle feeding was predominant (n=16) compared to cup feeding (n=4) and the population practicing artificial feeding were mostly the young (90%), married (80%), educated (100%) and working group (90%). The researcher recommends that health providers strengthen efforts to ensure that adequate information/counselling and consistent advice of optimal benefit to the infant-mother pair be given and that the Ministry of Health and Child Welfare Nutrition unit must strictly monitor the activities and the information given out by infant formula manufacturers as stipulated by the International Code of Marketing of Breast milk Substitutes and also giving them the responsibility of following up on the appropriate use of their products.



[1] D.L. O'Connor; J. Jacobs, R. Hall, D. Adamkin and N. Auestad, “Growth and Development of Premature Infants Fed Predominantly Human Milk, Predominantly Premature Infant Formula, or a Combination of Human Milk and Premature Formula,” Journal of Pediatric Gastroenterology & Nutrition, Vol. 37 – no. 4, pp. 437-446, 2003.

[2] F. Moya, P.M. Sisk, K.R. Walsh and C.L. Berseth, “A New Liquid Human Milk Fortifier and Linear Growth in Preterm Infants” Pediatrics, vol. 130, no. 4, pp. e928-e935, 2012.

[3] A. Lucas, M. Stafford, R. Morley, R. Abbott, T. Stephenson, U. MacFadyen, A. Elias-Jones, and H. Clem, “Efficacy and Safety of Long-Chain Polyunsaturated Fatty Acid Supplementation of Infant-Formula Milk: a Randomised Trial,” The Lancet, vol. 354, no. 9194, pp. 1948–1954, 1999.

[4] H.J.M. Harmsen, A.C.M. Wildeboer-Veloo, G.C. Raangs,A.A. Wagendorp, N. Klijn, J. G. Bindels, and G.W. Welling, “Analysis of Intestinal Flora Development in Breast-Fed and Formula-Fed Infants by Using Molecular Identification and Detection Methods,” Journal of Pediatric Gastroenterology & Nutrition, vol. 30, no. 1, pp. 61-67, 2000.

[5] M.W. Gillman, S.L. Rifas-Shiman, C.A. Camargo, C.S. Berkey, L.Frazier, H.R.H. Rockett, A.E. Field and G.A. Colditz, “Risk of Overweight Among Adolescents Who were Breastfed as Infants Free,” JAMA, vol. 285 no. 19, pp. 2461-2467, 2001.

[6] P.J. Fleminga, P.S. Blaira, K. Pollarda, M.W. Plattb, C. Leacha, I. Smithc, P.J . Berrya and J. Goldinga, “Pacifier use and sudden infant death syndrome: results from the CESDI/SUDI case control study,”Arch Dis Child, vol;81, 112-116 , 1999.

[7] N. Stettler, V.A. Stallings, A. B. Troxel, J. Zhao, R. Schinnar, S.E. Nelson, E.E. Ziegler and B.L. Strom, “Weight Gain in the First Week of Life and Overweight in Adulthood, A Cohort Study of European American Subjects Fed Infant Formula,” Circulation vol. 111: pp. 1897-1903, 2005.

[8] E. Weir, “Powdered Infant Formula and Fatal Infection with Enterobacter Sakazakii,” Public Health, vol. 166, no. 12, 2002.

[9] D.G. Pendrys and R.V. Katz,“Risk of Enamel Fluorosis Associated with Fluoride Supplementation, Infant Formula, and Fluoride Dentifrice Use,” American Journal of Epidemiology, vol. 130, no. 6, pp. 1199-1208, 1989.

[10] D. Li, M. Willinger, D.B. Petitti, R. Odouli, L. Liu, and H.J. Hoffman, “Use of a dummy (pacifier) during sleep and risk of sudden infant death syndrome (SIDS): population based case-control study,” vol. 332, no. 7532, pp. 18–22, 2006.

[11] M.E.K. Moffatt, S. Longstaffe, J. Besant, C. Dureski, “Prevention of Iron Deficiency and Psychomotor Decline in High-Risk Infants Through Use of Iron-Fortified Infant Formula: A Randomized Clinical Trial,” The Journal of Pediatrics, vol. 125, no. 4, pp. 527-534, 1994.

[12] P. Willatts, J.S. Forsyth, M.K .DiModugno, S. Varma and M. Colvin, “Effect of Long-Chain Polyunsaturated Fatty Acids in Infant Formula on Problem Solving at 10 Months of Age,” Journal of Pediatric Gastroenterology & Nutrition, vol. 382, no. 9889, pp. 285-366, 2013.

[13] P. Aggett, J.L Leach, R. Rueda and W.C .MacLean. “Innovation in infant formula development: A reassessment of ribonucleotides in 2002,” The Journal of nutrition, vol. 19, no. 4, pp. 375–384, 2003.

[14] B. Greenberg, G.A. Little and H.F.M. EICHENWALD, “Preparation of Infant Formula,” Pediatrics Infectious Disease Journal, vol. 7, no. 7 pp. 50-61,1988.

[15] M. Nazarowec-White and J.F.Farber, “Incidence, Survival, and Growth of Enterobacter sakazakii in Infant Formula,” Journal of Food Protection, vol. 60, no. 3, pp. 226-230, 1997.

[16] E.C. Redmond and C.J. Griffith, “Importance of Hygiene in The Domestic Kitchen: Implications for Preparation and Storage of Food and Infant Formula,” Perspectives in Public Health, vol. 129 no. 2, pp. 69-76, 2009.

[17] C. Iversen and S. Forsythe, “Risk profile of Enterobacter Sakazakii, an Emergent Pathogen Associated with Infant Milk Formula,” Trends in Food Science & Technology, vol. 14, no.11, pp. 443-454, 2003.

[18] K.D.R .Setchell, L. Zimmer-Nechemias, J. Cai, and J.E. Heubi, “Exposure of Infants to Phyto-Oestrogens from Soy-Based Infant Formula,” The Lancet, vol. 350, no. 9070, pp. 23–27, 1997.

[19] C. Agostoni, I. Axelsson, O. Goulet, B. Koletzko, K.F. Michaelsen, J.W.L. Puntis, J. Rigo and R. Shamir, “Preparation and Handling of Powdered Infant Formula: A Commentary by the ESPGHAN Committee on Nutrition,” Journal of Pediatric Gastroenterology & Nutrition, vol. 39, no 4, pp. 320-322, 2004.