scholarly journals The influence of a community-level breast-feeding promotion intervention programme on breast-feeding practices in Myanmar

2018 ◽  
Vol 21 (16) ◽  
pp. 3091-3100
Author(s):  
May Me Thet ◽  
Tin Aung ◽  
Nadia Diamond-Smith ◽  
May Sudhinaraset

AbstractObjectiveBreast-feeding in the first 6 months of life is critical for ensuring both child health and well-being. Despite efforts to improve breast-feeding practices, recent studies have reported that Myanmar continues to have low rates of exclusive breast-feeding.Design/Setting/SubjectsA community-based breast-feeding promotion programme using trained community members was implemented for 1 year in hard-to-reach townships of Myanmar. The present study assessed the breast-feeding practices using a cross-sectional survey of 610 mothers of children under 2 years old: specifically, breast-feeding within 24 h, exclusive breast-feeding up to 6 months and breast-feeding duration.ResultsUsing Cox models for breast-feeding duration before 24 months, the hazard of breast-feeding cessation was lower in programme v. non-programme townships (hazard ratio (HR)=0·55; 95 % CI 0·32, 0·95). Mothers who worked as shop owners or ran a family business had lower hazard of breast-feeding cessation (HR=0·13, P<0·05) v. those who worked as supervisors, managers, self-employed and businesswomen. The hazard of breast-feeding cessation was higher in women in higher wealth quintiles v. those in the lowest quintile (lower quintile, HR=3·49, P<0·1; higher quintile, HR=3·50, P<0·1; highest quintile, HR=3·47, P<0·1).ConclusionsThe intervention did not affect exclusive breast-feeding practices or breast-feeding within the first 24 h. Potential reasons include existing high levels of early initiation of breast-feeding due to ongoing government-led maternal and child health activities, and social and traditional practices related to complementary feeding. Community-based breast-feeding programmes should continue to promote exclusive breast-feeding and develop strategies to support working mothers.

2015 ◽  
Vol 19 (4) ◽  
pp. 703-715 ◽  
Author(s):  
Navnit Kaur Grewal ◽  
Lene Frost Andersen ◽  
Daniel Sellen ◽  
Annhild Mosdøl ◽  
Liv Elin Torheim

AbstractObjectiveTo examine breast-feeding and complementary feeding practices during the first 6 months of life among Norwegian infants of Somali and Iraqi family origin.DesignA cross-sectional survey was performed during March 2013–February 2014. Data were collected using a semi-quantitative FFQ adapted from the second Norwegian national dietary survey among infants in 2006–2007.SettingSomali-born and Iraqi-born mothers living in eastern Norway were invited to participate.SubjectsOne hundred and seven mothers/infants of Somali origin and eighty mothers/infants of Iraqi origin participated.ResultsBreast-feeding was almost universally initiated after birth. Only 7 % of Norwegian-Somali and 10 % of Norwegian-Iraqi infants were exclusively breast-fed at 4 months of age. By 1 month of age, water had been introduced to 30 % of Norwegian-Somali and 26 % of Norwegian-Iraqi infants, and infant formula to 44 % and 34 %, respectively. Fifty-four per cent of Norwegian-Somali and 68 % of Norwegian-Iraqi infants had been introduced to solid or semi-solid foods at 4 months of age. Breast-feeding at 6 months of age was more common among Norwegian-Somali infants (79 %) compared with Norwegian-Iraqi infants (58 %; P=0·001). Multivariate analyses indicated no significant factors associated with exclusive breast-feeding at 3·5 months of age. Factors positively associated with breast-feeding at 6 months were country of origin (Somalia) and parity (>2).ConclusionsBreast-feeding initiation was common among Iraqi-born and Somali-born mothers, but the exclusive breast-feeding period was shorter than recommended in both groups. The study suggests that there is a need for new culture-specific approaches to support exclusive breast-feeding and complementary feeding practices among foreign-born mothers living in Norway.


2012 ◽  
Vol 16 (4) ◽  
pp. 659-672 ◽  
Author(s):  
Tabish Hazir ◽  
Dure-Samin Akram ◽  
Yasir Bin Nisar ◽  
Narjis Kazmi ◽  
Kingsley E Agho ◽  
...  

AbstractObjectiveExclusive breast-feeding is estimated to reduce infant mortality in low-income countries by up to 13 %. The aim of the present study was to determine the risk factors associated with suboptimal breast-feeding practices in Pakistan.DesignA cross-sectional study using data extracted from the multistage cluster sample survey of the Pakistan Demographic and Health Survey 2006–2007.SettingA nationally representative sample of households.SubjectsLast-born alive children aged 0–23 months (total weighted sample size 3103).ResultsThe prevalences of timely initiation of breast-feeding, bottle-feeding in children aged 0–23 months, exclusive breast-feeding and predominant breast-feeding in infants aged 0–5 months were 27·3 %, 32·1 %, 37·1 % and 18·7 %, respectively. Multivariate analysis indicated that working mothers (OR = 1·48, 95 % CI 1·16, 1·87; P = 0·001) and mothers who delivered by Caesarean section (OR = 1·95, 95 % CI 1·30, 2·90; P = 0·001) had significantly higher odds for no timely initiation of breast-feeding. Mothers from North West Frontier Province were significantly less likely (OR = 0·37, 95 % CI 0·23, 0·59; P < 0·001) not to breast-feed their babies exclusively. Mothers delivered by traditional birth attendants had significantly higher odds to predominantly breast-feed their babies (OR = 1·96, 95 % CI 1·18, 3·24; P = 0·009). The odds of being bottle-fed was significantly higher in infants whose mothers had four or more antenatal clinic visits (OR = 1·93, 95 % CI 1·46, 2·55; P < 0·001) and belonged to the richest wealth quintile (OR = 2·41, 95 % CI 1·62, 3·58; P < 0·001).ConclusionsThe majority of Pakistani mothers have suboptimal breast-feeding practices. To gain the full benefits of breast-feeding for child health and nutrition, there is an urgent need to develop interventions to improve the rates of exclusive breast-feeding.


2007 ◽  
Vol 10 (5) ◽  
pp. 502-507 ◽  
Author(s):  
R Abdulraheem ◽  
CW Binns

AbstractObjectiveTo document the infant feeding practices of Maldivian mothers.MethodsA cross-sectional survey of 251 Maldivian mothers recruited in 2004 from the ‘well baby’ or ‘well child’ clinics on the island of Male' and including 75 mothers from three other islands, Hura, Himmafushi and Thulusdhoo.ResultsThe full breast-feeding rate at hospital discharge was 93% but declined to 41% at 4 months. Any breast-feeding rates were high among Maldivian mothers: 100% at 1 month and 85% were still breast-feeding at 6 months. The median duration of breast-feeding was 24 months.ConclusionBreast-feeding rates are high and the average duration of breast-feeding is more than 2 years in the Maldives. Health promotion activities should be directed towards maintaining the already high ‘any breast-feeding’ rates and increasing the proportion of infants exclusively breast-fed to 6 months.


2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Ram Hari Chapagain

Introduction: Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study wasto evaluate the mother’s knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.Methods: A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.Results: Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent thanrecommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.Conclusions: There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend._______________________________________________________________________________________Keywords: complementary feeding; exclusive breast feeding; infant and young child feeding; ideal feeding._______________________________________________________________________________________


2018 ◽  
Vol 5 (2) ◽  
pp. 320
Author(s):  
E. Kishore ◽  
Syam Sundar Junapudi

Background: The benefits of breastfeeding are well established and for the most part it is rather beneficial for children to drink their mother's milk One of the most commonly cited benefits of breastfeeding is that it helps connect mothers and their children; the baby feels its mother's body warmth and heartbeat (reminiscent of the womb it has left) and can become familiar with its mother's smell. Studies have shown that babies who are breastfed are more likely to reach adulthood. Breast milk is the ideal food for the infant under any circumstance. Objective of present study was to assess the breast feeding and infant feeding practices among mothers of infants aged 0- 12 months.Methods: A Community based cross-sectional study among mothers of infants aged 0-12 months at field practice area of Narayana Medical College, Nellore. This Study was undertaken during March to May 2016. A sample size of 112 respondents were included in this study.Results: 112 mothers of infants aged 0-12 months were included in this study. The source of knowledge regarding breast feeding among these mothers was health personnel 60 (53.57%), Family members was the second most common source 35 (31.25%) fallowed by others 17 (15.18%).Conclusions: Family support and mother’s literacy play important role in promoting breast feeding among mothers. Health education given to mothers helps them to establish breast feeding and take care of their infants. 


2021 ◽  
Vol 6 (2) ◽  
pp. 451-458
Author(s):  
Rajender Singh ◽  
Mangla Sood ◽  
Vipin Roach

Background: Despite benefits of breast feeding for both the infants and mothers, its prevalence has remained low worldwide. The present study was conducted to examine the knowledge and attitude towards breast feeding practices among postnatal mothers. Methodology:A cross sectional study was conducted among non-randomly selected postnatal mothers at a tertiary care hospital in North India. Data was collected through a structured online questionnaire administered on electronic tablet before discharge. Results: Among 430 females enrolled in study, majority (98.65%)of the mothers believed breast milk is best nutrition for infant. 211(95%) multipara were breastfeeders, 64 among them had breastfed for more than 2 years. Only 9 mothers had stopped BF before 6 months. However, only 301(78%) had initiated breast feeding within one hour of birth. Early initiation was higher among vaginal (50.34%) compared to Caesarean (25.7%) births. Only 40% mothers observed correct positioning and attachment of infant on breast. Higher number of antenatal visits and correct skill of latching infant on breast were significantly associated with better exclusive BF rates. 91% mothers preferred to increase suckling on breast by infant to tackle problem of inadequate breast milk output. Conclusion: Our findings showed increase knowledge and positive attitude for BF among post natal mothers delivering in hospitals. We emphasise on the importance of prenatal education to mothers and fathers on breast-feeding. We also recommend strengthening the public health education campaigns to promote breast-feeding. Keywords: Attitudes, Breast feeding, India, Infant feeding practices, Knowledge, Mothers.


2012 ◽  
Vol 16 (2) ◽  
pp. 219-227 ◽  
Author(s):  
Monica Hunsberger ◽  
Anne Lanfer ◽  
Anna Reeske ◽  
Toomas Veidebaum ◽  
Paola Russo ◽  
...  

AbstractObjectiveTo assess the association between exclusive breast-feeding and childhood overweight.DesignCross-sectional data are from the baseline survey of the longitudinal cohort study IDEFICS. Exclusive rather than partial breast-feeding is the focus of the study due to the theoretical relationship between exclusive breast-feeding and development of dietary self-regulation. Children's measured heights and weights were used to calculate weight status, while waist-to-height ratio (WtHR) and skinfold measures were examined as alternative indicators of adiposity and fat patterning.SettingExamination centres in eight European countries (Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain).SubjectsThe analysis included 14 726 children aged 2–9 years for whom early feeding practices were reported by parents in standardized questionnaires.ResultsAfter controlling for education, income and other potential confounders, breast-feeding exclusively for 4–6 months was protective of overweight (including obesity) when compared with children never exclusively breast-fed (OR = 0·73; 95 % CI 0·63, 0·85) across all measures of overweight. Exclusively breast-feeding for 6 months offered slightly more protection than for 4 and 5 months combined (OR = 0·71; 95 % CI 0·58, 0·85). The associations could not be explained by socio-economic characteristics or maternal overweight.ConclusionsThis multi-country investigation indicated that exclusive breast-feeding for 4–6 months may confer protection against overweight in addition to other known benefits. There was no demonstrated benefit of exclusive breast-feeding for more than 6 months or combination feeding for any duration across all measures of overweight examined.


2008 ◽  
Vol 11 (3) ◽  
pp. 225-229 ◽  
Author(s):  
Woojin Chung ◽  
Hanjoong Kim ◽  
Chung-Mo Nam

AbstractObjectiveTo investigate factors influencing the practices of partial breast-feeding (PBF) and exclusive breast-feeding (EBF).DesignA national, cross-sectional survey was conducted among married women aged 15–49 years from May to August 2003.SettingSouth Korea.SubjectsA total of 865 mothers answered questions regarding the feeding practices of their youngest baby, born between January 2001 and May 2003.ResultsThe initiation rates of PBF and EBF were 81% and 63%, respectively. However, the median durations of PBF and EBF were very short: 12 and 8 weeks, respectively. According to stepwise logistic and Cox regression analyses, the more prenatal care women received, the more likely they were to initiate PBF and EBF but the less likely to continue EBF. Delivery by Caesarean section decreased the initiation of PBF and EBF. The mother’s education level and employment status before marriage, the amount of prenatal care, delivery method and baby’s status at birth affected breast-feeding initiation, whereas the amount of prenatal care influenced breast-feeding duration.ConclusionTo promote breast-feeding, education and campaigning on the importance of continued breast-feeding should be provided to the general public, particularly to health workers in maternity units.


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