scholarly journals Exclusive Breastfeeding and Complementary Feeding Practices among Children in Slum of Pokhara

2020 ◽  
Vol 16 (2) ◽  
pp. 93-98
Author(s):  
Dibya Sharma ◽  
Ramchandra Kafle

Background: It is estimated that, on an average about 35% of infants 0 - 6 months old are exclusively breastfed around the world. Optimal breastfeeding and complementary feeding practices can save the lives of 1.5 million children under five every year. The condition is further worse in slum areas where vulnerable group of people resides. So, this study aims to assess prevalence on initiation of breastfeeding, exclusive breastfeeding and complementary feeding practices. Methods: A cross sectional study was conducted from November 2017 - February 2018 among 400 married women having child between 6 - 24 months. A pre-tested structured questionnaire comprising of socio-demographic characteristics, exclusive breastfeeding and complementary feeding practice were used. Data was analyzed using Statistical Package for Social Sciences (SPSS) 18.0 version. Results: About 55% of the mothers had initiated breastfeeding within an hour (<1 hour). About half (50.5%) had practiced exclusive breastfeeding to their children. More than fifty percentages (51.5%)of the mothers introduced complementary foods at 6 months. Age at pregnancy, mode of delivery, family size and colostrum feeding is associated with early initiation of breastfeeding at 95% CI i.e. p value <0.05. Whereas, age of mother, ethnicity, mode of delivery and initiation of breastfeeding were significantly associated with exclusive breastfeeding at 95% CI i.e. p value <0.05. Conclusions: The breastfeeding and complementary feeding practice in slum area is not optimal. Health awareness program focusing on early initiation of breastfeeding, exclusive breastfeeding practices and timely introduction of complementary foods in these vulnerable groups of population is needed o prevent its untoward effects. Keywords: complementary feeding; exclusive breastfeeding; initiation; malnutrition.  

2020 ◽  
Vol 32 (3) ◽  
pp. 527-532
Author(s):  
Thakkar Hemaben Kanubhai ◽  
Mohd Maroof ◽  
Pamei Gaihemlung ◽  
Bhatt Maneesh ◽  
Preeti Kumari

Introduction: Breastfeeding benefits both the mother and infant. It contains all the essential nutrients in an adequate amount that fulfils the infant first six month’s needs. Early initiation of breastfeeding is necessary to ensure consumption of colostrum having multiple protective factors. Aim and Objectives: To estimate the prevalence of early initiation of breast feeding and to determine its associated factors among 0- 23 months children. Methodology: A community-based cross- sectional study was carried out among 339 children aged 0-23 months in field practice areas of Rural & Urban Health Training Centres (RHTC & UHTC), Department of Community Medicine, Govt. Medical College, Haldwani, District Nainital for a period of 6 months using simple random sampling. Questions related to Early initiation of breast feeding and its associated factors were asked through Epicollect software. Wald’s statistics, Chi- square test, Fisher’s exact test were applied. P value of less than 0.05 was considered as significant. Results: The prevalence of Early Initiation of Breastfeeding was 45.1% (95% CI= 39.9%-50.5%) which was significantly associated with place of delivery, mode of delivery, mother’s education & ANC care. Conclusion: Early Initiation of Breastfeeding practice was found in almost half of children which were significantly associated with various factors highlighting the importance of addressing these factors to improve Early Initiation of Breastfeeding practices.


2021 ◽  
Vol 10 (1) ◽  
pp. 9
Author(s):  
Amanda Adityaningrum ◽  
Herlina Jusuf ◽  
Pradita Pristi Nusi

Exclusive breastfeeding is breastfeeding for 6 months without providing complementary foods or drinks. The health center with the lowest achievement of exclusive breastfeeding, based on data from the Gorontalo Provincial Health Office, is the Talaga Jaya Health Center. The purpose of this study was to determine the factors that influence exclusive breastfeeding for infants at the Talaga Jaya Health Center. This research is a quantitative research. The population is all infants aged 7-11 months totaling 290 people and the sample amounting to 168 people. The sampling technique used is Accidental Sampling and the data analysis used is Logistic Regression. Mother's education, mother's occupation, implementation early initiation of breastfeeding and family support obtained a p-value (0.000) less than (0.05), while the support of health workers had a p-value (0.998) more than (0.05). The factors that influence exclusive breastfeeding for infants at the Talaga Jaya Health Center are mother's education, mother's occupation, implementation of early initiation of breastfeeding, and family support. It is recommended for family members to be able to participate in exclusive breastfeeding by providing support for mothers breastfeeding up to 6 months..ASI Ekslusif adalah pemberian ASI selama 6 bulan tanpa memberikan makanan atau minuman pendamping. Puskesmas dengan capaian ASI Ekslusif terendah, berdasarkan data dari Dinas Kesehatan Provinsi Gorontalo adalah Puskesmas Talaga Jaya. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi pemberian ASI Eksklusif pada bayi di Puskesmas Talaga Jaya. Penelitian ini merupakan penelitian Kuantitatif. Populasinya adalah seluruh bayi yang berumur 7-11 bulan berjumlah 290 orang dan sampel berjumlah 168 orang. Teknik sampling yang digunakan adalah Accindental Sampling dan analisis data yang digunakan adalah Regresi Logistik. Pendidikan ibu, pekerjaan ibu, pelaksanaan IMD dan dukungan keluarga memperoleh nilai p-value (0,000) kurang dari α (0,05), sedangkan dukungan petugas kesehatan memiliki nilai p-value (0,998) lebih dari α (0,05). Faktor-faktor yang mempengaruhi pemberian ASI Ekslusif pada bayi di Puskesmas Talaga Jaya adalah pendidikan ibu, pekerjaan ibu, pelaksanaan IMD, dan dukungan keluarga. Disarankan kepada anggota keluarga untuk dapat ikut berpartisipasi dalam pemberian ASI Eksklusif dengan cara memberikan dukungan selama ibu menyusui sampai 6 bulan.


IKESMA ◽  
2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Dedi Alamsyah

Exclusive breastfeeding means that the infant receives only breast milk. No other liquids or solids are given. Breastfeeding is influenced by a number of factors, such maternal health condition, early initiation of breastfeeding, and infant formula advertising. Data from Health Department of Kabupaten Sambas indicated that that the coverage of breastfeeding in Kecamatan Tangaran, in 2014, was 27,1% and it ranked the first of 19 districts with low coverage of breastfeeding. This study aimed at analyzing the correlation of maternal health condition, early initiation of breastfeeding, infant formula advertising, and exclusive breastfeeding in Kecamatan Tangaran Kabupaten Sambas.Using observational analytic design and cross sectional approach, this study employed 110 samples. Each variable was tested using chi square test.The results indicated that early initiation of breastfeeding (p value =0,047) has significant correlation with exclusive breastfeeding (p value=0,05). Meanwhile, maternal health condition (p value=0,071) doesn�t significantly correlate with infant formula advertising ( p value=0,606).From the findings, the health personnel are encouraged to inform the young mothers about exclusive breastfeeding, provide lactation clinic, and impose sanctions for birth attendants who do not perform early initiation of breastfeeding birth. Also pregnant women are encouraged to choose early initiation of breastfeeding birth. At last, further researcher need to have further discussion about the factors of exclusive breastfeeding. Keyword keys :Early Initiation of Breastfeeding, Exclusive Breastfeeding.


2017 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Md Saizuddin ◽  
Md Shahidul Hasan ◽  
Md Rashidul Islam ◽  
Md Alfazzaman ◽  
MM Mafizur Rahman ◽  
...  

A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January, 2015 to December, 2015. Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers are illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and only 30.7% had three or more children.Medicine Today 2016 Vol.28(1): 1-5


2019 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Ike Putri Setyatama ◽  
Ika Esti Anggraeni ◽  
Siti Erniyati Berkah Pamuji

Perdarahan merupakan penyebab utama kematian ibu di Kabupaten Tegal pada Tahun 2017. Berdasarkan hasil survei di Puskesmas Slawi tahun 2018, terdapat 30 ibu bersalin yang mengalami perdarahan postpartum. Inisiasi Menyusu Dini (IMD) adalah perilaku pencarian puting payudara ibu sesaat setelah bayi lahir. Melaksanakan IMD akan menstimulasi produksi hormon oksitosin secara alami. Hormon Oksitosin ini membantu uterus berkontraksi, sehingga dapat mengontrol perdarahan nifas.Tujuan penelitian untuk menganalisis pengaruh IMD terhadap kontraksi uterus pada ibu nifas di Puskesmas Slawi. Populasi dalam penelitian ini adalah ibu yang bersalin di Puskesmas Slawi periode bulan Januari-Desember tahun 2018 sebanyak 215 responden, dan sampel sebanyak 140 responden. Desain penelitian ini menggunakan metode survei dengan pendekatan case control. Berdasarkan perhitungan Chi Square dengan α = 0,05 diperoleh nilai p sebesar 0,029. Karena nilai p < α berarti secara statistik hasil pengujian signifikan, berarti ada hubungan antara variabel, dan hasil uji statistik pengaruh dengan Regresi Logistik, diperoleh nilai Sig. 0,029, berarti ada pengaruh antara variabel dengan R Square 0,034, berarti bahwa variabel IMD berpengaruh terhadap kontraksi uterus sebesar 3,4%. Kesimpulan dalam penelitian ini ada hubungan dan ada pengaruh IMD terhadap kontraksi uterus ibu nifas di Puskesmas Slawi Kabupaten Tegal. Kata kunci : inisiasi menyusu dini;  kontraksi uterusTHE EFFECT OF EARLY INITIATION OF BREASTFEEDING TOWARDS UTERINE CONTRACTION FOR POSTPARTUM MOTHER AT PUSKESMAS SLAWI TEGAL REGENCY Hemorrhage is the main cause of maternal mortality in Tegal regency 2017. Based on the survey at Slawi District Health Centre, in January – December 2018, there were 30 women in labor with postpartum hemorrhage. Early Initiation of Breastfeeding (IMD) is an act performed by the baby in finding mother’s nipple after born. IMD will stimulate oxytocin hormones helping uterine to get contraction and can control hemorrhage after labor. The study was aimed to analyze the effect of IMD towards uterine contraction for postpartum mother at Slawi District Health Centre. The population was women in labor at Puskesmas Slawi as 215 respondents; the sample was 140 women in labor, and performed or not performed IMD The research design applied case control study..Based on Chi Square with α = 0.05, p value was 0.029. It refused Ho; there was a relationship of those variables. The logistic regression described that Sig. value was 0.029; it showed an effect of those variables with R square of 0.034 stating IMD had an effect of uterine contraction as 3.4%. Therefore, there were a relationship and an effect of IMD towards uterine contraction of postpartum mother at Puskesmas Slawi. Keywords: early initiation of breastfeeding; uterine contraction 


2019 ◽  
Vol 6 (2) ◽  
pp. 168-172
Author(s):  
Afi Lutfiyati ◽  
Fitri Haryanti ◽  
Lely Lusmilasari

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.


Author(s):  
Vira Dwi Nisrina ◽  
Sundari Indah Wiyasihati ◽  
Widati Fatmaningrum ◽  
Sulistiawati Sulistiawati

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.


2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Siti Nurokhmah ◽  
Siti Masitoh ◽  
Kusuma Estu Werdani

Pre-lacteal feeding is a challenge to optimal breastfeeding practices in developing countries, and it directly or indirectly affects the health of infants. Furthermore, it is widely known as a distraction to exclusive breastfeeding, and the malpractice continues to be prevalent in Indonesia. Therefore, this study aimed to explore the potential determinants of pre-lacteal feeding among mothers of infants below aged 24 months. A sample of 6,455 mother-infant pairs from the 2017 Indonesia Demographic and Health Survey (IDHS) was used. Also, multivariate logistic regression was employed to identify factors associated with pre-lacteal feeding practice. In Indonesia, 44.0% of infants were introduced to solid/liquid feeds in their first three days of life. Infant formula was the most common pre-lacteal feed given, followed by any other milk, plain and sugar water, and honey. Early initiation of breastfeeding and living in an urban area were protective method against pre-lacteal feeding (AOR: 0.24; 95% CI: 0.21-0.28; AOR: 0.76; 95% CI: 0.65-0.90, respectively), while cesarean delivery acted as a risk factor (AOR: 1.36; 95% CI: 1.14-1.63). Meanwhile, gender role attitude, parity, perceived birth size, and household wealth index was also associated with pre-lacteal feeding. Overall, the percentage of mothers introducing pre-lacteal feeds was still high. The modifiable covariates associated with pre-lacteal feedings, such as early initiation of breastfeeding, parity, and birth size were the major factors discouraging this practice.


2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
M Riduan Abriadi ◽  
Husaini Husaini ◽  
Eko Suhartono ◽  
Zairin Noor ◽  
Meitria Syahadatina Noor

Early initiation of breastfeeding is program of Indonesian Government.   Early breastfeeding has not been widely practiced, <30% for South Kalimantan and 21% for Tapin District. The implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital is influenced by age, education level, years of service, midwife training and socialization of implementation of early breastfeeding initiation. This study aims was to analyze the factors associated with implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital. The study was cross sectional, with 32 midwives in PONEK, maternity and nicu at Datu Sanggul Rantau Hospital. The variables were age, education level, years of service, training and socialization. Data were analyzed using Chi square.  The results showed socialization was related with p value of 0.004. Unrelated factors were age p value 0.660, education level p value 0.496, years of service p value of 0.761, and training p value 0.314. Simultaneously, age, education level, years of service, training and socialization are not related to the implementation of early breastfeeding initiation with p value 0, 083. The conclusion is there is a significant relationship between socialization and the implementation of early initiation of breastfeeding at Datu Sanggul Rantau Hospital.


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