Community‐based father education intervention on breastfeeding practice—Results of a quasi‐experimental study

Bich, Tran Huu; Long, Tran Khanh; Hoa, Dinh Phuong

doi:10.1111/mcn.12705

Cited by 58 publications

(65 citation statements)

References 42 publications

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“…Mothers reported discussing family planning with their partner, indicating the need to include the fathers in efforts to further integrate nutrition and family planning programmes in Tanzania. Consistent findings were reported from a quasi‐experimental study conducted in Vietnam to find out if promoting fathers' involvement could help improve breastfeeding outcomes (Bich, Long, & Hoa, ). The intervention consisted of providing fathers with breastfeeding education and counselling services in health facilities and at home visits during the antenatal, delivery, and post‐partum periods; and breastfeeding peer education and social exchanges were provided through fathers' clubs.…”

Section: Introductionsupporting

confidence: 71%

Integrating nutrition services into health care systems platforms: Where are we and where do we go from here

Pérez‐Escamilla

Engmann

2019

Maternal & Child Nutrition

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Integrating maternal-child nutrition into health care services is a desirable but complex task that requires implementation research studies. This special supplement, entitled "How to Strengthen Nutrition into the Health Platform: Programmatic Evidence and Experience from Low-and Middle-Income Countries" presents a collection of mixed-methods research and case studies mostly conducted in sub-Saharan Africa that help us gain a better understanding of the barriers and facilitators for this integration to happen. Collectively, the evidence confirms that integrating nutrition services as part of health care systems and other platforms is feasible, but for that to be successful, there is a need to address strong barriers related to all six key health care systems building blocks identified by the World Health Organization. These include financing, health information systems, health workforce, supplies and technology, governance, and service delivery. Moving forward, it is crucial that more robust implementation science research is conducted within the rough and tumble of realworld programming to better understand how to best integrate and scale up nutrition services across health care systems and other platforms based on dynamic complex adaptive systems frameworks. This research can help better understand how the key health care systems building blocks need to interlock and communicate with each other to improve the policymakers' ability to integrate and scale up nutrition services in a more timely and cost-effective way. KEYWORDS complex adaptive systems, health care systems, maternal and child health, nutrition programs

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Section: Introductionsupporting

confidence: 71%

Integrating nutrition services into health care systems platforms: Where are we and where do we go from here

Pérez‐Escamilla

Engmann

2019

Maternal & Child Nutrition

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“…Women whose partners work in non-agricultural activities are found to be more likely to breastfeed early compared to women whose partners are not working. Father’s support is important for improving EIBF [ 39 – 41 ]. Paternity leave has positive influence on breastfeeding because fathers are able to take care of their wives and children [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of early initiation of breastfeeding in Indonesia: A population-based cross-sectional survey

Gayatri¹,

Dasvarma

2020

PLoS ONE

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Introduction Commencing breastfeeding within one hour of birth is defined as early initiation of breastfeeding (EIBF). Both the mother and child benefit from EIBF. This study aims to identify the predictors of EIBF among Indonesian women. Methods This paper analyses data from a weighted sample of 6,616 women collected at the Indonesia Demographic and Health Survey (IDHS) 2017.The frequency of EIBF is measured by the proportion of children born in the two years preceding the survey who received breastmilk within one hour of birth. The analysis uses bivariate and multivariate logistic regression for complex sample designs, adjusted for confounders to examine the relationship of EIBF with women's individual, household and community level characteristics. Results Overall, 57% (95% CI: 54.9%-58.2%) of the children born in the two years preceding the survey had EIBF. Statistically significant (p<0.05) predictors of EIBF are women's non-working status, second or higher order of the birth of the most recent child, average or large size of the most recent child at birth, poor status of the household and non-agricultural work of the woman's husband; while statistically highly significant (p<0.01) predictors are skin-to-skin contact with the newborn (OR: 2.62; 95% CI: 2.28-3.00), Caesarean deliveries (OR: 0.47; 95% CI: 0.40-0.56), and skilled birth attendants (OR: 1.83; 95% CI: 1.65-2.08). Caesarean deliveries reduce the likelihood of EIBF by half compared to vaginal deliveries. Women's age, education or rural-urban residence display no statistically significant relationship with EIBF.

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“…Encouraging the engagement of fathers in child care activities has the potential to reduce maternal workload by sharing the responsibilities in the household. Greater paternal involvement has been associated with better child feeding practices in various LMIC ( 50 – 54 ).…”

Section: Discussionmentioning

confidence: 99%

Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study

Rakotomanana

Hildebrand

Gates

et al. 2020

Current Developments in Nutrition

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Background Data are limited on how feeding knowledge and practices relate to child undernutrition in the highlands of Madagascar. Objective This study assessed maternal knowledge and practices of complementary feeding and their associations with anthropometrics of 6 – 23 months children in the Vakinankaratra region of Madagascar. Methods Knowledge was assessed using WHO recommendations on child feeding, and WHO infant and young child feeding (IYCF) indicators were used to evaluate feeding practices. Child growth was measured as length-for-age (LAZ), weight-for-age (WAZ), and weight-for-length z-scores (WLZ) using the 2006 WHO Growth Standards. A z-score of < -2 was classified as child undernutrition. Logistic regression models were used to determine associations between independent variables and outcomes. Focus group discussions among mothers and in-depth interviews with key informants were conducted; barriers and facilitators of optimal feeding practices were identified using a thematic analysis approach. Results Maternal knowledge scores regarding child feeding averaged 6.4 of 11. Better knowledge scores were associated with higher odds of appropriate complementary feeding practices before and after covariate adjustments. The proportions of children achieving the minimum dietary diversity (35.8%), minimum acceptable diet (30.2%) and consuming meat, fish, and poultry (14.1%) were low. Only consumption of iron-rich foods was associated with lower odds of underweight [AOR (95% CI) = 0.3 (0.1 – 0.7), p < 0.05]. None of the IYCF indicators were associated significantly with stunting or wasting. Maternal attitudes about complementary foods, as well as mothers’ workload and very low income were identified as barriers to optimal feeding practices. Maternal perceived benefits of giving appropriate complementary foods as well as their positive relationship with the community health workers were the main facilitators of optimal child feeding. Conclusions Integrated nutrition-sensitive interventions addressing these barriers while enhancing the facilitators are critical in promoting better feeding practices in the Vakinankaratra region.

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Community‐based father education intervention on breastfeeding practice—Results of a quasi‐experimental study

Cited by 58 publications

References 42 publications

Integrating nutrition services into health care systems platforms: Where are we and where do we go from here

Integrating nutrition services into health care systems platforms: Where are we and where do we go from here

Predictors of early initiation of breastfeeding in Indonesia: A population-based cross-sectional survey

Maternal Knowledge, Attitudes, and Practices of Complementary Feeding and Child Undernutrition in the Vakinankaratra Region of Madagascar: A Mixed-Methods Study

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