Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India

Namasivayam, Vasanthakumar; Dehury, Bidyadhar; Prakash, Ravi; Becker, Marissa; Avery, Lisa; Sankaran, Deepa; Ramesh, Banadakoppa M; Blanchard, James; Kumar, Pankaj; Anthony, John; Kumar, Manish; Boerma, Ties; Isac, Shajy

doi:10.1186/s13006-021-00372-6

Cited by 18 publications

(13 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…During observation of nutrition service delivery, we found that only 17.6% facilities had dedicated space for counselling and although most pregnant women received counselling about their own diet, only 10% women were counselled on breastfeeding. This is an important missed opportunity as previous studies have shown that counselling during pregnancy have significant positive impact on initiation and duration of breastfeeding [ 26 , 27 ]. It is important to note that only half of the mothers received 4 ANC services which points to the need for improving health service utilization so that there are multiple opportunities to avail nutrition services.…”

Section: Discussionmentioning

confidence: 99%

Quality of nutrition services in primary health care facilities of Dhaka city: State of nutrition mainstreaming in urban Bangladesh

et al. 2022

View full text Add to dashboard Cite

Introduction Despite high prevalence of malnutrition little is known about the quality of nutrition services provided through urban health systems. This study aimed to fill in knowledge gaps on quality of nutrition service provision at public primary health care facilities in urban Dhaka. Method This cross-sectional study was conducted from April-July 2019 in Dhaka City. Fifty-three health facilities were sampled following NetCode protocol. Quality of nutrition services was assessed in terms of structural readiness, process, and client satisfaction. Structural readiness included equipment, guidelines, and registers, and knowledge of health professionals (n = 130). For process, client provider interaction was observed (ANC: n = 159, Pediatric: n = 150). For outcome assessment, client’s satisfaction with nutrition service provision was measured through interviews with pregnant women (n = 165) and caregivers of 0–24 month-old children (n = 162). Bivariate and multivariate analyses were conducted using SPSS. Results There were gaps in availability of equipment and guidelines in health facilities. Only 30% of healthcare providers received basic nutrition training. The mean knowledge score was 5.8 (range 0–10) among ANC providers and 7.8 for pediatric service providers. Process: Only 17.6% health facilities had dedicated space for counselling, 48.4% of pregnant women received four key nutrition services; 22.6% of children had adequate growth monitoring; and 38.7% of caregivers received counselling on exclusive breastfeeding. Outcome: The mean satisfaction with services was 4.3 for ANC and 4.0 for paediatric visits (range 1–5). Participants attending public facilities had significantly lower satisfaction compared to those attending private and NGO health facilities. Conclusion There were gaps in facility readiness, and implementation of nutrition services. The clients were more satisfied with services at private facilities compared to public. The gaps in nutrition service delivery need to be adequately addressed to ensure promotion of good nutrition and early detection and management of malnutrition among pregnant women and children in urban Bangladesh.

show abstract

Section: Discussionmentioning

confidence: 99%

Quality of nutrition services in primary health care facilities of Dhaka city: State of nutrition mainstreaming in urban Bangladesh

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Access to quality evidence-based maternal care is necessary to reduce maternal mortality and morbidity. However, the cost of delivery and post-natal care can affect the utilization of these services [ 15 ]. The results of the present study reported that all the pre-birth as well as post-birth respondents highlighted that the cost of maternal care was quite high and not affordable for all.…”

Section: Discussionmentioning

confidence: 99%

Expectations and experiences of women regarding maternal healthcare services in Pakistan: challenges and lessons to be learnt

Malik

Prescott

Khalid

et al. 2021

J of Pharm Policy and Pract

View full text Add to dashboard Cite

Background Access to maternal healthcare services is an essential pre-requisite for improving women’s health. However, due to poor access and underutilization, women in developing countries remain vulnerable to various complications. Evaluation of quality maternal healthcare services in any country must include the opinions of the women being as a key stakeholder utilizing maternal healthcare services. Aim The present study was designed to evaluate the experiences, perceptions and expectations of pre-birth and post-birth women regarding utilization and delivery of maternal healthcare services in Pakistan. Methodology A qualitative study design was used. Snow ball sampling technique was adopted to identify the respondents. Interviews were conducted using semi-structures interview guide till saturation point was achieved. The sample size at saturation point for different respondents was: pre-birth women (n = 9) and post-birth women (n = 9). All interviews were recorded after getting permission from the respondents. The interviews were transcribed verbatim and were then subjected to thematic analysis. Results The age group for the pre-birth respondents was 23–43 years while for post-birth group it was 23–32 years. Most of the respondents from both groups were from urban setting. Most of them were either first time pregnant or were having experience of one pregnancy. Thematic analysis of the interviews yielded different themes and sub-themes including birth experience, maternal treatment pathway, identified barriers for quality maternal care, involvement in healthcare decision-making, impact of Covid 19, payment dynamics, role of digital health and recommendations for improving maternal care services. Conclusion The results of the present study concluded that the overall quality of the maternal care services provided in Pakistan was not up to the mark. High rate of caesarian section was prevalent. Majority of the women were not involved in the decision-making process or provided with any birth plan or counselling regarding birth signs, family planning, danger and birth signs. The cost of maternal care was quite high and not affordable for all.

show abstract

“…A recent study showed that the percentage of EIBF becomes maximum amongst the mothers who received both prenatal counselling and postnatal support regardless of the place of delivery. 26 The main limitation of the present QI study was the lack of designated lactation nursing staff and lactation counsellor. The work of providing continuous support to the mother while SSC and monitoring was shared by the multiple staff members because of the nonavailability of a designated staff.…”

Section: Discussionmentioning

confidence: 93%

“…A recent study showed that the percentage of EIBF becomes maximum amongst the mothers who received both prenatal counselling and postnatal support regardless of the place of delivery. 26…”

Section: Discussionmentioning

confidence: 99%

Quality Improvement Interventions in the Delivery Room to Improve the Early Initiation of Breastfeeding in Healthy Neonates: A Tertiary Hospital-Based Study

Sisodia

Rathoria

Singh

et al. 2022

Journal of Neonatology

View full text Add to dashboard Cite

Background: The low-middle income countries continue to contribute to a high proportion of neonatal and child mortality globally. The reduction in mortality rates requires low-cost interventions such as early initiation of breastfeeding (EIBF). The study objective was to improve the rate of EIBF in all the healthy term newborns born in our institute from a baseline rate of 10% to at least 70% over 3 months through a quality improvement (QI) approach. Methods: This study was conducted in the labor room and operation theatre of a tertiary care center in Uttar Pradesh. All the healthy term mother-newborn pairs born in the study period were included and the Point Of Care Quality Improvement model was followed. After the baseline assessment of the problem, a QI team was formed which did the root-cause analysis and generated the change ideas to be implemented by small Plan-Do-Study-Act (PDSA) cycles initially then systematically expanded to the larger level. Outcome Measure: The effect of a PDSA cycle was measured by the percentage of newborns breastfed within the first hour of birth at the end of each cycle. Results: The EIBF improved from the baseline rate of 10% to 70.5% at the end of 5 PDSA cycles and was maintained at 70.7% during the sustainability phase. Conclusion: The QI approach can be utilized to improve EIBF, while the sustainability depends on continuous efforts like education programs, counselling, and supportive supervision. The inclusion of simulation-based training for staff can build confidence and improve results.

show abstract

Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India

Cited by 18 publications

References 27 publications

Quality of nutrition services in primary health care facilities of Dhaka city: State of nutrition mainstreaming in urban Bangladesh

Quality of nutrition services in primary health care facilities of Dhaka city: State of nutrition mainstreaming in urban Bangladesh

Expectations and experiences of women regarding maternal healthcare services in Pakistan: challenges and lessons to be learnt

Quality Improvement Interventions in the Delivery Room to Improve the Early Initiation of Breastfeeding in Healthy Neonates: A Tertiary Hospital-Based Study

Contact Info

Product

Resources

About