scholarly journals Infant and Young Child Feeding in Croatian Nursing Programs

2020 ◽  
Vol 4 (1) ◽  
pp. 127-133
Author(s):  
Ana Vidović Roguljić ◽  
Irena Zakarija-Grković

Introduction. Breastfeeding rates in Croatia are far from WHO recommendations, with only 8% of women exclusively breastfeeding at 6 months. Nurses play a key role in supporting optimal infant feeding; therefore, their undergraduate training should cover this topic. Aim. The aim of this study was to determine if infant feeding is part of undergraduate nursing programs in Croatia, and to analyse relevant textbooks. Methods. Between January and March 2019, all publicly available nursing undergraduate curricula (N=9) for the 2018/2019 academic year were assessed. Required textbooks were analysed by two independent assessors using the WHO Infant and Young Child Feeding: Model Chapter for textbooks for medical students and allied health professionals. Results. Infant feeding was included in all the curricula. The mean number of topics from the Model Chapter covered in the four evaluated textbooks was 30.4%, of which 2.7% were classified as correct and thorough, 21% as correct and brief, and 6.7% as incorrect. Fields most poorly covered were: ‘Policy, health system and community actions’ and ‘Appropriate feeding in exceptionally difficult circumstances’. Discussion. This is one of only a few published studies looking at nursing textbook content related to infant feeding. Less than a third of topics, considered mandatory for health professional education, were covered in the required textbooks. Conclusion. Even though infant feeding was part of all assessed nursing curricula in Croatia, the required textbooks were largely outdated, incomplete and at times incorrect.

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246942
Author(s):  
Qiong Wu ◽  
Yiwen Huang ◽  
Michelle Helena van Velthoven ◽  
Wei Wang ◽  
Suying Chang ◽  
...  

Background Appropriate infant and young child feeding practices are the basis for child nutrition. In China, WeChat is gradually changing the channels through which people receive information. The paper aims to explore the feasibility of using WeChat to improve infant and young child feeding in rural China. Methods A mixed-methods study was carried out in Huzhu County, Qinghai province, China. We conducted two cross-sectional surveys with children aged 6–23 months and their caregivers in 2012 (N = 1804) and 2018 (N = 754), respectively. Quantitative data were collected on feeding knowledge and practices, caregiver’s use of smartphones and WeChat. Qualitative data were from 33 semi-structured interviews with pregnant women and mothers. In addition, we developed a WeChat feeding health education platform and asked women about their experiences with using it. Results In both cross-sectional surveys, less than 10% of caregivers knew that breastfeeding can be continued up to two years, less than 50% knew the accurate duration of exclusive breastfeeding, and only around 20% knew meat can be given to children from the age of 6–8 months. Similarly, the feeding practices were suboptimal and most key infant feeding practices did not change over the years. Only around 30% of caregivers ever received feeding information during pregnancy or after delivery in both surveys. Around 50% of caregivers received information from their relatives and friends, followed by 30% from health facilities and communities. More than 80% of mothers were currently using both a smartphone and the WeChat app, and 75.4% of them were willing to receive feeding information from WeChat official accounts. The WeChat feeding health education platform developed by our study team was generally well accepted by women. Conclusions There was an absence of accurate information sources on infant feeding and child nutrition. WeChat could be a potential way to deliver infant feeding recommendations to pregnant women and mothers in rural China. Trial registration ChiCTR-PRC-11001446 (The controlled intervention trial for complementary food supplements “Yingyangbao”); ChiCTR1800017364 (the randomized controlled trial for WeChat)


2020 ◽  
Author(s):  
Dawit Getachew Gebeyehu ◽  
Desta Haftu

Abstract Background: Globally , nearly three fourth of infants less than-six was not exclusively-brestfeed. While in Ethiopia, the proportion was only slightly above half. In refugee, setting life is not stable, due to lack of infrastructure and adequate health care service mother and infant face many health related problems, like interruption of exclusively breastfeed which intern lead them to malnutrition and impaired growth.Objectives: To assess the Determinants of Interruption of Exclusive Breastfeeding among mother who have infant less than six month at Dollo Ado Refugees camp, Ethiopia, 2017.Methods: A case -control study design was conduct at Dollo Ado refugee camp from April 05 to 25, 2017. Simple random sampling technique used to select 111 eligible case and 222 controls during the study period. A structured and pretested interviewer administered questionnaire used to collect the data. Logistic regression models fitted to assess significant factor, which determine interruption of Exclusive breast-feeding in the study area.Results: In this study not getting antenatal counseling about infant feeding (A-OR =5.87, 2.63-13.10), postnatal counseling about infant feeding (A-OR= 4.33, 2.7 - 10.78) and presence of problem of breastfeeding (AOR= 10.72, 4.55 - 25.23), late initiation of breastfeeding (AOR= 4.79, 2.28-10.0) were significant determinants of interruption of exclusive breastfeeding.Conclusions : In this study, not getting antenatal and postnatal counseling about infant and young child feeding, problem of breastfeeding, late initiation of Exclusive breastfeeding were significant determinants of interruption of EBF. Planer and manager should focus on provision of mother advice on Infant and Young Child Feeding during Antenatal and Postnatal Care. Health professional should be alert on treating problem of breastfeeding.


2019 ◽  
Vol 4 (2) ◽  
pp. 14-25
Author(s):  
Adepoju Oladejo T ◽  
Adesemoye Elizabeth T ◽  
Akinyele Isaac O

Infant and young child feeding (IYCF) practices directly affect the nutritional status of children under two years of age, and ultimately, impact child survival. These practices are influenced by maternal knowledge and attitudes as well as socio-demographic and cultural factors; and an understanding of such factors is important to scaling up IYCF practices. This study was designed to assess the role of religion on knowledge, attitude and infant feeding practices among Christian and Muslim lactating mothers in Ibadan North Local Government Area (LGA), Oyo State. The descriptive cross-sectional study was conducted among 320 lactating mothers in the LGA. Eight focus group discussions were carried out among Christian and Muslim lactating mothers. An adapted pre-tested questionnaire was used to collect information on socio-demographic characteristics and IYCF knowledge, attitude and practices of the respondents. Knowledge on IYCF was assessed on 14-item scale, and the scores categorised as: ˂5.60 poor, 5.60–10.88 fair, and ˃10.88 good knowledge. Attitude was assessed on 13 statements from the IOWA Infant Feeding Attitude scale with lowest and highest obtainable score of 13 and 65 respectively. A score of ˂44 was ranked as poor, and ˃44 points good. Data were analysed using descriptive statistics and one-way ANOVA. Qualitative data was analysed thematically. Mean age of respondents was 30.0±4.9 years, 55.9% were Muslims, and 63.8% had fair knowledge. There was no significant difference in fair knowledge categorisation (63.7%, 63.8%), but there existed slight difference in good (20.7%, 21.3%) and poor (15.6%, 14.9%) knowledge of the Muslim and Christian respondents respectively. Mothers with poor attitude constituted 56.0%. Muslim religion directly supports pre-lacteal feeding and duration of breastfeeding while the other indirectly supports breastfeeding. Religious practices directly and indirectly affect knowledge, attitude and practices of nursing mothers on infant feeding; hence, healthcare Professionals should pay more attention to nutrition education in religious houses using the infant and young child feeding module.


2020 ◽  
Author(s):  
Qiong Wu ◽  
Yiwen Huang ◽  
Michelle Helena van Velthoven ◽  
Wei Wang ◽  
Suying Chang ◽  
...  

Abstract Background Appropriate infant and young child feeding practices are the basis for child nutrition, which can be influenced by mothers’ exposure to health promotion messages. In China, WeChat is gradually changing the channels people receive information. This paper aims to explore the feasibility of using WeChat as an intervention to improve Infant and young child feeding in rural China. Methods A mixed-methods study was carried out in Huzhu County, Qinghai province, China. Quantitative data were from two cross-sectional surveys with children aged 6-23 months and their caregivers to collected feeding knowledge and practices, caregiver’s use of smartphones and WeChat in 2012 (N=1804) and 2018 (N=754), respectively. Qualitative data were from 33 semi-structured interviews with pregnant women and mothers. In addition, we developed a WeChat feeding health education platform and asked women for their using experiences. Results In both surveys, less than 10% of caregivers knew that breastfeeding can be continued up to two years, less than 50% knew the accurate duration of exclusive breastfeeding, and only around 20% knew meat should be given to children from the age of 6-8 months. Similarly, the feeding practices were suboptimal and most key infant feeding practices did not change over the years. In both surveys, only around 30% of caregivers ever received feeding information during pregnancy or after delivery. Among them, around 50% of caregivers received from their relatives and friends, followed 30% from health facilities and communities. More than 80% of mothers were currently using both a smartphone and the WeChat app. Mothers could easily access the internet on their smartphones (90.8%), as WiFi was available at home or at the workplace. Furthermore, 75.4% of them were willing to receive feeding information from WeChat official accounts. The WeChat feeding health education platform was generally accepted by pregnant women and mothers. Conclusions Caregivers’ feeding knowledge and practices were poor in Huzhu County, and there was an absence of accurate information sources on infant feeding and child nutrition. WeChat could be a potential way to deliver infant feeding recommendations to mothers in rural China.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen

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.


2021 ◽  
pp. 1-38
Author(s):  
Lauriina Schneider ◽  
Mikko Kosola ◽  
Kerttu Uusimäki ◽  
Sari Ollila ◽  
Crippina Lubeka ◽  
...  

Abstract Objective The objective was to explore mothers’ perceptions of educational videos on infant and young child feeding practices, and to assess whether viewing frequencies would influence maternal knowledge, attitudes and feeding practices (KAPs). Design A set of 47 videos were displayed in health centers for 6 months. At three months, we conducted focus group discussions (FGDs) with mothers and at six months, administered KAP-questionnaire-based interviews to mothers. Using a quasi-experimental design we compared groups according to video viewing frequencies. Setting The study was conducted in a slum in Nairobi and a rural area in Machakos, Kenya. We installed TV screens in waiting rooms of six Mother and Child Health Centers, where mothers could choose to watch them. Participants Forty-three mothers with children aged 0 to 48 months participated in six FGDs and 547 mothers of children aged 0 to 23 months in KAP interviews. Results The mothers from the FGDs found the videos acceptable and beneficial. Videos enhanced mothers’ learning and empowered them to support others in learning. The KAP data showed that after adjustments, breastfeeding (p=0.06) and complementary feeding knowledge (p=0.01), complementary feeding attitudes (p=0.08), as well as hygiene knowledge and practices (p=0.003) were better among mothers who had seen videos three to four times, or five or more times, compared to mothers who had seen the videos once or twice. Conclusions Videos were an accepted form of education and were beneficial when watched repeatedly. The videos could be a good addition to current IYCF education efforts in Kenya.


2021 ◽  
pp. 1-34
Author(s):  
Sofia De Rosso ◽  
Sophie Nicklaus ◽  
Pauline Ducrot ◽  
Camille Schwartz

Abstract Objective: As part of an update of feeding benchmarks targeting children aged 0 to 3 years, this study aimed to explore parental perceptions, information-seeking practices and needs concerning infant and young child feeding (IYCF) to design an efficient communication strategy. Design: Participants were recruited using the quota sampling to complete an online survey. Effects of parity, child age, prematurity, parental education and financial situation on parents’ responses were evaluated separately. Setting: France. Participants: A nationally representative sample of 1001 parents of children <4 years. Results: Parents whose child had any medical condition affecting feeding (CMC, 17%) were considered separately from healthy children’s parents. All the healthy children’s parents recognized the importance of IYCF for children’s health and growth; however, one-third considered the available advice contradictory and not guilt-free. The most used information sources were healthcare professionals (HCPs, 81%), internet (72%) and parental networks (63%). The most influential sources (mean influence ± SDs) included HCPs (7.7±1.7/10), childcare professionals (7.3±1.8/10) and parental networks (6.9±1.8/10). Parents searched for practical tips for implementing IYCF starting when their child was 5 months old. Differences regarding the type of source used by parents with higher vs. lower educations were small. Search strategies differed according to parity or child age but not to prematurity. The CMC parents reported slightly different practices and needs. Conclusions: Parents receive information from multiple sources, which can lead to confusion when deciding which advice to follow. A public health communication strategy adapted to the current parental needs should target these various sources.


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