Effect of Nutrition Peer Counseling and Breastfeeding the Improvement in exclusive breastfeeding and Infant Nutrition Status in Sub lubuk Pakam and Tanjung Morawa, deli Serdang

Mahdiah,; Siagian, Albiner; Aritonang, Evawany Y; Lubis, Namora Lumongga

doi:10.5958/0976-5506.2018.00282.6

Cited by 3 publications

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“…This study is in line with research conducted by Mahdiah, Siagian, Aritonang, and Lubis (2018) that there is a relationship between knowledge (p=0.00) and attitude (p<0.05) with the practice of exclusive breastfeeding. The importance of providing effective breastfeeding counseling can increase knowledge of maternal nutrition, attitudes, and practices of exclusive breastfeeding.…”

Section: Resultssupporting

confidence: 92%

Family Food Security and Parenting Patterns with Stunting Event in Toddlers

2022

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Stunting is currently experienced by many toddlers in the world, especially in developing countries including Indonesia. Stunting is not only associated with children's height that is shorter than their age but can also threaten the intelligence, disease resistance, quality, and productivity of future generations. This study aims to analyze the relationship between family food security and maternal parenting with the incidence of stunting in toddlers aged 24-59 months. The study was observational and cross-sectional design. The sampling technique was multistage random sampling with a sample size of 205 children. Data were analyzed analysis using chi-square and multiple logistic regression tests. The results showed that there was no significant relationship between family food security (p=0.100) and the incidence of stunting, there was a significant relationship between breastfeeding and food parenting (p<0.001), hygiene parenting, and environmental sanitation (p<0.001) with stunting in toddlers aged 24-59 months. The multivariate results showed that the variables most related to the incidence of stunting were hygiene parenting and environmental sanitation where the p-value was 0.003 and the PR value was 10,844 (95% CI=2.234-52.639). It is expected that health workers will monitor the nutritional status of children under five, and need to increase mother's knowledge about good parenting and the importance of improving clean and healthy living behavior.

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Section: Resultssupporting

confidence: 92%

Family Food Security and Parenting Patterns with Stunting Event in Toddlers

2022

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“…Despite this, a good number of articles were identified, so even if some others might have been missed, we feel it unlikely that the overall conclusions or messages arising from our review would be different. In addition, despite contacting corresponding authors three full-text articles could not be retrieved [ 73 , 74 , 75 ]. Second, only three studies focused directly on at-risk infants, the rest excluded both at-risk infants and mothers.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review

Rana

McGrath²,

Sharma

et al. 2021

Nutrients

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Small and nutritionally at-risk infants under six months, defined as those with wasting, underweight, or other forms of growth failure, are at high-risk of mortality and morbidity. The World Health Organisation 2013 guidelines on severe acute malnutrition highlight the need to effectively manage this vulnerable group, but programmatic challenges are widely reported. This review aims to inform future management strategies for small and nutritionally at-risk infants under six months in low- and middle-income countries (LMICs) by synthesising evidence on existing breastfeeding support packages for all infants under six months. We searched PubMed, CINAHL, Cochrane Library, EMBASE, and Global Health databases from inception to 18 July 2018. Intervention of interest were breastfeeding support packages. Studies reporting breastfeeding practices and/or caregivers’/healthcare staffs’ knowledge/skills/practices for infants under six months from LMICs were included. Study quality was assessed using NICE quality appraisal checklist for intervention studies. A narrative data synthesis using the Synthesis Without Meta-analysis (SWiM) reporting guideline was conducted and key features of successful programmes identified. Of 15,256 studies initially identified, 41 were eligible for inclusion. They were geographically diverse, representing 22 LMICs. Interventions were mainly targeted at mother–infant pairs and only 7% (n = 3) studies included at-risk infants. Studies were rated to be of good or adequate quality. Twenty studies focused on hospital-based interventions, another 20 on community-based and one study compared both. Among all interventions, breastfeeding counselling (n = 6) and education (n = 6) support packages showed the most positive effect on breastfeeding practices followed by breastfeeding training (n = 4), promotion (n = 4) and peer support (n = 3). Breastfeeding education support (n = 3) also improved caregivers’ knowledge/skills/practices. Identified breastfeeding support packages can serve as "primary prevention" interventions for all infants under six months in LMICs. For at-risk infants, these packages need to be adapted and formally tested in future studies. Future work should also examine impacts of breastfeeding support on anthropometry and morbidity outcomes. The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO 2018 CRD42018102795)

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Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

Dewidar,

John,

Baqar

et al. 2023

Campbell Systematic Reviews

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BackgroundNutritional counseling, which includes two‐way interactive education, has been hypothesized to improve the health and nutritional status of pregnant women, but little is known about the impact such practice of care might have on maternal and infant health and behavioral outcomes of pregnant women living in low income, low‐middle income, and upper‐middle‐income countries (LMIC)s.ObjectivesWe conducted a systematic review to appraise the effectiveness and impact on health equity of two‐way nutritional counseling practices in LMICs on maternal and infant behavioral, nutritional, and health outcomes.Search MethodsWe conducted electronic searches for relevant studies on Medline, Embase, CINAHL, PsychInfo, and the Cochrane CENTRAL for randomized and non‐randomized trials on the effectiveness of two‐way interactive nutritional counseling among pregnant women from the date of database inception up to June 22, 2021. In addition, we searched references of included studies in systematic reviews, gray literature resources, and unpublished studies or reports that satisfied our eligibility criteria using a focused Google search.Selection CriteriaWe included randomized and non‐randomized controlled studies (NRS), controlled before and after, and interrupted time series that assessed the effectiveness of two‐way interactive nutrition counseling targeting pregnant women in LMICs.Data Collection and AnalysisData extraction and risk of bias were conducted in duplicate. The risk of bias (ROB) for randomized trials (RCT) was assessed according to the Cochrane Handbook of Systematic Reviews, and ROB for NRS was assessed using the Newcastle‐Ottawa scale (NOS). RCT and NRS were meta‐analyzed separately.Main ResultsOur search identified 6418 records and 52 studies met our inclusion criteria, but only 28 were used in the quantitative analysis. Twenty‐eight studies were conducted in Asia, the most in Iran. Eight studies were conducted in Africa. Two‐way interactive nutritional counseling during pregnancy may improve dietary caloric intake (mean difference [MD]: 81.65 calories, 95% confidence interval [CI], 15.37–147.93, three RCTs; I2 = 42%; moderate certainty of evidence using GRADE assessment), may reduce hemorrhage (relative risk [RR]: 0.63; 95% CI, 0.25–1.54, two RCTs; I2 = 40%; very low certainty of evidence using GRADE assessment), may improve protein (MD: 10.44 g, 95% CI, 1.83–19.05, two RCTs; I2 = 95%; high certainty of evidence using GRADE assessment), fat intake (MD: 3.42 g, 95% CI, −0.20 to 7.04, two RCTs; I2 = 0%; high certainty of evidence using GRADE assessment), and may improve gestational weight gain within recommendations (RR: 1.84; 95% CI, 1.10–3.09, three RCTs; I2 = 69%). Nutrition counseling probably leads to the initiation of breastfeeding immediately after birth (RR: 1.72; 95% CI, 1.42–2.09, one RCT). There was little to no effect on reducing anemia (RR: 0.77; 95% CI, 0.50–1.20, three RCTs; I2 = 67%; very low certainty of evidence using GRADE assessment) risk of stillbirths (RR: 0.81; 95% CI, 0.52–1.27, three RCTs; I2 = 0%; moderate certainty of evidence using GRADE assessment) and risk of cesarean section delivery (RR: 0.96; 95% CI, 0.76–1.20, four RCTs; I2 = 36%; moderate certainty of evidence using GRADE assessment).Authors’ ConclusionsOur review highlights improvements in maternal behavioral and health outcomes through interactive nutrition counseling during pregnancy. However, we are uncertain about the effects of nutrition counseling due to the low certainty of evidence and a low number of studies for some key outcomes. Moreover, the effects on health equity remain unknown. More methodologically rigorous trials that focus on a precise selection of outcomes driven by the theory of change of nutrition counseling to improve maternal and infant behavioral and health outcomes and consider equity are required.

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Effect of Nutrition Peer Counseling and Breastfeeding the Improvement in exclusive breastfeeding and Infant Nutrition Status in Sub lubuk Pakam and Tanjung Morawa, deli Serdang

Cited by 3 publications

References 0 publications

Family Food Security and Parenting Patterns with Stunting Event in Toddlers

Family Food Security and Parenting Patterns with Stunting Event in Toddlers

Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review

Effectiveness of nutrition counseling for pregnant women in low‐ and middle‐income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review

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