A survey of knowledge and concepts of Public Health Midwives on exclusive breast feeding, in three districts of Sri Lanka

Abstract Objectives Sri Lanka has been awarded the first-ever ‘Green’ breastfeeding (BF) nation status by the World Breastfeeding Trends Initiative (WBTi) in January 2020 (1) with the support of public health system. But, deviating attention of health services towards emergency pandemic situation has resulted in strained health systems and interruptions in humanitarian response leading to eroding access to essential and often life-saving nutrition services. Therefore, optimal breast feeding practices are at risk due to infected mothers’ isolation practices, exhausted public health system and misbeliefs among the community (2). This finds out how Sri Lanka plans to maintain high standards of breast feeding in pandemic situation. Methods We searched for the publications on breast feeding, Sri Lanka in pandemic situation from January 2020 to date. Results As a low and middle income country with an unbeatable public health system, Sri Lanka has already issued an interim guideline for public health staff in continuation maternal and child care services (3). It ensures domiciliary visits by public health midwives (PHMs), although the clinic based teaching sessions on breast feeding have been cancelled. Community awareness has been created that no evidence of transmission of SARS COV-2 via breast milk is available and how the benefits of breast feeding outweigh the risk of infection (4). It is recommended that breast feeding shouldn't be interrupted at all and hand hygienic practices before touching the baby are ideal. Infected mothers can wear a protective mask and rooming in, and kangaroo mother care should be practiced. Sri Lanka already had guidelines on ensuring adequate and appropriate infant feeding guidelines in emergency situations (5). Conclusions Despite the challenges faced by community and public health staff, Sri Lanka make efforts to maintain the achieved breast feeding standards. Further studies are needed to assess the impact of the pandemic on breast feeding practices in near future. Funding Sources None

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Validity of Guatemalan Mother’s Self-Reported Breast-Feeding Practices of 3-Month-Old Infants

Food and Nutrition Bulletin ◽

10.1177/0379572116654644 ◽

2016 ◽

Vol 37 (4) ◽

pp. 494-503 ◽

Cited By ~ 4

Author(s):

Monica Mazariegos ◽

Christine Slater ◽

Manuel Ramirez-Zea

Keyword(s):

Public Health ◽

Breast Feeding ◽

Deuterium Oxide ◽

Reference Method ◽

Feeding Practices ◽

Self Report ◽

Feeding Practice ◽

Feeding Rates ◽

Exclusive Breast Feeding ◽

24 Hour Recall

Introduction: Breast-feeding practices (BFPs) can be assessed by interviewing the mother about current feeding practices and with a 24-hour recall. It is crucial to establish the accuracy of these methods, which are commonly used by public health decision makers to design health policies aimed at increasing exclusive breast-feeding rates. Objective: We aimed to validate 2 self-report BFP instruments using the dose-to-mother deuterium oxide turnover technique (DMDOT) as the reference method. Methods: Breast-feeding practices were assessed by interviewing the mother about current feeding practices and with a 24-hour recall in 36 Guatemalan mother–infant pairs. The validity of these instruments was assessed using DMDOT as the reference method. Results: Both self-report instruments overestimated exclusively breast-fed (EBF) infants. Infants classified as EBF were 50% by the reported current feeding practice, 61% by the 24-hour recall, and only 36% using DMDOT. Sensitivity to detect EBF infants from the mother’s self-report was 92% (95% CI: 62%-99%) while from the 24-hour recall was 100% (95% CI: 72%-100%, P < .01). However, specificity for both instruments was low, at 74% (95% CI: 51%-89%) for reported current feeding practice and at 61% (95% CI: 39%-79%) for the 24-hour recall ( P < .01). Conclusion: Both reported current feeding practice and the 24-hour recall instruments overestimated exclusive breast-feeding. Nevertheless, the use of reported current feeding practice provided more accurate data to assess BFPs in a public health setting. Furthermore, population-based surveys should consider the overestimation of exclusive breast-feeding caused when using these BFP instruments.

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The practice of exclusive breastfeeding: its socio-demographic determinants in Kashmir, North India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20190050 ◽

2019 ◽

Vol 6 (2) ◽

pp. 535

Author(s):

Suhail A. Naik ◽

Mohd. Irshad ◽

Ghulam Rasool ◽

Wasim A. Rafiq

Keyword(s):

Public Health ◽

Breast Feeding ◽

Health Problem ◽

Mode Of Delivery ◽

Public Health Problem ◽

Formula Feeding ◽

North India ◽

Normal Vaginal Delivery ◽

Major Public Health Problem ◽

Exclusive Breast Feeding

Background: Breastfeeding is a well-established and recommended intervention for the improvement of child nutrition. Formula feeding is a major public health problem. Objective of the current study was to know the significance of demography, socioeconomic, parental education and employment and mode of delivery on exclusive breast-feeding Kashmir, North India.Methods: A prospective hospital-based study, carried out in the Department of Pediatrics, G.B Pant Hospital Srinagar Kashmir India over the period from 2014 July to June 2015. A teaching, research and tertiary care hospital at Srinagar Kashmir North India. All the mothers who were having infants in the age group 0 to 6 months were included in study. Procedure of this variables recorded were modes of feeding, demographics, socioeconomic status, literacy level, mode of delivery, place of delivery etc.Results: A total of 600 mothers were included in study. Less than 35% of mothers were exclusively breast feeding their infants. Exclusive breast feeding was significantly high in babies born by normal vaginal delivery, more than 3 antenatal visits, mother knowing advantages of breast feeding and higher parental education.Conclusions: Exclusive breast feeding is very low (less than 35%) in this part of world and formula feeding is a major public health problem.

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Determinants of Exclusive Breast Feeding Practice among HIV Positive Mothers in North East Ethiopia: A mixed method study

10.21203/rs.3.rs-53397/v1 ◽

2020 ◽

Author(s):

Yonas Bizuwork Girma ◽

Abebe Minda ◽

Awraris Hailu ◽

Betregiorgis Hailu Zegeye

Keyword(s):

Public Health ◽

Logistic Regression ◽

Breast Feeding ◽

Hiv Positive ◽

Feeding Practice ◽

Hiv Status ◽

Multivariate Logistic Regression ◽

Exclusive Breast Feeding ◽

Hiv Positive Mothers ◽

Debre Birhan

Abstract Background: Exclusive breast feeding (EBF) of Human Immune Virus (HIV) exposed infants for the first six months is strongly recommended and vital for protecting them against common childhood illnesses including diarrhea and pneumonia. Despite its benefit, EBF practice is low in developing countries including Ethiopia. There is a paucity of evidence for factors associated with EBF among HIV positive mothers. Objectives: To assess exclusive breast feeding practice and its associated factors among HIV positive mothers attending Prevention of mother to child transmission and Anti-retroviral therapy clinics in public Health facilities of Debre Birhan town Amhara National Regional State, Ethiopia from February 01, 2020 to Apr 30, 2020Methods: Facility based convergent mixed methods design was used to conduct the study in public Health facilities of Debre Birhan town. Structured interviewer-administered questionnaires were used to collect data from 432 participants selected by systematic random sampling technique. Epi info version 7 and SPSS version 20 were used for data entry and analysis respectively. Descriptive and inferential statistics were computed during the analysis. Two focus group discussions and 25 in-depth interviews and observational checklist were held to collect data on barriers for exclusive breast feeding practice and thematic analysis was used to identify important insights on the study topic. Bivariate and multivariate logistic regression were conducted to select candidate variable and determine adjusted effect of independent variables respectively using p-value less than 0.05. The output from multivariate logistic regression were reported with 95% confidence interval.Results: The prevalence of exclusive breast feeding, mixed feeding and exclusive formula feeding practice were 89.8%, 6.9% and 3.2% respectively. Having information about EBF (No=0.02, 95% CI; 0.01, 0.12), time taking from home to workplace (less than 30 min=4.96, 95% CI; 1.17, 20.95), disclosing HIV status (No= 0.09, 95% CI; 0.02, 0.37), place of residence (urban=5.37, 95% CI; 1.12, 25.77), living with mother/mother in-law (No=6.03, 95% CI; 1.26, 28.86), knowledge about EBF (poor knowledge=0.06, 95% CI; 0.01, 0.34) were main factors for exclusive breast feeding practice. Poor counseling, non-disclosure of HIV status and pressure from mother/mother in-law were the commonly raised reasons by FGD and IDI participants for non-exclusive breast feeding practice. Conclusions: Majority of HIV positive mothers were practicing exclusive breast feeding for the first six month. Strengthening information dissemination, providing quality health services and empowering mothers through integrated interventions help to promote exclusive breast feeding practice among mothers living with HIV.

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Status of Exclusive Breast Feeding Among Children Born to Human Immunodeficiency Virus (HIV) Positive Mothers Attending Public Health Facilities in Western Ethiopia. Cross-Sectional Study.

10.21203/rs.3.rs-268053/v1 ◽

2021 ◽

Author(s):

Ejigayehu Tolessa Bultum ◽

Elias Merdassa Roro ◽

Ilili Feyesa Regassa

Keyword(s):

Public Health ◽

Human Immunodeficiency Virus ◽

Breast Feeding ◽

Health Facilities ◽

Hiv Positive ◽

Cross Sectional ◽

Exclusive Breast Feeding ◽

Public Health Facilities ◽

Hiv Positive Mothers ◽

Immunodeficiency Virus

Abstract Background: Only about 39% of infants in the developing countries are exclusively breast-fed for the first six months. Human immunodeficiency virus (HIV) positive women were confused about feeding methods. Exclusive Breastfeeding (EBF) practice of Human immunodeficiency virus (HIV) positive mothers is sub-optimal in Ethiopia. Hence, we want to identify the main factors influencing exclusive breast-feeding among HIV positive breast-feeding mothers. Main aims of the study were to assess the level and factors influencing Exclusive Breastfeeding (EBF) among children born to Human Immunodeficiency Virus (HIV) positive mothers attending public health facilities in western Ethiopia.Methods: A facility based cross sectional study was carried out from September 2017 to June 30, 2018 among Human Immunodeficiency virus (HIV) positive mothers with infants aged 6-23 months. Among public health facilities found in three districts from of West, East and Kellem Wollega Zones; thirteen facilities (i.e. 7 health centers and 6 hospitals) were randomly selected from among proving ART and PMTCT Services. Respondents were recruited by systematic random sampling techniques from these facilities using clients registers as sampling frame. Data were collected using face to face interviewer administered pre-tested questionnaire. The data were entered into computers using EPI info Version 3.5.1 and analyzed with SPSS Version 20 for windows. Candidate variables for the final multi-variable model were selected considering P< 0.05 at bivariable analysis. Associations were declared at P< 0.05 by assuming Confidence Intervals did not crossed number ‘1’with corresponding 95%. Results were presented using standard data presentation tools. Results: A total of 218 Human Immune Virus positive mothers were included in this study. Of these, only 122 (56.0%) practiced Exclusive Breast Feeding. The proportion of respondents who initiated Exclusive Breast Feeding within the first hours of delivery were 134 (61.8%). Mean age of the study participants were 28.68 with SD + 4.2. Mothers’ advices on child exclusive breast-feeding [AOR 3, 95% CI (1.2-6.7)], disclosure of HIV status to close friends [AOR 6, 95% CI (1.18-29.64)] and believing HIV can be transmitted during delivery [AOR 5.2, 95% CI (1.10-24.00)] were found to increase the change of exclusive breast-feeding practices among the study participants (P-value < 0.05).Conclusion Slightly more than half of the mothers practiced exclusive breast feeding for the first six months. Care providers should encourage mothers to practice exclusive breast feeding in the first six months and to disclose their test results to their husbands. Efforts should be in place to curb the risk of HIV/AIDS transmission during delivery.

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Exclusive Breast-Feeding Inhibits HIV Transmission

Family Practice News ◽

10.1016/s0300-7073(07)70541-8 ◽

2007 ◽

Vol 37 (9) ◽

pp. 22

Author(s):

TIMOTHY F. KIRN

Keyword(s):

Breast Feeding ◽

Hiv Transmission ◽

Exclusive Breast Feeding

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Peran Nenek dalam Peningkatan Cakupan ASI Eksklusif di Desa Bangunjiwo Kasihan Bantul

JURNAL NUTRISIA ◽

10.29238/jnutri.v19i1.51 ◽

2017 ◽

Vol 19 (1) ◽

pp. 68-78

Author(s):

Rahmad Nugroho ◽

Waryana Waryana ◽

Irianton Aritonang

Keyword(s):

Focus Group ◽

Observational Study ◽

Breast Feeding ◽

Group Discussion ◽

Cultural Factors ◽

Working Mother ◽

Data Presentation ◽

Exclusive Breast Feeding ◽

And Training

Background: The problem of low exclusive breast feeding achievement in Indonesia is caused by social cultural factors, i.e. the minimal understanding of expecting mother, family, society, and health servant with the exclusive breast feeding. The husband’s and grandmother’s motivation will influence on successful breast feeding. Objective: This study is aimed to reveal the exclusive breast feeding achievement ang the role of grandmother. Method: This is an observational study. The researcher observes the society phenomena in Bangunjiwo Village, Bantul Regency. The subjects of the study are: 1) grandmothers aging ≥ 55 yeras old, 2) breast feeding mothers, and 3) Posyandu cadres. The data are collected by the focus group discussion, detail interview, and documentation.The instruments of the study are FGD, stationaries, tape recorder, and camera. The data are analyzed from the preparation of transcript, data reduction, data presentation, and conclusion. Results: the success of breast feeding is motivated by grandmother’s role, i.e. 1) suggesting, 2) motivating, 3) caring, 4) reminding when mother goes out, 5) giving the stored mother’s milk for working mother, and midwive’s explanation and training for expecting mother. Conclusion: The role of grandmother in exclusive breast feeding will increase: 1) mother’s understanding of breast feeding advantages, 2) mother’s awareness of exclusive breast feeding, and 3) mother’s attitude of exclusive breast feeding. Therefore, a breast feeding mother will be able to increase in practicing exclusive breast feeding by: 1) overcoming obstacles, 2) consuming balanced nutrition, 3) maintaning health and drinking herb. Finally, these will influence the succssful exclusive breast feeding. Keywords: exclusive breastfeeding, The role of grandmother, mother’s attitude

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THE STUDY ON SITUATON OF EXCLUSIVE BREAST FEEDING FOR THE FIRST 6 MONTHS IN HOI AN

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.3.6 ◽

2016 ◽

pp. 36-42

Author(s):

Thi Ngoc Anh Nguyen ◽

Hoang Lan Nguyen

Keyword(s):

Breast Milk ◽

Breast Feeding ◽

Exclusive Breastfeeding ◽

Multivariable Logistic Regression Model ◽

Factors Affecting ◽

Exclusive Breast Feeding ◽

Key Words Breast ◽

Breastfeeding Rate ◽

Knowledge And Attitude ◽

Structured Questionnaire

Background: Breast milk is the most valuable source of food for infants, no food is comparable. However in many countries around the world including Vietnam, the breastfeeding prevalence has been declining. A report of the Ministry of Health showed that only 19.6% of infants in Vietnam were exclusively breastfed for the first 6 months. The study was conducted in Hoi An with the aim at describing the situation of exclusive breastfeeding for the first 6 months of the mothers in Hoi An city, Quang Nam province and; identifying some factors affecting exclusive breast feeding for the first 6 months in the study area. Methods: A crosssectional descriptive study was conducted in Hoi An city in December 2014. 516 mothers of infants aged from 6 to 12 months were directly interviewed on the basis of a structured questionnaire. Information about general characteristics of mothers and their infants, their knowledge and attitude of breastfeeding and the feeding types of their baby for the first 6 months was collected. Multivariable logistic regression model was used to identify factors affecting exclusive breastfeeding for the first 6 months. Results: The exclusive breastfeeding prevalence for the first 6 months is 22.3%. Knowledge in breastfeeding and attitude toward exclusive breastfeeding for the first 6 months are factors that significantly related to exclusive breastfeeding prevalence for the first 6 months (OR = 3.3; p=0.001 and OR=10.4; p<0.001, respectively). Conclusion: The exclusive breastfeeding rate for the first 6 months in Hoi An city is low. The promoting antenatal education in exclusive breastfeeding is necessary solution to improve exclusive breastfeeding rate for the first 6 months. Key words: breast milk, exclusive breastfeeding, Hoi An

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