scholarly journals Factors affecting the failure of exclusive breastfeeding practice: a scoping review

2021 ◽  
Vol 4 (2) ◽  
pp. 117-129
Author(s):  
Sulasmi Sulasmi ◽  
Mufdlilah Mufdlilah ◽  
Luluk Rosyida

Background:  In some countries, exclusive breastfeeding is practiced in a limited number of cases and for a short period of time; on an international scale in 2012, only 39% of six-month-old babies were exclusively breastfed. This breastfeeding rate falls short of the World Health Organization's recommended threshold (WHO). According to WHO, to reach the global level by 2025, which is 50% of mothers must exclusively breastfeed for 6 months after giving birth, a strategy must be developed to encourage and facilitate the initiation and continuation of breastfeeding. So, it is hoped that with the target set by WHO, mothers can give breast milk exclusively to their babies for 6 months optimally. Exclusive breastfeeding (ASI) is the ideal nutrition for babies in the first 6 months of life, with continued breastfeeding being recommended for up to 2 years of age. The health benefits of self-feeding are dose dependent, and infants with longer periods of exclusive breastfeeding have better health outcomes. The benefits of breastfeeding are dose dependent, and children have better health outcomes when they are breastfeeding exclusively for longer periods of time, but exclusive breastfeeding has not yet reached its aim due to a variety of factors that contribute to failure.Objectives: To identify factors affecting the failure of exclusive breastfeeding practice.Method: The method employed was scoping review, which starts with identifying scoping review questions using the PEO’S framework; selecting relevant articles based on inclusion and exclusion criteria; and finally, evaluating the results. utilizing databases such as Pubmed, Willey Online Library, ProQuest, and Google Scholar to conduct literature searches; Select articles with a PRISMA Flowchart that describes the search process; execute data charting and critical appraisal; compile and report results.Result: 10 relevant articles have grade A and grade B out of the 103 items that were selected using confidence. Quantitative and qualitative research were used to create these articles. Several factors that influence the inability of exclusive breastfeeding include education knowledge, age parity, nipple pain, workplace, work facilities, workload, support culture.Conclusion: Internal and external factors influence the success of exclusive breastfeeding, the internal aspects including education and knowledge, age and parity, and nipple pain. Workplace, work facilities, workload, support, and culture all are external factors. The failure of exclusive breastfeeding is influenced by several internal and external factors Therefore, it is hoped that the second factor can be a concern to reduce the incidence of unsuccessful exclusive breastfeeding.

Author(s):  
Mega Nabilla Ardiana ◽  
Ivanovich Agusta

Farmers participation is crucial for succeeding in the implementation of agricultural insurance in Indonesia. The purposes of this research are analyzing farmers' form and level of participation and also identifying some factors affecting farmer’s participation in agricultural insurance. The research was conducted in Curug Bitung Village, District of Nanggung, Bogor Regency involving 40 respondents. Primary data includes farmers characteristics, farmers participation form and farmers participation level as program beneficiaries. The data were processed using multivariable linear regression test. The results showed that the intensity of communication, age, education level, income level and length of stay did not significantly affect the participation level of farmers whose majority were at the level of no participation. Non-compliance occurs during program implementation. The form of participation shown by farmers in the program is varied.Keywords:  agricultural insurance, internal and external factors, farmers' participation ABSTRAK Partisipasi petani menjadi hal yang penting dalam rangka menyukseskan penerapan asuransi pertanian di Indonesia. Tujuan penelitian ini adalah menganalisis bentuk dan tingkat partisipasi petani dalam asuransi pertanian serta mengidentifikasi faktor-faktor yang memengaruhi partisipasi petani dalam program asuransi pertanian. Penelitian dilakukan di Desa Curug Bitung, Kecamatan Nanggung, Kabupaten Bogor dengan melibatkan 40 responden. Data primer meliputi karakteristik petani, bentuk partisipasi petani dan tingkat partisipasi petani penerima program. Data diolah menggunakan uji regresi linier multivariable. Hasil penelitian menunjukkan intensitas komunikasi, usia, tingkat pendidikan, tingkat pendapatan dan lama tinggal tidak berpengaruh secara signifikan terhadap tingkat partisipasi petani yang  mayoritas berada pada tingkatan tidak ada partisipasi. Ketidaksesuaian banyak terjadi selama penyelenggaraan program. Adapun bentuk partisipasi yang ditunjukkan petani dalam program bervariasi.Kata kunci: asuransi pertanian, faktor internal-eksternal, partisipasi petani


2021 ◽  
Vol 8 (1) ◽  
pp. 89
Author(s):  
Fauzan Febrian ◽  
Nazmi Fathnur Ahmad

The Covid-19 Pandemic has hurt the beverage outlets' sales. This study investigates the strength of the internal and external factors that influenced sales in the online platforms of hype drinks. Thus, the study focused on the adaptation strategy to improve the sales in the online platform of hype drinks under environmentally-health pressures. The approach was mixed-method by obtaining the data through questionnaires, interviews, and observation. The participant in this study was consumer, employee, and owner.  Data analysis is conducted under the SWOT analysis that has four steps in presenting the data. The finding concluded that internal and external factors positively impacted the business strategy to increase online sales of beverage outlets by riding the wave of hype among customers.


2021 ◽  
Vol 291 ◽  
pp. 05043
Author(s):  
Elena Oklirimeiiko ◽  
Sergey Chernov

The article deals with internal and external factors affecting the tourism industry in Russia as well as the ways of its promotion and development. The authors analyze decrease in sales in the tourism industry at the present period; the situation with provision of tourism services during the pandemic is identified and justified; the negative effects of the crisis are revealed. The authors also point out and present positive factors, which stimulate travel and tourism, including hotel business, catering, as well as resort business; the possibility of finding new ways to promote tourism industry is justified. The authors also analyze the main measures of tourism industry’s state support. The article considers dominant areas affecting the development of domestic tourism. The authors assess main aspects contributing to the development of event tourism. Conditions for the development of sports and event tourism are investigated and discussed; special features of tourism industry stimulation during the pandemic are presented. The authors consider and justify the possibility of restoring the tourist market.


Author(s):  
Giuseppe Russo ◽  
Maja Bozic ◽  
Ylenia Cavacece ◽  
Giuseppe Granata

The aim of this chapter is to analyze the most relevant factors affecting retailers by investigating the relationships between store type, assortment level, customers' purchases, and sales productivity. Analyzing the dataset of the German retailer Rossmann through classification and regression tools, this work investigates what store type customers visit more often, what kind of assortment they prefer, and how sales profitability is affected by internal and external factors. Results show a tendency from customers to shop in smaller neighborhood markets rather than in the large shopping centers with extensive assortments, determining an increase in sales productivity in smaller size stores. Results suggest managers developing strategies for creating multiple retail formats in order to meet the diverse customers' tendencies in the today's market.


2017 ◽  
Vol 36 (2) ◽  
pp. 230-243
Author(s):  
Suse Petersen

Musical talent development and the factors that influence it—such as family or peers—have been widely researched, especially in a Western setting. Despite the growing body of research in non-Western cultures and regions, there is still a lack of research comparing the factors and perceptions of musical talent development between Western and Asian settings. This interview study compared Swiss and Chinese music students’ ( N = 19) musical talent development and the factors influencing musical talent during childhood and adolescence, their professional aims, and their perception of internal and external factors affecting talent development. The students had similar opinions regarding the role of their teachers, the roles of internal and external factors in talent development, and their career goals. However, the students from China and Switzerland differed in their experiences of making and discussing music with peers, in the difficulties experienced during their music education, and in their relationship with their families. The results are a starting point for further comparative research on the perception and development of musical talent, and offer material for a mutual understanding of music students’ backgrounds in countries with differing music education traditions.


2020 ◽  
Author(s):  
Mina Aminpour ◽  
Aidin Aryankhesal ◽  
Nasrin Seyfori

Abstract Background/objective: Due to the widespread prevalence of non-communicable diseases, the World Health Organization has designed a package of essential interventions for non-communicable diseases for primary health care in low-resource settings. This study aimed to investigate the factors affecting the implementation of the WHO PEN for primary health care in low-resource settings. Materials and Methods This research was conducted through a five-step process of scoping review. We first searched for the keywords Noncommunicable Diseases, NCD, WHO PEN, PEN and other synonyms for these words to find the suitable analytical studies in databases including PubMed / MEDLINE, Scopus Cochrane Library, Web of Science, Google Scholar. The articles were then selected based on the PRISMA 2009 Flow Diagram. Finally, to analyze the content from the results section of the selected articles, we used the framework analysis method to extract the study implementation outcome and the factors affecting it. Results A total of 26 articles were included. Most articles are from 2016 to 2018. Most of the articles were cross-sectional and most studies evaluated the outcomes of Appropriateness and Feasibility. Identified effective factors include target population coverage, staff training, patient motivation, patient follow-up, and observance of PEN protocols. Conclusion Using this study, policymakers and managers of the health system will be able to implement this package (WHO PEN) more successfully.


2021 ◽  
Author(s):  
Payam Shojaei ◽  
Kimia pourmohammadi ◽  
Peivand Bastani ◽  
Nahid Hatam ◽  
Ramin Hayati

Abstract Objectives: The Best-Worst Method is considered as a novel and innovative way to identify and prioritize ever-changing internal and external factors affecting health care performance. Results: After screening the large number of factors using the “content validity ratio”, a Pairwise comparisons were conducted between the best and the worst criteria and the other one. Then Modeling the research problem through linear programming and finding the optimal weights.the most effective internal factors from the experts’ viewpoint were the financial indicators such as “the ratio of personnel wage costs to the total revenues”. The most important external factor that was “structure of the payment system and strategic service purchasing by insurance”.external factors had greater impacts on the performance of public hospitals than internal factors. Therefore, when assessing the performance and improvement interventions of hospital, not only internal indicators should be measured, but also external factors, including political and economic policies and approaches governing the health system need to be taken into account.


2021 ◽  
Author(s):  
Tumilara Busayo Amoo ◽  
Ruth Lucas

Abstract Background The World Health Organization recommends exclusive breastfeeding for the first 6 months of an infant’s life and continued breastfeeding for 2 years. The global rate of exclusive breastfeeding is low at 33%. Thus, it is important to identify philosophical and theory-based strategies that can promote exclusive breastfeeding. The aim of the study is to identify philosophical schools of thought and theories used in research on promoting the practice of exclusive breastfeeding. Methods A scoping review using Arksey and O'Malley's framework explored the phenomenon of exclusive breastfeeding practice promotion. Searches were conducted using CINAHL Plus full-text, PubMed, APA PsycInfo and Academic Search Premier. Search terms included theory, philosophy, framework, model, exclusive breastfeeding, promotion, support, English, and publication between 2000 - 2020. Results The online search yielded 877 articles, however, only 40 met the inclusion criteria for the scoping review. The articles promoting exclusive breastfeeding used pragmatism (n=1) or phenomenology (n = 2) philosophies and theories of self-efficacy (n = 10), theory of planned behaviour (n = 10) and social cognitive theories (n = 17). Theories of self-efficacy and planned behaviour were the most effective theories that increased exclusive breastfeeding rates. Conclusions Theory-based exclusive breastfeeding promotion strategies are effective to increase the rates of exclusive breastfeeding. Theory of planned behaviour is better compared with theories of self-efficacy for program content development and implementation in Randomized Controlled Trial studies. Future breastfeeding interventions should be based on relevant philosophies and guided by theories of self-efficacy and planned behaviours.


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