scholarly journals Promotion of exclusive breast-feeding at scale within routine health services: impact of breast-feeding counselling training for community health workers in Recife, Brazil

2013 ◽  
Vol 17 (4) ◽  
pp. 948-955 ◽  
Author(s):  
Sonia B Coutinho ◽  
Pedro IC Lira ◽  
Marilia C Lima ◽  
Paulo G Frias ◽  
Sophie H Eickmann ◽  
...  
Keyword(s):  
Community Health ◽  
Breast Feeding ◽  
Health Workers ◽  
Scale Up ◽  
Family Health ◽  
Practical Skills ◽  
Post Intervention ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Intervention Point

AbstractObjectiveBreast-feeding counselling has been identified as the intervention with the greatest potential for reducing child deaths, but there is little experience in delivering breast-feeding counselling at scale within routine health systems. The study aim was to compare rates of exclusive breast-feeding associated with a breast-feeding counselling intervention in which community health agents (CHA) received 20 h of training directed at counselling and practical skills with rates pre-intervention when CHA received 4 h of didactic teaching.DesignCross-sectional surveys of breast-feeding practices were conducted pre- and post-intervention in random samples of 1266 and 1245 infants aged 0–5·9 months, respectively.SettingRecife, Brazil, with a population of 2 million.SubjectsCHA (n 1449) of Brazil's Family Health Programme were trained to provide breast-feeding counselling at home visits.ResultsRates of exclusive breast-feeding improved when CHA were trained to provide breast-feeding counselling and were significantly higher by 10–13 percentage points at age 3–5·9 months when compared with pre-intervention rates (P < 0·05). Post-intervention point prevalence of exclusive breast-feeding for infants aged <4 months was 63 % and for those aged <6 months was 50 %.ConclusionsMultifunctional CHA were able to deliver breast-feeding counselling at scale within a routine health service and this was associated with a significant increase in rates of exclusive breast-feeding. The study reinforces the need to focus training on counselling and practical skills; a key component was an interactive style that utilized the knowledge and experience of CHA. The findings are relevant to the call by international organizations to scale up breast-feeding counselling.

Practice of Breast Feeding Under Two Years Children Amoung Mothers in a Selected Slum of Dhaka City

2011 ◽  
Vol 17 (Number 2) ◽  
pp. 9-14
Author(s):  
Md. M Bhuiyan ◽  
N Shoaib ◽  
M Begum ◽  
Md. S H Khan ◽  
A Nasreen ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Health Workers ◽  
Age Group ◽  
Cross Sectional ◽  
Level Of Education ◽  
Exclusive Breast Feeding ◽  
Primary Level ◽  
Breast Feed ◽  
Safe Food ◽  
Supplementary Foods

A cross sectional descriptive study was conducted among 240 mothers who had children under two years. Mean age of tlw resputulou was 26.73 years. Most of the mother (60.83%) had dtildren tuuler the age group of 6 months. Fifty three pen.ent respondent and their husbands (47.92%) completed primary level of education and monthly im.onte of them was within 5000-10000 !aka in 39.17% (teases. Most of the respondent (78%) thought that breast milk was most safe food for baby and 82% knew what colostrum was. Only 35% of respondents acquired knowledge about breast feeding from donor and health workers and 32% of mothers thought supplementaty foods should start at the age of 3 months. but .19% of mothers started giving supplementary foods at age of 6 months. It was seen that among breast feed children 51% of them frequently felt sick. Majority of the respondent's children (33%) suffered from common cold and cough and 22% suffered front diarrhoea! diseases. Even after a huge mass publicities and mobilization for many years to promote exclusive breast feeding. only 27% mothers know the duration of exclusive breast-feeding correctly as 6 months. Thus it is obvious that there is a large knowledgesto-pradice gap.

scholarly journals Hubungan Pemberian ASI dengan Tumbuh Kembang Bayi Umur 6 Bulan di Puskesmas Nanggalo

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Dian Insana Fitri ◽  
Eva Chundrayetti ◽  
Rima Semiarty
Keyword(s):  
Community Health ◽  
Breast Feeding ◽  
Growth And Development ◽  
Community Health Center ◽  
Normal Growth ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Cross Sectional Design

AbstrakBayi mengalami proses tumbuh kembang yang dipengaruhi oleh beberapa faktor, salah satunya adalah gizi. Unsur gizi pada bayi dapat dipenuhi dengan pemberian ASI, bahkan sampai umur 6 bulan sesuai rekomendasi WHO tahun 2001 diberikan ASI eksklusif. Namun, angka pencapaian ASI eksklusif di Indonesia masih rendah yaitu 61,5% dan puskesmas Nanggalo 65%. Tujuan penelitian untuk mengetahui hubungan pemberian ASI dengan tumbuh kembang bayi umur 6 bulan di Puskesmas Nanggalo. Penelitian ini merupakan studi analitik dengan desain cross sectional. Pertumbuhan dinilai melalui status gizi dan perkembangan melalui Tes Denver II, dengan jumlah sampel 50 bayi. Analisis statistik yang digunakan adalah uji chi square dengan derajat kemaknaan 0,05.Hasil penelitian menunjukkan pemberian ASI eksklusif masih rendah (30%) dibandingkan ASI non eksklusif (70%). Bayi ASI eksklusif berpeluang mengalami pertumbuhan normal 1,62 kali lebih besar dibandingkan bayi ASI non eksklusif (nilai OR = 1,62) dan perkembangan sesuai umur 5,474 kali lebih besar dibandingkan bayi ASI non eksklusif. Namun, pada pertumbuhan diperoleh nilai p = 0,696 dan nilai p perkembangan= 0,062 sehingga hubungan pemberian ASI terhadap tumbuh kembangan tidak signifikan. Penelitian ini memperlihatkan bahwa tidak terdapat hubungan antara pemberian ASI dengan tumbuh kembang bayi umur 6 bulan di Puskesmas Nanggalo Kota Padang.Kata kunci: Bayi umur 6 bulan, Pemberian ASI, Tumbuh KembangAbstractThe infant has a process of growth and development that is affected by several factors, one of them is nutrition. The element of nutrition for infant can be fulfilled by breast feeding, WHO (2011) recommends the infant should be given the exclusive breast feeding until it reaches 6 months old. However, the achievement number of exclusive breast feeding in Indonesia is still low (61.5%) and in the Nanggalo Community Health Center (65%). The aim of this research is to know the relationship between the breast feeding with the growth and development of 6 months old infants in the Nanggalo Community Health Center.This research was analytical study using cross sectional design, by assessing the nutritional status of infants through growth and development that assessed with tests of the Denver II, sample size 50 infants which were given the breast feeding. The statistical analysis test that used was chi square with the degree of significancy 0.05.The results shows that the exclusive breast feeding is still low (30%) compared to the non-exclusive breast feeding (70%). The infants who get the exclusive breast feeding have chance to experience the normal growth 1,62 times more than the non-exclusive breast feeding infants (OR value = 1,62) and the development which is appropriated to ages 5,474 times more than the non-exclusive breast feeding infants. But, p value of growth 0,696 and p value of development 0,062, so there is no significant relationship between the breast feeding with growth and development.This research shows that there is no relationship between the breast feeding with the growth and development of 6 months old infants in the Nanggalo Community Health Center.Keywords:6 months old infants, Breast feeding, Growth and development

The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  
Keyword(s):  
Health Service ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Workers ◽  
Community Health Service ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitude ◽  
In Pregnancy

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

scholarly journals Predictors of Malaria Rapid Diagnostic Tests’ Utilisation Among Healthcare Workers in Zamfara State

2018 ◽  
Author(s):  
Usman Rabi ◽  
Ahmad A. Umar ◽  
Saheed Gidado ◽  
A.A Gobir ◽  
Izuchukwu F. Obi ◽  
...  
Keyword(s):  
Community Health ◽  
Healthcare Workers ◽  
Health Workers ◽  
Diagnostic Testing ◽  
Study Data ◽  
Good Knowledge ◽  
Health Extension Workers ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Influencing

AbstractIntroductionEarly diagnosis and prompt and effective treatment is one of the pillars of malaria control Malaria case management guidelines recommend diagnostic testing before treatment using malaria Rapid Diagnostic Test (mRDT) or microscopy and this was adopted in Nigeria in 2010. However, despite the deployment of mRDT, the use of mRDTs by health workers varies by settings. This study set out to assess factors influencing utilisation of mRDT among healthcare workers in Zamfara State, Nigeria.MethodsA cross-sectional study was carried out among 306 healthcare workers selected using multistage sampling from six Local Government Areas between January and February 2017. Mixed method was used for data collection. A pre-tested self-administered questionnaire was used to collect information on knowledge, use of mRDT and factors influencing utilization. An observational checklist was used to assess the availability of mRDT in the six months prior to this study. Data were analyzed using descriptive statistics such as means and proportions. Association between mRDT use and independent variables was tested using Chi square while multiple regression was used to determine predictors of use at 5% level of significance.ResultsMean age of respondents was 36.0 ± 9.4years. Overall, 198 (64.7%) of health workers had good knowledge of mRDT; malaria RDT was available in 33 (61.1%) facilities. Routine use of mRDT was reported by 253 (82.7%) healthcare workers. This comprised 89 (35.2%) laboratory scientists/technicians, 89 (35.2%) community health extension workers/community health officers; 59 (23.3%) nurses and 16 (6.3%) doctors. Predictors of mRDT utilisation were good knowledge of mRDT (adjusted OR (aOR):3.3, CI: 1.6-6.7), trust in mRDT results (aOR: 4.0, CI: 1.9 - 8.2), having being trained on mRDT (aOR: 2.7, CI: 1.2 - 6.6), and provision of free mRDT (aOR: 2.3, CI: 1.0 - 5.0).ConclusionThis study demonstrated that healthcare worker utilisation of mRDT was associated with health worker and health system-related factors that are potentially modifiable. There is need to sustain training of healthcare workers on benefits of using mRDT and provision of free mRDT in health facilities.

scholarly journals Manuscript title: Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study

2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Economic Status ◽  
Urban Slums ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract BackgroundUndernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. ResultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37).Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight. Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.ConclusionsFactors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.Trial registration-Trial registration number:CTRI/2017/12/010881;Registration date:14/12/2017. Retrospectively registered.

scholarly journals EXCLUSIVE BREAST FEEDING

2010 ◽  
Vol 17 (02) ◽  
pp. 286-290
Author(s):  
SOHAIL ASLAM ◽  
FAROOQ AKRAM ◽  
MEHBOOB SULTAN
Keyword(s):  
Breast Feeding ◽  
Feeding Practice ◽  
Care Hospital ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Lower Socioeconomic ◽  
Primary Care Hospital ◽  
Breast Feed ◽  
Study Setting ◽  
Breast Fed

Objective To study the duration and factors influencing exclusive breast feeding practice. Design: A cross sectional descriptive study Setting: A primary care hospital Gilgit, northern area of Pakistan. Period: Ten months from March 2007 to December 2007. Material & Method This study include 125 mothers with mean age of 24.3 years (SD 4.8),37% were illiterate while only 14% were matriculate or above among 125 babies (male 61%: female 39%). Results Out of total 125, eighty one (64.8%) babies were exclusively breast fed (EBF) for first six months of life and only five(4%) infants were not given breast milk at all . among 76 male infants ,52 (68.4%) were EBF for six months in comparison to 29 female (59.2%) out of 49. among 36 first born infants only 15 (41.7%) were EBF for six months in comparison to 66 (74.2%)out of 89 not first born(p<0.05). Conclusion: Exclusive breast feeding for complete 6 months is still not routinely practised by most of mothers and first born are deprived of this right in majority lower socioeconomic group and illiterate mothers are more likelyto breast feed, gender bias was also observed as a significantly high percentage of male babies were observed to be breast fed as compared to females. More efforts are required by health depart. And NGO’s to promote good breast feeding practices in our setup. 

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI IBU DALAM PEMBERIAN ASI EKSKLUSIF DI DESA PUCANGANOM KECAMATAN GIRIWOYO KABUPATEN WONOGIRI

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Sri Aminingsih ◽  
Lucia Desi Puti
Keyword(s):  
Breast Feeding ◽  
Spiritual Development ◽  
Maternal Education ◽  
Family Income ◽  
Work And Family ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Second Child ◽  
Number Of Children ◽  
Mother’S Age

Background Breastfeeding will ensure babies stay healthy and start life in the most healthy. Breastfeeding is actually not only allows the baby to grow up to be healthy physically, but also more intelligent, stable had a emotional, spiritual development, and positivesocial development. Riskesdas 2010 coverage of exclusive breastfeeding in Indonesia is still far from the world average and still very far from the target of Healthy Indonesia 2010. In rural districts Pucanganom Giriwoyo of the initial interview 3 of 5 mothers to breastfeed exclusively, while 2 others are not breastfed exclusively with reasons having to work, lack of time and because of no discharge of breast milk.The purpose to find out the factors that affect the mother in exclusive breast feeding in the village of Pucanganom sub-district of Giriwoyo Regency Wonogiri.Method of this research is descriptive research. While the plan is cross sectional used to find out the factors that affect the mother in exclusive breast feeding. Then there searchers took data from respondents regarding the factors that affect breast feeding.The Result Factors that affect the exclusive breast feeding is the age of the mother, the mother's education, number of children,  mother's work and family income. The most exclusive breast feeding on mother's  age 26-45 years (83,33%), maternal education high school-undergraduate (70%), given on the first and second child(73,34%), employment of the mother as a homemaker (73,34%), and family income 1-3 million (76.67%).Conclusion the mother who does not work it's possible giving exclusive breast milk due to the considerable amount of time which can be used by the mother to nurture her baby even 24 hours time the mother could be given to her baby, therefore breast feeding can be done during the first 6 months of the birth ofthe baby.Keywords: Exclusive breast feeding

scholarly journals Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study

2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Breast Feeding ◽  
Rural Areas ◽  
Maternal Education ◽  
Urban Slums ◽  
Trial Registration ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children

Abstract Background Undernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. Results The mean age of the children was 2.38years (±SD 1.365) and mean age of mothers was 24.25(± SD6.37) years.Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001)in children underfive were associated with wasting, children with birth order 2 or less than 2 were more affected by stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight.Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.Conclusion Factors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.The trial registration-This article is part of baseline data of the project, hence not related to trial registration. After baseline data principal investigator had done trial registration retrospectively.

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