scholarly journals A training intervention on child feeding among primary healthcare workers in Ibadan Municipality

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Folake O. Samuel ◽  
Funmilola M. Olaolorun ◽  
Joshua D. Adeniyi
Keyword(s):  
Community Health ◽  
Primary Healthcare ◽  
Health Workers ◽  
Training Intervention ◽  
Health Extension Workers ◽  
Child Feeding ◽  
Attitudes And Practices ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Before And After

Introduction: Health workers at the primary level are well positioned to provide health information and counselling on child feeding to mothers on antenatal visits. The study was designed to evaluate the effect of training on the knowledge, attitudes and provision of infant and young child feeding (IYCF) information and counselling among primary healthcare (PHC) workers. Methods: A two-stage cluster sample was used to select health workers for training on IYCF in Ibadan, Nigeria. Baseline, immediate and 4-week post-training surveys were conducted to assess knowledge, attitudes and practices of health workers regarding IYCF. Paired t-tests were used to measure differences (p < 0.05) before and after the training. Results: A total of 124 health workers were trained on current global IYCF recommendations. Participants included community health extension workers (59.7%), nurses (27.4%), community health officers (11.3%), and pharmacy technicians (1.6%). Mean age was 41.8 ± 8.2 years and 95.2% were women. Knowledge of health workers regarding IYCF, particularly complementary feeding, was low at baseline but improved significantly following the training intervention. Attitudes and practices regarding provision of IYCF were suboptimal among health workers at the PHC facilities, but this improved with training. Conclusion: Health workers at the PHC level need regular retraining exercises to ensure effective counselling on IYCF.

scholarly journals Challenges and responses to infant and young child feeding in rural Rwanda: a qualitative study

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Laura Bouwman ◽  
Inge D. Brouwer ◽  
Eric Matsiko ◽  
Margaret Armar-Klemesu ◽  
...  
Keyword(s):  
Young Child ◽  
Community Health ◽  
Community Health Workers ◽  
Child Nutrition ◽  
Health Workers ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Abstract Background Despite different interventions to improve child nutrition conditions, chronic malnutrition is still a public health concern in Rwanda, with a high stunting prevalence of 38% among under 5-year-olds children. In Rwanda, only 18% of children aged 6–23 months are fed in accordance with the recommendations for infant and young child feeding practices. The aim of this study was to explore challenges to infant and young child feeding practices and the responses applied to overcome these challenges in Muhanga District, Southern province of Rwanda. Methods Sixteen (16) focus group discussions were held with mothers, fathers, grandmothers, and community health workers from 4 rural sectors of Muhanga District. The discussions were recorded, transcribed verbatim, and thematically analyzed using qualitative data analysis software, Atlas.ti. Results Two main themes emerged from the data. Firstly, there was a discourse on optimal infant and young child feeding (IYCF) practices that reflects the knowledge and efforts to align with early initiation of breastfeeding, exclusive breastfeeding for the first 6 months, as well as initiation of complementary foods at 6 months recommendations. Secondly, challenging situations against optimal practices and coping responses applied were presented in a discourse on struggling with everyday reality. The challenging situations that emerged as impeding appropriate IYCF practices included perceived lack of breast milk, infant cues, women’s heavy workload, partner relations and living in poverty. Family and social support from community health workers and health facility staff, financial support through casual labor, and mothers saving and lending groups, as well as kitchen gardens, were used to cope with challenges. Conclusion Factors influencing IYCF practices are multifaceted. Hence, intervention strategies to improve child nutrition should acknowledge the socially embedded nature of IYCF and address economic and social environmental constraints and opportunities, in addition and above knowledge only.

scholarly journals Validation of Infant and Young Child Feeding Questionnaire for the Assessment of Knowledge, Attitudes and Practices among Child Care Providers: The IYCF-CCPQ

2019 ◽  
Vol 16 (12) ◽  
pp. 2147
Author(s):  
Zakria ◽  
Tengku Ismail ◽  
Wan Mansor ◽  
Sulaiman
Keyword(s):  
Child Care ◽  
Young Child ◽  
Child Care Providers ◽  
Care Providers ◽  
Knowledge Domain ◽  
Child Feeding ◽  
Attitudes And Practices ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Knowledge Attitudes And Practices

The validation of a new questionnaire is essential to improving its credibility in the assessment and collection of evidence. This study aimed to validate a newly developed infant and young child feeding questionnaire for child care providers (IYCF-CCPQ) to measure the knowledge, attitudes, and practices regarding infant and young child feeding among them. A cross-sectional study was conducted with 200 child care providers who were involved in handling children less than two years old in child care centers in the northeastern part of Peninsular Malaysia. The IYCF-CCPQ was self-administered and consists of three domains: Knowledge (104 items), attitude (90 items), and practice (42 items). The dichotomous-scale items in the knowledge domain were analyzed using a two-parameter logistic model of item response theory (2-PL IRT). The Likert-type-scale items in the attitude section were assessed using exploratory factor analysis (EFA). The items in the practice section were assessed descriptively. Internal consistency by marginal reliability was assessed in the knowledge domain, and Cronbach’s alpha coefficient was used for the attitude domain. The marginal reliability values were 0.91 and 0.74 for the knowledge domains related to breastfeeding/formula feeding and complementary feeding, respectively, and the Cronbach’s alpha values were 0.89 and 0.90 for the attitude domains related to breastfeeding/formula feeding and complementary feeding, respectively. The analysis showed good psychometric properties (discrimination, difficulty index, factor loading, and communalities) and good reliability. The IYCF-CCPQ is valid for use assessing the knowledge, attitudes, and practices among Malaysian child care providers regarding infant and young child feeding.

scholarly journals Knowledge, attitudes and practices of mothers and caregivers on infant and young child feeding in peri-urban zones of Bobo-dioulasso in Burkina Faso

2020 ◽  
Vol 20 (06) ◽  
pp. 16703-16716
Author(s):  
Alain Hien ◽  
◽  
JW Some ◽  
IT Traore ◽  
C Meda ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Food Group ◽  
Child Feeding ◽  
Attitudes And Practices ◽  
Young Child Feeding ◽  
Adequate Knowledge ◽  
Infant And Young Child ◽  
Bobo Dioulasso ◽  
Knowledge Attitudes And Practices

Knowledge, attitudes and practices(KAP) of mothers/caregivers on infant and young child feeding are key factors for optimal nutritional status, health and growth of the children. A community-based, cross-sectional descriptive study was conducted during January 2017 to assess the knowledge, attitudes and practices on infant and young child feeding (IYCF) of mothers/ caregivers who lived in peri-urban areas of Bobo-Dioulasso, Burkina-Faso.This study was carried out before a nutrition education-based intervention and included 245 mothers/ caregivers that were randomly selected in the peri-urban communities of Bobo-Dioulasso. A semi-structured interviewer-administered questionnaire developed based on Food and Agriculture Organization knowledge, attitudes and practices assessment method was used to collect KAP and socio-economic data. Analyses were performed using SPSS version 20. For this study, authorization was obtained from the regional directorate of health of the Hauts-Bassins region. Verbal consent was obtained after the participants had been informed about the study objectives. Among the 245 study participants, 55.1% were aged less than 30 years. More than 3 out of 4 mothers/caregivers (76.3%) were Muslim and 59.2% of them were illiterate. Almost all mothers/caregivers (98.8%) had adequate knowledge for breastfeeding and 87.9% of them knew about exclusive breast feeding up to 6 months. In addition, 91.8% of mothers/caregivers reported that they gave colostrum at birth. Furthermore, 67.5% of the mothers started breastfeeding within one hour after delivery. Based on mothers/caregivers’ report on complementary foods consumed by 6-59 months children in the previous 24h before the interview, cereals were the most reported consumed food group (89.8%) followed by meat and fish products (28.6%). This study found that mothers/caregivers had adequate knowledge about IYCF in general. However, mothers/caregivers’ practice of complementary feeding was inappropriate. Cereals were the food group consumed by most of children aged 6-59 months raising the needs for interventions, such as cooking demonstrations during postnatal visits in health facilities,to improve complementary feeding in this population.

scholarly journals Building the capacity of community health workers to support health and social care for dependent older people in Latin America: a pilot study in Fortaleza, Brazil

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
João Bastos Freire Neto ◽  
Gerídice Lorna Andrade de Moraes ◽  
Janaína de Souza Aredes ◽  
Karla Cristina Giacomin ◽  
Luciane Ponte de Melo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older People ◽  
Community Health ◽  
Community Health Workers ◽  
Health Care Services ◽  
Health Workers ◽  
Training Intervention ◽  
Care Givers ◽  
Health And Social Care ◽  
Before And After

Abstract Background Brazil is seeing rapid population ageing, which is leading to new demands on primary health care services. There is a need to develop and assess the effectiveness of new interventions to build the capacity of staff, including community health workers, to meet the needs of groups such as care-dependent older people and their care-givers. This study examines the feasibility of a small training intervention piloted in the Brazilian city of Fortaleza. Methods The study evaluated participants’ own assessments of key knowledge and skills related to the needs of care-dependent older people, both before and after the training intervention. It also assessed their capacity to implement a simple screening tool of geriatric risk factors. Results The participant self-assessments indicate significant improvements in their perceived knowledge and capacity in responding to the health needs of care-dependent older people. Additionally, participants were able to successfully conduct the home visits and screening for risk factors. Conclusions The study demonstrates the feasibility of developing interventions to enhance the capacity of community health workers to meet the needs of dependent older people in countries like Brazil. The evidence of effectiveness, though limited and subjective, provides justification for a larger, formally evaluated intervention. The experience of Fortaleza provides valuable lessons for other cities and countries in the region which are facing similar challenges.

scholarly journals An Iterative Process for Training Design and Implementation Increased Health Workers’ Knowledge for Taking Nutrition Behavior Change to Scale

2019 ◽  
Vol 149 (Supplement_1) ◽  
pp. 2323S-2331S ◽  
Author(s):  
Wendy Gonzalez ◽  
Anabelle Bonvecchio Arenas ◽  
Armando García-Guerra ◽  
Mireya Vilar-Compte ◽  
Alejandría Villa de la Vega ◽  
...  
Keyword(s):  
Young Child ◽  
Feasibility Study ◽  
Iterative Process ◽  
Health Workers ◽  
Scale Up ◽  
Training Design ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Design And Implementation ◽  
Infant And Young Child

ABSTRACTBackgroundThe shortage of skilled, motivated, and well-supported health workers is a major barrier to scaling up nutrition interventions and services.ObjectiveThe objective of this study is to describe the process for developing and implementing a training of health personnel for the delivery of the Integrated Strategy for Attention to Nutrition (EsIAN), an evidence-based strategy for promoting infant and young child feeding through primary health care in Mexico. The specific objective is to provide a case study and highlight challenges, as well as elements to successfully mitigate these, and discuss potential applications of findings beyond the Mexican context.MethodsThe design and implementation of training followed a 5-phase process: situation analysis, formative research, large-scale feasibility study, redesign and scale up, and evaluation. We conducted document reviews, surveys, and focus groups during the first phases to inform and refine the training, as well as a pre- and posttraining telephone survey to evaluate change in knowledge.ResultsThe initial phases of the design provided a clear understanding of the opportunities and challenges for promoting infant and young child feeding, as well as health workers’ routines and practices, which informed training design. The feasibility study allowed tailoring and refinement of training. The vertical coherence and coordination between the federal and state levels during redesign and scale up facilitated compliance with training timeline and process. Evaluation results showed significant improvement in knowledge posttraining of up to 19 percentage points.ConclusionsThe EsIAN training component for health providers was developed using a systematic approach to consolidate and generate relevant evidence, following an iterative process to test, learn, and improve both design and implementation. This process allowed for flexibility to take advantage of new opportunities and respond to findings from iterations. Garnering and ensuring political support allowed for continuity and sustainability of actions.

scholarly journals Knowledge and attitude regarding complementary feeding practices among medical interns in Yenepoya medical college, Mangalore

2020 ◽  
Vol 7 (11) ◽  
pp. 2137
Author(s):  
Sowmya R. Nathan ◽  
Haleema Nuwera ◽  
Shyam Sudhir ◽  
Rasheena Shamshu
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Workers ◽  
Feeding Practices ◽  
Child Feeding ◽  
Medical College ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Medical Interns

Background: The health of the child depends on the attainment of the nutritional requirements, which include breast-feeding followed by complementary feeding. The mother’s knowledge on complementary feeding is greatly relied upon health workers. Therefore it is important for the health workers to know the recommended practices for Infant and Young Child Feeding practices so that they can impart the same to mothers.Methods: Cross sectional hospital based questionnaire study conducted among 120 medical interns at Yenepoya Medical College Hospital, Mangalore. A score of more than 75% was considered good, 50 -74% moderate, and less than 50% as poor. Statistical Package of social science (SPSS) software was used for analysis of data.Results: Of the 110 respondents, majority of them (88.18%) of them agreed to initiate complementary feeding at 6 months. 82% of them responded that it should be initiated with rice/cereal-based diet. Of the 110 responded 87 of them agreed that for a 6–8 month old breastfed child the frequency of feeds needed to be at least 2 times or higher. Regarding the type of complementary feeding, 89.09% were aware that it should be started with mono-cereals.Conclusions: This study concluded that majority of the medical interns had a good knowledge on the recommended feeding practices for the infant and young child. There were very few medical interns who had to be informed regarding the correct infant and young child feeding practices.

scholarly journals Promoting Breastfeeding in Workplaces: Experiences with the Crèche at the University of Port Harcourt Teaching Hospital, Southern Nigeria

2019 ◽  
pp. 136-142
Author(s):  
G. K. Eke ◽  
A. R. Nte
Keyword(s):  
Teaching Hospital ◽  
Maternity Leave ◽  
Health Workers ◽  
Personal Data ◽  
Child Feeding ◽  
Record Keeping ◽  
Young Child Feeding ◽  
Port Harcourt ◽  
Infant And Young Child ◽  
The University

Background: The Baby Friendly Hospital Initiative (BFHI) aims to promote, protect and support optimal infant and young child feeding (IYCF) practices among all women, irrespective of their employment status. Consequently the University of Port Harcourt Teaching Hospital (UPTH), a Baby Friendly Hospital, has provided free Crèche services since 1996 to enable working mothers breastfeed their babies while at work, as they resume after 4 months of maternity leave. Aims: To appraise attendance and use of the Crèche by health workers for the promotion, protection and support of breastfeeding at the UPTH. Study Design: Retrospective study. Place and Duration of Study: Department of Paediatrics, UPTH, Nigeria. Methodology: Personal data and data on Crèche attendance were extracted from the Registers of children cared for at the Crèche between November 2006 and October 2016, entered into Excel Spreadsheet and analysed with SPSS version 20. Simple statistics were used to analyse and present data. Results: One thousand and sixty-two children utilised the Crèche during the 10 years review period with total of 10,490 attendances. The children consisted of 604(57%) males and 458(43%) females, aged 6 weeks to 48 months (mean-6.44±2.54 months). An average of 93.6 children were cared for each month, with attendance showing a declining trend and they spent 2 to 9.5(mean-4.68) hours daily. The children attended the Crèche for 1 to 22(mean-7.35) days each month, while 32% of them attended only 1-3 days a month. Mothers from all clinical and non-clinical departments utilised the Crèche with nurses constituting 37%. Conclusion: Utilisation of the Crèche services was sub-optimal. Its provision alone is insufficient to promote and support optimal IYCF practices among working women. User education and support for optimal IYCF practices are required. Access to Crèche services in all shifts and on all days should be guaranteed. Improved record keeping is required.

scholarly journals Formative evaluation of a training intervention for community health workers in South Africa: A before and after study

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0202817 ◽  
Author(s):  
Alexandra Plowright ◽  
Celia Taylor ◽  
David Davies ◽  
Jo Sartori ◽  
Gillian Lewando Hundt ◽  
...  
Keyword(s):  
South Africa ◽  
Community Health ◽  
Community Health Workers ◽  
Formative Evaluation ◽  
Health Workers ◽  
Training Intervention ◽  
Before And After ◽  
Before And After Study

A qualitative analysis of infant and young child feeding practices in rural Rwanda

2020 ◽  
pp. 1-10 ◽  
Author(s):  
Theogene Dusingizimana ◽  
Janet L Weber ◽  
Thiagarajah Ramilan ◽  
Per O Iversen ◽  
Louise Brough
Keyword(s):  
Young Child ◽  
Health Workers ◽  
Qualitative Interviews ◽  
Feeding Practices ◽  
Classification Systems ◽  
Educational Approach ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Abstract Objective: To explore and gain an in-depth understanding of the factors influencing child feeding practices among rural caregivers in Rwanda. Design: In-depth semi-structured qualitative interviews were conducted. Purposive sampling was used to recruit participants. Interviews were audio-recorded, transcribed verbatim and coded. Data were analysed inductively using thematic analysis. Setting: Rutsiro District, Western Province, Rwanda. Participants: Participants included twenty-four mothers (median age 32 years) with children 6–23 months old. Results: We identified five key themes: (i) breast-feeding practices and role in food supply; (ii) family v. children’s food preparations; (iii) food classification systems and their influence on child feeding decisions; (iv) child feeding during diarrhoeal episodes and (v) influence of poverty on child feeding practices and child care. Conclusions: Mothers’ infant and young child feeding decisions are informed by information both from health workers and from traditional/own knowledge. Navigating through this information sometimes creates conflicts which results in less than optimal child feeding. A nutrition educational approach that is cognisant of maternal perceptions should be employed to improve child feeding practices. Efforts to improve child feeding practices must be complemented by programmes that enhance household economic opportunities and access to foods.

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