scholarly journals Improving Implementation of 10 STSB (Steps to Successful Breastfeeding) through BENEFIT (Breastfeeding Exclusively in Health Facility) Intervention in East Java, Indonesia

2021 ◽  
Vol 5 (2SP) ◽  
pp. 10
Author(s):  
Mellysa Kowara
Keyword(s):  
Health Facility ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
Phase 1 ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Skin Contact ◽  
Management Procedures ◽  
Critical Management

ABSTRAKLatar Belakang:  Peningkatan cakupan ASI eksklusif dapat dilakukan dengan menerapkan 10 LMKM di fasilitas kesehatan. Berdasarkan hasil penilaian program 10 LMKM tahap 1 menunjukkan perlunya penguatan 10 LMKM terutama langkah 1 dan 2 sebagai prosedur pengelolaan kritis (Critical Management Procedural). Untuk menindaklanjuti temuan tersebut maka dijalankan Project BENEFIT untuk meningkatkan penerapan dari langkah-langkah tersebut. Proyek tersebut dilaksanakan pada tahun 2019 hingga 2020 di 5 kabupaten/kota di Jawa Timur yaitu Bondowoso, Jember, Probolinggo, Trenggalek dan Surabaya.Tujuan: Penelitian ini bertujuan untuk mengevaluasi implementasi penguatan 10 LMKM yang dilakukan melalui proyek BENEFITyang berfokus pada penguatan langkah 1 dan 2 di fasilitas kesehatan di Provinsi Jawa Timur dan bagaimana pengaruhnya terhadap penerapan langkah lainnya serta pencapaian dalam indikator menyusui.   Metode: Studi crossectional dilakukan pada 720 responden yang terdiri dari 143 pimpinan fasilitas kesehatan dan 577 ibu nifas (untuk validasi data). Pengumpulan data dilakukan dengan menggunakan kuesioner yang diadaptasi dari BFHI Unicef/WHO yang mengevaluasi penerapan keseluruhan langkah dalam 10 LMKM menggunakan aplikasi KoBo ToolBox pada periode Juli-September 2020. Hasil: Terdapat peningkatan dalam penerapan 10 LMKM terutama langkah 1 dan 2. Langkah 1 yaitu tersedianya kebijakan tertulis pemberian ASI eksklusif menunjukkan peningkatan kepatuhan yang signifikan (66,4 menjadi 72,82; α= 0,015). Sedangkan untuk tahap 2 (pelatihan dukungan menyusui bagi petugas kesehatan dan non-kesehatan) menunjukkan peningkatan yang signifikan dalam pelaksanaannya (69,5 menjadi 77; α = 0,015). Prosedur manajemen kritis berperan sebagai landasan yang mempengaruhi praktik dukungan menyusui di fasilitas kesehatan. Berdasarkan hasil monitoring dan evaluasi menunjukkan adanya perbaikan pada praktik dukungan menyusui selama perawatan ibu di fasilitas kesehatan seperti cakupan IMD (71,2%) baik pada persalinan normal maupun seksio sesarea, rawat gabung (69,1%) dan praktik menyusui bayi baru lahir. (73,5%). Kesimpulan: Intervensi BENEFIT yang berfokus pada penguatan langkah 1 dan 2 dalam 10 LMKM sebagai prosedur manajemen kritis mampu meningkatkan kepatuhan implementasi keseluruhan langkah 10 LMKM. Sebagai landasan untuk melaksanakan langkah-langkah lainnya, penguatan 10 LMKM terutama langkah 1 dan 2 terbukti dapat meningkatkan praktik dukungan menyusui di fasilitas kesehatan oleh seluruh staf.Kata Kunci: Menyusui, 10 LMKM, BENEFIT ABSTRACTBackground: 10 Steps to Successful Breastfeeding (STSB) was implemented as an attempt to improve the coverage of exclusive breastfeeding in healthcare facilities. Results of the phase 1 Baby-Friendly Hospital Initiative (BFHI) assessment necessitated further strengthening for steps 1 which is the availability of an exclusive breastfeeding policy and step 2 which entails training provision for maternal and child health officer. These two steps are regarded as critical management procedures which act as a foundation for the implementation of subsequent steps. To follow up on these findings, Project BENEFIT was implemented to improve steps 1 and 2. The project was carried out between 2019 and 2020 in 5 districts in East Java, namely Bondowoso, Jember, Probolinggo, Trenggalek and Surabaya. Objectives: This objective of this study is to evaluate the implementation of the BENEFIT project and how it affects the implementation of other steps as well as how it impacts breastfeeding indicators.Methods: This cross-sectional study was conducted on 720 respondents consisting of 143 health facility leaders and 577 post-partum mothers to validate response. Data was collected using a questionnaire adapted from Baby Friendly Hospital Initiation (BFHI) guidelines by World Health organization (WHO) and United Nations Children Emergency Fund (UNICEF) using the KoBo ToolBox application between July and October 2020. Results: There was an improvement in the implementation of steps 1 and 2. A significant increase in compliance was found for Step 1 (66.4 to 72.82 α = 0.015) and step 2 (69.5 to 77.9, α = 0.15). Subsequent monitoring and evaluation also showed moderate improvement on breastfeeding support practice in health facilities such as coverage of skin-to-skin contact (71.2%) both on normal and section-caesarean delivery, rooming-in (69.1%) and the practice of breastfeeding newborn (73.5 %). Conclusion: The BENEFIT project assisted in the increased compliance for steps 1 and 2 STSB, which further improved breastfeeding support practices by all healthcare facility staff members for other steps. Keywords: Breastfeeding, 10 STSB, BENEFIT 

scholarly journals The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Maternity Services ◽  
Community Needs ◽  
Care Services ◽  
Skin Contact ◽  
Health Organization ◽  
The Impact

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.

scholarly journals Factors affecting the mother’s choice of infant feeding method in Poland – a cross – sectional preliminary study in Poland

2021 ◽  
Author(s):  
Anna Rozensztrauch ◽  
Magdalena Klaniewska ◽  
Marta Berghausen - Mazur
Keyword(s):  
Infant Feeding ◽  
Exclusive Breastfeeding ◽  
Child Nutrition ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Feeding Method ◽  
Initiation Of Breastfeeding

Abstract Background The World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determine its further path. Unfortunately, very often it is also the time of facing the first breastfeeding problems. The aim of this study was to analyze selected factors influencing a mother's decision to breastfeed. Methods This is a cross-sectional study conducted between March 2019 and November 2019 in selected Polish maternity wards. Data were collected through completion of author's questionnaire and a standardized questionnaire, the Multidimensional Perceived Social Support Scale and also through informal interviews with mothers. During statistical analysis the chi-square test of independence, the Kolmogorov-Smirnov test, as well as the non-parametric Mann-Whitney U test in addition to Fisher's exact test were performed. Results The results showed that there is no correlation between the mode of delivery and the mother’s choice of infant feeding method. Whereas knowledge of the benefits of breastfeeding and received support affects the mother’s decision on infant feeding method. The study also showed that the 83% of newborns were put to the breast within the first two hours after birth. However, only 58% continued to be breastfed in the subsequent days. As many as 42% of the newborns were supplemented with formula despite early initiation of breastfeeding. Analyses showed that exclusive breastfeeding was more often chosen by mothers with higher education. And the most common breastfeeding problem reported by 62% of the respondents was perceived insufficient milk supply and also breastfeeding pain, reported in 48,5% mothers. Conclusions It is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.

scholarly journals Factors affecting the mother’s choice of infant feeding method in Poland: a cross-sectional preliminary study in Poland

2021 ◽  
Author(s):  
Anna Rozensztrauch ◽  
Magdalena Klaniewska ◽  
Marta Berghausen-Mazur
Keyword(s):  
Infant Feeding ◽  
Exclusive Breastfeeding ◽  
Child Nutrition ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
World Health ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Feeding Method ◽  
Initiation Of Breastfeeding

Abstract Background The World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determining its further path. Unfortunately, very often it is also the time of facing the first breastfeeding problems. The aim of this study was to analyse selected factors influencing a mother’s decision to breastfeed. Methods This is a cross-sectional study conducted between March 2019 and November 2019 in selected Polish maternity wards. Data were collected through completion of author’s questionnaire and a standardised questionnaire and the Multidimensional Perceived Social Support Scale and also through informal interviews with mothers. During statistical analysis, the chi-square test of independence and the Kolmogorov–Smirnov test as well as the non-parametric Mann–Whitney U test in addition to Fisher’s exact test were performed. Results The results showed that there is no correlation between the mode of delivery and the mother’s choice of infant feeding method. Knowledge of the benefits of breastfeeding and received support affects the mother’s decision on infant feeding method. The study also showed that the 83% of newborns were put to the breast within the first 2 h after birth. However, only 58% continued to be breastfed in the subsequent days. As many as 42% of the newborns were supplemented with formula despite early initiation of breastfeeding. Analyses showed that exclusive breastfeeding was more often chosen by mothers with higher education. And the most common breastfeeding problem reported by 62% of the respondents was perceived insufficient milk supply and also breastfeeding pain, reported in 48.5% mothers. Conclusions It is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.

scholarly journals Faktor-Faktor yang Mempengaruhi Prilaku Pemberian Asi Eksklusif di Kelurahan Tabona Kecamatan Kota Ternate Selatan

2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole
Keyword(s):  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
World Health ◽  
Survey Method ◽  
Additional Food ◽  
Cross Sectional ◽  
The World ◽  
Health Organization ◽  
The Relationship

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.

scholarly journals Perbandingan Faktor-Faktor yang Mempengaruhi Pengetahuan Tentang Asi Ekslusif Antara Ibu yang Melahirkan di BPM Dengan Puskesmas

2019 ◽  
Vol 5 (1) ◽  
pp. 39-42
Author(s):  
Heriza Syam ◽  
Jehanara Jehanara ◽  
Nurdjasmi Nurdjasmi
Keyword(s):  
Breast Milk ◽  
Research Design ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
Good Knowledge ◽  
Independent Practice ◽  
Place Of Birth ◽  
Cross Sectional ◽  
Infant Deaths ◽  
Nursing Mothers

Mother's knowledge is one factor in the success of exclusive breastfeeding. Research in Ghana (2008), 1.3 million infant deaths can be prevented by the provision of breast milk (ASI) in infants from the first day of birth until under the age of 5 years. If breastfeeding starts in the first 1 hour after birth, This figure rises to 22% from 16%,. This study aims to determine the differences in knowledge about Exclusive Breastfeeding and the factors that influence it in post partum mothers in BPM with Puskesmas in the East Jakarta area. Research Design: Observational analytic study with the approach used is cross sectional. The results showed that there were significant differences (P = 0.001) between the place of labor and the knowledge of nursing mothers. Mothers who gave birth at the Good Knowledge Midwife Practice (PMB) were 78.6%, while those in the Puskesmas were only 38.5%. Characteristics of respondents related to knowledge of post partum mothers about breastfeeding were Education (P 0.01), Economy, (P 0.000) and ethnicity (P 0.019). Factors-education, economy and ethnicity influence mother's knowledge about exclusive breastfeeding. Place of birth in the Independent Practice Midwives have the opportunity to increase knowledge of exclusive breastfeeding 3 times compared to the knowledge of mothers who give birth at the Puskesmas after controlled by the Education variable.  

scholarly journals Kecemasan Pada Ibu Post Partum Primipara Dengan Produksi Asi

2021 ◽  
Vol 3 (3) ◽  
pp. 459-465
Author(s):  
Ayu Martiana ◽  
Rilyani Rilyani ◽  
Rahma Elliya
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Exclusive Breastfeeding ◽  
Quantitative Research ◽  
Post Partum ◽  
Bivariate Analysis ◽  
Postpartum Anxiety ◽  
Cross Sectional ◽  
Breast Milk Production ◽  
Postpartum Mothers

ABSTRAK ASI merupakan makanan yang terbaik bagi bayi produksi ASI dipengaruhi oleh beberapa faktor yaitu faktor nutrisi, perawatan payudara, isapan dan frekuensi menyusui, sosial budaya dan faktor psikologis. Data di Kabupaten Lampung Utara yang memberikan ASI secara eksklusif pada tahun 2015 sebesar 45,5% lebih rendah bila dibandingkan tahun 2016 yaitu 48% dari target 80%, bila dibandingkan di Lampung Timur pencapaian ASI eksklusif sebesar 54,3%. (Dinas Kesehatan Kabupaten Lampung Utara, 2017). Data RSD H.M Ryacudu Kotabumi pada Tahun 2016 cakupan pemberian ASI eksklusif sebesar 57,4% lebih tinggi bila dibandingkan Tahun 2017 dari jumlah bayi 73 yang memberikan ASI secara eksklusif sebesar 54,8. Tujuan penelitian untuk mengetahui hubungan tingkat kecemasan ibu post partum primipara dengan produksi asi di ruang nifas RSD H.M Ryacudu Kotabumi Tahun 2019Jenis penelitian kuantitatif dengan pendekatan Crossectional.   Populasi seluruh ibu post partum primipara yang ada di Ruang Nifas RSD H.M Ryacudu Kotabumi, sebanyak 87 responden tercatat dari tanggal 2- 29 April 2019.. Pengambilan sampel menggunakan teknik total sampling. Analisa menggunakan analisis univariat dan bivariat menggunakan chi squareHasil prasurvey terhadap 10 orang ibu post partum primipara di RSD H.M Ryacudu Kotabumi   menyimpulkan bahwa didapati 4 orang ibu atau (40,0%) tidak mengalami kecemasan paska melahirkan, dan dapat memberikan ASI eksklusif dengan baik kepada anaknya. Sedangkan sebanyak 6 orang ibu atau (60,0%) mengalami kecemasan paska melahirkan yaitu dengan gejala gelisah, gugup, bingung, sangat waspada, ketakutan, dan mengalami hambatan seperti menunda-nunda dalam pemberian ASI kepada anaknya. Kata Kunci      : Tingkat kecemasan, Produksi Asi ANXIETY IN PRIMIPHARA POSTPARTUM MOTHERS WITH BREAST MILK PRODUCTION ABSTRACT Breast milk is the best food for babies. Breast milk production is influenced by several factors, namely nutrition, breast care, suction and frequency of breastfeeding, socio-cultural and psychological factors. Data in North Lampung Regency that exclusively provided breast milk in 2015 was 45.5% lower compared to 2016, which was 48% of the target of 80%, compared to in East Lampung the achievement of exclusive breastfeeding was 54.3%. (North Lampung Regency    1Health Office, 2017). RSD Mayjen HM Ryacudu Kotabumi data in 2016 the coverage of exclusive breastfeeding was 57.4% higher compared to 2017 of the number of 73 babies who exclusively provided breast milk at 54.8. The purpose of this study was to determine the relationship of anxiety levels of postpartum primipara mothers with breast milk production in the puerperal room of H.M Ryacudu Hospital in Kotabumi 2019This type of quantitative research with a cross-sectional approach. The population of all primipara postpartum mothers in the post-partum room of RSDH.M Ryacudu Kotabumi, as many as 87 respondents were recorded from 2- 29 April 2019 .. Sampling using total sampling techniques. Analysis using univariate and bivariate analysis using chi-squareThe results of pre-survey of 10 primipara postpartum mothers in H.M Ryacudu Kotabumi Hospital concluded that 4 mothers or (40.0%) did not experience postpartum anxiety, and were able to give exclusive breast milk to their children. While as many as 6 mothers or (60.0%) experience postpartum anxiety that is with symptoms of anxiety, nervousness, confusion, extreme caution, fear, and experiencing obstacles such as procrastinating in giving breast milk to their children. Keywords: Anxiety Level, Breast Milk Production 

scholarly journals Health facility structure and maternal characteristics related to essential newborn care in Brazil: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021431 ◽  
Author(s):  
Maria Alexsandra Silva Menezes ◽  
Ricardo Gurgel ◽  
Sonia Duarte Azevedo Bittencourt ◽  
Vanessa Eufrazino Pacheco ◽  
Rosana Cipolotti ◽  
...  
Keyword(s):  
Health Facility ◽  
Breast Feeding ◽  
Perinatal Care ◽  
Newborn Care ◽  
Health Facilities ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Skin Contact ◽  
Postnatal Women ◽  
Skin To Skin

ObjectivesTo assess the use of the WHO’s Essential Newborn Care (ENC) programme items and to investigate how the non-use of such technologies associates with the mothers' characteristics and hospital structure.DesignA cross-sectional observational health facility assessment.SettingThis is a secondary analysis of the ‘Birth in Brazil’ study, a national population-based survey on postnatal women/newborn babies and of 266 publicly and privately funded health facilities (secondary and tertiary level of care).ParticipantsData on 23 894 postnatal women and their newborn babies were analysed.Main outcome measuresThe facility structure was assessed by evaluating the availability of medicines and equipment for perinatal care, a paediatrician on call 24/7, a neonatal intensive care unit (NICU) and kangaroo mother care. The use of each ENC item was assessed according to the health facility structure and the mothers’ sociodemographic characteristics.ResultsThe utilisation of ENC items is low in Brazil. The factors associated with failure in pregnant woman reference were: pregnant adolescents (ORadj1.17; 95% CI 1.06 to 1.29), ≤7 years of schooling (ORadj1.47; 95% CI 1.22 to 1.78), inadequate antenatal care (ORadj1.67; 95% CI 1.47 to 1.89). The non-use of corticosteroids was more frequently associated with the absence of an NICU (ORadj3.93; 95% CI 2.34 to 6,66), inadequate equipment and medicines (ORadj2.16; 95% CI 1.17 to 4.01). In caesarean deliveries, there was a less frequent use of a partograph (ORadj4,93; 95% CI 3.77 to 6.46), early skin-to-skin contact (ORadj3.07; 95% CI 3.37 to 4.90) and breast feeding in the first hour after birth (ORadj2.55; 95% CI 2.21 to 2.96).ConclusionsThe coverage of ENC technologies use is low throughout Brazil and shows regional differences. We found a positive effect of adequate structure at health facilities on antenatal corticosteroids use and on partograph use during labour. We found a negative effect of caesarean section on early skin-to-skin contact and early breast feeding.

scholarly journals Familiar but neglected: identification of gaps and recommendations to close them on exclusive breastfeeding support in health facilities in Malawi

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Alinane Linda Nyondo-Mipando ◽  
Mai-Lei Woo Kinshella ◽  
Sangwani Salimu ◽  
Brandina Chiwaya ◽  
Felix Chikoti ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Qualitative Data ◽  
Health Workers ◽  
Newborn Care ◽  
Health Systems Strengthening ◽  
World Health ◽  
Standards Of Care ◽  
Routine Practice ◽  
Breastfeeding Support ◽  
Care Assessment

Abstract Background Exclusive breastfeeding is widely accepted as a key intervention with proven efficacy for improving newborn survival. Despite international commitments and targets to support and promote breastfeeding, there are still gaps in meeting and maintain coverage in many sub-Saharan African countries. This paper aimed to triangulate the perspectives of health workers, mothers, and their family members with facility assessments to identify gaps to improve breastfeeding support in in Malawi. Methods The study on breastfeeding barriers and facilitators was conducted in 2019 at one tertiary hospital and three secondary-level hospitals in Malawi. We conducted 61 semi-structured interviews with health workers, postnatal mothers, grandmothers, aunts, and fathers. In 2017, we carried out a neonatal care facility assessment using the World Health Organization (WHO) Integrated Maternal, Neonatal, and Child Quality of Care Assessment and Improvement Tool. Qualitative data were analysed using a thematic analysis approach within the Systems Framework for Health Policy. Results The district-level hospitals rated high with an average score of 4.8 out of 5 across the three facilities indicating that only minor improvements are needed to meet standards of care for early and exclusive breastfeeding. However, the score fell to an average of 3.5 out of 5 for feeding needs with sick neonates indicating that several improvements are needed in this area. The qualitative data demonstrated that breastfeeding was normalized as part of routine newborn care. However, the focus on routine practice and reliance on breastfeeding knowledge from prenatal counselling highlights inequities and neglect in specialized care and counselling among vulnerable mothers and newborns. Revitalisation of breastfeeding in Malawian facilities will require a systems approach that reinforces policies and guidelines; contextualises knowledge; engagement and empowerment of other relatives to the baby and task-sharing among health workers. Conclusions Breastfeeding is accepted as a social norm among health workers, mothers, grandmothers, aunts, and fathers in Malawi, yet vulnerable groups are underserved. Neglect in breastfeeding support among vulnerable populations exacerbates health inequities. Health systems strengthening related to breastfeeding requires a concerted effort among health workers, mothers, grandmothers, aunts, and fathers while remaining grounded in contexts to support family-centered hospital care.

scholarly journals Knowledge and Awareness among mothers regarding exclusive breastfeeding in holy Karbala city / Iraq

2019 ◽  
Author(s):  
maytham salim Al-Nasrawii ◽  
Ali Neamah Al-Aaragi ◽  
Ali Abd Al-Latif G Mohammed
Keyword(s):  
Exclusive Breastfeeding ◽  
Care Center ◽  
Education Level ◽  
Environmental Benefits ◽  
World Health ◽  
Good Knowledge ◽  
P Value ◽  
Cross Sectional ◽  
Health Care Center ◽  
Significant Difference

Abstract Background: World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) “Exclusive breastfeeding (EBF)” is explained as “the infant receives only breast milk, no other liquids or solids. Its recommended for the first 6 months of life, and then complementary feeding should be started. EBF helps to reduce child morbidity and mortality from several diseases such as diarrhea, respiratory and /or ear infections and other infectious diseases, shielding lactation women from breast and ovarian cancer. In addition to offers societal economic and environmental benefits, The objective of this study was to assess the knowledge and awareness of exclusive breast feeding among mothers with a child < 2 years of age. Methods : A descriptive cross-sectional study was carried out in Health Directorate of Holy Karbala city. The study consist of (487) mothers how attendant to six Primary Health Care center (PHC). The collected data was done by direct interview with mothers and using a questionnaire form that designed based on the study objectives according to WHO criteria. Data were analyzed by SPSS, descriptive statistics included numbers (N) and percentage (%), and the inferential statistical test was done by using Chi-Square test , P-value was equal or less than 0.05 considered as statistically significant to find for any association between the results variables. Result : A total of 487 participants were included in the study, the rate of response was 92.7%. The highest percentage (66.3%) of study sample were full in the age group (21-30) years, and more than three quarters were lived in urban area. Nearly half of the study sample 47% had primary education and 60% those housewives, and the main source of information being family and friends (84.4%). As an overall assessment, 61.8% of the study sample had good knowledge and awareness about exclusive Breastfeeding, with highly significant differences to education level ,occupation residence of the mother. Conclusion: Over half of the subjects had good knowledge and awareness of exclusive Breastfeeding. And, on the other hand, there was a very significant difference between education level, occupation and mother's residence with a level of knowledge.

scholarly journals Hubungan umur dan pekerjaan ibu menyusui dengan pemberian ASI eksklusif

2020 ◽  
Vol 9 (2) ◽  
pp. 153
Author(s):  
Rolita Efriani ◽  
Dhesi Ari Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Age ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Mother’S Age ◽  
Health Organization ◽  
Yogyakarta City

One of the efforts of the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) to reduce the Infant Morbidity and Mortality Rate (IMR) is to recommend that babies should only be breastfed for the first six months of life (exclusive breastfeeding). The coverage of exclusive breastfeeding in the Special Region of Yogyakarta was 73.3%. The lowest was in the city of Yogyakarta at 59.52%. This achievement had not yet reached the government's target of 80%. Puskesmas Umbulharjo 1 is the health center with the lowest exclusive breastfeeding coverage in Yogyakarta City at 39.15%. This study aims to determine the relationship between mothers' age and occupation with exclusive breastfeeding at Puskesmas Umbulharjo 1 Yogyakarta City. This research is an analytic survey with a cross-sectional approach. A sample of 64 mothers was taken from a population of 179 mothers who had babies aged 6-12 months. Data were analyzed by using the Chi-Square test. The results of the analysis of maternal age with exclusive breastfeeding obtained a p-value of 0.007 (p <0.05), while the analysis of maternal age with exclusive breastfeeding showed a p-value of 0.000 (p <0.05). In conclusion, there is a relationship between the mother's age and occupation and exclusive breastfeeding in the working area of Puskesmas Umbulharjo 1 Yogyakarta City

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