scholarly journals Study of Complementary Feeding Practices and Some Related Factors among Mothers Attending Primary Health Centers in Sari, Iran, in 2013

2014 ◽  
Vol 2 (3) ◽  
pp. 43-48
Author(s):  
Fatemeh Abdollahi ◽  
Jamshid Yazdani-Charati ◽  
Samad Rohani ◽  
◽  
◽  
...  
Keyword(s):  
Complementary Feeding ◽  
Feeding Practices ◽  
Health Centers ◽  
Related Factors ◽  
Primary Health

scholarly journals Factors related to missed opportunities for immunization at urban and suburban primary health centers in Medan

2007 ◽  
Vol 47 (1) ◽  
pp. 21
Author(s):  
Oke Rina Ramayani ◽  
Ridwan M. Daulay ◽  
Sri Sofyani ◽  
Iskandar Z. Lubis
Keyword(s):  
Immunization Coverage ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Parental Attitude ◽  
Related Factors ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Number Of Children ◽  
Primary Health ◽  
Immunization Study

Background Missed opportunites for immunization is one of theimportant causes of low immunization coverage that should beprevented.Objective To investigate missed opportunities for immunizationand related factors at urban and suburban primary health centersin Medan.Methods A cross sectional study was conducted between January-March 2004. Primary health centers in Medan were divided intourban (20 primary health centers) and suburban (19 primaryhealth centers) groups. The sample size was 109 children whovisited primary health centers for immunization. Study was doneby a questionnaire taken after infants received immunization (exitinterview).Results The proportion of missed opportunities in urban andsuburban area was 22.3% (95% CI 16.9%;27.7%) and 29.9% (95%CI 24.0%;35.2%) (P=0.191), respectively. Factors such as age ofstarting immunization, number of children more than 4, and lowparental attitude about immunization (P=0.001) were related tomissed opportunities for immunization.Conclusions There is no difference between proportion of missedopportunities at primary health centers in urban and suburbanarea. Related factors to missed opportunities for immunizationare age of starting immunization older than 3 months, number ofchildren more than 4, and low parental attitude aboutimmunization.

scholarly journals Effectiveness of an Educational Manual to Promote Infant Feeding Practices in Primary Health Care

2019 ◽  
Vol 40 (4) ◽  
pp. 544-561
Author(s):  
Gláubia Rocha Barbosa Relvas ◽  
Gabriela Buccini ◽  
Louise Potvin ◽  
Sonia Venancio
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infant Feeding ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Educational Strategy ◽  
Infant Feeding Practices ◽  
Multilevel Regression ◽  
Primary Health ◽  
Before And After

Objective: To test the hypothesis that a continuing educational strategy (ie, “the manual”) in primary health-care improves infant feeding practices among infants under 1 year of age. Methods: A before and after study was conducted at primary health-care units in Embu das Artes, Brazil. The intervention was the use of a manual created to support continuing educational activities on breastfeeding and complementary feeding to be performed by tutors of Estratégia Amamenta e Alimenta Brasil with health-care teams, in a period of 8 months. Five hundred sixty-one mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results: Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions: The manual is a continuing educational strategy that improved complementary feeding practices in primary health care.

scholarly journals Feeding practices and factors associated with the provision of iron-rich foods to children aged 6-23 months in Matam area, Senegal

2021 ◽  
pp. 1-33
Author(s):  
Kossi Akpaki ◽  
Isabelle Galibois ◽  
Sonia Blaney
Keyword(s):  
Food Insecurity ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Household Food Insecurity ◽  
Related Factors ◽  
Cross Sectional ◽  
Diet Diversity ◽  
Factors Associated ◽  
Household Food

Abstract Objective: The objectives of this study were to document feeding practices amongst rural Senegalese children aged 6 to 23 months, and to investigate psychosocial and environmental factors associated with the provision of iron-rich foods (IRF). Design: This was a cross-sectional study conducted from January through July 2018. Participants: Ninety-eight mothers of children aged 6-23 months. Setting: The study took place in the region of Matam, northern Senegal. Results: Results show that 27.6% of children were fed according to the minimum acceptable diet, and respectively, 55.1% and 53.1% had the minimum diet diversity and minimum meal frequency. About 65.3% of mothers provided IRF to young children the day before the survey, mostly fish. Mother‘s intention to provide IRF to their children was not associated with the provision of these foods neither was the perceived behavioural control. Child’s age (OR = 1.14, 95% CI = 1.03 - 1.26, p = 0.012) and household food insecurity score (OR = 0.80, 95% CI = 0.68 - 0.96, p = 0.014) were the predictors of the provision of IRF to children aged 6-23 months. Conclusions: Household food insecurity status and age of the child rather than mothers’ psychosocial factors were significant predictors of IRF consumption amongst children aged 6-23 months in the study area. More attention should be given to food environment and child-related factors in order to improve children feeding practices and, in particular, their consumption of IRF in the study setting. For instance, home visits and the 5-month-old vaccine consultation in health centers might be opportunities to reinforce the importance of providing IRF as part of complementary foods from the age of 6 months. Implementation of measures for the improvement of socioeconomic conditions and food security of households would also be valuable.

scholarly journals Complementary feeding practices and associated factors among mothers of children aged 6-23 months in Ethiopia: Secondary data analysis of Ethiopian mini demographic and health survey 2019

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Sewunet Sako Shagaro ◽  
Be’emnet Tekabe Mulugeta ◽  
Temesgen Dileba Kale
Keyword(s):  
Nutrition Education ◽  
Health Survey ◽  
Motor Development ◽  
Rural Areas ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Demographic And Health Survey ◽  
Feeding Practice ◽  
Related Factors

Abstract Background Optimal nutrition in early child’s life plays a vital role in improving mental and motor development, reduces the possibility of contracting various infectious diseases and related deaths, decreases the risk of obesity, and fosters better overall development. However, 45% of deaths in children under five years of age that occur globally is attributed to nutrition-related factors and the majority of these deaths occur in low-and middle-income countries. Therefore, this study aims to assess complementary feeding practices and associated factors among mothers of children aged 6–23 months in Ethiopia. Method The study used the Ethiopian mini demographic and health survey 2019 data. A two-stage stratified cluster sampling technique was used to select 1465 mothers of children aged 6–23 months in Ethiopia. Two-level multilevel mixed-effects logistic regression model analysis was computed, and variables with p-value of less than 5% and an adjusted odds ratio with a 95% confidence interval in the final model were reported as statistically significant factors with appropriate complementary feeding practice. Result The overall prevalence of appropriate complementary feeding practice among mothers of children aged 6–23 months was 9.76%. In our study, mothers who attended primary[AOR = 2.72; 95%CI: 1.47–5.01], secondary[AOR = 2.64; 95%CI: 1.18–5.92] and higher school[AOR = 5.39; 95%CI: 2.29–12.64], being from medium income household[AOR = 2.89; 95%CI: 1.41–5.92], attended 1–3 times ANC visits in index pregnancy[AOR = 0.41; 95%CI: 0.18–0.89], mothers who have 12–17 months[AOR = 1.96; 95%CI: 1.16–3.33] and 18–23 months old children[AOR = 2.61; 95%CI: 1.49–4.54], currently breastfeeding mothers[AOR = 3.69; 95%CI: 1.73–7.91], mothers from pastoralist contextual regions[AOR = 0.29; 95%CI: 0.09–0.91], and mothers who have resided in rural areas[AOR = 0.49; 95%CI: 0.25–0.97] were factors significantly associated with appropriate complementary feeding practice. Conclusion This study showed low prevalence of appropriate complementary feeding practice. Therefore, the concerned health authorities need to strengthen the existing approaches designed for provision of nutrition education particularly targeting mothers who are unschooled, who have 6–11 months old children, live in pastoralist regions and reside in rural parts of the country, and create strategies that improve maternal job opportunities.

scholarly journals Effectiveness of an educational manual to promote infant feeding practices in primary health care

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G R B Relvas ◽  
G S Buccini ◽  
L Potvin ◽  
S I Venancio
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Continuing Education ◽  
Infant Feeding ◽  
Primary Healthcare ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Healthcare Teams ◽  
Primary Health

Abstract Background Breastfeeding and adequate complementary feeding in the first years of life provide short- and long-term benefits for child health. However, breastfeeding and adequate complementary feeding prevalence's are low. In Brazil, the Estratégia Amamenta e Alimenta Brasil (EAAB) aims to improve the quality of the assistance provided by primary healthcare teams to ultimately improving infant feeding practices in the Brazilian population. In primary healthcare units, continuing education in breastfeeding and complementary feeding is facilitated by EAAB tutors. A Manual to Support EAAB Tutor (the Manual) was developed following a problem-based learning methodology. This study aimed to evaluate the effectiveness of using the Manual by analyzing exclusive breastfeeding and complementary feeding indicators. Methods A before and after study was conducted at primary healthcare units in Embu das Artes, Brazil. The intervention consisted in the use of the Manual by EAAB tutors who performed some comprehensive training activities with healthcare teams, in a period of 8 months. Subjects consisted of mothers of infants under one year of age attended at primary healthcare units. 561 mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions The Manual is a continuing educational strategy that improved complementary feeding practices in primary health care. Key messages The use of a continuing education strategy grounded on a problem-based learning methodology was effective to produce improvements in complementary feeding practices in primary health care. The 'Manual to Support EAAB Tutor' consists of a tool that has the potential to be adapted for different contexts and easy to disclose to all EAAB tutors in the country.

Breastfeeding and complementary feeding practices in rural Malawi

2001 ◽  
Vol 90 (3) ◽  
pp. 328-332
Author(s):  
M. Vaahtera, T. Kulmala, A. Hietanen,
Keyword(s):  
Complementary Feeding ◽  
Feeding Practices

scholarly journals Investigating the status of marital burnout and related factors in married women referred to health centers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahbobeh Nejatian ◽  
Ali Alami ◽  
Vahideh Momeniyan ◽  
Ali Delshad Noghabi ◽  
Alireza Jafari
Keyword(s):  
Marital Satisfaction ◽  
Significant Relationship ◽  
Married Couples ◽  
Married Women ◽  
Health Centers ◽  
Related Factors ◽  
Factors Affecting ◽  
The Status ◽  
Multistage Sampling ◽  
Emotional Burnout

Abstract Background Marital burnout is an important issue in marriage and many factors play an important role in this phenomenon. The aim of this study was to determine the status of marital burnout and the factors affecting married women who were referred to health centers because of it. Methods In this study, 936 women were selected by multistage sampling and data collection was performed using questionnaires of demographic and couple burnout. Data analysis was performed using SPSS software version 24. Results The mean (± SD) of marital burnout, in this study, was 55.46 (± 18.03) (out of 147 score). There was a significant relationship between the level of women's education with total marital burnout, and the subscales of somatic and emotional burnout (P < 0.05). A significant relationship was also observed between mandatory marriage and total marital burnout, as well as subscales of somatic, emotional, and psychological burnout (P < 0.05). A significant relationship was detected and observed between women's participation in training courses of communication skills and total marital burnout, inclusive of the subscales regarding psychological burnout (P < 0.05). The results of linear regression showed a significant relationship between mandatory in marriage, marital satisfaction, marriage duration, and husband's level of education with women's marital burnout. The variables were finally able to predict 12% of marital burnout variance. It should be noted that marital satisfaction had a higher effect on predicting marital burnout (P < 0.001). Conclusions Marital satisfaction was one of the effective factors in predicting marital burnout, so it can be concluded that it is necessary to pay more attention to this issue. Educational programs and examining the factors that enhance marital satisfaction are needed to prevent and reduce marital burnout in married couples.

scholarly journals Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers: A register-based study in a Finnish city

2021 ◽  
Vol 9 ◽  
pp. 205031212110361
Author(s):  
Mika Lehto ◽  
Kaisu Pitkälä ◽  
Ossi Rahkonen ◽  
Merja K Laine ◽  
Marko Raina ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Health Centers ◽  
Health Record ◽  
Record System ◽  
Electronic Reminder ◽  
Primary Health ◽  
Primary Care Health ◽  
Before And After ◽  
Care Health

Objectives: One purpose of electronic reminders is improvement of the quality of documentation in office-hours primary care. The aim of this study was to evaluate how implementation of electronic reminders alters the rate and/or content of diagnostic data recorded by primary care physicians in office-hours practices in primary care health centers. Methods: The present work is a register-based longitudinal follow-up study with a before-and-after design. An electronic reminder was installed in the electronic health record system of the primary health care of a Finnish city to remind physicians to include the diagnosis code of the visit in the health record. The report generator of the electronic health record system provided monthly figures for the number of various recorded diagnoses by using the International Classification of Diseases, 10th edition, and the total number of visits to primary care physicians, thus allowing the calculation of the recording rate of diagnoses on a monthly basis. The distribution of diagnoses before and after implementing ERs was also compared. Results: After the introduction of the electronic reminder, the rate of diagnosis recording by primary care physicians increased clearly from 39.7% to 87.2% (p < 0.001). The intervention enhanced the recording rate of symptomatic diagnoses (group R) and some chronic diseases such as hypertension, type 2 diabetes and other soft tissue disorders. Recording rate of diagnoses related to diseases of the respiratory system (group J), injuries, poisoning and certain other consequences of external causes (group S), and diseases of single body region of the musculoskeletal system and connective tissue (group M) decreased after the implementation of electronic reminders. Conclusion: Electronic reminders may alter the contents and extent of recorded diagnosis data in office-hours practices of the primary care health centers. They were found to have an influence on the recording rates of diagnoses related to chronic diseases. Electronic reminders may be a useful tool in primary health care when attempting to change the behavior of primary care physicians.

scholarly journals Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen
Keyword(s):  
Social Support ◽  
Young Child ◽  
Coping Strategies ◽  
Low Income ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Personal Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.

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