scholarly journals The effect of the type of feeding on weight gain and illnesses in infants

1971 ◽  
Vol 26 (3) ◽  
pp. 423-432 ◽  
Author(s):  
A. E. Dugdale
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Breast Feeding ◽  
Urban Families ◽  
Artificial Feeding ◽  
Health Staff ◽  
Kuala Lumpur ◽  
The Family ◽  
And Child Health ◽  
Breast Fed

1. The effects of breast-feeding and artificial feeding have been analysed for a group 250 infants from lower socio-economic, urban families in Kuala Lumpur, Malaysia.2. The factors considered were the ethnic group, the sex of the infant, the size and income the family and the type of milk fed. No infant in the study was given ‘non-milk’ feeds before the age of 40 weeks.3. The effects of these factors on the weight gains and the number of reported illnesses up to the age of 40 weeks have been analysed.4. At no time in the first 40 weeks did breast-fed infants gain weight significantly more rapidly than artificially fed infants. After the age of 20 weeks, artificially fed infants gained significantly more weight than breast-fed infants.5. The type of feeding had no statistically significant effect on the frequency of minor respira-tory or alimentary illnesses.6. In this community, the welfare of the family often depends on the earnings of the mother, who has to make the choice between breast-feeding and paid employment. In the group studied, breast-feeding appears to offer no advantages over artificial feeding. The principle guiding the Maternal and Child Health staff when advising the mother should be the welfare of the whole family.

scholarly journals Equitable coverage? The roles of the private and public sectors in providing maternal, newborn and child health interventions in South Asia

2019 ◽  
Vol 4 (4) ◽  
pp. e001495 ◽  
Author(s):  
Sufang Guo ◽  
Liliana Carvajal-Aguirre ◽  
Cesar G Victora ◽  
Aluisio J D Barros ◽  
Fernando C Wehrmeister ◽  
...  
Keyword(s):  
Public Sector ◽  
Child Health ◽  
Private Sector ◽  
South Asia ◽  
Breast Feeding ◽  
Postnatal Care ◽  
Newborn And Child Health ◽  
The Public ◽  
Urban Rural ◽  
And Child Health

IntroductionThe private sector accounts for an important share of health services available in South Asia. It is not known to what extent socioeconomic and urban–rural inequalities in maternal, newborn and child health (MNCH) interventions are being affected by the presence of private providers.MethodsNationally representative surveys carried out from 2009 to 2015 were analysed for seven of the eight countries in South Asia, as data for Sri Lanka were not available. The outcomes studied included antenatal care (four or more visits), institutional delivery, early initiation of breast feeding, postnatal care for babies, and careseeking for diarrhoea and pneumonia. Results were stratified according to quintiles of household wealth and urban–rural residence.ResultsAt regional level, the public sector played a larger role than the private sector in providing antenatal (24.8% vs 15.6% coverage), delivery (51.9% vs 26.8%) and postnatal care (15.7% vs 8.2%), as well as in the early initiation of breast feeding (26.1% vs 11.1%). The reverse was observed in careseeking for diarrhoea (15.0% and 46.2%) and pneumonia (18.2% and 50.5%). In 28 out of 37 possible analyses of coverage by country, socioeconomic inequalities were significantly wider in the private than in the public sector, and in only four cases the reverse pattern was observed. In 20 of the 37 analyses, the public sector was also more likely to be used by the wealthiest women and children.ConclusionThe private sector plays a substantial role in delivering MNCH interventions in South Asia but is more inequitable than the public sector.

scholarly journals Knowledge and Practice of Contraceptive Among Lactating Mothers Attending at Radda Maternal and Child Health and Family Planning Centre at Mirpur, Dhaka

2019 ◽  
Vol 17 (2) ◽  
pp. 40-46
Author(s):  
Mohammad Taslim Uddin ◽  
Shaibal Barua
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Post Partum ◽  
Contraceptive Methods ◽  
Lactating Mothers ◽  
Child Spacing ◽  
Knowledge And Practice ◽  
And Child Health

Background: As a natural child-spacing method breast feeding is very effective during the early post partum period. In Bangladesh it is believed that conception occurs very rarely during post partum and lactation period. Mothers nurse their children for long period, believing this is an easy, practical and natural method to delay or prevent a subsequent pregnancy. Since child-spacing effect of breast feeding gradually diminishes over time depending on personal and social circumstances breast feeding women during lactation need contraceptive methods which must be effective and safe and must not affect lactation. Methods: A descriptive type of cross sectional study was carried out, from July 2012 to December 2012, among 110 lactating mothers at RADDA Maternal and Child Health (MCH) and Family planning Centre, Mirpur, Dhaka with the objective of assessing their knowledge and practice on contraceptive methods. Results: Out of 110 respondents, 92 respondents having 1-2 children (83.64%) 79.35% were practicing contraception and 20.5% were not practicing any method and rest of 18 respondents having >2 children (16.36%), 77.78% were practicing contraception and 22.22% were not practicing contraception. Of the 91 respondents having children 1-2, 75.4% had average and above average knowledge and the rest 8.1% had below average knowledge on contraceptive methods. Of the 19 respondents having >2 children, 16.3% had average and above average knowledge and the rest (0.2%) had below average knowledge on contraceptive methods. The difference between the two groups in respect of practice and knowledge of contraception were found statistically insignificant. Conclusion: The study shows significant relation between the knowledge and practice of contraceptive with number of the children. There is significant difference between the knowledge among primary and secondary educated mothers and the practice of contraception varied with their education levels. All the respondents had knowledge about contraceptive methods but 20.9% were not practicing any methods due to various reasons. Chatt Maa Shi Hosp Med Coll J; Vol.17 (2); Jul 2018; Page 40-46

scholarly journals Women, children and adolescents in conflict countries: an assessment of inequalities in intervention coverage and survival

2020 ◽  
Vol 5 (1) ◽  
pp. e002214 ◽  
Author(s):  
Nadia Akseer ◽  
James Wright ◽  
Hana Tasic ◽  
Karl Everett ◽  
Elaine Scudder ◽  
...  
Keyword(s):  
Maternal Health ◽  
Child Health ◽  
Children And Adolescents ◽  
Child Mortality ◽  
Breast Feeding ◽  
Low Income ◽  
Mortality Rates ◽  
Health Interventions ◽  
Data Set ◽  
And Child Health

IntroductionConflict adversely impacts health and health systems, yet its effect on health inequalities, particularly for women and children, has not been systematically studied. We examined wealth, education and urban/rural residence inequalities for child mortality and essential reproductive, maternal, newborn and child health interventions between conflict and non-conflict low-income and middle-income countries (LMICs).MethodsWe carried out a time-series multicountry ecological study using data for 137 LMICs between 1990 and 2017, as defined by the 2019 World Bank classification. The data set covers approximately 3.8 million surveyed mothers (15–49 years) and 1.1 million children under 5 years including newborns (<1 month), young children (1–59 months) and school-aged children and adolescents (5–14 years). Outcomes include annual maternal and child mortality rates and coverage (%) of family planning services, 1+antenatal care visit, skilled attendant at birth (SBA), exclusive breast feeding (0–5 months), early initiation of breast feeding (within 1 hour), neonatal protection against tetanus, newborn postnatal care within 2 days, 3 doses of diphtheria, pertussis and tetanus vaccine, measles vaccination, and careseeking for pneumonia and diarrhoea.ResultsConflict countries had consistently higher maternal and child mortality rates than non-conflict countries since 1990 and these gaps persist despite rates continually declining for both groups. Access to essential reproductive and maternal health services for poorer, less educated and rural-based families was several folds worse in conflict versus non-conflict countries.ConclusionsInequalities in coverage of reproductive/maternal health and child vaccine interventions are significantly worse in conflict-affected countries. Efforts to protect maternal and child health interventions in conflict settings should target the most disadvantaged families including the poorest, least educated and those living in rural areas.

Associations of Gestational Weight Gain With Short- and Longer-Term Maternal and Child Health Outcomes

2009 ◽  
Vol 64 (12) ◽  
pp. 785-787
Author(s):  
Emily Oken ◽  
Ken P. Kleinman ◽  
Mandy B. Belfort ◽  
James K. Hammitt ◽  
Matthew W. Gillman
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Gestational Weight Gain ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
Gestational Weight ◽  
And Child Health

scholarly journals Conditional cash transfers, uptake of maternal and child health services, and health outcomes in western rural China

2020 ◽  
Author(s):  
Huan Zhou ◽  
Yuju Wu ◽  
Chengfang Liu ◽  
Chang Sun ◽  
Yaojiang Shi ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Breast Feeding ◽  
Maternal And Child Health ◽  
Rural Areas ◽  
Cash Transfers ◽  
Conditional Cash Transfers ◽  
Child Health Outcomes ◽  
The Impact ◽  
And Child Health

Abstract Background: Empirical evidence suggests that the uptake of maternal and child health (MCH) services is still low in poor rural areas of China. There is concern that the low uptake of MCH services may detrimentally affect child health outcomes. Previous studies have not yet identified the exact nature of the impact that conditional cash transfers (CCT) have on the uptake of MCH services and ultimately, on child health outcomes. The objective of this study is to examine the relationship between CCT, uptake of MCH services, and health outcomes among children in poor rural areas of western China.Methods: We designated two different sets of comparison villages and households that were used as comparison against which outcomes of the treated households could be assessed. In 2014 we conducted a large-scale survey of 1,522 households at 75 villages (including 25 treatment and 50 comparison) from nine nationally-designated poverty counties in two provinces of China. In each village, 21 households were selected based on their eligibility status for the CCT program. Difference-in-difference analyses were used to assess the impact of CCT on outcomes in terms of both Intention-to-treat (ITT) and average-treatment-effects-on-the-treated (ATT). Results: Overall, the uptake of MCH services in the sample households were low, especially in terms of post-partum care visits, early breast feeding, exclusive breast feeding, and physical examination of the baby. The uptake of the seven types of MCH services in the CCT treatment villages were significantly higher than that in the comparison villages. Results from both the ITT and ATT analyses showed the CCT program had a positive, although small, impact on the uptake of MCH services and the knowledge of mothers about MCH health issues. Nonetheless, the CCT program had no noticeable effect on child health outcomes.Conclusions: The CCT program generated modest improvements in the uptake of MCH services and mothers' knowledge of MCH services in poor rural areas of Western China. These improvements, however, did not translate into substantial improvements in child health outcomes for two possible reasons: poor CCT implementation and the low quality of rural health facilities.

scholarly journals Determinants of Evidence Use by Frontline Maternal, Newborn and Child Health Staff in Selected Health Facilities in Ghana

2021 ◽  
Author(s):  
Gordon Abekah-Nkrumah ◽  
Doris Ottie-Boakye ◽  
Johnson Ermel ◽  
Sombié Issiaka
Keyword(s):  
Child Health ◽  
Organizational Structure ◽  
Health Facilities ◽  
Health Staff ◽  
Factors Affecting ◽  
Newborn And Child Health ◽  
Level Of Use ◽  
Attitudes And Knowledge ◽  
Reproductive And Child Health ◽  
And Child Health

Abstract Background The current paper examines the level of use of evidence and factors affecting the use of evidence by frontline maternal, newborn and child health (MNCH) and reproductive and child health (RCH) staff in practice decisions in selected health facilities in Ghana. Methods Data was collected from 509 respondents drawn from 44 health facilities in three regions in Ghana. Means were used to examine the level of use of evidence, whiles cross-tabulations and Partial least Squares-based regression were used to examine factors that influence the use of evidence in practice decisions by frontline MNCH/RCH staff. Conclusion We argue that any effort to improve the use of evidence by frontline MNCH/RC staff in practice decisions should focus on improving attitudes and knowledge of staff as well as challenges related to the structure of the organisation. Given however that the score for attitude was relatively high, emphases should be on knowledge and organizational structure in particular, which had the lowest score even though it has the single most important effect on the use of evidence.

Pendampingan Gizi Spesifik dan Perilaku Ibu dalam Pola Asuh Anak Stunting Usia 6-24 Bulan

2021 ◽  
Vol 17 (1) ◽  
pp. 13-24
Author(s):  
Demsa Simbolon ◽  
Beatrix Soi ◽  
Ina Debora Ratu Ludji ◽  
Mareta Bakale Bakoil
Keyword(s):  
Child Health ◽  
Health Workers ◽  
Intervention Group ◽  
Control Group ◽  
Health Counseling ◽  
Attitudes And Practices ◽  
The Family ◽  
Nutrition Assistance ◽  
Knowledge Attitudes And Practices ◽  
And Child Health

Background: From pregnancy, until the child is two years old, it is a prone period for stunting due to inadequate nutritional care at the family level. Mothers' ability in parenting and child health will affect their nutritional status and health, especially mothers who have stunted children. This study aimed to determine the effectiveness of specific nutrition assistance (SNA) through empowering cadres to change the behavior (knowledge, attitudes, practices) of mothers who have stunted children aged 6-24 months.Method: The research used a quasi-experiment with pre-post design with a control group. The research was conducted in Bengkulu Utara (BU) District and Timur Tengah Selatan (TTS) District. The intervention group received SNA for six months (June-November 2019) by Posyandu cadres and health workers. The control group received standard services from the Health Center or the Posyandu. Whilst, the intervention group received nutrition and health counseling during home visits. Mothers' knowledge, attitudes, and practices in parenting and child health nutrition were measured as dependent variables. Sample of 120 mothers with stunted children aged 6-24 months. Data analysis used independent t-test and dependent t-test.Results: The SNA was effective in increasing the knowledge, attitudes, and practices of mothers. The increased knowledge, attitudes, and practices were higher in the intervention group both in BU District (116%) and TTS District (26.33%). In BU District, there was an increase in knowledge (116%), attitude (40%), and practices (20.07%), likewise in TTS District; there was an increase in knowledge (26.33%), attitudes (42.5%), and practices (22.15%) which are significantly different from the increase in the practices of the control group. SNA needs to be carried out continuously to increase mothers' ability in parenting and child health. Therefore, that stunted children can catch up with their height growth. 

Summary-The Weaning Process

PEDIATRICS ◽  
1985 ◽  
Vol 75 (1) ◽  
pp. 214-215
Author(s):  
Laurence Finberg
Keyword(s):  
Human Milk ◽  
Breast Feeding ◽  
Growth Curves ◽  
Optimal Growth ◽  
Health Statistics ◽  
Modern Times ◽  
The Family ◽  
The One ◽  
Breast Fed

Early in this symposium, Räihä (p 136) called attention to the biologic truism that breast-feeding evolved so that the composition of human milk would be optimal for the survival of the species, which must include the mother's survival as well as the infant's. However, optimal for survival in infancy may not be the same as optimal for life in the fifth, sixth, and subsequent decades of modern life. Therefore, as we consider approaches to infant feeding, these considerations, unanswerable at present, should be continuously in our thinking, at no time more than when we consider the weaning period, which, though variously defined, presents the most important nutritional challenge of modern times. Whitehead has provided us with the news that our understanding of energy requirements for infants is surprisingly imperfect. His data suggest that sole breast-feeding by well-nourished mothers has sufficient calories for optimal growth on the average for 3 months. After this point, the average infant requires another source of calories. This conclusion comes from calculations derived from the National Center for Health Statistics growth curves on the one hand and actual milk production on the other. Although there is room for improvement of the data base, there is certainly a suggestion that weaning should begin at about 3 months of age in the breast-fed infant. This point is underscored by Underwood, who views weaning as a long-term process in which calories from other foods complement human milk until the infant moves to the family diet. In some societies, such a process may extend over several years, and the presence in human milk of the digestive enzymes amylase and lipase adds an aura of naturalness to such a process.

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