Document Detail

Effect of low cost public health staff training on exclusive breastfeeding.
MedLine Citation:
PMID:  18810343     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the effectiveness and feasibility of on the job staff training and supportive supervision to improve six months Exclusive Breastfeeding (EBF). METHODS: A longitudinal study was conducted in a public health field practice area-Sri Lanka in 2006-2007. Three breastfeeding counseling sessions were conducted for public health midwives. Supportive supervision and on the job training were done by two public health physicians. Pre and post intervention independent cross sectional studies were conducted to assess the effectiveness of the programme. The study sample consisted of mother-infant pairs where infants were aging 6 to 12 months, attending child welfare clinics. Primary outcome measure was the proportion of infants who received EBF up to 6 months. Logistic regressing model was used for analysis of predictors of EBF. RESULTS: Study sample consisted of 336 mother-infant pairs (pre 139, post 197). Proportion of mothers who breastfed their infants exclusively for six months improved from 19% to 70% after the intervention. The median duration of EBF increased from 4 months to 6 months (inter-quartile range 2-6 and 5-6 months respectively). Unconfounded effect of intervention on 6 months EBF in logistic regression model was highly significant (OR=13.67. p<0.001). Intervention significantly reduced the bottle feeding rate (OR=0.212, p<0.001) but not formula feeding (OR=1.146. p=0.642). Of potential predictors assessed. Sinhalese mothers than Muslim mothers (OR=3.37, p<0.001) and employed mothers compared to housewives (OR=4.45. p=0.014) were more likely to breastfeed their infants upto six months. Parity, maternal education and maternal age were not significantly associated with six months EBF. CONCLUSIONS: The existing public health infrastructure can be used effectively to improve six months EBF in places where the care is given primarily by public health system.
Suneth Buddhika Agampodi; Thilini Chanchala Agampodi
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-09-22
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  75     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-02-09     Revised Date:  2009-07-15    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  1115-9     Citation Subset:  IM    
Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Srilanka, Sri Lanka.
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MeSH Terms
Breast Feeding / psychology,  statistics & numerical data*
Cross-Sectional Studies
Health Promotion / economics*,  methods
Infant, Newborn
Logistic Models
Longitudinal Studies
Midwifery / education*
Mothers / education,  psychology*
Patient Education as Topic
Socioeconomic Factors
Sri Lanka
Young Adult

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