scholarly journals Breastfeeding Interpersonal Communication and Mobile Phone Support by Private Health Care Providers in Lagos, Nigeria Increased Exclusive Breastfeeding at 6 and 24 Weeks

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 642-642
Author(s):  
Valerie Flax ◽  
Abiodun Ipadeola ◽  
Courtney Schnefke ◽  
Uche Ralph-Opara ◽  
Olatoun Adeola ◽  
...  
Keyword(s):  
Interpersonal Communication ◽  
Support Groups ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Care Providers ◽  
Logistic Regression Models ◽  
Early Initiation Of Breastfeeding ◽  
The Impact ◽  
Initiation Of Breastfeeding

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.

scholarly journals Trends and determinants of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2000 to 2016

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Kedir Y. Ahmed ◽  
Andrew Page ◽  
Amit Arora ◽  
Felix Akpojene Ogbo
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Employment ◽  
National Level ◽  
Early Initiation ◽  
Timely Initiation ◽  
Logistic Regression Models ◽  
Early Initiation Of Breastfeeding ◽  
Modifiable Factors ◽  
Delayed Initiation ◽  
Initiation Of Breastfeeding

Abstract Background At the national level in Ethiopia, there is limited knowledge of trends and factors associated with early initiation of breastfeeding and exclusive breastfeeding (EBF), particularly during the Millenium Development Goal (MDG) era (2000–2015). The study aimed to examine the trends and determinants of early initiation of breastfeeding and EBF in Ethiopia between 2000 and 2016. Methods Using the Ethiopia Demographic and Health Survey (EDHS) data for the years: 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037) and 2016 (n = 3861), trends in early initiation of breastfeeding and EBF were estimated. Multivariate logistic regression models that adjusted for confounders, sampling weight, clustering and stratification were used to examine the association between socioeconomic, demographic, health service and community level factors with early initiation of breastfeeding and EBF from 2000 to 2016. Results The prevalence of early initiation of breastfeeding increased from 48.8% in 2000 to 75.7% in 2016 in Ethiopia. Improvement in EBF prevalence was not statistically significant (from 54.5% in 2000 to 59.9% in 2016). Over the study period, informal maternal employment (Adjusted Odds Ratio [aOR] 0.75; 95% Confidence Interval [CI] 0.68, 0.83), frequent antenatal care visits (aOR 0.74; 95% CI 0.65, 0.85), and cesarean birthing (aOR 0.22; 95% CI 0.17, 0.30) were associated with delayed initiation of breastfeeding. Birthing in the health facility (aOR 1.35; 95% CI 1.05, 1.75) and residing in the metropolis region (aOR 1.95; 95% CI 1.65, 2.32) were associated with timely initiation of breastfeeding. In a similar period, informally employed mothers (aOR 1.37; 95% CI 1.15, 1.63) and those with six or more family size (aOR 1.46; 95% CI 1.10, 1.93) were more likely to exclusively breastfeed their babies. Conclusion Early initiation of breastfeeding improved in Ethiopia during the MDG era but it is still below the national target; progress in EBF remained slow. To improve breastfeeding outcomes and meet the global breastfeeding targets in Ethiopia, infant feeding efforts should focus on improving key modifiable factors, including place and mode of birthing and socioeconomic status of mothers.

scholarly journals Impact of caesarean section on breastfeeding indicators: within-country and meta-analyses of nationally representative data from 33 countries in sub-Saharan Africa

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027497
Author(s):  
Engida Yisma ◽  
Ben W Mol ◽  
John W Lynch ◽  
Lisa G Smithers
Keyword(s):  
Caesarean Section ◽  
Exclusive Breastfeeding ◽  
Meta Analysis ◽  
Early Initiation ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Early Initiation Of Breastfeeding ◽  
Sub Saharan ◽  
The Impact ◽  
Initiation Of Breastfeeding

ObjectiveTo examine the impact of caesarean section on breastfeeding indicators—early initiation of breastfeeding, exclusive breastfeeding under 6 months and children ever breastfed (at least once)—in sub-Saharan Africa.DesignSecondary analysis of Demographic and Health Surveys (DHS).SettingThirty-three low-income and middle-income countries with a survey conducted between 2010 and 2017/2018.ParticipantsWomen aged 15–49 years with a singleton live last birth during the 2 years preceding the survey.Main outcome measuresWe analysed the DHS data to examine the impact of caesarean section on breastfeeding indicators using the modified Poisson regression models for each country adjusted for potential confounders. For each breastfeeding indicator, the within-country adjusted prevalence ratios (aPR) were pooled in random-effects meta-analysis.ResultsThe within-country analyses showed, compared with vaginal birth, caesarean section was associated with aPR for early initiation of breastfeeding that ranged from 0.24 (95% CI 0.17 to 0.33) in Tanzania to 0.89 (95% CI 0.78 to 1.00) in South Africa. The aPR for exclusive breastfeeding under 6 months ranged from 0.58 (95% CI 0.34 to 0.98) in Angola to 1.93 (95% CI 0.46 to 8.10) in Cote d'Ivoire, while the aPR for children ever breastfed ranged from 0.91 (95% CI 0.82 to 1.02) in Gabon to 1.02 (95% CI 0.99 to 1.04) in Gambia. The meta-analysis showed caesarean section was associated with a 46% lower prevalence of early initiation of breastfeeding (pooled aPR, 0.54 (95% CI 0.48 to 0.60)). However, meta-analysis indicated little association with exclusive breastfeeding under 6 months (pooled aPR, 0.94 (95% CI 0.88 to 1.01)) and children ever breastfed (pooled aPR, 0.98 (95% CI 0.98 to 0.99)) among caesarean versus vaginally born children.ConclusionsCaesarean section had a negative influence on early initiation of breastfeeding but showed little difference in exclusive breastfeeding under 6 months and children ever breastfed in sub-Saharan Africa.

scholarly journals Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ofelia P. Saniel ◽  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit
Keyword(s):  
Support Groups ◽  
The Philippines ◽  
Early Initiation ◽  
Peer Counseling ◽  
Breastfeeding Support ◽  
Child Feeding ◽  
Peer Counselors ◽  
Early Initiation Of Breastfeeding ◽  
Peer Counselor ◽  
Initiation Of Breastfeeding

Abstract Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN INISIASI MENYUSU DINI (IMD) DI KABUPATEN BANTUL

2019 ◽  
Vol 6 (2) ◽  
pp. 168-172
Author(s):  
Afi Lutfiyati ◽  
Fitri Haryanti ◽  
Lely Lusmilasari
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Secondary Data ◽  
Early Initiation ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Early Initiation Of Breastfeeding ◽  
Maternal Occupation ◽  
Clinically Significant ◽  
Initiation Of Breastfeeding

Background: Early initiation of breastfeeding can reduce the infants mortality under the age of 28 days and can affect exclusive breastfeeding process (Roesli, 2010). In early initiation of breastfeeding and exclusive breastfeeding, there is disparities of each health center in Bantul district. Objective: The aim of this study was to identify the association between maternal education, maternal occupation, place of childbirth, birth attendant, and health provider’s support with early initiation of breastfeeding. Methods: The study was conducted from March 23 to April 13, 2014, used crossectional design. Subjects were the entire breastfeeding mothers with infants aged 6-8 months who meet the inclusion and exclusion criteria (204 samples). Sampling with consecutive tecnique. Data obtained from secondary data and questionnaires. Data Analysis with SPSS using Chi-square test. Results: In bivariate analysis, there was no statistically and clinically significant association between maternal education with early initiation of breastfeeding p=0.882; OR=0.9; 95% CI=0.44 to 2.03, maternal occupation p=0.463 : OR=1.3 : 95% CI=0.65 to 2.59 , and birth attendant p=0.211 : OR=4.8 : 95% CI=3.69  to 6.33. Other factors that have a statistically and clinically significant association with early initiation of breastfeeding is the place of childbitrh p=0.007 OR=16.4; 95% CI=1.78 to 150.96 and health provider’s supports p=0.001 : OR=4.4 : 95% CI=2.03 to 9.68. Conclusions and suggestions: There is statistically and clinically significant association between place of childbirth and health provider’s supports with early initiation of breastfeeding. Further research is expected involving the variable support of her husband/family with a prospective cohort to examine the association between early initiation of breastfeeding with exclusive breastfeeding. Keywords: Early Initiation of Breastfeeding, maternal education, maternal occupation, birth attendant, place of childbirth, health provider’s supports.

scholarly journals The Relationship between Early Initiation of Breastfeeding and Exclusive Breastfeeding in the Work Area of Wiyung Public Health Center, Surabaya

2019 ◽  
Vol 10 (2) ◽  
pp. 48
Author(s):  
Vira Dwi Nisrina ◽  
Sundari Indah Wiyasihati ◽  
Widati Fatmaningrum ◽  
Sulistiawati Sulistiawati
Keyword(s):  
Public Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Fisher Exact Test ◽  
Public Health Center ◽  
Early Initiation Of Breastfeeding ◽  
Work Area ◽  
The Relationship ◽  
Initiation Of Breastfeeding

Introduction: In Indonesia, there has been a 10% increase in the span of five years for exclusive breastfeeding, however this is still far from the national target. One of the factors that can cause low rates of national exclusive breastfeeding is that not all babies have received an early initiation of breastfeeding. The purpose of this study was to determine the relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the work area of Wiyung Public Health Center, Surabaya. Methods: This study was a quantitative research with a cross-sectional approach. The study used a questionnaire as the research instrument given to 30 respondents, namely mothers who had 7-12 month old babies in the work area of Wiyung Public Health Center, Surabaya. Results: The percentage of early initiation of breastfeeding in babies aged 7-12 months was 53.33% meanwhile the percentage of exclusive was 73.33%. Using Chi Square Fisher Exact Test, it was found that there is no relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the working area of the Wiyung Public Health Center in Surabaya. (The value of p = 0.574 with a value of α = 0.05, p>α). Conclusion: The early initiation of breastfeeding is not the only factor influencing exclusive breastfeeding for babies aged 7-12 months in the work area of the Wiyung Public Health Center in Surabaya. Further research is needed on other factors that can relate to and influence exclusive breastfeeding.

scholarly journals INISIASI MENYUSU DINI (IMD) MEMPERCEPAT PENGELUARAN ASI

2018 ◽  
Vol 5 (1) ◽  
pp. 41-48
Author(s):  
Mariati Mariati
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Coming Out ◽  
Private Practice ◽  
Early Initiation ◽  
Neonatal Deaths ◽  
Early Initiation Of Breastfeeding ◽  
The City ◽  
Depth Interviews ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is a process of letting the baby breastfeed their own immediately after birth so that it benefits both mother and baby, physically and psychologically. It can safe 22% of neonatal deaths, prevent hipotermi and enhance ties of affection. In the city of Bengkulu implementation of the early initiation of breastfeeding not yet have an impact on exclusive breastfeeding in 2009 (59.1%). The purpose of this study to know the implementation of early initiation of breastfeeding in private practice midwives in the city of Bengkulu.This study design with qualitative methods through an explorative approach to dig more deeply about the situation of implementation of the early initiation of breastfeeding on the midwives who in private practice in the city of Bengkulu. Informants of this study amounted to 12 persons elected by purpose sampling. Data were collected through in-depth interviews and direct observation analyzed by phase: transcripts, coding, and conclusions based on pre-determined category.The results showed all the informants were well versed in the early initiation of breastfeeding, but its implementation has not been done in the most especially when the patients feel tired or lack motivation and family do not support this implementation so that postponed and not taken immediately. Furthermore, this implementation did not result in exclusive breastfeeding because the patient feels there is no milk coming out so it is not important for mothers to keep breastfeeding. The attitude of midwives in the implementation of the early initiation of breastfeeding is quite good and supports the implementation of the early initiation of breastfeeding, especially with seeing the benefits. To improve the implementation of the early initiation of breastfeeding needs to be done counseling since pregnant women and prepare it so that mothers will understand its benefits and to continually feeding that can accelerate spending and prevent breast milk feeding other than breast milk during the month / exclusive

scholarly journals 151Infant and young child feeding practices and ARI and diarrhoea in Ethiopia: A PSM approach

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kedir Yimam Ahmed
Keyword(s):  
Young Child ◽  
Lower Risk ◽  
Early Initiation ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Logistic Regression Models ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
Infant And Young Child ◽  
Initiation Of Breastfeeding

Abstract Background Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. Results Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of ARI (OR: 1.36; 95% CI: 1.10, 1.68). Early initiation of breastfeeding and EBF were associated with a lower odds of diarrhoea (OR: 0.88; 95% CI: 0.79, 0.94 for Early initiation of breastfeeding and OR: 0.51; 95% CI: 0.39, 0.65 for EBF). Infants who were predominantly breastfed were less likely to experience diarrhoea (OR: 0.69; 95% CI: 0.53, 0.89). Conclusions Early initiation of breastfeeding and EBF were associated with a lower risk of ARI and diarrhoea. Bottle feeding was associated with a higher risk of ARI. Key messages Interventions targeting improved early initiation of breastfeeding, EBF, and avoidance of bottle feeding should be prioritised and scaled-up.

scholarly journals A betegbiztonságot támogató szervezeti kultúra változása a hazai akkreditációs programot tesztelő intézményekben

2016 ◽  
Vol 157 (42) ◽  
pp. 1667-1673 ◽  
Author(s):  
Judit Lám ◽  
Gergő Merész ◽  
Gyula Bakacsi ◽  
Éva Belicza ◽  
Cecília Surján ◽  
...  
Keyword(s):  
Patient Safety ◽  
Health Care Providers ◽  
Regression Models ◽  
Organisational Culture ◽  
Three Dimensions ◽  
Care Providers ◽  
Logistic Regression Models ◽  
Accreditation Program ◽  
Validated Questionnaire ◽  
The Impact

Introduction: The accreditation system for health care providers was developed in Hungary aiming to increase safety, efficiency, and efficacy of care and optimise its organisational operation. Aim: The aim of this study was to assess changes of organisational culture in pilot institutes of the accreditation program. Method: 7 volunteer pilot institutes using an internationally validated questionnaire were included. The impact study was performed in 2 rounds: the first before the introduction of the accreditation program, and the second a year later, when the standards were already known. Data were analysed using descriptive statistics and logistic regression models. Results: Statistically significant (p<0.05) positive changes were detected in hospitals in three dimensions: organisational learning – continuous improvement, communication openness, teamwork within the unit while in outpatient clinics: overall perceptions of patient safety, and patient safety within the unit. Conclusions: Organisational culture in the observed institutes needs improvement, but positive changes already point to a safer care. Orv. Hetil., 2016, 157(42), 1667–1673.

scholarly journals Factors influencing exclusive breastfeeding rates until 6 months postpartum: the Japan Environment and Children’s Study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hitomi Inano ◽  
◽  
Mariko Kameya ◽  
Kyoko Sasano ◽  
Kenta Matsumura ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Birth Cohort Study ◽  
Multiple Logistic Regression ◽  
Body Type ◽  
Smoking During Pregnancy ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

AbstractThis research aimed to examine the efficacy of the early initiation of breastfeeding within 1 h of birth, early skin-to-skin contact, and rooming-in for the continuation of exclusive breastfeeding until 6 months postpartum. The research used data from the Japan Environment and Children’s Study (JECS), a nationwide government-funded birth cohort study. A total of 80,491 mothers in Japan between January 2011 and March 2014 who succeeded or failed to exclusively breastfeed to 6 months were surveyed in JECS. Multiple logistic regression model was used to analyse the data. The percentage of mothers who succeeded in exclusively breastfeeding to 6 months is 37.4%. Adjusted odds ratios were analysed for all 35 variables. Early initiation of breastfeeding (adjusted odds ratio [AOR]: 1.455 [1.401–1.512]), early skin-to-skin contact (AOR: 1.233 [1.165–1.304]), and rooming-in (AOR: 1.567 [1.454–1.690]) affected continuation of exclusive breastfeeding. Regional social capital (AOR: 1.133 [1.061–1.210]) was also discovered to support the continuation of breastfeeding. In contrast, the most influential inhibiting factors were starting childcare (AOR: 0.126 [0.113–0.141]), smoking during pregnancy (AOR: 0.557 [0.496–0.627]), and obese body type during early pregnancy (AOR: 0.667 [0.627–0.710]).

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