scholarly journals Complementary feeding implementation in Pintu Padang Health Centre, South Tapanuli District, Indonesia: a qualitative study

2021 ◽  
Vol 50 (1) ◽  
pp. 63
Author(s):  
Cecep Triwibowo ◽  
Rusdi Rangkuti ◽  
. Ridesman ◽  
Niniek Lely Pratiwi ◽  
. Tinah ◽  
...  
Author(s):  
Ramprakash Kaswa ◽  
George F.D. Rupesinghe ◽  
Benjamin Longo-Mbenza

Background: Antenatal care (ANC) services are the gateway for integrated management of several conditions that adversely affect the mother and foetus. More stillbirths than neonatal deaths in South Africa are a reflection of poor quality ANC services. Aim: The primary aim of this study was to explore the reasons for late booking, and also to determine pregnant women’s knowledge, perceptions and attitude towards antenatal care services they receive in Mthatha area in Eastern Cape, South Africa. Setting: This was a qualitative study, conducted at Mbekweni Health Centre in the King Sabata Dalindyebo (KSD) subdistrict municipality of the Eastern Cape Province. Methods: This qualitative study consisted of selected pregnant women who presented after 19 weeks of gestation at Mbekweni Health Centre. Data were collected through two different methods, namely, semi-structured interviews and focus group discussions were used until saturation of the themes were reached. The interviews were transcribed verbatim and thematic analyses were undertaken. Results: Twenty women participated in the study. They were diverse in terms of age 18–41 years, gravidity 1–6 and time of ANC booking 20–28 weeks. The interviews identified a variety of personal, service and organisational reasons for late ANC booking. The themes identified for late ANC bookings were: health care system related issues, socio-economic factors, women’s perceptions and knowledge, and failure of family planning services. Conclusions: Women’s beliefs, knowledge and perceptions regarding antenatal services outweigh the perceived benefit of early ANC visit. The majority of women had lack of knowledge of contraception, early signs of pregnancy, purpose, timing and benefits of ANC visit.


2020 ◽  
Vol 8 (2) ◽  
pp. 101-106
Author(s):  
Risky Amelia Rhamadani ◽  
Reny Noviasty ◽  
Ratno Adrianto

Background : Nutrition problems in toddlers become a public health problem when it exceeds WHO indicators in which the issue of malnutrition and undernutrition 17.8%, short toddlers 27.5% and thin toddlers 11.1%. The problem of undernutrition, short and thin toddlers are public health problem in the chronic category.Objective :  to determine the factor related to the nutritional status of toddlers in Loa Ipuh Health Centre. The design of this research is a cross-sectional study with total sample of 97 toddlers. Data collection uses anthropometric measurements, 24 hours of form food recall and questionnaires for mother's knowledge of breastfeeding complementary feeding and the utilization of health services.Method : Data analysis is using Pearson product-moment test with a significance level of 0.05. The results showed that there was a significant positive relationship between the food intake with the WAZ (P=0,000), HAZ (P=0,000) and  WHZ (P=0,021), mother's knowledge about complementary feeding with the WAZ (P=0,041), HAZ (P=0,010) and WHZ (P=0,010), utilization of health services with the WAZ (P=0,007), HAZ (P=0,009) and WHZ (P=0,006). Result : there is a significant positive relationship between intake of toddler feeding, mother's knowledge about complementary feeding and the utilization of health services with the nutritional status of toddlers WAZ, HAZ, and WHZ. Access to health services should be improved and evenly distributed throughout the health centre area.Conclusion : There is a significant positive relationship between food intake for children under five, maternal knowledge about complementary foods and health service utilization with the nutritional status 


2021 ◽  
Vol 5 (1) ◽  
pp. 263-270
Author(s):  
Pandu Sandika ◽  
Nur Afrinis ◽  
Emdas Yahya

Complementary feeding of breastmilk to infants aged less than 6 months can cause health problems such as constipation, diarrhea and allergies. It will have an impact on the nutritional status of the infant. The purpose of this study was to determine the relationship between motivation and mother occupation with complementary feeding of breastmilk to infants under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020. This type of research was analytic with cross sectional design. The population of this research was mothers who have infants aged 0-6 months in Naga Beralih village, the working area of Community Health centre Kampar Utara, totaling 41 people. Data collection tools in this study used a questionnaire. Data analysis in this study used univariate and bivariate analysis with chi square. The results showed that most of the respondents have high motivation in giving complementary breastfeeding, most of the respondents work, most of the respondents give complementary foods to infant under the age of 6 months. There was a relationship of motivation with complementary feeding with p value of 0.001. There was a work relationship with the provision of complementary feeding under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020 with a p value of 0.002. For health workers, in order to increase education about the importance of complementary breastfeeding by forming classes for infants and toddlers to provide information and demonstrations, especially regarding the amount of complementary breastfeeding, types of food and timing of complementary feeding.


2020 ◽  
Vol 105 (9) ◽  
pp. 819-824
Author(s):  
Siti Nurkamilla Ramdzan ◽  
Ee Ming Khoo ◽  
Su May Liew ◽  
Steven Cunningham ◽  
Marilyn Kendall ◽  
...  

ObjectiveWe aimed to explore the views of Malaysian children with asthma and their parents to enhance understanding of early influences on development of self-management skills.DesignThis is a qualitative study conducted among children with asthma and their parents. We used purposive sampling and conducted focus groups and interviews using a semi-structured topic guide in the participants’ preferred language. All interviews were audio-recorded, transcribed verbatim, entered into NVivo and analysed using a grounded theory approach.SettingsWe identified children aged 7–12 years with parent-reported, physician-diagnosed asthma from seven suburban primary schools in Malaysia. Focus groups and interviews were conducted either at schools or a health centre.ResultsNinety-nine participants (46 caregivers, 53 children) contributed to 24 focus groups and 6 individual interviews. Children mirrored their parents’ management of asthma but, in parallel, learnt and gained confidence to independently self-manage asthma from their own experiences and self-experimentation. Increasing independence was more apparent in children aged 10 years and above. Cultural norms and beliefs influenced children’s independence to self-manage asthma either directly or indirectly through their social network. External influences, for example, support from school and healthcare, also played a role in the transition.ConclusionChildren learnt the skills to self-manage asthma as early as 7 years old with growing independence from the age of 10 years. Healthcare professionals should use child-centred approach and involve schools to facilitate asthma self-management and support a smooth transition to independent self-management.Trial registration numberMalaysian National Medical Research Register (NMRR-15-1242-26898).


Sexual Health ◽  
2005 ◽  
Vol 2 (1) ◽  
pp. 25 ◽  
Author(s):  
M. K. Pitts ◽  
A. M. A Smith ◽  
A. Mischewski ◽  
C. Fairley

Objectives: To describe how men narrate the process of bodily change as a trigger to presentation for a suspected sexually transmissible infection. Methods: The study was qualitative with 18 men presenting at a specialist sexual health centre in an urban setting. Results: All men gave narratives that included accounts of bodily changes prior to presentation. The nature, severity and persistence of those changes were unrelated to subsequent diagnosis. Men responded particularly to visual changes as cues to action. Conclusions: The men exhibited limited skills in understanding the significance and the specifics of bodily change as they may relate to a sexually transmissible infection. While these men identified a broad range of changes as potentially indicative of a sexually transmissible infection, their ability to act on visceral rather than visual cues appears constrained in that they were less able to respond to the feel of their body than the way that it looked.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e033403
Author(s):  
Victoria Kuta ◽  
Lauren Curry ◽  
Daniel McNeely ◽  
Simon Walling ◽  
Jill Chorney ◽  
...  

ObjectivesCraniosynostosis is typically diagnosed and surgically corrected within the first year of life. The diagnosis and surgical correction of the condition can be a very stressful experience for families. Despite this, there is little research exploring the impact that craniosynostosis has on families, especially in the period immediately following diagnosis and correction. In this study, the authors aimed to qualitatively examine the psychosocial experience of families with a child diagnosed with craniosynostosis.DesignQualitative study.SettingTertiary care paediatric health centre.ParticipantsMothers of children newly diagnosed with single-suture, non-syndromic craniosynostosis.InterventionSemistructured interviews regarding parental experience with the initial diagnosis, their decision on corrective surgery for their child, the operative experience, the impact of craniosynostosis on the family and the challenges they encountered throughout their journey.Primary and secondary outcome measuresThematic analysis, a type of qualitative analysis that provides an in-depth account of participant’s experiences, was used to analyse the interview data.ResultsOver a 4-year period, 12 families meeting eligibility criteria completed the study. Three main themes (six subthemes) emerged from the preoperative interviews: frustration with diagnostic delays (parental intuition and advocacy, hope for improved awareness), understanding what to expect (healthcare supports, interest in connecting with other families) and justifying the need for corrective surgery (influence of the surgeon, struggle with cosmetic indications). Two main themes (four subthemes) were drawn from the postoperative interviews: overcoming fear (the role of healthcare professionals, transition home) and relief (reduction in parental anxiety, cosmetic improvements).ConclusionsOverall, the diagnosis of craniosynostosis has a profound impact on families, leading them to face many struggles throughout their journey. A better understanding of these experiences will help to inform future practice, with a hope to improve this experience for other families moving forward.


Author(s):  
Christiana Naa Atsreh Nsiah-Asamoah

Aim: This study sought to explore the cultural factors that are associated with complementary feeding from the reports of Community Health Workers (CHWs) and Volunteers (CHVs) in two rural districts in Ghana. Study Design: This was a cross-sectional qualitative study that assessed cultural beliefs, norms, superstitions and practices that influence complementary feeding practices of young children under two years in two rural farming districts in Ghana Study Area: The study was conducted at Kwahu Afram Plains North and South Districts in the Eastern Region of Ghana. Methodology: The study employed qualitative methods which entailed conducting 9 focus group discussions among CHWs and CHVs working at two rural districts in Ghana. The focus group discussions were conducted with the aid of a validated, interview guide, after obtaining informed consent (written) from the health workers. Ethical clearance for the study was obtained from the Institutional Review Boards of the Dodowa Health Research Centre and the University of Cape Coast. Thematic content analytical procedures were applied to analyze the transcripts, interpret and present findings as a narrative account. Results: The reports of the health workers indicate a common practice of early introduction of solid foods to infants before they attain six(6) months of age. Cultural beliefs, superstitions, beliefs, food taboos and prohibitions influence mothers’ complementary-feeding practices and result in limiting the food scope and dietary diversity of their young children. Conclusions: Interventions designed to promote appropriate complementary feeding practices should incorporate an understanding of social context, family, and cultural factors in developing nutrition promotion messages that are tailored to meet the needs of rural populations. More community interventions that draw on the support of key influential persons in the community and fathers are needed to address cultural barriers to appropriate complementary feeding practices.


2020 ◽  
Vol 13 (4) ◽  
pp. 340-347
Author(s):  
Rika Yulendasari ◽  
Muhammad Firdaus

Maternal factors relating to milk formula feeding on infants aged 0-6 months in Lampung-IndonesiaBackground: Many parents assume that breastmilk only would not be sufficient to fulfil baby’s nutrition need, so that baby need to feed with complementary feeding. The administration of complementary feeding like formula milk has been a common practice for some parents with reasons including less breastmilk production, maternal busy activities, less maternal knowledge concerning breastmilk feeding, saving time, being attracted by offered formula milk. Most parents administer formula milk with amount almost similar to breastmilk to fulfil the baby’s need.  Purpose: Knowing factors of formula feeding for infants 0-6 months.Methods: This was a quantitative analytic research by using cross sectional approach. Population was 220 babies of 0-6 months old in Waykandis public health centre working area from January to April 2019. 142 respondent samples were taken by using proportional random sampling.Results: The statistic test result showed that there were correlations of maternal occupation (p-value 0.016; OR 2.485), maternal education (p-value 0.004; OR 2.886), maternal knowledge (p-value 0.000; OR 0.089) to formula milk administration.Conclusion: There were factors of formula feeding for infants 0-6 months. The researcher expects the public health centre to create a schedule list for complementary feeding besides breast milk administration according to the children fewer than five needs, and to be always active in providing health education especially concerning the importance of formula milk knowledge.Keywords: Maternal; Formula Feeding; Infants 0-6 MonthsPendahuluan : Banyak orang tua menganggap bahwa kebutuhan nutrisi bayi tidak cukup hanya dengan ASI, sehingga bayi perlu dibantu dengan memberikan makanan pendamping ASI. Pemberian makanan pendamping ASI berupa susu formula sudah menjadi hal yang biasa, dengan berbagai alasan yang diberikan seperti ASI yang keluar sedikit, kesibukan ibu, kurangnya pengetahuan ibu tentang pemberian ASI, hemat waktu, tergiur dengan kandungan susu formula yang ditawarkan. Kebanyakan orang tua menilai pemberian susu formula hampir setara dengan ASI dan dapat mencukupi kebutuhan gizi bayinya. Tujuan  : Diketahui faktor-faktor yang berhubungan dengan pemberian susu formula pada bayi usia 0-6 bulan.Metode : Jenis penelitian kuantitatif. Rancangan menggunakan analitik, dengan pendekatan cross sectional. Populasi dalam penelitian seluruh bayi usia 0-6 bulan di wilayah kerja Puskesmas Waykandis dari bulan Januari sampai dengan bulan April 2019 yaitu sebanyak 220 orang. Sampel berjumlah 142 responden dengan teknik Proportional Random Sampling.Hasil : Berdasarkan hasil uji statistik, terdapat hubungan antara faktor pekerjaan dengan pemberian susu formula (p-value 0,016) nilai OR 2,485, terdapat hubungan antara faktor pendidikan dengan pemberian susu formula (p-value 0,004) nilai OR 2,886, terdapat hubungan antara faktor pengetahuan dengan pemberian susu formula (p-value 0,000) nilai OR 0,089.Simpulan : Ada hubungan antara faktor pekerjaan, pendidikan dan pengetahuan terhadap pemberian susu formula pada bayi 0-6 bulan. Diharapkan tenaga kesehatan dapat membuat daftar menu pemberian MP-ASI sesuai dengan kebutuhan balita, selalu aktif memberikan penyuluhan kesehatan pentingnya pengetahuan tentang susu formula. 


2018 ◽  
Author(s):  
Maida J Sewitch ◽  
Carlo A Fallone ◽  
Peter Ghali ◽  
Ga Eun Lee

BACKGROUND The preparation for colonoscopy is elaborate and complex. In the context of colorectal cancer screening, up to 11% of patients do not keep their colonoscopy appointments and up to 33% of those attending their appointments have inadequately cleansed bowels that can delay cancer diagnosis and treatment. A smartphone app may be an acceptable and wide-reaching tool to improve patient adherence to colonoscopy. OBJECTIVE The aim of this qualitative study was to employ a user-centered approach to design the content and features of a smartphone app called colonAPPscopy to support individuals preparing for their colonoscopy appointments. METHODS We conducted 2 focus group discussions (FGDs) with gastroenterology patients treated at the McGill University Health Centre in Montreal, Canada. Patients were aged 50 to 75 years, were English- or French-speaking, and had undergone outpatient colonoscopy in the previous 3 months; they did not have inflammatory bowel disease or colorectal cancer. FGDs were 75 to 90 min, conducted by a trained facilitator, and audiotaped. Participants discussed the electronic health support tools they might use to help them prepare for the colonoscopy, the content needed for colonoscopy preparation, and the features that would make the smartphone app useful. Recordings of FGDs were transcribed and analyzed using thematic analysis to identify key user-defined content and features to inform the design of colonAPPscopy. RESULTS A total of 9 patients (7 male and 2 female) participated in one of 2 FGDs. Main content areas focused on bowel preparation instructions, medication restrictions, appointment logistics, communication, and postcolonoscopy expectations. Design features to make the app useful and engaging included minimization of data input, reminders and alerts for up to 7 days precolonoscopy, and visual aids. Participants wanted a smartphone app that comes from a trusted source, sends timely and tailored messages, provides reassurance, provides clear instructions, and is simple to use. CONCLUSIONS Participants identified the need for postcolonoscopy information as well as reminders and alerts in the week before colonoscopy, novel content, and features that had not been included in previous smartphone-based strategies for colonoscopy preparation. The ability to tailor instructions made the smartphone app preferable to other modes of delivery. Study findings recognize the importance of including potential users in the development phase of building a smartphone app.


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