or they are only breastfed (1%) or, in addition to breast milk, they only receive water, other milk or other liquid (8%). Table 15: Type of breastfeeding by child's age Child’s age (in months) 0 to 3 0 to 5 6 to 9 Not breastfed Exclusively breastfed Breastfed and water only Breastfed and non-milk liquids Breastfed and other milk Breastfed and complementary foods Total Source: 2011-2012 DCAT 3.4 27.4 45.8 0.5 5.2 20.5 34.4 0.7 10.0 12.9 100 6.8 1.0 5.6 0.3 12 to 15 24.4 0.1 1.3 0.4 12 to 23 56.7 0.0 0.6 0.2 20 to 23 83.0 0.0 0.1 0.0 10.1 29.1 1.4 85.0 0.1 73.8 0.0 42.5 0.0 16.9 100 100 100 100 100 The use of baby bottle is not recommended for young children because it is associated with an increased risk of diseases, particularly diarrheal diseases. At 0-1 months, 12% of children were bottle-fed. The average duration of breastfeeding is estimated at 15.7 months. Regarding exclusive breastfeeding, the average duration is estimated at only 1.9 months, three times less than the recommended 6 months. Prevalence of anaemia in children Although anaemia can be caused by bleeding, infections, genetic problems or chronic disease, it is usually due to inadequate intake of iron in the diet. It is for this reason that iron supplementation is recommended in the EPI activities. Table 16: Prevalence of anaemia Anaemia according to haemoglobin level Anaemia Mild Moderate < 110 g/dl 10,0 to 10,9 g/dl 7,0 to 9,9 g/dl All 66.7 32.3 33.5 Urban 67. 9 32.4 35.0 Rural 65.1 32.1 31.3 Source: 2011-2012 DCAT Severe < 110 g/dl 1.0 0.5 1.7 According to the classification of the EDS-II, 66.7% of children aged 6-59 months are anaemic: 32.3% are in the mild form, 33.5% in the moderate form and 1% in the severe form. Although the proportions of anaemic children are high regardless of the socio-demographic and economic characteristic, there are variations according to the age (from 87% to 9-11 months to 54% among children aged 48-59 months), the place of residence (up to 75% at Pointe Noire to a minimum of 59% in Lékoumou and the Pool) and the level of welfare of 72

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