Journal articles on the topic 'Breastfeeding promotion intervention'
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Kramer, Michael S., Beverley Chalmers, Ellen D. Hodnett, Zinaida Sevkovskaya, Irina Dzikovich, Stanley Shapiro, Jean-Paul Collet, et al. "Promotion of Breastfeeding Intervention Trial (PROBIT)." JAMA 285, no. 4 (January 24, 2001): 413. http://dx.doi.org/10.1001/jama.285.4.413.
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Scott, Allison L., Marie-Rachelle Narcisse, and Lyla Lindholm. "Promotion of Exclusive Breastfeeding in a Clinic Setting Did Not Increase Its Rates." Clinical Lactation 6, no. 1 (February 2015): 40–44. http://dx.doi.org/10.1891/2158-0782.6.1.40.
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Breastfeeding is known to have many protective effects on childhood health. Breastfeeding without supplementation or complementary foods until 6 months of age is inversely related to several health problems, including childhood obesity. Because of the known beneficial effects on infant health of breastfeeding, education on breastfeeding may impact exclusive breastfeeding rates, resulting in improved infant health status. This retrospective study, using Pender’s health promotion model and the theory of planned behavior (Pender, Murdaugh, & Parsons, 2011), explored the effect of a breastfeeding education intervention for quality improvement in an ambulatory care clinic on the rate of exclusive breastfeeding during the first 4 months of infancy, or short-term exclusive breastfeeding. Exclusive breastfeeding rates were measured after the 4-month well exam, which represents the time of the existence of the quality improvement intervention for 4–5 months. The expected outcome was a minimum 15% increase in exclusive breastfeeding rates in the participants who received the educational program as compared to the individuals who did not receive the breastfeeding education intervention. Contrary to expectations, the group receiving standard care had significantly higher rates of exclusive breastfeeding than those receiving the intervention.
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Graça, Luís Carlos Carvalho da, Maria do Céu Barbiéri Figueiredo, and Maria Teresa Caetano Carreira Conceição. "Contributions of the nursing intervention in primary healthcare for the promotion of breastfeeding." Revista Latino-Americana de Enfermagem 19, no. 2 (April 2011): 429–36. http://dx.doi.org/10.1590/s0104-11692011000200027.
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This study aimed to analyze the contributions of the Primary Healthcare nursing interventions, with primiparae in the promotion of breastfeeding. This is a quasi-experimental, longitudinal study, with a sample consisting of 151 primiparae, who had less than 28 weeks of pregnancy, with the child living for at least six months after the birth, performed between 15 October 2007 and 29 February 2008. Almost all the women initiated breastfeeding, with a sharp decline verified in the prevalence at six months. The mean duration of breastfeeding was 123.8±68.9 days. The intervention that began in the prepartum and continued into the postpartum period, using various strategies (individual consultation, preparation courses for parenting/childbirth, and domicile visits) and intervention contexts (health services and domicile) had significant effects on the duration of breastfeeding, which was not verified in the prevalence.
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Flax, Valerie, Abiodun Ipadeola, Courtney Schnefke, Uche Ralph-Opara, Olatoun Adeola, Susan Edwards, Sujata Bose, and Alice Brower. "Breastfeeding Interpersonal Communication and Mobile Phone Support by Private Health Care Providers in Lagos, Nigeria Increased Exclusive Breastfeeding at 6 and 24 Weeks." Current Developments in Nutrition 5, Supplement_2 (June 2021): 642. http://dx.doi.org/10.1093/cdn/nzab045_024.
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Abstract Objectives Interventions to improve breastfeeding practices have not been tested in private facilities in Nigeria, although most urban facilities are private. The objective of this study was to measure the impact of Alive & Thrive's intervention on breastfeeding intentions, early initiation of breastfeeding, and exclusive breastfeeding among clients of private facilities in Lagos, Nigeria. Methods The intervention included breastfeeding interpersonal communication during facility visits, breastfeeding text/WhatsApp messages, WhatsApp support groups, and social behavior change communication materials. Logistic regression models adjusted for clustering were used to detect differences in a cohort of women (N = 1,200) at 10 intervention and 10 comparison facilities interviewed during their third trimester and at 6 and 24 weeks postpartum. Results During pregnancy, intention to exclusively breastfeed at 6 weeks postpartum was 92% in both study arms, but more women in the intervention than comparison arm intended to exclusively breastfeed at 24 weeks postpartum (78% intervention, 64% comparison, p < 0.001). Early initiation of breastfeeding did not differ by study arm (35% intervention, 33% comparison). More women in the intervention than comparison arm exclusively breastfed at 6 weeks (83% intervention, 76% comparison, p = 0.02) and 24 weeks postpartum (66% intervention, 52% comparison, p < 0.001). Among women exclusively breastfeeding at 6 weeks, the odds of continued exclusive breastfeeding at 24 weeks was higher in the intervention than comparison arm (OR 1.6, p = 0.005). Conclusions A breastfeeding intervention implemented in private health facilities in Lagos increased exclusive breastfeeding intentions and practices. Widespread implementation of breastfeeding interventions in private facilities could extend the reach of breastfeeding promotion programs in urban Nigeria. Funding Sources This research was funded by the Alive & Thrive initiative, managed by FHI Solutions, and currently funded by the Bill & Melinda Gates Foundation, Irish Aid, the Tanoto Foundation, UNICEF, and the World Bank.
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Stranahan, Susan D. "The Urban Poor: An Appropriate Population for Breastfeeding Promotion Programs." International Quarterly of Community Health Education 9, no. 2 (July 1988): 125–37. http://dx.doi.org/10.2190/mgmn-41gw-wckp-a196.
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Breastfeeding has won universal endorsement as a major contributor to child survival. The proliferation of breastfeeding promotion programs demonstrates the importance health professionals and funding agencies place on improving the incidence and duration of breastfeeding. An effective, cost-efficient breastfeeding promotion program should be directed at those who will receive the greatest health benefit from such an intervention, i.e., the group who 1) would experience the greatest threat to health by decreasing its breastfeeding practice, and 2) is at greatest risk of changing its breastfeeding habits. Since it is the urban poor primarily who satisfy both of these criteria breastfeeding promotion strategies should focus on them.
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Memmott, Margaret M., and Karen A. Bonuck. "Mother's reactions to a skills-based breastfeeding promotion intervention." Maternal and Child Nutrition 2, no. 1 (January 2006): 40–50. http://dx.doi.org/10.1111/j.1740-8709.2006.00040.x.
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Patel, Rita, Emily Oken, Natalia Bogdanovich, Lidia Matush, Zinaida Sevkovskaya, Beverley Chalmers, Ellen D. Hodnett, Konstantin Vilchuck, Michael S. Kramer, and Richard M. Martin. "Cohort Profile: The Promotion of Breastfeeding Intervention Trial (PROBIT)." International Journal of Epidemiology 43, no. 3 (March 7, 2013): 679–90. http://dx.doi.org/10.1093/ije/dyt003.
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Sitorus, Rotua Sumihar, and Kristina L. Silalahi. "PROMOSI KESEHATAN TENTANG PEMBERIAN ASI EKSKLUSIF TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL." Jurnal Keperawatan Priority 3, no. 1 (January 17, 2020): 23. http://dx.doi.org/10.34012/jukep.v3i1.801.
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Stunting is a disruption of physical development that has passed with decreasing in the growth rate of children. Puskesmas Pancur Batu conducts stunting prevention through health promotion to increase knowledge and attitudes of pregnant women about exclusive breastfeeding. The number of mothers giving exclusive breastfeeding only reached 44.9% (target 80%). The purpose of the study was to analyze the effect of health promotions with leaflet media about exclusive breastfeeding on the knowledge and attitude of pregnant women in stunting prevention. The study design was quasi-experimental with a sample of 40 pregnant women. The study was conducted in October 2019 in Puskesmas Pancur Batu. The sampling technique is done purposively. Data were analyzed using independent t test. The results showed that before the pre-test, the average score of knowledge variables from the intervention group 6.60 and the comparison group 6.22, after the post-tes increased to 10.30 and 8.34. The average score of attitude variables from the intervention group was 4.04 and the comparison group was 4.44, after the post-test increased to 5.80 and 4.84. The results of the statistic test showed that health promotion influences the knowledge and attitude of pregnant women in preventing stunting before and after the intervention with p = 0.005 and p 0.028 <0.05. It is recommended that Puskesmas staff conduct health promotion through the distribution of leaflets to facilitate pregnant women in understanding the benefits of exclusive breastfeeding in an effort to prevent stunting.
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Wright, Anne L., Audrey Naylor, Ruth Wester, Mark Bauer, and Emily Sutcliffe. "Using Cultural Knowledge in Health Promotion: Breastfeeding among the Navajo." Health Education & Behavior 24, no. 5 (October 1997): 625–39. http://dx.doi.org/10.1177/109019819702400509.
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Although many attempts have been made to promote breastfeeding in a variety of contexts, few programs have explicitly incorporated cultural beliefs in these efforts. This article describes a breastfeeding promotion program conducted on the Navajo reservation. This program was designed to be culturally appropriate. Background information regarding beliefs and factors affecting infant feeding practices in this setting is provided, followed by a description of the intervention. The intervention, which incorporated both social marketing and community participation techniques, consisted of three components: an intervention in the health care system, a community intervention, and an individual intervention. Based on medical records review of feeding practices of all the infants born the year before ( n = 988) and the year after ( n = 870) the intervention, the program was extremely successful. This combination of techniques, including qualitative and quantitative research into local definitions of the problem, collaboration with local institutions and individuals, reinforcement of traditional understandings about infant feeding, and institutional change in the health care system, is an effective way of facilitating behavioral change.
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Tong, Shilu. "Proposed Strategies for Promoting Breastfeeding in the Community." Australian Journal of Primary Health 3, no. 3 (1997): 105. http://dx.doi.org/10.1071/py97030.
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To protect, promote and support breastfeeding in communities is an important primary health care task. One of the Australian health targets set for the year 2000 and beyond is that 80% of infants up to six months of age will be breastfed. However, both the 1989-90 National Health Survey (Lund-Adams & Heywood, 1994) and the 1993 national births' data (Australian Bureau of Statistics, 1994) indicate that breastfeeding rates at age six months are far below this target. Therefore, there is a clear need to develop strategies to promote breastfeeding in Australian communities. Breastfeeding promotion needs to address locally researched barriers and should be integrated with appropriate health care. Proposed strategies for promoting breastfeeding in the community include: monitoring of prevalence and maintenance of breastfeeding; assessment of possible barriers; design of an intervention program; implementation of the intervention program; evaluation; and communication with the community. The Australian breastfeeding target set for the year 2000 can only be achieved through an integrated approach that enhances concerted efforts to promote primary health care and breastfeeding in the community.
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Pérez, Alfredo, and Veronica Valdés. "Santiago Breastfeeding Promotion Program: Preliminary results of an intervention study." American Journal of Obstetrics and Gynecology 165, no. 6 (December 1991): 2039–44. http://dx.doi.org/10.1016/s0002-9378(11)90576-6.
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Perez, A., and V. Valdes. "Santiago breastfeeding promotion program: Preliminary results of an intervention study." International Journal of Gynecology & Obstetrics 39, no. 1 (September 1992): 76. http://dx.doi.org/10.1016/0020-7292(92)90827-6.
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Wu, Qiong, Yiwen Huang, Zijun Liao, Michelle Helena van Velthoven, Wei Wang, and Yanfeng Zhang. "Effectiveness of WeChat for Improving Exclusive Breastfeeding in Huzhu County China: Randomized Controlled Trial." Journal of Medical Internet Research 22, no. 12 (December 3, 2020): e23273. http://dx.doi.org/10.2196/23273.
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Background The benefits of breastfeeding for both infants and mothers have been well recognized. However, the exclusive breastfeeding rate in China is low and decreasing. Mobile technologies have rapidly developed; communication apps such as WeChat (one of the largest social networking platforms in China) are widely used and have the potential to conveniently improve health behaviors. Objective This study aimed to assess the effectiveness of using WeChat to improve breastfeeding practices. Methods This 2-arm randomized controlled trial was conducted among pregnant women from May 2019 to April 2020 in Huzhu County, Qinghai Province, China. Pregnant women were eligible to participate if they were aged 18 years or older, were 11 to 37 weeks pregnant with a singleton fetus, had no known illness that could limit breastfeeding after childbirth, used WeChat through their smartphone, and had access to the internet. A total of 344 pregnant women were recruited at baseline, with 170 in the intervention group and 174 in the control group. Women in the intervention group received breastfeeding knowledge and promotion information weekly through a WeChat official account from their third month of pregnancy to 6 months postpartum. The primary outcome of exclusive and predominant breastfeeding rate was measured 0-1 month, 2-3 months, and 4-5 months postpartum. Results At 0-1 month postpartum, the exclusive breastfeeding rate was significantly higher in the intervention group than that in the control group (81.1% vs 63.3%; odds ratio [OR] 2.75, 95% CI 1.58-4.78; P<.001). Similarly, mothers in the intervention group were more likely to provide predominantly breast milk (OR 2.77, 95% CI 1.55-4.96; P<.001) and less likely to give dairy products to their children (OR 0.40, 95% CI 0.21-0.75; P=.005). There was no statistically significant difference for exclusive breastfeeding rate 2-3 months (P=.09) and 4-5 months postpartum (P=.27), though more children in the intervention group were exclusively breastfed than those in the control group 2-3 months postpartum (intervention: 111/152, 73.0%; control: 96/152, 63.2%) and 4-5 months postpartum(intervention: 50/108, 46.3%; control: 46/109, 42.2%). Conclusions This study is the first effort to promote exclusive breastfeeding through WeChat in China, which proved to be an effective method of promoting exclusive breastfeeding in early life. WeChat health education can be used in addition to local breastfeeding promotion programs. Trial Registration Chinese Clinical Trial Registry ChiCTR1800017364; http://www.chictr.org.cn/showproj.aspx?proj=29325 International Registered Report Identifier (IRRID) RR2-10.1186/s12889-019-7676-2
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Fernández Soto, Gerardo Fernando, and Paola Lisbeth Tamayo Martínez. "COGNITIVE INTERVENTION TO THE WOMEN WHO ATTEND THE "BREASTFEEDING SUPPORT GROUP"." Enfermería Investiga 7, no. 1 (January 3, 2022): 42. http://dx.doi.org/10.31243/ei.uta.v7i1.1477.2022.
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Introduction: Breast milk is the best food to meet the nutritional needs of the child, exclusively for the first 6 months and up to two years of age, favoring the establishment of the mother-child bond. Objective: To carry out a cognitive intervention to the women who attend the “breastfeeding support group”. Method: Quantitative research, with a quasi-experimental design, in a census sample made up of 11 pregnant women and 19 breastfeeding women. The Iowa Infant Feeding Attitudes Scale (IIFAS) was used. Results: 33.30% (10) are between 33-35 years old, 63% (19) in the puerperium, 56% (17) with primary education, 60% (18) carry out agricultural / cattle raising activities, 53% (16) in free union. In the pre-intervention, the women had a positive attitude with a score of 17-48 towards artificial breastfeeding 83% (25), in the post-intervention the positive attitude towards breastfeeding changed 87% (26), with a significant difference of p <0.01, in the items of the IIFAS instrument in the pre-intervention a mean and standard deviation of 2.07 ± 1.16, with an increase in the post-intervention of 4.48±0.65, a significance difference <0.05 in the total of questions in the pre-intervention from 35.23, increased after the intervention to 76.13, their attitude changed to exclusive breastfeeding. Conclusions: the cognitive intervention increased the positive attitude towards exclusive breastfeeding, highlighting that a timely educational intervention of promotion, support and accompaniment during pregnancy and postpartum guarantees the duration and exclusivity of breastfeeding. Keywords: breastfeeding, breastfeeding behavior, breastfeeding, knowledge, attitudes and health practice
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Allotey, Diana, Valerie Flax, Abiodun Ipadeola, Olatoun Adeola, Linda Adair, Carmina Valle, Margaret Bentley, Katie Grimes, Sujata Bose, and Stephanie Martin. "Integrating a Targeted Breastfeeding Promotion Intervention Into Routine Health Services in Private Health Facilities in Lagos State, Nigeria Is Feasible." Current Developments in Nutrition 6, Supplement_1 (June 2022): 546. http://dx.doi.org/10.1093/cdn/nzac060.004.
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Abstract Objectives The majority of health providers in Lagos, Nigeria are private, but few of them offer breastfeeding counseling. From May 2019-April 2020, Alive & Thrive implemented a breastfeeding promotion intervention in collaboration with 10 private health facilities in Lagos. The intervention included implementation of the Baby-Friendly Hospital Initiative, training for providers, and provision of breastfeeding counseling to women in person and on Whatsapp, breastfeeding Whatsapp support groups, and infant and young child feeding (IYCF) counseling materials. The objective of our research was to examine the feasibility of integrating the intervention into routine health services using a mixed-methods process evaluation. Methods We conducted in-depth interviews (IDIs) with 20 health facility leaders and providers, 90 structured observations and exit interviews with women during the 3rd trimester and at 6 weeks postpartum. The IDIs were transcribed and analyzed thematically in Dedoose software (version 8), and the structured observations and exit interviews were summarized as proportions. Results The IDIs indicated that almost all health facility leaders and providers had positive experiences with the intervention. Facilitators included the training received, support from facility leaders, and availability of IYCF counseling materials. Barriers included increased workloads, paperwork, and health providers’ use of personal time for counseling on Whatsapp. Observations and exit interviews suggested that breastfeeding counseling improved over time. Exit interviews also showed that most mothers were very satisfied with services and were very confident they could carry out the breastfeeding advice they had received. Conclusions Provision of breastfeeding counseling and support through private health facilities is feasible, but service delivery challenges must be considered for successful scale-up of the intervention in Nigeria. Funding Sources This research was funded by The Alive & Thrive initiative, managed by FHI Solutions, and funded by the Bill & Melinda Gates Foundation Irish Aid, and other donors.
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Nugrahaeni, Meita Tyas, and Oedojo Soedirham. "Systematic Review: The Impact Analysis and Implementation Policies of Exclusive Breastfeeding Programs." Jurnal PROMKES 9, no. 1 (March 30, 2021): 79. http://dx.doi.org/10.20473/jpk.v9.i1.2021.79-90.
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Background: Health promotion is an effort to improve the society's ability in order to make people empower themselves. Exclusive breastfeeding/ASI eksklusif is the practice of giving breast milk to infants for the first six months of life (without any additional food or water) a preventive intervention that addresses the single greatest potential impact on child mortality. Objective: To analyze the impact of the availability and unavailability of program policy that support exclusive breastfeeding in improving the implementation of exclusive breastfeeding policy. Method: The method used in this research was a systematic review technique. The process of searching for articles through Sagepub, Google, and Google Scholar. The keywords used were breastfeeding policy, breastfeeding policy and health promotion, breastfeeding health promotion, workplace breastfeeding policy, and maternity leaves starting from February 20, 2020, to April 15, 2020, and found 153 articles which were then sorted into 35 articles. The articles discussed the implementation of the exclusive breastfeeding program (10), the exclusive breastfeeding policy (12), and the impacts arising from the exclusive breastfeeding policy (13) with articles in Indonesian (10) and English (25). Results: The found policy that have not been implemented by the Indonesian government are policies that adopt the latest version of The International Code of Marketing of Breas Milk Substitutes. Weak implementation of follow-up on sanctions and fines if it violates applicable policy. Conclusion: The exclusive breastfeeding program carried out by Indonesia is still in the scope of classes for pregnant women, companion groups, exclusive breastfeeding socialization, and breastfeeding motivator training. Social, economic, and cultural factors are other supporting factors related to exclusive breastfeeding success.
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Gu, Yanhong, Yu Zhu, Zhihong Zhang, and Hongwei Wan. "Effectiveness of a theory-based breastfeeding promotion intervention on exclusive breastfeeding in China: A randomised controlled trial." Midwifery 42 (November 2016): 93–99. http://dx.doi.org/10.1016/j.midw.2016.09.010.
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Taqwin, Taqwin, Linda Linda, and Nur Ifda. "Peningkatan Minat Ibu Hamil Memberikan ASI Eksklusif melalui Promosi ASI Eksklusif." Jurnal Bidan Cerdas 4, no. 2 (June 30, 2022): 111–19. http://dx.doi.org/10.33860/jbc.v4i2.1130.
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Introduction: The coverage of exclusive breastfeeding at the Mayoa Health Center is still low (56.2%) compared to the national coverage (66.1%), Central Sulawesi (61.9%) and Poso District (57.2%). The purpose of the study was to analyze the effect of exclusive breastfeeding promotion on the interest of pregnant women in giving exclusive breastfeeding. Methods: This type of research is pre-experimental with a pre-post group design. The research was carried out from 4-30 June 2021 in the working area of the Mayoa Health Center, Poso Regency. The research sample was 48 respondents. Data collection before and after was carried out in the pregnant women class in each village using an interest questionnaire. Data that has been measured before the intervention. Exclusive breastfeeding promotion intervention was carried out by giving explanations to respondents through the MCH handbook. Post data was measured after the intervention. Data analysis in the form of frequency distribution and Wilcoxon test. Results: The results showed that all responses experienced an increase in interest in exclusive breastfeeding before the promotion of exclusive breastfeeding. Wilcoxon test results show the value = 0.000 <0.05. Conclusion: Promotion of exclusive breastfeeding increases the interest of pregnant women in providing exclusive breastfeeding in the working area of the Mayoa Health Center. It is recommended to all midwives to promote exclusive breastfeeding with the MCH book in all classes of pregnant women intensively. The mother's interest in exclusive breastfeeding is followed up so that the baby gets exclusive breastfeeding. ABSTRAK Pendahuluan: Cakupan ASI eksklusif di Puskesmas Mayoa masih rendah (56,2%) dibandingkan dengan cakupan nasional (66,1%), Sulawesi Tengah (61,9%) dan Kabupaten Poso (57,2%). Tujuan penelitian adalah menganalisis pengaruh promosi ASI Eksklusif terhadap minat ibu hamil dalam memberikan ASI Eksklusif. Metode: Jenis penelitian adalah pre eksperimental dengan pre post group design. Penelitian dilaksanakan mulai 4-30 Juni 2021 di wilayah kerja Puskesmas Mayoa Kabupaten Poso. Sampel penelitian sebanyak 48 responden. Pengumpulan data pre dan post dilakukan pada kelas Ibu Hamil pada masing masing desa dengan mengunakan kuesioner minat. Data pre diukur sebelum dilakukan intervensi. Intervensi promosi ASI eksklusif dilakukan dengan memberi penjelasan kepada responden melalui buku KIA. Data post diukur setelah dilakukan intervensi. Analisis data dalam bentuk distribusi frekuensi dan uji Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa seluruh respoden mengalami peningkatan minat memberikan ASI eksklusif sesudah diberikan promosi ASI eksklusif. Hasil uji Wilcoxon menunjukkan nilai ρ=0,000 <0,05. Kesimpulan: Promosi asi eksklusif meningkatan minat ibu hamil memberikan asi eklklusif di wilayah kerja Puskesmas Mayoa. Disarankan kepada seluruh bidan agar melakukan promosi ASI eksklusif dengan buku KIA pada semua kelas ibu hamil secara intensif. Minat ibu dalam memberikan ASI eksklusif ditindaklanjuti agar bayi mendapatkan ASI eksklusif.
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Asrina, Andi, Sutriani Sutriani, Andi Tenri, Yusriani Yusriani, and Sukri Palutturi. "The Effect of Health Promotion Media on Breastfeeding Mothers’ Attitude about Exclusive Breastfeeding in Bone Regency, South Sulawesi." Open Access Macedonian Journal of Medical Sciences 10, E (May 18, 2022): 894–99. http://dx.doi.org/10.3889/oamjms.2022.8547.
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BACKGROUND: Breast milk (ASI) is an essential food for babies aged 0–6 months. However, many mothers do not provide breast milk exclusively to their babies due to many reasons, including busy work. Furthermore, another reason of them to not provide exclusive breast milk is because of the lack of information obtained during pregnancy and breastfeeding period, leading to the lack of understanding and affecting the formation of positive attitudes of the mothers toward the importance of exclusive breastfeeding. AIM: This study aims to analyze the effect of health promotion media on the mothers’ breastfeeding attitude about exclusive breastfeeding in Bone Regency, South Sulawesi. METHODS: This research was conducted by applying a quantitative quasi-experimental design with two groups of pre-test and post-test. The population and samples involved are 70 breastfeeding mothers who had children aged 0–6 months old and living in the working area of the Koppe Public Health Center. In this case, they were divided into two groups with a ratio of 1:1, in which 35 breastfeeding mothers were in the flipchart group, while the other 35 mothers were in the education control card group. RESULTS: Based on the research that has been done, it was revealed that there was an effect of knowledge before and after health education, intervention was provided in the forms of educational control card media with = 0.000 (p < 0.05). The difference in the mean value between the flipchart media and the education control card group is 9.57, while the attitude probability value after the intervention is p = 0.085 which is more than α = 0.05. CONCLUSIONS: This study concluded that there was no difference in attitude between the flipchart group and the education control card group after being given the intervention.
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Sholeye, Oluwafolahan, Tamra Runsewe-Abiodun, and Peter Otenaike. "Male involvement in breastfeeding promotion and protection: an assessment of male undergraduates’ views in Sagamu, southwest Nigeria." Babcock University Medical Journal (BUMJ) 4, no. 1 (June 30, 2021): 45–53. http://dx.doi.org/10.38029/bumj.v4i1.72.
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Objective: Breastfeeding is a cost-effective and evidence-based public health intervention for the control of childhood malnutrition and its consequences. Partners’ support and attitude towards breastfeeding is an important determinant of breastfeeding initiation, continuity, and outcome. This study assessed the perception of breastfeeding and its support among male students in Sagamu, Nigeria. Method: A cross-sectional study was carried out among 300 male undergraduate students in Sagamu, selected via systematic sampling. Data were collected with the aid of a structured, self-administered questionnaire and analyzed using SPSS 21.0, with results presented as frequencies and proportions. Result: The mean age of respondents was 20±3.5 years. All respondents felt it was important for women to breastfeed their infants; 42% of respondents felt breastfeeding interfered with work; 20% felt women should be entitled to paid maternity leave; 85% will support efforts to promote breastfeeding in public; 95% will encourage their partners to breastfeed while working outside the home; 92% will assist their breastfeeding partners with household chores. Conclusion: Respondents had a good perception of breastfeeding and were willing to support its practice at home, work, and in the community. Adequate engagement of men in nutrition education activities will be most effective in promoting and protecting breastfeeding.
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Hartman, Scott, Josephine Barnett, and Karen A. Bonuck. "Implementing International Board-Certified Lactation Consultants Intervention into Routine Care: Barriers and Recommendations." Clinical Lactation 3, no. 4 (December 2012): 131–37. http://dx.doi.org/10.1891/215805312807003799.
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The Surgeon General’s 2011 Call to Action on Breastfeeding (U. S. Department of Health and Human Services, 2011) encourages greater use of International Board-Certified Lactation Consultants (IBCLCs) to increase breastfeeding rates. The objective was to examine IBCLCs’ experiences as part of a routine, primary-care based team serving low income, minority populations, and to elicit their recommendations for implementing IBCLC support as routine in prenatal care. Using a predesigned interview guide, a debriefing session was held with three IBCLCs who served as interventionists in two NIH-funded randomized controlled trials (RCTs) of breastfeeding promotion interventions. Themes were identified through coding and analysis of the session transcript. The results indicated that healthcare provider (HCP) support for breastfeeding was undermined by inadequate education and experience, often resulting in support "in name only." In addition, IBCLCs rapport and expertise—with both women and the healthcare team—helped overcome individual- and system-level barriers to breastfeeding. IBCLCs’ acceptance and integration into the primary-care team validated their work and increased their effectiveness. IBCLCs comments suggest that mothers cannot rely solely upon their healthcare providers for breastfeeding education and support. IBCLCs integrated into routine antenatal and postpartum care are pivotal to encouraging and reinforcing a woman’s choice to breastfeed through education, as well as emotional and skill-based support.
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Helina, Siska, Juraida Roito Harahap, and Siti Halimah. "THE IMPLEMENTATION OF TRI CORE BREASTFEEDING MODELS ON MOTHER’S SATISFACTION IN BREASTFEEDING." INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) 6, no. 1 (April 25, 2022): 68–73. http://dx.doi.org/10.29082/ijnms/2022/vol6/iss1/366.
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The low rates of exclusive breastfeeding have effected the growth and the development of children. Some efforts to improve the achievement of exclusive breastfeeding have been conducted, like an education about breastfeeding, facilitating early breastfeeding initiation and providing motivation to mothers. These elements contain a form of health promotion care model called the Tri Core Breastfeeding Models. The purpose of this study is to determine the effect of Tri Core Breastfeeding Models on breastfeeding mothers' satisfaction. This research was conducted in the working area of the Sidomulyo Health Center in Pekanbaru City in August 2019 to April 2020. This research is Pre-experimental Design. The population in this study was all third trimester pregnant women. The sample of 20 pregnant women was taken by consecutive sampling technique with 10 pregnant women in the intervention and 10 pregnant women for control. The Maternal Breastfeeding Evaluation Scale (MBFES) questionnaire was used to collect the data. The Mann Whitney Test with a significance level of 95% was used to analyze the data. The results showed that the average satisfaction of breastfeeding mothers in the intervention group was 134.80 (SD: 3.190) and the control group 119.10 (SD: 14.317), and it is found that there is a difference in breastfeeding satisfaction among mothers in the intervention group and the control group (p = 0.019). Finally, it is recommended that Tri Core Breastfeeding Models can be applied in providing midwifery care in the to support the success of exclusive breastfeeding
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Nababan, Sudarwati. "Health Promotion Media To Behavior Change On Exclusive Breastfeeding Mothers." Jurnal PROMKES 7, no. 2 (December 20, 2019): 233. http://dx.doi.org/10.20473/jpk.v7.i2.2019.233-239.
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Background: Exclusive breastfeeding is a process of giving only breast milk to babies since they are born until they are six month old. Membramo Public Health Office reported that according to the health profile report from Kobakma Public Health Centre, the exclusive breastfeeding program has not achieved the national target, which is 80%, only 55,4% babies who got exclusive breastfeeding in 2015. The chairperson from Kobakma Public Health Centre states that one of the problem is the misunderstanding about breastmilk among mothers in the surroundin. They throw their breast milk away and feed their babies with formulated milk during the period of postpartum for three months. Purpose: This study is aimed to know the effect of counseling program using two sided flipchart on exclusive breastfeeding. Methods: This study uses quasi experiment method with non equivalent control group. The samples of this study are mothers who have 0-6 month old babies and live in working area of Kobakma Public Health. 60 mothers are selected using purposive sampling technique. The Instrument of this study uses questionnaire, data ccollection was done by face to face method. The data was then analyzed using chi square and wilcoxon signed rank test. Results: The result of this study shows significant difference in the improvement of knowledge, behaviour, and practice before and after the counseling program of the intervention group (p=0,000). Conclusion: The implementation of counseling program using two sided flipcharts is effective to improve mothers’ knowledge, behaviour and practice in exclusive breastfeeding.
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Sitorus, Rotua Sumihar. "Promosi Kesehatan Pemberian ASI Eksklusif terhadap Pengetahuan dan Sikap Ibu Hamil." JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) 6, no. 1 (February 8, 2021): 25. http://dx.doi.org/10.30829/jumantik.v6i1.7645.
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<p><em>Stunting is a disruption of physical development that has passed </em><em>with decreas</em><em>ing in the growth rate of children. Puskesmas Pancur Batu conducts stunting prevention through health promotion to increase knowledge and attitudes of pregnant women about exclusive breastfeeding. The number of mothers giving exclusive breastfeeding only reached 44.9% </em><em>(target 80%</em><em>).</em><em> </em><em>The purpose of the study was to analyze the effect of health promotion with leaflet media about exclusive breastfeeding on the knowledge and attitudes of pregnant women in stunting prevention. The study design was quasi-experimental with a sample of 40 pregnant women. The study was conducted in October 2019</em><em> </em><em>in Puskesmas Pancur Batu. The sampling technique is done purposively. Data were analyzed using independent t test. The results showed that before the pre-test, the average score of knowledge variables from the intervention group 6.60 and the comparison group 6.22, after the post-tes increased to 10.30 and 8.34. The average score of attitude variables from the intervention group was 4.04 and the comparison group was 4.44, after </em><em>the post-tes</em><em>t increased to 5.80 and 4.84.</em><em> The results of the statistic test showed that health promotion influences the knowledge and attitude of pregnant women in preventing stunting before and after the intervention with p = 0.005 and p 0.028 <0.05. It is recommended </em><em>that Puskesmas staff conduct health promotion through the distribution of leaflets to facilitate pregnant women in understanding the benefits of exclusive breastfeeding in an effort to prevent stunting.</em></p>
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Goosen, C., M. H. McLachlan, and C. Schübl. "FACTORS IMPEDING EXCLUSIVE BREASTFEEDING IN A LOW-INCOME AREA OF THE WESTERN CAPE PROVINCE OF SOUTH AFRICA." Africa Journal of Nursing and Midwifery 16, no. 1 (September 10, 2016): 13–31. http://dx.doi.org/10.25159/2520-5293/1484.
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The promotion of exclusive breastfeeding for the first six months of life is estimated to be the most effective measure to save infants from morbidity and mortality in low-income settings. South Africa is challenged by very poor exclusive breastfeeding practices (6.8–8.3%) during the first six months of life. In the low-income area investigated, the exclusive breastfeeding rate was 6% in 2011. The aim of this study was to describe the factors impeding exclusive breastfeeding practices in a low-income area of the Western Cape Province of South Africa in order to provide recommendations on tailored and generalisable intervention strategies for the promotion of exclusive breastfeeding practices. Focus group discussions were conducted with caregivers and health care workers. Several barriers to exclusive breastfeeding practices were reported and seven themes were identified during data analysis: 1) the perception that infants needed water, gripe water and Lennon’s Behoedmiddel; 2) the concern that milk alone does not satisfy an infant; 3) inadequate infant feeding education and support by the health system; 4) the lack of community-based postnatal support; 5) convention and family influence; 6) mothers separated from infants; and 7) local beliefs about maternal behaviour and breastfeeding. The barriers to exclusive breastfeeding practices proved to be multifaceted and interlinked. The influence of convention and community perceptions and beliefs combined with suboptimal infant feeding education by the health system and the lack of local postnatal breastfeeding support initiatives posed an intricate group of barriers to exclusive breastfeeding practices.
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Rana, Ritu, Marie McGrath, Ekta Sharma, Paridhi Gupta, and Marko Kerac. "Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review." Nutrients 13, no. 2 (February 20, 2021): 681. http://dx.doi.org/10.3390/nu13020681.
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Small and nutritionally at-risk infants under six months, defined as those with wasting, underweight, or other forms of growth failure, are at high-risk of mortality and morbidity. The World Health Organisation 2013 guidelines on severe acute malnutrition highlight the need to effectively manage this vulnerable group, but programmatic challenges are widely reported. This review aims to inform future management strategies for small and nutritionally at-risk infants under six months in low- and middle-income countries (LMICs) by synthesising evidence on existing breastfeeding support packages for all infants under six months. We searched PubMed, CINAHL, Cochrane Library, EMBASE, and Global Health databases from inception to 18 July 2018. Intervention of interest were breastfeeding support packages. Studies reporting breastfeeding practices and/or caregivers’/healthcare staffs’ knowledge/skills/practices for infants under six months from LMICs were included. Study quality was assessed using NICE quality appraisal checklist for intervention studies. A narrative data synthesis using the Synthesis Without Meta-analysis (SWiM) reporting guideline was conducted and key features of successful programmes identified. Of 15,256 studies initially identified, 41 were eligible for inclusion. They were geographically diverse, representing 22 LMICs. Interventions were mainly targeted at mother–infant pairs and only 7% (n = 3) studies included at-risk infants. Studies were rated to be of good or adequate quality. Twenty studies focused on hospital-based interventions, another 20 on community-based and one study compared both. Among all interventions, breastfeeding counselling (n = 6) and education (n = 6) support packages showed the most positive effect on breastfeeding practices followed by breastfeeding training (n = 4), promotion (n = 4) and peer support (n = 3). Breastfeeding education support (n = 3) also improved caregivers’ knowledge/skills/practices. Identified breastfeeding support packages can serve as "primary prevention" interventions for all infants under six months in LMICs. For at-risk infants, these packages need to be adapted and formally tested in future studies. Future work should also examine impacts of breastfeeding support on anthropometry and morbidity outcomes. The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO 2018 CRD42018102795).
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Flax, Valerie, Mariam Fagbemi, Courtney Schnefke, Auwalu Kawu, Susan Edwards, Jennifer Unangst, and Sujata Bose. "Behavior Change Communication Implemented at Scale in Nigeria Increases the Prevalence of Key Infant and Young Child Feeding Practices." Current Developments in Nutrition 6, Supplement_1 (June 2022): 566. http://dx.doi.org/10.1093/cdn/nzac060.024.
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Abstract Objectives The objective of this study was to evaluate the impact of Alive & Thrive Nigeria's infant and young child feeding (IYCF) behavior change communication (BCC) activities, including interpersonal communication in health facilities, community mobilization, and mass media, on early initiation of breastfeeding, exclusive breastfeeding, and minimum dietary diversity. Methods Local government areas in Kaduna and Lagos States were randomized to intervention or comparison and cross-sectional surveys of households with children aged 0–23 months [N = 6,266 baseline (2017), N = 7,320 endline (2020)] were conducted. Difference-in-differences and post-hoc baseline-endline models were used to measure intervention impacts. Results Difference-in-differences models showed no significant differences between the intervention and comparison areas in early initiation of breastfeeding (both states), exclusive breastfeeding (Kaduna), or minimum dietary diversity (both states). In Lagos, an 11.5 percentage point increase in exclusive breastfeeding in the intervention compared with the comparison area trended toward significance (P = 0.08). At endline, exposure to interpersonal communication, community mobilization, and mass media did not differ by study area in either state. Given the overall lack of differences in intervention exposure by study area, post-hoc baseline-endline analyses were performed with the study areas combined and increases were detected in early initiation of breastfeeding (Kaduna 40% to 46%, P = 0.05), exclusive breastfeeding (Kaduna 25% to 43%, P < 0.001), and minimum dietary diversity (Kaduna 20% to 41%, P < 0.001; Lagos 37% to 58%, P < 0.001). Conclusions This evaluation found minimal impacts of the Alive & Thrive intervention on IYCF practices in the difference-in-differences analysis because of intervention spillover to the comparison area. Increases in IYCF practices from baseline to endline were substantial and are likely attributable to the intervention, which was the major IYCF promotion activity in both states. Funding Sources This research was funded by the Alive & Thrive initiative, managed by FHI Solutions, and currently funded by the Bill & Melinda Gates Foundation, Irish Aid, the Tanoto Foundation, UNICEF, and the World Bank.
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Estrada-Gutiérrez, Guadalupe, Elena Zambrano, Ernestina Polo-Oteyza, Arturo Cardona-Pérez, and Felipe Vadillo-Ortega. "Intervention during the first 1000 days in Mexico." Nutrition Reviews 78, Supplement_2 (July 4, 2020): 80–90. http://dx.doi.org/10.1093/nutrit/nuaa082.
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Abstract Health systems and society are facing the growing problem of obesity and its accompanying comorbidities. New approaches to reduce these problems must be oriented to population groups in which long-lasting effects of interventions may occur. Biological processes occurring during the first 1000 days of life, which may be modulated by environmental modifications and result in phenotypes with differential risk for noncommunicable chronic disease, constitute an opportunity for interventions. The nutritional and general health conditions of pregnant women and the fetus, as well as toddlers, can be improved with interventions during the first 1000 days, offering pregnancy care, promoting breastfeeding, instructing on the use of complementary foods, and educating on the adequacy of the family dietary patterns for children. Evidence that interventions during this period result in promotion of children’s growth and development, influencing the risk for development of obesity in infancy, is available. In this article, an ongoing program in Mexico City directed to offer continuum of care during the first 1000 days is described.
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Lipsk, Sherry, Patricia A. Stephenson, Thomas D. Koepsell, Stephen S. Gloyd, Jose-Luis Lopez, and Carolyn E. Bain. "Breastfeeding and Weaning Practices in Rural Mexico." Nutrition and Health 9, no. 4 (January 1994): 255–63. http://dx.doi.org/10.1177/026010609400900402.
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This report describes the breastfeeding and weaning practices of rural women in two Mexican towns and the cultural beliefs upon which these practices are based. Interviews and focus group discussions were used to collect information. Women thought breastfeeding preferable to bottle-feeding. Eighty percent initiated breastfeeding and 69% gave colostrum. Breastfeeding was discontinued early (mean age 4 months). The mean age at which children were introduced to other liquids was 2 months (range 0–5 months) and to solids, 4 months (range 1–8 months). Women's decisions regarding infant feeding were influenced most by custom and advice from doctors and family members. In some instances medical advice conflicted with traditional practices. These findings suggest important avenues for intervention in hospital practices, education for health care workers, and in the development of health promotion services.
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Chen, Shaoping, Linxian Li, Qianwen Sun, Shulan Chen, Jing Cheng, and Siqi Xiong. "Effect of IMB Model Combined with Spousal Support Breastfeeding Intervention on PBSES Score and Breastfeeding Rate of Primipara with Chronic Hepatitis B Virus Infection." BioMed Research International 2022 (September 15, 2022): 1–8. http://dx.doi.org/10.1155/2022/9661408.
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Objective. To analyze the effects of the info-motivation-behavior skills (IMB) model combined with spousal support breastfeeding intervention on breastfeeding Self-Efficacy Scale (PBSES) scores and breastfeeding rate of primiparas with chronic hepatitis B virus (HBV) infection. Methods. Seventy-four first-term pregnant women and 74 of their spouses were selected as the traditional control group by the convenience sampling method from July to September 2021 in obstetrics department of Shenzhen Third People’s Hospital. 74 pregnant women with their first child and 74 spouses who had their first child checked during October to December 2021 were classified as the IMB model group. The traditional control group was applied with conventional intervention management mode, and the IMB model group was applied with intervention management mode based on IMB theory on the basis of the traditional control group. The self-efficacy scores of breastfeeding before and after intervention during pregnancy and during hospitalization were compared between the two groups, and the self-efficacy scores of paternal support for breastfeeding were compared. The exclusive breastfeeding rate of infants within 6 months and the maternal breastfeeding knowledge level of the two groups were compared, and the correlation between maternal breastfeeding self-efficacy score and feeding knowledge level was analyzed. Results. After pregnancy intervention, PBSES and FBSES-SF scores were significantly increased in both groups, and scores of scales in the IMB model group increased significantly than the traditional control group (all P < 0.05 ). The BSES-SF and FBSES-SF scores of the IMB model group increased significantly than the traditional control group at 3 days after delivery and at discharge ( P < 0.05 ), and the scores of each scale at discharge in both groups increased significantly than those at 3 days after delivery ( P < 0.05 ). The rate of exclusive breastfeeding in the IMB model group was 94.59% (70/74), and that in the traditional control group was 78.38% (58/74). There was a significant difference ( χ 2 = 8.325 , P = 0.004 ). At discharge, the score of maternal breastfeeding knowledge increased significantly in both groups, and the score of the IMB model group increased significantly than that of the traditional control group (all P < 0.05 ). Pearson correlation coefficient was used to analyze the correlation between PBSES score, FBSES-SF score, and maternal feeding knowledge level, which showed positive correlation (all P < 0.05 ). Conclusion. The self-efficacy of prenatal breastfeeding in pregnant women with HBV is low, and the application of the IMB model combined with the intervention mode of spy-supported breastfeeding has positive effects on the improvement of maternal breastfeeding efficiency, breastfeeding health knowledge level, and postpartum breastfeeding rate, which is worthy of clinical promotion and application.
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Flax, Valerie L., Mariam Fagbemi, Courtney H. Schnefke, Auwalu A. Kawu, Susan Edwards, Jennifer Unangst, and Sujata Bose. "Impacts of a social and behavior change communication program implemented at scale on infant and young feeding practices in Nigeria: Results of a cluster-randomized evaluation." PLOS ONE 17, no. 12 (December 8, 2022): e0277137. http://dx.doi.org/10.1371/journal.pone.0277137.
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Background Infant and young child feeding (IYCF) practices are important for child survival and healthy growth, but IYCF practices remain suboptimal in Nigeria. The objective of this study was to measure the impact of Alive & Thrive’s IYCF social and behavior change communication intervention on early initiation of breastfeeding, exclusive breastfeeding, and minimum dietary diversity in Kaduna and Lagos States. Methods Local government areas were randomly allocated to intervention or comparison. Cross-sectional surveys of households with children aged 0–23 months were conducted [N = 6,266 baseline (2017), N = 7,320 endline (2020)]. Logistic regression was used to calculate difference-in-differences estimates (DDEs) of impact on IYCF practices and to assess within group changes from baseline to endline. Associations between intervention exposures and IYCF practices were tested in both study groups combined. Results In Kaduna, a positive differential effect of the intervention was found for exclusive breastfeeding (adjusted DDE 8.9 pp, P<0.099). Increases in both study groups from baseline to endline were observed in Kaduna for early initiation of breastfeeding (intervention 12.2 pp, P = 0.010; comparison 6.4 pp, P = 0.118) and minimum dietary diversity (intervention 20.0 pp, P<0.001; comparison 19.7 pp, P<0.001), which eliminated differential effects. In Lagos, no differential intervention impacts were found on IYCF practices because changes in early initiation of breastfeeding from baseline to endline were small in both study groups and increases in both study groups from baseline to endline were observed for exclusive breastfeeding (intervention 8.9 pp, P = 0.05; comparison 6.6 pp, P<0.001) and minimum dietary diversity (intervention 18.9 pp, P<0.001; comparison 24.3 pp, P<0.001). Odds of all three IYCF practices increased with exposure to facility-based interpersonal communication in both states and with community mobilization or mass media exposure in Kaduna. Conclusions This evaluation found weak impacts of the Alive & Thrive intervention on IYCF practices in the difference-in-differences analysis because of suspected intervention spillover to the comparison group. Substantial within group increases in IYCF practices from baseline to endline are likely attributable to the intervention, which was the major IYCF promotion activity in both states. This is supported by the association between intervention exposures and IYCF practices. Trial registration The study was registered with clinicaltrials.gov (NCT02975063).
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Zakaria, Fatmah. "Pengaruh Pendidikan Kesehatan Dengan Media Audiovisual Terhadap Sikap Ibu Tentang Inisiasi Menyusu Dini." Jurnal Kebidanan dan Keperawatan Aisyiyah 13, no. 2 (February 13, 2018): 128–40. http://dx.doi.org/10.31101/jkk.396.
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The promotion of exclusive breastfeeding can be policy makers, service providers and the wider community. Know the effect of health education with audiovisual media on mother’s attitude about early breastfeeding initiation (IMD). The research design used is quasi experiment non equivalent. Non sampling sampling technique with consecutive sampling with 30 respondents in each group (control and intervention). Data analysis was done by bivariate analysis using non parametric test because the data were not normally distributed with p value <0,05 and multivariate analysis using linear regression. The results showed that there was an increase of knowledge and attitude after being given health education with audiovisual media seen at mean value of attitude 12,8 ± 0,37 with p value 0,000 < α 0,05. Health education with audiovisual media influences the mother’s attitude toward early initiation of breastfeeding.
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Ukoli, Flora A. M., Christopher Keefer, Amanda Carter, Maria Cheaves, Chelsei Granderson, Hui Yu, and Dexter Samuels. "The Impact of a Breastfeeding Promotion Intervention on Rapid Weight Gain among African American Infants." Journal of Health Care for the Poor and Underserved 32, no. 1 (2021): 271–95. http://dx.doi.org/10.1353/hpu.2021.0024.
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Rahmanian, Vahid, Vahid Kohpeima Jahromi, Fatemeh Rastgoo, Foroogh Najafi, and Nader Sharifi. "The Effect of Educational Intervention Based on the Theory of Planned Behavior in Pregnant Women and Individuals Affecting Their Exclusive Breastfeeding: A Controlled Trial." Journal of Education and Community Health 9, no. 1 (March 30, 2022): 60–68. http://dx.doi.org/10.34172/jech.2022.10.
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Background: Breastfeeding affects long-term child health and improves the quality of their lives. This study sought to compare educational interventions based on the theory of planned behavior (TPB) in pregnant women and individuals influential to their exclusive breastfeeding (EBF) in the first six months of an infant’s life. Methods: This quasi-experimental study was performed from 2020 to 2021 on pregnant women, who were at their>30 weeks of pregnancy, and relatives influential in their life in Jahrom, southern Iran. Sampling was conducted by the stratified random method, and the sample size was determined as 90 (30 cases in each group). The study consisted of two intervention groups and a control group. Data collection tools included the demographic questionnaire and the standard TPB questionnaire for EBF. In the first stage, the questionnaires were completed by all three groups. The second stage involved an educational intervention. The training lasted five weeks. In the third stage, the questionnaire was completed again six months later. The collected data were analyzed by SPSS 21 using one-way ANOVA, chi-square, Mann-Whitney, Wilcoxon, and Kruskal-Wallis tests. Results: Based on the results, a significant difference was observed in intervention group 1 in terms of the attitude construct (P=0.009) before [Median (IQR)=34.5 (6)] and after [Median (IQR)=36 (5.25)] the educational intervention. Similarly, a significant difference was found in intervention group 2 regarding the subjective norm construct (P<0.001) before [Median (IQR)=25 (4.25)] and after [Median (IQR)=30 (4)] the educational intervention. Conclusion: Overall, in addition to pregnant women, their subjective norms should be considered in health education and promotion programs to improve EBF.
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Vitolo, Márcia Regina, Maria Laura da Costa Louzada, and Fernanda Rauber. "Positive impact of child feeding training program for primary care health professionals: a cluster randomized field trial." Revista Brasileira de Epidemiologia 17, no. 4 (December 2014): 873–86. http://dx.doi.org/10.1590/1809-4503201400040007.
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OBJECTIVE: To assess the impact of a child feeding training program for primary care health professionals about breastfeeding and complementary feeding practices. METHODS: Cluster-randomized field trial conducted in the city of Porto Alegre, (RS), Brazil. Twenty primary health care centers (HCC) were randomized into intervention (n = 9) and control (n = 11) groups. The health professionals (n = 200) at the intervention group centers received training about healthy feeding practices. Pregnant women were enrolled at the study. Up to six months of child's age, home visits were made to obtain variables related to breastfeeding and introduction of foods. RESULTS: 619 children were evaluated: 318 from the intervention group and 301 from the control group. Exclusive breastfeeding prevalence in the first (72.3 versus 59.4%; RR = 1.21; 95%CI 1.08 - 1.38), second (62.6 versus 48.2%; RR = 1.29; 95%CI 1.10 - 1.53), and third months of life (44.0% versus 34.6%; RR = 1.27; 95%CI 1.04 - 1.56) was higher in the intervention group compared to the control group. The prevalence of children who consumed meat four or five times per week was higher in the intervention group than in the control group (36.8 versus 22.6%; RR = 1.62; 95%CI 1.32 - 2.03). The prevalence of children who had consumed soft drinks (34.9 versus 52.5%; RR = 0.66; 95%CI 0.54 - 0.80), chocolate (24.5 versus 36.7% RR = 0.66 95%CI 0.53 - 0.83), petit suisse (68.9 versus 79.7; 95%CI 0.75 - 0.98) and coffee (10.4 versus 20.1%; RR = 0.51; 95%CI 0.31 - 0.85) in their six first months of life was lower in the intervention group. CONCLUSION: The training of health professionals had a positive impact on infant feeding practices, contributing to the promotion of child health.
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Casilang, Clarisse G., Samantha Stonbraker, Ingrid Japa, Mina Halpern, Luz Messina, Andrew P. Steenhoff, Elizabeth D. Lowenthal, and Linda Fleisher. "Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic." JMIR Pediatrics and Parenting 3, no. 2 (August 21, 2020): e20312. http://dx.doi.org/10.2196/20312.
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Background Despite growing interest in the use of technology to improve health outcomes in low- and middle-income countries (LMICs), local attitudes toward mobile health (mHealth) use in these settings are minimally understood. This is especially true in the Dominican Republic, where mHealth interventions are starting to emerge. This information is critical for developing effective mHealth interventions to address public health issues, such as low exclusive breastfeeding (EBF) rates, which can lead to poor outcomes. With an EBF rate of 5% in the first 6 months of life, the Dominican Republic has one of the lowest EBF rates worldwide. Objective This study aims to describe the current use of information and communication technology (ICT) and to analyze the attitudes and perceptions related to using mHealth interventions among caregivers of children aged ≤5 years and health promoters in the Dominican Republic. Findings can inform mHealth strategies aimed at improving EBF in this, and other, LMICs. Methods Participants were recruited from 3 outpatient sites: the Niños Primeros en Salud program at Centro de Salud Divina Providencia in Consuelo (rural setting) and Clínica de Familia La Romana and its program Módulo de Adolescentes Materno Infantil in La Romana (urban setting). Focus groups were conducted with caregivers and community health promoters to identify the use, attitudes, perceptions, and acceptability of mHealth as well as barriers to EBF. Discussions were conducted in Spanish, guided by semistructured interview guides. All sessions were audio-recorded and later transcribed. Thematic content analysis was conducted in Spanish by two bilingual researchers and was structured around a hybrid behavioral theory framework to identify salient themes. Results All participants (N=35) reported having a mobile phone, and 29 (83%) participants had a smartphone. Sources for obtaining health information included the internet, physicians and clinic, family and friends, health promoters, and television. Barriers to mHealth use included the cost of internet service, privacy concerns, and perceived credibility of information sources. Participants indicated the desire for, and willingness to use, an mHealth intervention to support breastfeeding. The desired features of a possible mHealth intervention included offering diverse methods of information delivery such as images and video content, text messages, and person-to-person interaction as well as notifications for appointments, vaccines, and feeding schedules. Other important considerations were internet-free access and content that included maternal and child health self-management topics beyond breastfeeding. Conclusions There is a high level of acceptance of ICT tools for breastfeeding promotion among caregivers in urban and rural areas of the Dominican Republic. As mHealth tools can contribute to increased breastfeeding self-efficacy, identifying desirable features of such a tool is necessary to create an effective intervention. Participants wanted to receive trusted and reliable information through various formats and were interested in information beyond breastfeeding.
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Patil, Priyanka, Emma C. Alexander, Meghan Cupp, Monica Lakhanpaul, Meradin Peachey, Alexander Light, and Logan Manikam. "Reducing childhood obesity: evaluation of an Early Years Nutrition programme in a deprived London borough." F1000Research 9 (July 7, 2020): 682. http://dx.doi.org/10.12688/f1000research.24382.1.
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Background: Childhood obesity is a growing global health concern, with far-reaching implications on health in childhood and in later life. Early intervention strategies are key to reducing childhood obesity. This study aims to evaluate the implementation of an Early Years Nutrition programme in the London Borough of Newham’s children’s centres. Methods: A service evaluation of the Early Years Nutrition programme was conducted at children’s centres within the borough. Information was collected on the sessions provided to parents by staff, breastfeeding promotion and nutritional topics the centres were displaying. Nutritional activities in each centre were assessed for compliance with the National Institute for Health and Care Excellence (NICE) guidelines. Results: Eight out of eleven (72.7%) centres participated. Parent sessions focused mostly on oral health (n=4/8, 50.0%). Display board topics most commonly related to generic health and wellbeing (n=4/8, 50.0%). All centres displayed the UNICEF breastfeeding logo and complied with the NICE guidelines for nutritional activities. Conclusions: The programme is consistent with NICE guidelines in the centres evaluated; however, further acquisition of data on obesity-associated factors specific to communities and preventive measures for reducing childhood obesity, such as increased parental and community engagement, promotion of breastfeeding and improved staff training, will help tailor similar programmes elsewhere with higher social and cultural acceptance.
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Pratiwi, Yuni Sandra, Siti Rofiqoh, and Herni Rejeki. "PENGARUH PAKET EDUKASI SAYANG IBU TERHADAP MOTIVASI IBU DALAM PEMBERIAN ASI EKSKLUSIF DI KABUPATEN PEKALONGAN." Jurnal Surya Muda 1, no. 2 (October 3, 2019): 89–101. http://dx.doi.org/10.38102/jsm.v1i2.43.
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The low milk supply to infants is a very serious threat to the growth and development of infants as the next generation of the nation. Good motivation and ability will increase the role of mothers in giving milk to babies, so that breastfeeding to babies will increase. This study aims to identify the effect of the education package for maternal affection towards maternal motivation in exclusive breastfeeding. A quasi-experimental research method with a non-equivalent control group pre and post test approach. The research site is in the work area of Buaran and Wonokerto 2 Public Health Centers in Pekalongan Regency with three trimester primigravida respondents. The sampling technique used consecutive sampling consisting of 38 respondents. Statistical tests using the Chi Square Test. The results of the study showed that there was an influence of the mother's love education package on mother's motivation in breastfeeding in the intervention group (p <0.05). Health workers are expected to be more active in health promotion programs, especially the education package for mothers to love pregnant women in order to increase the motivation of pregnant women in breastfeeding their babies.
Keywords: ASI, Education, Motivation.
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Zeng, Zi, Yan-Xia Duan, and Guo-Min Song. "Non-pharmaceutical intervention and pain management situation for neonatal analgesia." Frontiers of Nursing 7, no. 4 (December 1, 2020): 299–305. http://dx.doi.org/10.2478/fon-2020-0039.
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Abstract Neonatal pain management is an important issue which should have great attention. More and more researches have proved that neonates can feel pain when undergoes painful procedures such as vaccination, heel stick, and so on, and it will result in short-term and long-term outcomes. So it is very important to manage neonatal pain. This article summarized some non-pharmaceutical interventions, including sucrose or glucose, non-nutritional sucking (NNS), breastfeeding, facilitated tucking (FT), kangaroo mother care (KMC), swaddling, heel warming, sensorial saturation (SS), and music therapy, which showed obvious effects for neonatal pain. In addition, this article summarized the progress of neonatal pain intervention in various countries and showed that many countries have not paid enough attention to this problem, while some countries have carried out promotion programs for neonatal pain management which give some clinical enlightenment to our country that we need to pay more attention to this problem.
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Brown, Kenneth H., Reina Engle-Stone, Nancy F. Krebs, and Janet M. Peerson. "Dietary Intervention Strategies to Enhance Zinc Nutrition: Promotion and Support of Breastfeeding for Infants and Young Children." Food and Nutrition Bulletin 30, no. 1_suppl1 (March 2009): S144—S171. http://dx.doi.org/10.1177/15648265090301s108.
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Oken, Emily, Rita Patel, Lauren B. Guthrie, Konstantin Vilchuck, Natalia Bogdanovich, Natalia Sergeichick, Tom M. Palmer, Michael S. Kramer, and Richard M. Martin. "Effects of an intervention to promote breastfeeding on maternal adiposity and blood pressure at 11.5 y postpartum: results from the Promotion of Breastfeeding Intervention Trial, a cluster-randomized controlled trial." American Journal of Clinical Nutrition 98, no. 4 (August 14, 2013): 1048–56. http://dx.doi.org/10.3945/ajcn.113.065300.
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Hilliard, Elizabeth, and Ardith Brunt. "Impact of an Infant Friendly Business Designation." Health Promotion Practice 21, no. 4 (October 15, 2018): 642–53. http://dx.doi.org/10.1177/1524839918807442.
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In response to suboptimal breastfeeding rates, North Dakota added a provision to SB 2344 (public indecency legislation) creating an Infant Friendly business designation for employers providing specified lactation accommodations to employees. However, there has been no evaluation of this designation to determine effectiveness. The purpose of this article is to examine the impact of the Infant Friendly business designation in North Dakota on breastfeeding continuation rates within the context of the social ecological model (SEM). Between November 2016 and March 2017, an 85-item online questionnaire, designed using the SEM, was distributed to working women across the state using various sampling methods. T tests, analysis of variance, and regression were used to analyze results. Designated (intervention) and nondesignated (control) businesses were targeted. There was no statistically significant difference in breastfeeding duration between designated and nondesignated businesses. There was a 2-month difference in duration between continually designated businesses and those with lapsing designations. Twenty-eight percent of the women working for Infant Friendly businesses were aware that their businesses were designated, indicating a lack of awareness regarding the designation. The designation is a starting point for worksite breastfeeding support. A policy promotion plan based on the SEM targeting individual awareness and employee education may improve the designation’s effectiveness.
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Misra, Harshita, C. Shivani, Barkha Sirwani, and Ritu Rana. "Effects of community-based interventions on exclusive breastfeeding among lactating women: a systematic review." International Journal Of Community Medicine And Public Health 8, no. 9 (August 27, 2021): 4550. http://dx.doi.org/10.18203/2394-6040.ijcmph20213568.
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Improvement in the exclusive breastfeeding (EBF) rates until 6 months have been proved to be a major contributor in the improvement of child survival over last two decades because EBF provides optimal nutrition for early life. However, most of the low-income countries (LIC) and low-middle income countries (LMIC) are below the 90% benchmark set by World Health Organization. Evidence regarding CBIs for EBF among lactating women with infants <6 m was searched in PubMed and Cochrane library. Studies from LICs and LMICs that reported EBF until 6 months as outcomes were included and their results were analysed. Data extraction included characteristics of the studies and full summary that involved the effect of interventions on the outcomes. Of 5,530 studies initially identified, 25 studies were included for the systematic review. The interventions were community-based that focused on breastfeeding practices among lactating women with infants <6 m. The studies were geographically diverse-involved LICs (n=7) and LMICs (n=11). The population ranged from n=12 to 26,262. Of 25 studies, five types of interventions reported- counselling interventions (n=14), training to peer counsellors (n=2), mass media interventions (n=5), mobile phone Interventions (n=1), and EBF promotion and education (n=3). CBIs could substantially increase the rates of EBF. The review identified five types of CBIs, indicating that there are different ways through which high EBF rates could be achieved. Counselling intervention was more effective but other interventions have also shown significant results in improving BF practices.
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Kusumawati, Erna, Setiyowati Rahardjo, and Colti Sistiarani. "Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency." Jurnal Kesehatan Masyarakat 12, no. 2 (March 14, 2017): 277–85. http://dx.doi.org/10.15294/kemas.v12i2.4990.
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The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
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Juliano, Gina M., Mary L. Puchalski, and Susan M. Walsh. "Implementation of Pre-/Post-Weights to Enhance Direct Breastfeeding in the NICU." Clinical Lactation 10, no. 1 (February 1, 2019): 29–39. http://dx.doi.org/10.1891/2158-0782.10.1.29.
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IntroductionMother's own milk (MOM) is recommended as the optimal nutrition for preterm infants. Direct breastfeeding (DBF) is correlated with a longer duration of receiving MOM during hospitalization. Infants' transition to DBF may be enhanced when accurate pre-/post-weights are incorporated into nursing practice. An evidence-based practice change was introduced to promote use and increase consistency in methodology of pre-/post-weights after DBF in the neonatal intensive care unit (NICU), with the ultimate goal of increasing DBF at hospital discharge.MethodsThe practice change was introduced through an educational program, a video demonstrating pre-/post-DBF weighing techniques, and a return-demonstration. A 10-item pre-/posttest was used to evaluate nurses' knowledge gained by an educational intervention that included seven knowledge questions, three attitude questions, and three demographic descriptors.ResultsNurses' knowledge gained following the educational intervention was statistically significant (p < .001) using a paired t-test.ConclusionsThe use of pre-/post-DBF weights as an accurate assessment of MOM transfer can promote DBF during hospitalization through education of NICU nurses. Understanding nursing characteristics and attitudes can aid in promotion of DBF in the NICU by bedside nurses.
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Adhikari, TM. "Knowledge and Practice of Mother regarding Exclusive Breastfeeding having Infant at a Tertiary Level Hospital, Kathmandu." Journal of Nepal Paediatric Society 34, no. 3 (April 7, 2015): 200–206. http://dx.doi.org/10.3126/jnps.v34i3.12107.
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Introduction: Promotion of exclusive breastfeeding is a cost effective intervention to reduce infant mortality in developing countries. The objective of this study was to identify knowledge and practice of mothers regarding exclusive breastfeeding. Material and Methods: This was a descriptive exploratory study carried out in the immunization clinic of tertiary level hospital in Kathmandu. A total of 323 mothers who came for immunization of six months to one year were selected as the sample for the study by using non-probability purposive sampling technique. Semi - structured interview questionnaire was used to collect the data both on knowledge and practice of exclusive breastfeeding, from 13th July to 8th September 2014. Results: Study findings revealed that 84.5 % of the respondents were aware of the correct meaning of exclusive breastfeeding and 49.5 % of the respondents practiced exclusively breastfeeding to their children up to 6 months. There was statistically significant association of respondent’s level of knowledge regarding exclusive breast feeding with their educational status (p = 0.034, OR = 1.7, 95% CI = 1.03-2.66) and type of delivery (p = 0.005, OR = 1.9, 95% CI = 1.2-3). Likewise, a significant association was seen between respondent’s level of practice regarding EBF and type of delivery (p = 0.005, OR = 1.9, 95% CI = 1.2-3). Conclusion: Study concludes that only about half of the mothers tended to have adequate knowledge regarding exclusive breast feeding. However, practice of exclusive breastfeeding for up to six months tended to be low so there should be efforts on encouraging and counseling for exclusive breast-feeding up to six months in hospital, community and immunization clinic.
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Tilling, Kate, Neil Davies, Frank Windmeijer, Michael S. Kramer, Natalia Bogdanovich, Lidia Matush, Rita Patel, George Davey Smith, Yoav Ben-Shlomo, and Richard M. Martin. "Is infant weight associated with childhood blood pressure? Analysis of the Promotion of Breastfeeding Intervention Trial (PROBIT) cohort." International Journal of Epidemiology 40, no. 5 (September 2, 2011): 1227–37. http://dx.doi.org/10.1093/ije/dyr119.
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Murphy, Suzan, and Charlton Wilson. "Breastfeeding Promotion: A Rational and Achievable Target for a Type 2 Diabetes Prevention Intervention in Native American Communities." Journal of Human Lactation 24, no. 2 (May 2008): 193–98. http://dx.doi.org/10.1177/0890334408317434.
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Adam, Maya, Jamie Johnston, Nophiwe Job, Mithilesh Dronavalli, Ingrid Le Roux, Nokwanele Mbewu, Neliswa Mkunqwana, et al. "Evaluation of a community-based mobile video breastfeeding intervention in Khayelitsha, South Africa: The Philani MOVIE cluster-randomized controlled trial." PLOS Medicine 18, no. 9 (September 28, 2021): e1003744. http://dx.doi.org/10.1371/journal.pmed.1003744.
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Background In South Africa, breastfeeding promotion is a national health priority. Regular perinatal home visits by community health workers (CHWs) have helped promote exclusive breastfeeding (EBF) in underresourced settings. Innovative, digital approaches including mobile video content have also shown promise, especially as access to mobile technology increases among CHWs. We measured the effects of an animated, mobile video series, the Philani MObile Video Intervention for Exclusive breastfeeding (MOVIE), delivered by a cadre of CHWs (“mentor mothers”). Methods and findings We conducted a stratified, cluster-randomized controlled trial from November 2018 to March 2020 in Khayelitsha, South Africa. The trial was conducted in collaboration with the Philani Maternal Child Health and Nutrition Trust, a nongovernmental community health organization. We quantified the effect of the MOVIE intervention on EBF at 1 and 5 months (primary outcomes), and on other infant feeding practices and maternal knowledge (secondary outcomes). We randomized 1,502 pregnant women in 84 clusters 1:1 to 2 study arms. Participants’ median age was 26 years, 36.9% had completed secondary school, and 18.3% were employed. Mentor mothers in the video intervention arm provided standard-of-care counseling plus the MOVIE intervention; mentor mothers in the control arm provided standard of care only. Within the causal impact evaluation, we nested a mixed-methods performance evaluation measuring mentor mothers’ time use and eliciting their subjective experiences through in-depth interviews. At both points of follow-up, we observed no statistically significant differences between the video intervention and the control arm with regard to EBF rates and other infant feeding practices [EBF in the last 24 hours at 1 month: RR 0.93 (95% CI 0.86 to 1.01, P = 0.091); EBF in the last 24 hours at 5 months: RR 0.90 (95% CI 0.77 to 1.04, P = 0.152)]. We observed a small, but significant improvement in maternal knowledge at the 1-month follow-up, but not at the 5-month follow-up. The interpretation of the results from this causal impact evaluation changes when we consider the results of the nested mixed-methods performance evaluation. The mean time spent per home visit was similar across study arms, but the intervention group spent approximately 40% of their visit time viewing videos. The absence of difference in effects on primary and secondary endpoints implies that, for the same time investment, the video intervention was as effective as face-to-face counseling with a mentor mother. The videos were also highly valued by mentor mothers and participants. Study limitations include a high loss to follow-up at 5 months after premature termination of the trial due to the COVID-19 pandemic and changes in mentor mother service demarcations. Conclusions This trial measured the effect of a video-based, mobile health (mHealth) intervention, delivered by CHWs during home visits in an underresourced setting. The videos replaced about two-fifths of CHWs’ direct engagement time with participants in the intervention arm. The similar outcomes in the 2 study arms thus suggest that the videos were as effective as face-to-face counselling, when CHWs used them to replace a portion of that counselling. Where CHWs are scarce, mHealth video interventions could be a feasible and practical solution, supporting the delivery and scaling of community health promotion services. Trial registration The study and its outcomes were registered at clinicaltrials.gov (#NCT03688217) on September 27, 2018.
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Fitriani, Iis Ria. "UPAYA PENINGKATAN PENGETAHUAN DAN SIKAP KADER DALAM PENCEGAHAN PEMBERIAN MAKANAN PRALAKTAL PADA BAYI 0-3 HARI." JURNAL MEDIA KESEHATAN 10, no. 2 (November 15, 2018): 173–78. http://dx.doi.org/10.33088/jmk.v10i2.342.
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Infant Mortality in Bengkulu Province is still high, this can be prevented through breastfeeding as a staple food in infants 0-6 months without other complementary foods because breast milk boosts immune status for infants and thus can reduce mobility and mortality rates but exclusive ASI coverage still low, this is influenced by pralactal feeding in infants 0-3 days of birth. Research Objective to increase knowledge and attitude of cadre through training as promotion effort of prevention of pralactal food in 0-3 days old baby. Quasi pre and post test experiments with comparison groups. The study population were all cadres in Talang Tinggi Public Health Center, which were 50 people in Talang Tinggi Public Health Center, Seluma District with experimental group samples were cadres who were given training by using module and control group were cadres who were trained by using lecture and question and answer method. There is an average difference of attitude and knowledge before and after intervention in the cadres given training on prevention of pralactal food in infants 0-3 days. There is an effect of training on prevention efforts of pralactal feeding using modules with cadre attitude. Puskesmas should increase the promotion of prevention of pralactal food to change cadre attitude to support program exclusive breastfeeding.