Understanding care and feeding practices: building blocks for a sustainable intervention in India and Pakistan

Ann N Y Acad Sci. 2014 Jan;1308:204-217. doi: 10.1111/nyas.12326. Epub 2014 Jan 6.


Undernutrition and inadequate stimulation both negatively influence child health and development and have a long-term impact on school attainment and income. This paper reports data from India and Pakistan looking at how families interact, play with, and feed children; their expectations of growth and development; and the perceived benefits, consequences, opportunities, and barriers of adopting recommended feeding and developmental behaviors. These data were collected as part of formative research for the Sustainable Program Incorporating Nutrition and Games (SPRING) trial. This trial aims to deliver an innovative, feasible, affordable, and sustainable intervention that can achieve delivery at a scale of known effective interventions that maximize child development, growth, and survival and improve maternal psychosocial well-being in rural India and Pakistan.

Keywords: SPRING; child development; feeding; formative research.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast Feeding
  • Child Development
  • Child Nutritional Physiological Phenomena
  • Child, Preschool
  • Early Intervention, Educational*
  • Early Medical Intervention*
  • Family Characteristics
  • Feeding Behavior
  • Female
  • Humans
  • India
  • Infant, Newborn
  • Male
  • Pakistan
  • Play and Playthings
  • Pregnancy