scholarly journals Breast Feeding Practice: Positioning and Attachment during Breast Feeding among Lactating Mothers Visiting Health Facility in Areka Town, Southern Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Nega Degefa ◽  
Befikadu Tariku ◽  
Takalign Bancha ◽  
Gizachew Amana ◽  
Abdo Hajo ◽  
...  

Background. Breastfeeding is the act of milk conveyance from the mother to the infant. Adequate nutrition during infancy and early childhood are mandatory to ensure growth, health, and development of children to their maximum potential. The positioning of the baby’s body is important for maintaining good attachment and successful breastfeeding. Most difficulties of breastfeeding can be avoided altogether if good attachment and positioning can be achieved at the first and early feeds. Plenty of studies have been conducted to explore factors affecting breastfeeding practice in general; however, there is a meagerness of evidence that assesses factors affecting attachment and positioning during breastfeeding specifically. Therefore, the current study was aimed to assess positioning and attachment during breastfeeding among lactating mothers visiting health facilities of Areka town. Methods. an institution-based cross-sectional study was conducted by using observational checklist adopted from the World Health Organization breastfeeding observation form. Maternal-related characteristics were collected by using a structured and pretested questionnaire. The study was conducted from April to June 2017. Respondents were selected by using a systematic random sampling technique. Descriptive summaries were done to present pertinent findings and a chi-square test was used to check association between variables. Result. There was poorer positioning among primipara mothers (47.1%) than multipara mothers (28.7%). A poor attachment was also more apparent among primipara mothers which were more (31.1%) than the multipara (27.1%) mothers. Conclusion. Younger mothers (<20 years old), the primipara, and those who have no formal education deserve more attention, support, and direction to make sure that they can achieve proper positioning and attachment during breastfeeding at the first and early feeds.

2021 ◽  
Vol 6 (1) ◽  
pp. 113
Author(s):  
Erda Mutiara Halida ◽  
Feni Andriani

United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) recommends that children only be breastfed with breast milk (ASI) for at least six months in an effort to reduce child morbidity and mortality. Solid food should be given after the child is 6 months old, and breastfeeding continued until the child is two years old. Many factors will affect the success of exclusive breastfeeding including knowledge, education, occupation, problems with the mother's breast, and interest in formula milk promotion. This study aims to determine how the behavior of mothers in exclusive breastfeeding and the factors that influence it. This type of research is quantitative with a cross sectional study design. The independent variables of this study were education, mother's knowledge and husband's support, while the dependent variable is the mother's behavior in exclusive breastfeeding. The subjects in this study were all mothers who had babies aged 6-12 months with multistage sampling technique. The statistical test in this study used the Chi Square test. The results showed that there was no relationship between mother's knowledge and mother's education with mother's behavior in exclusive breastfeeding (p>0.05), and there was a relationship between husband's support and mother's behavior in exclusive breastfeeding (p=0.000)


2018 ◽  
Vol 4 (1) ◽  
pp. 111-116 ◽  
Author(s):  
Radha Kumari Paudel ◽  
Yuba Nidhi Basaula ◽  
Sunita Tiwari

Inappropriate complementary feeding practice is one of the main reasons for malnutrition among Nepal children aged less than two years. Exclusive breastfeeding for the first six months followed by complementary feeding along with breastfeeding is vital for proper growth and development of a child. This study was carried out to assess the knowledge and practices of mothers regarding complementary feeding, and to determine the factors influencing the inappropriateness of complementary feeding. A hospital based cross-sectional study was carried out at Bharatpur Hospital Chitwan, Nepal, involving mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, using systematic sampling technique and applying semi-structured questionnaire. About 73.8 % of mothers knew they had to start breast feeding within ½-1 hours after birth. It was found in this study that around 20.8% mothers practiced exclusive breast feeding more than six months. Study shows that 52.30% mothers had introduced complementary feeds within six months. This study found that 50% mother fed their children appropriate complementary feeding. About26.1% mothers were found to be practicing ideal feeding in this study. It was observed in the study that 73.8% mothers had knowledge about the exclusive breast feeding. Most mothers (18.4%) knew when to start complementary feeding . Study shows that 52.30% mothers had introduced complementary feed within six month. Half of the mothers fed their child appropriate complementary feeding there was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of complementary feeding.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051277
Author(s):  
Jinghan Qu ◽  
Wei Zuo ◽  
Shaohong Wang ◽  
Liping Du ◽  
Xin Liu ◽  
...  

ObjectiveTo evaluate pharmacists’ knowledge, perceptions and practices towards generic substitution in the 11 pilot locations in China.DesignAn online cross-sectional survey using questionnaires was conducted. A convenience sampling technique was implemented to recruit pharmacists.Setting and participantsThe study took place in medical institutions of 11 pilot locations that participated in the pilot national centralised procurement programme in 2019. Two thousand two hundred and ninety-one pharmacists including hospital pharmacists or community pharmacists based on health-systems or clinics participated in the study.ResultsMost of the participants had the good knowledge of requirements for evaluating the quality and efficacy of generic drugs (n=2118; 92.4%), and the definition of generic drugs (n=2078; 90.7%). In terms of perceptions, 67.3% of respondents were of the opinion that generic drugs are equally as effective as the brand-name drugs, and 69.0% of respondents were of the opinion that generic drugs are as safe as brand equivalents. A high percentage of participants supported the policy of generic substitution (n=1634; 71.4%). A significant positive correlation was demonstrated between total knowledge score and total perception score (ρ=0.267; p<0.001). Efficacy, safety and the direction of national policies and hospital regulations were the main factors affecting pharmacists’ willingness to dispense generic drugs.ConclusionsThe study identified gaps in respondents’ knowledge and perceptions of generic substitution. Pharmacists who are more knowledgeable in generic drugs tend to hold a more supportive attitude towards generic substitution. Although it appeared that pharmacists in China have largely accepted generic substitution, they still have concerns regarding the reliability and quality of generic drugs. The current issues need to be addressed for the realisation of the true value of generic drugs as part of the country’s healthcare cost-containment strategy as well as the implementation of generic substitution policy in China.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258953
Author(s):  
Kalkidan Gezahegn ◽  
Selamawit Semagn ◽  
Mohammed Feyisso Shaka

Background Housemaids are the most vulnerable group to sexual violence due to their working condition, isolation and school arrangements. Despite the ubiquity of sexual violence among the domestic work sector, particularly among housemaids, this area of research continues to be neglected. This study was aimed at examining the prevalence and factors pertaining to sexual violence among housemaids attending night school program in urban setups of Gedeo zone, Southern Ethiopia. Method A school based quantitative cross sectional study was conducted among 394 housemaids attending night schools in the urban setups of Gedeo Zone from April to May 2019. After stratifying of students using class grade, SRS technique was used to choose study subjects from each stratum. Quantitative data was collected using face to face interview and qualitative was collected using focus group discussion, in-depth interview and key informant interview. The data was entered and analyzed by SPSS version 20. Binary logistic regression was fitted to determine the association of each independent variable with the dependent variable. Result Based on the finding, the prevalence of sexual violence was 60.2%. The odds of experiencing sexual violence through working life-time as housemaid was higher for those who had migrated from rural to urban for work [AOR = 1.97: 95% CI, (1.07,3.63)], had less than 5 years of experience as housemaid [AOR = 3.10: 95% CI, (1.60, 6.00)], were in the age group of 15–19 [AOR = 3.75:95% CI (1.88, 7.46), ever used alcohol [AOR = 6.77: 95% CI, (2.65,17.33)] and whose fathers lacked formal education [AOR = 2.75:95%CI (1.24,6.08)]. On the other hand, unmarried /housemaids having no regular sexual partner were less likely to face sexual violence [AOR. = 0.28: 95% CI, (0.13, 0.57)]. Conclusion The level of sexual violence was found to be high among housemaids attending night schools in in this study. Housemaids from rural area, those newly starting the work, younger housemaids, and those who were married were more likely to be victims of sexual violence.


Author(s):  
Chinta Durga Kumar ◽  
Venkata Suresh Anga

Background: Eye is one of the most vital organs of human body. Any abnormality in the eye can impair vision and make the person handicapped for life. The school children form a special group because they are most vulnerable to the effects of reduced vision and its impact on learning capability and educational potential. The objective of the study was to find out the factors affecting vision of secondary school children, to suggest preventive and remedial measures for defective vision.Methods: It was a cross sectional study. School children of Zilla Parishad secondary high school during November 2016 to December 2016 were studied. A pretested semi structured questionnaire was administered. A total of 320 students were included in the study by using convenient sampling technique. Data was entered in Microsoft excel sheet and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results were expressed as proportions for different study variables.Results: Out of the 320 students, majority 181 (56.56%) of study participants were girls. The highest number of students (49.38%) was between 12-13 years of age group. Prevalence of defective vision is 34%. Family history is present in 29% of the study population. 34% of children with defective vision, it was detected by their mother.Conclusions: Refractive errors are more in girls. Children and parents should be educated regarding ocular hygiene and early correction of refractive errors.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.


2020 ◽  
Vol 10 (3) ◽  
pp. 86-90
Author(s):  
Abera Mersha ◽  
Shitaye Shibiru ◽  
Agegnehu Bante

Background: Low Apgar scores in the childbirth period increased risk globally and significantly contributes to both newborn morbidity and mortality. Hence, it is very essential to update information on the status of low fifth-minute Apgar scores and factors affecting. Some studies were conducted, but most are retrospective and record reviews. Besides, there is limited study in country-Ethiopia. Therefore, this study aimed to assess the recent status of low fifth-minute Apgar scores and factors affecting in the study setting. Methods: A facility-based cross-sectional study was conducted among 286 newborns in public health facilities of Arba Minch town, southern Ethiopia from February 6 to March 9, 2019. Study participants were selected using a systematic random sampling method. Pre-tested interviewer-administered questionnaires and checklist were used to collect the data. Data were entered into Epi data version 3.1 and exported to Stata version 15 for analysis. A crude and adjusted odds ratio was computed in the binary logistic regression model. In this study, P-value, < 0.05 was considered to declare factors as a statistically significant association. Results: In this study, 17.8% (95%CI: 13.8%, 22.7%) of neonates had low fifth-minute Apgar scores. Condition of labor (induced/augmented) (AOR=3.33, 95%CI: 1.24, 8.90), meconium-stained liquor (AOR=3.37, 95%CI: 1.17, 9.74), and birth weight (AOR=3.48, 95%CI: 1.23, 9.86) were significantly associated with neonate’s low fifth-minute Apgar scores. Conclusions: This study indicated that a significant number of newborns resulted in low fifth-minute Apgar scores. Strengthen the provision of health information during antenatal care; avoid delay in screening high-risk mothers during pregnancy and delivery, and give immediate interventions should be recommended.


2020 ◽  
Author(s):  
Yigrem Ali Chekole

Abstract Introduction Compared to other deadly communicable diseases, Psychoactive Substance use is among the leading cause of death. Repeated use linked to addiction, dependence and predisposition for criminal and antisocial behaviors. Even though drug use in Africa relatively is short; however the abuse of drug in Africa is escalating rapidly. Substances use is also one of the most burning and growing public health problems in Ethiopia, as in many developing countries; alcohol is the most frequently used substance. Objective To Assess the Prevalence of alcohol Use and Associated factors among Dilla University undergraduate students in Southern Ethiopia. 2018. Methods An Institution based cross -sectional study was conducted at Dilla University among undergraduate regular students from January-February. Systematic random sampling technique was used to get a total of 803 samples of students from each year and department of the university. The collected data was coded, entered in to EPI-INFO version7.1 and analyzed by using SPSS version 20. Crude and adjusted OR were analyzed using logistic regression and the level of significance of association was determined at P- value <0.05. Result A total of 803 participants were interviewed with a response rate of 91.7%. Among the Participants, alcohol use was found to be 67.6%. (41.8%; n=336). Being 4 th year students (AOR =2.66, 95% CI: 1.64, 4.31), having friends who use substance (AOR=1.53, 95% CI: 1.09, 2.1), being Khat user (AOR= 1.48, 95% CI: 1.05, 2.09) and being Cigarette smoker (AOR=1.76, 95% CI: 1.09, 2.84) were found to be significantly associated with alcohol use. Conclusion Half of the participants found to have alcohol use. Therefore, early prevention, detection and alleviating of alcohol use should be implemented among students in the university.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla

Background. Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia. Methods. A community-based cross-sectional study design was used among 652 lactating mothers aged 15–49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model. Results. The prevalence of minimum dietary diversity among lactating mothers was 48.8% (95% CI: (44.7%, 52.9%). Having formal education ((AOR = 2.16, 95% CL: (1.14, 4.09)), a final say on household purchases ((AOR = 5.39, 95% CI: (2.34, 12.42)), home gardening practices ((AOR = 2.67, 95% CI: (1.49, 4.81)), a history of illness ((AOR = 0.47, 95% CI: (0.26, 0.85)), good knowledge of nutrition ((AOR = 5.11, 95% CI: (2.68, 9.78)), being from food-secure households ((AOR = 2.96, 95% CI: (1.45, 6.07)), and medium ((AOR = 5.94, 95% CI: (2.82, 12.87)) and rich wealth indices ((AOR = 3.55, 95% CI: (1.76, 7.13)) were significantly associated with minimum dietary diversity. Conclusion. The prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households, and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mother’s decision-making autonomy, nutrition knowledge, household food security, and wealth status.


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