Exclusive Breastfeeding Research Articles

Exploring the shift in newborn care practices among mothers and grandmothers in rural Odisha, India — a qualitative study

BackgroundThis study delves into newborn care and infant-feeding practices in rural Odisha, specifically focusing on the rural KBK + region of Odisha (Kalahandi-Bolangir-Koraput region), inhabited predominantly by Schedule Tribes and Schedule Castes individuals. There has been an improvement in the health indicators in these areas in recent times. In the background of improved health indicators in these areas, this research explores the current and changing newborn care practices and attempts to gain insight into people’s perceptions of the factors that brought about the changes.MethodsThis qualitative study was conducted between February and July 2023 at Christian Hospital, Bissamcuttack in Odisha. The methodology involved focused group discussions with mothers and grandmothers.ResultsAnalysis revealed healthy practices like exclusive breastfeeding till six months of age, appropriate timing of the first bath, and prompt healthcare-seeking behavior for minor illnesses among the mothers. The use of cow ghee or breast milk in a baby’s eyes, the application of ash on the umbilical cord, and the use of herbal medicines for minor illnesses were practiced more by the grandmothers in the past and were not as popular among the mothers. It is noteworthy that the cultural practices to ward off the ‘evil eye’ were practiced by both mothers and grandmothers alike. Despite the influence of traditional cultural practices on the beliefs and norms of the community, the study identified a shift in health-seeking behavior, with increased reliance on healthcare providers and safe healthcare practices. The study identifies the pivotal role of Accredited Social Health Activists (ASHAs) as a bridge between the rural communities and the healthcare system.ConclusionsThis research provides valuable insights for healthcare providers aiming to enhance community-centric safe newborn care practices in rural settings. The emphasis is on the importance of understanding the current and changing local practices. This would help the healthcare providers to encourage healthy practices while eliminating the harmful practices related to newborn care through community workers like ASHA and Anganwadi workers.

The Role of Breastfeeding in Acute Respiratory Infections in Infancy.

Acute respiratory infections (ARIs) affect the respiratory tract, are often caused by viruses such as respiratory syncytial virus and rhinovirus, and present symptoms such as coughing, fever, respiratory distress, and breathing difficulty. The global adherence to exclusive breastfeeding (BF) for the first 6 months of life has reached 44%, supported by the World Health Organization and United Nations International Children's Emergency Fund efforts. BF provides vital nutrients and contributes to infant immune system development, protecting against infections. The role of BF in preventing and reducing complications of ARIs in infants is gaining attention, prompting a review of current data and future research needs. This review aims to summarize the evidence on the role of BF in reducing the risk and severity of ARIs in infants, elucidate the adaptations in breast milk composition during infections, and identify relevant research needs. Human milk (HM) is rich in immunoglobulins, antimicrobial peptides, and immunomodulatory factors that protect against various pathogens, including respiratory viruses. Several studies have demonstrated that BF is associated with a significant reduction in hospitalization, oxygen requirements, and mortality in infants with ARIs. The effectiveness of BF varies according to the specific respiratory virus, and a longer duration of exclusive BF appears to enhance its protective effect. It is documented that the composition of HM adjusts dynamically in response to infections, fortifying the infant's immune defenses. Specific immunological components of HM, including leukocytes and immunoglobulins, increase in response to infection in the infant, contributing to the enhancement of the immune defense in infants. Immune-boosting microRNAs enhance immune transfer to the infants and promote early gut maturation, and the HM microbiome along with other factors modifies the infant's gut microbiome and immune system. BF defends infants from respiratory infections, and the investigation of the microRNAs in HM offers new insights into its antiviral properties. The promotion of BF, especially in vulnerable communities, is of paramount importance in alleviating the global burden of ARIs in infancy.

Effectiveness of Lactation Counseling on Lactation Outcome among Primipara Mothers: A Pilot Study

Abstract Introduction The World Health Organization encourages initiation of breastfeeding soon after birth, exclusive breastfeeding (EBF) for the first 6 months, and continued breastfeeding up to 2 years of age. Material and Methods This pilot study was done on 30 primiparous women between 37 and 40 weeks of gestation. Mothers of intervention group were given lactation counseling using a module and a demo before delivery and face-to-face counseling for 3 days, whereas mothers of control group received routine care. Immediate initiation of breastfeeding and lactation outcome was measured using structured validated tools. Results Significant difference was found at the initiation of breastfeeding between the groups (t = 8.529; p < 0.001) and in the lactation outcome, which was observed by the infant breastfeeding observation tool on the third day (Z = –4.269), fourth day (Z = –4.681), and fifth day (Z = –4.667) at p < 0.001 level. None of the babies of mothers who received lactation counseling and immediate initiation of breastfeeding had exaggerated jaundice whereas 53.33% of infants in the control group (group 1) developed exaggerated jaundice within the first 48 hours. All the babies of the intervention group were on EBF up to 6 months whereas only 46.66% of infants of the control group had EBF for the first 3 months and 40% in the 4th month and 20% in 5th and 6th month. Conclusion Our research supports the need of lactation counseling for better initiation of breastfeeding and lactation.

Overview of the Feeding Practices and Their Influence on the Nutritional Status of Infants Aged 6 to 23 Months in Guera Province, Tchad

Malnutrition affects many infants in Chad, impairing their general health. Infant feeding practices therefore require special monitoring. This study aimed to assess feeding practices and their influence on the nutritional status of infants aged 6 to 23 months in the Guera province in Tchad. Data were collected through a cross-sectional survey using a structured questionnaire. Participants were selected using random sampling, and statistical data were processed using SPSS and XLstat 2016 software. Results showed that 86.5% of the children received mixed breastfeeding and colostrum, respectively, at birth. Exclusive breastfeeding was low, at 12.5%. Meal frequency was low overall, with only 3% of children receiving three meals a day. Evaluation of the impact of Infant and Young Child Feeding (IYCF) practices showed that bottle-fed infants were generally in a poor nutritional state, with 50% severely malnourished and 50% moderately malnourished, while only 12% of exclusively breastfed children were in severely malnourished state. The high frequency of meal was also favorable to normal state, and no child receiving three meals was sick more than once in the last three months. What's more, only 44% of breastfed children and 52% of colostrum-fed children had fallen ill more than once in the previous three months. In general, malaria and diarrhea were the most frequently contracted by children. This study identified the factors that hurt the normal nutritional status of infants in this part of the Tchad.

Improving Parental Health Literacy in Primary Caregivers of 0- to 3-Year-Old Children Through a WeChat Official Account: Cluster Randomized Controlled Trial.

Parental health literacy is important to children's health and development, especially in the first 3 years. However, few studies have explored effective intervention strategies to improve parental literacy. This study aimed to determine the effects of a WeChat official account (WOA)-based intervention on parental health literacy of primary caregivers of children aged 0-3 years. This cluster randomized controlled trial enrolled 1332 caregiver-child dyads from all 13 community health centers (CHCs) in Minhang District, Shanghai, China, between April 2020 and April 2021. Participants in intervention CHCs received purposefully designed videos via a WOA, which automatically recorded the times of watching for each participant, supplemented with reading materials from other trusted web-based sources. The contents of the videos were constructed in accordance with the comprehensive parental health literacy model of WHO (World Health Organization)/Europe (WHO/Europe). Participants in control CHCs received printed materials similar to the intervention group. All the participants were followed up for 9 months. Both groups could access routine child health services as usual during follow-up. The primary outcome was parental health literacy measured by a validated instrument, the Chinese Parental Health Literacy Questionnaire (CPHLQ) of children aged 0-3 years. Secondary outcomes included parenting behaviors and children's health outcomes. We used the generalized linear mixed model (GLMM) for data analyses and performed different subgroup analyses. The β coefficient, risk ratio (RR), and their 95% CI were used to assess the intervention's effect. After the 9-month intervention, 69.4% (518/746) of caregivers had watched at least 1 video. Participants in the intervention group had higher CPHLQ total scores (β=2.51, 95% CI 0.12-4.91) and higher psychological scores (β=1.63, 95% CI 0.16-3.10) than those in the control group. The intervention group also reported a higher rate of exclusive breastfeeding (EBF) at 6 months (38.9% vs 23.44%; RR 1.90, 95% CI 1.07-3.38) and a higher awareness rate of vitamin D supplementation for infants younger than 6 months (76.7% vs 70.5%; RR 1.39, 95% CI 1.06-1.82). No significant effects were detected for the physical score on the CPHLQ, breastfeeding rate, routine checkup rate, and children's health outcomes. Furthermore, despite slight subgroup differences in the intervention's effects on the total CPHLQ score and EBF rate, no interaction effect was observed between these subgroup factors and intervention factors. Using a WHO literacy model-based health intervention through a WOA has the potential of improving parental health literacy and EBF rates at 6 months. However, innovative strategies and evidence-based content are required to engage more participants and achieve better intervention outcomes.

Effectiveness of the SETIA (Self Empowering Woman, Empathy, Trust, Intimate and Affection) program in enhancing exclusive breastfeeding in Indonesia

The sustainability of breastfeeding remains a challenge for primiparous mothers. Empowering women through home visits by midwives needs to be enhanced to ensure the continuity of breastfeeding. This research aimed to compare the effectiveness of the SETIA (Self-Empowering Women, Empathy, Trust, Intimacy, and Affection) program with a standard program in assisting primiparous mothers to breastfeed their babies after one month. A total of 50 primiparous participants were divided into two groups through simple random sampling. The standard group received four home visits, while the SETIA group received five home visits within one month postpartum. The breastfeeding competency variable was evaluated after one month using the World Health Organization (WHO) instruments and interviews about exclusive breastfeeding. The variables were analyzed using comparative statistics. The results showed no significant difference between the standard and SETIA groups, with Mann-Whitney U values of 253.5 and Wilcoxon values of 578.5 (p-value=0.086, α<0.05). However, there is evidence that the intervention group managed breastfeeding problems better, and more mothers continued breastfeeding after one month. Therefore, the authors suggest more frequent home visits to help new mothers adapt to their breastfeeding roles, especially in the first week after birth. Further research is needed to assess exclusive breastfeeding after six months in both groups.

Complex intertwined association between breastfeeding practices and household food insecurity: Systematic review and meta-analysis.

Breastfeeding offers ideal food and nutrition for infants; however, structural barriers may amplify breastfeeding inequities. We aimed to identify whether household food insecurity (HFI) is associated with exclusive and continued breastfeeding (EBF and CBF) as recommended by the World Health Organization/United Nations Children's Fund (UNICEF) Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, literature searches using 'breastfeeding', 'food insecurity' and 'infant' terms were conducted in PubMed/MEDLINE, Embase, CINAHL, Global Health and LILACS from inception through November 2023, without language restrictions, yielding 1382 publications (PROSPERO:CRD42022329836). Predetermined eligibility criteria yielded the 12 included studies (nine cross-sectional and three cohorts). The risk of bias was assessed through the Effective Public Health Practice Project. Meta-analysis was performed for studies assessing EBF (n = 10), and metaregression was used to explore heterogeneity across studies. Prevalence of EBF ranged from 1.6% to 85.3%, with a lower prevalence among HFI. The pooled effect of the association between HFI and EBF presented an odds ratio (OR) of 0.61 (95% CI = 0.49-0.76) with consistent results across marginal (OR = 0.72, 95% CI = 0.55-0.94), moderate (OR = 0.59, 95% CI = 0.41-0.84) and severe HFI (OR = 0.49, 95% CI = 0.32-0.76). High heterogeneity was found only when HFI was dichotomized. The prevalence of CBF ranged from 35.4% to 78.0%, with inconsistent prevalence among HFI; a meta-analysis was not performed due to the low number of studies (n = 3). We concluded that HFI levels are associated with lower odds of EBF. Integrating service and policy-level strategies, such as screening, referrals, skilled breastfeeding counseling and access to comprehensive nutrition and social programs, could reduce structural inequities and promote adherence to the World Health Organization/UNICEF breastfeeding recommendations among food-insecure families.

Social Psychological and Cultural Resilience in Its Influence on Exclusive Breastfeeding Behavior

ABSTRACT Mother's milk (ASI) is the best food for babies that cannot be replaced by anything. Breastfeeding has been proven to be beneficial for both the baby and the mother. However, the coverage rate for achieving exclusive breastfeeding is still far below the target. This research aims to determine the influence of social psychological and socio-cultural resilience on exclusive breastfeeding behavior. This research is an analytical study with a cross sectional design. The sample in this study was 108 postpartum mothers taken using a simple random sampling technique. The independent variables in this research are social psychological and socio-cultural resilience, while the dependent variable is the behavior of postpartum mothers in providing exclusive breastfeeding. Data collection in this study used a questionnaire and was analyzed bivariately using the Chi Square and Fisher Exact Tests, while multivariate analysis used the Logistic Regression Test. The results of analysis using the Chi Square and/or Fisher Exact tests showed a p value > 0.05 for all indicators of social psychological resilience, which means that there are no indicators in this dimension that have an influence on exclusive breastfeeding. Meanwhile, for the socio-cultural resilience variable, the result was a p value of 0.014 or p value <0.05 on the social care indicator, which means that social care has a significant influence on exclusive breastfeeding. So it can be concluded that social psychological resilience has no effect on exclusive breastfeeding, while socio-cultural resilience influences exclusive breastfeeding on indicators of social concern.

The Effect of Providing Exclusive Breastfeeding Counseling on the Self-Efficacy of Breastfeeding Mothers

Exclusive breastfeeding is a baby's best food for growth and development in the first six months. Breastfeeding mothers need high confidence and self-efficacy that they can provide breastmilk for their babies. The provision of counseling services allows mothers to gain a comprehensive understanding of proper breastfeeding techniques and the benefits of breast milk for infants. This study aimed to determine the effect of exclusive breastfeeding counseling on breastfeeding mothers' self-efficacy.This study was a pre-experiment study with a one group pretest-postest design. The sample in this study amounted to 33 exclusive breastfeeding mothers ≤ 6 months which is the total pupulation. The data obtained were processed and analyzed with the Wilcoxon Signed Rank test.The results of the statistical test analysis showed a change in efficacy after counseling of 15.50 with a significance value (Sig.) of 0.000. That is, there is an effect of exclusive breastfeeding counseling on the self-efficacy of breastfeeding mothers.The conclusion of this study is that there is an effect of exclusive breastfeeding counseling on the self-efficacy of breastfeeding mothers. It is hoped that this research can be used as information to carry out midwifery care, so that officers can provide maximum services to improve the quality of health services, especially counseling and providing information about the importance of exclusive breastfeeding so that there is no drop out and breastfeeding continues for up to 2 years.

Association of early-term birth and breastfeeding practices with nutritional outcomes in singleton term infants: a multicenter cross-sectional study

BackgroundLimited research has explored the associations of gestational age (GA) and breastfeeding practices with growth and nutrition in term infants.MethodsThis multicenter cross-sectional study recruited 7299 singleton term infants from well-child visits in Shandong, China, between March 2021 and November 2022. Data on GA, gender, ethnicity, birth weight, parental heights, gestational diabetes and hypertension, age at visit, breastfeeding practices (point-in-time data at visit for infants < 6 months and retrospective data at 6 months for infants ≥ 6 months), complementary foods introduction, infant length and weight, were collected. 7270 infants were included in the analysis after excluding outliers with Z-scores of length (LAZ), weight or weight for length (WLZ) <-4 or > 4. Linear regression models adjused for covariates explored the impact of GA and breastfeeding practices on LAZ and WLZ, while logistic regression models evaluated their effect on the likelihood of moderate and severe stunting (MSS, LAZ<-2), moderate and severe acute malnutrition (MSAM, WLZ<-2) and overweight/obesity (WLZ > 2). Sensitivity analysis was conducted on normal birth weight infants (2.5–4.0 kg).ResultsInfants born early-term and exclusively breastfed accounted for 31.1% and 66.4% of the sample, respectively. Early-term birth related to higher WLZ (< 6 months: β = 0.23, 95% confidence interval (CI): 0.16, 0.29; ≥6 months: β = 0.12, 95% CI: 0.04, 0.20) and an increased risk of overweight/obesity throughout infancy (< 6 months: OR: 1.41, 95% CI 1.08, 1.84; ≥6 months: OR: 1.35, 95% CI 1.03, 1.79). Before 6 months, early-term birth correlated with lower LAZ (β=-0.16, 95% CI: -0.21, -0.11) and an increased risk of MSS (OR: 1.01, 95%CI 1.00, 1.02); Compared to exclusive breastfeeding, exclusive formula-feeding and mixed feeding linked to lower WLZ (β=-0.15, 95%CI -0.30, 0.00 and β=-0.12, 95%CI -0.19, -0.05, respectively) and increased risks of MSAM (OR: 5.57, 95%CI 1.95, 15.88 and OR: 3.19, 95%CI 1.64, 6.19, respectively). Sensitivity analyses confirmed these findings.ConclusionsThe findings emphasize the health risks of early-term birth and the protective effect of exclusive breastfeeding in singleton term infants, underscoring the avoidance of nonmedically indicated delivery before 39 weeks and promoting exclusive breastfeeding before 6 months.

Relationship Between Knowledge, Attitude, and Family Support with Exclusive Breastfeeding

The effort to improve the quality of human resources (HR) begins from infancy in the womb. One of the efforts to ensure a well-growing and developing baby is by providing Exclusive Breastfeeding (EBF). Globally, the provision of EBF is lower than needed. This study aims to determine the relationship between knowledge, attitude, and family support towards the provision of exclusive breastfeeding in the working area of UPTD Puskesmas Plaosan Magetan. Method : This research is an analytical survey study with a cross-sectional design. The research sample was taken using Simple Random sampling technique, amounting to 37 mothers with infants aged 0-6 months. The independent variables are knowledge, attitude, and family support, and the dependent variable is the provision of Exclusive Breastfeeding. Data collection was conducted using questionnaires and baby register books. To analyze the relationship between knowledge, attitude, and family support, Bivariate analysis was used, and the tests used were chi-square or fisher exact tests. Result : The results showed that there was no relationship between knowledge and the provision of Exclusive Breastfeeding (p-value = 0.447), there was a relationship between attitude and the provision of Exclusive Breastfeeding (p-value = 0.005), and there was a relationship between family support and the provision of Exclusive Breastfeeding (p-value = 0.002). Discussion : Based on the results of the study, it is concluded that the success of Exclusive Breastfeeding is related to attitude and family support; however, attitude and family support are formed from good knowledge and a positive mindset. Suggestion : Therefore, it is recommended for UPTD Puskesmas Plaosan to develop educational programs involving family participation and community leaders, as well as to improve health services.

Application of The Tri Core Breastfeeding Model Using Audiovisual-Based E-Modules to Increase The Motivation Of Working Mothers in Exclusive Breastfeeding in The Working Area of The Wonoayu Sidoarjo Health Center

The tri core breastfeeding model is a health education model for breastfeeding mothers that includes three main aspects: lactation education, self-efficacy or increased confidence in breastfeeding mothers, and support from the surrounding environment. The importance of increasing self-confidence when breastfeeding, especially in working mothers, is something that needs to be considered. The government's efforts to increase exclusive breastfeeding coverage are contained in Government Regulation No.33/2012 on breastfeeding. This study aims to analyze the application of tri core breastfeeding models using audiovisual-based e-modules to increase the motivation of working mothers in exclusive breastfeeding. This study used a quasy experiment method with a non-equivalent control group design. The intervention group (18 people) used e-modules, while the control group used e-leaflets (18 people). The results of this study obtained ρvalue 0.000 &lt; α = 0.05. It can be concluded that there is a significant difference between the use of audiovisual-based e-module media and e-leaflets on increasing motivation for exclusive breastfeeding in working mothers. Data analysis in this study used marginal homogeneity test and mann whitney test. The application of tri core breastfeeding models using audiovisual-based e-modules is expected to be able to increase exclusive breastfeeding coverage in working mothers.

Breastfeeding education training program for healthcare professionals: A narrative review

Lack of knowledge and skills regarding breastfeeding education leads mothers to prefer formula milk over exclusive breastfeeding. Breastfeeding education provided by health professional is needed to support mothers to breastfeed their baby exclusively. Methodology: The methodology employed in this study was a narrative review where the researcher critically examines the ideas presented in several studies regarding breastfeeding education training program for health workers. Articles were selected using inclusion criteria: original research, published in English and Indonesian languages, within the last 5 years (2018-2023). A total of 50 articles were found. Ten articles meeting the inclusion criteria were included in the author's review. Conclusion: Breastfeeding education training programs have an impact on the success of breastfeeding mothers. The more healthcare professionals, especially midwives, understand breastfeeding education, the more breastfeeding mothers will be aware of the importance of breastfeeding for their children.

Factors in the Incidence of Stunting in Children Under Five: Literature Review

Introduction: Stunting is a chronic condition of stunted growth caused by long-term malnutrition. This condition can be measured by the length or height of more than minus two standard child growth standards from the World Health Organization (WHO). Objective: This literature review study aims to determine factors related to the incidence of stunting in children under five. Method: This article uses a literature review research method using the PRISMA (Preferred Reporting Items and Meta-analysis) method. Literature searches were carried out on Pubmed, Science Direct, Google Scholar which were published in 2013-2023. The number of articles reviewed in this literature review was 11 articles. Results: Of the 126 articles, 11 articles came from various regions in Indonesia. There was 1 article that conducted descriptive survey research, 8 cross-sectional research articles, 1 analytical observational article and 1 retrospective research article, which discussed factors related to the occurrence of stunting in children under five and met the inclusion criteria. Factors in the incidence of stunting from the articles obtained include maternal education, economic or family income, low birth weight (LBW), MPASI and nutritional status. Conclusion: Factors related to the incidence of stunting in children under five are maternal education, child, environment, early breastfeeding, exclusive breastfeeding, early complementary feeding before 6 months of age, food quality, child growth and development, a history of low birth weight (LBW) or prematurity, socioeconomic status.

An evidence-based nipple care pathway for new breastfeeding mothers: a Delphi study

Background/Aims Only 1% of UK mothers maintain exclusive breastfeeding for the first 6 months, as per global recommendations. Early breastfeeding cessation often involves complex issues, with nipple-related injuries being a common cause. This study aimed to develop an evidence-based tool for early identification and management of breastfeeding-related nipple injuries through expert consensus. Methods A mixed method approach was used, including a 5-stage scoping review and a modified Delphi consensus technique with 26 UK-based maternal health experts and experienced breastfeeding mothers. Results Consensus (80% agreement) was reached on recommendations, including the provision of realistic information, early peer support engagement and Lanolin use. Some commonly recommended practices, such as letting the nipple air dry, did not reach consensus, highlighting a misalignment between expert consensus and published guidance. Conclusions This study generated evidence-based, expert-validated self-management guidance, emphasising the need for improved stakeholder engagement in policy development.

PEMODELAN GEOGRAPHICALLY WEIGHTED NEGATIVE BINOMIAL REGRESSION (GWNBR) PADA KEJADIAN STUNTING DIiKABUPATEN BARITO KUALA TAHUN 2022

Stunting is a condition of malnutrition in toddlers that causes their height to be lower than other children their age. In 2022, South Kalimantan Province has a stunting prevalence of 24.6% and ranks fifteenth in Indonesia. Barito Kuala Regency, one of the regions in South Kalimantan Province, has the highest stunting rate at 33.6% which is included in the Chronic- Acute category (≥ 20%). This study uses the GWNBR model to characterize the factors that cause stunting in Barito Kuala Regency. The GWNBR model will make it easier for researchers to find out the factors that affect stunting in each sub-district. The weight matrix used is a fixed kernel function and an adaptive kernel function. The predictor variables used were the percentage of infant history of complete basic immunization, history of exclusive breastfeeding in infants &lt;6 months, history of low birth weight babies, new visits to pregnant women (K1), sixth antenatal care (ANC) visit (K6), history of pregnant women who received blood supplement tablets, history of infants 6-11 months who received vitamin A, active posyandu and households with access to appropate sanitary facilities.(healthy latrines). The best model results obtained with adaptive gaussian weighting with an AIC value of 167.25. Keywords: Stunting Cases, GWNBR model.

Exclusive Breastfeeding Practice and Associated Factors among Mothers having Infants (Aged 0-6 Months) in the Pastoral Community of Sawena District, Bale Zone Oromia, Ethiopia, 2023

Background: Breastfeeding is the recommended feeding method for infants due to its ease, health benefits, and cost-effectiveness. However, there is limited understanding of Exclusive Breastfeeding (EBF) in pastoral communities, such as the Sawena district in Ethiopia. Objective: To assess the prevalence and factors associated with EBF among mothers with infants (aged 0-6 months) in pastoral communities in Southeast Ethiopia. Method: A community-based cross-sectional study design with a convergent mixed-method approach was employed from March 01 to April 2023 G.C and involved 631 women selected through random sampling. Face-to-face interviews were conducted, and the data were analyzed using statistical software. Variables with a p &lt; 0.25 in the analysis were included in the logistic regression model. Results: Out of 631 eligible mothers, 625 participated in the study, resulting in 53.8% (95% CI; 49.8%-57.4%). prevalence of EBF in the study area. Factors significantly associated with EBF included household food security [AOR = 1.6, 95% CI (1.1-2.2)], ANC follow-up during pregnancy, [AOR = 5.3, 95% CI (2.4-11.9)], counselling about EBF during ANC visits [AOR = 5; 95% CI (2.1-11.7)], number of children [AOR = 1.6, 95% CI (1.1-2.3)] and attitudes toward EBF [AOR = 1.8; 95% CI (1.4-2.6)]. The qualitative findings revealed reasons for not practicing EBF, such as concerns about insufficient breast milk, concerns about the baby becoming thirsty, refusing solid foods later, or being negatively affected. Conclusion: The prevalence of EBF in the Sawena district was lower than recommended. The influential factors include household food security, ANC follow-up, counselling during ANC, number of children, and attitudes toward EBF.

Effectiveness of Husbands' Support Exclusive Breastfeeding Facebook Programme During the COVID-19 Pandemic.

The exclusive breastfeeding rate for six months in the Northeast region of Thailand has recently significantly decreased, in contrast to all other regions in Thailand. Facebook is widely used worldwide to enhance knowledge, attitudes, and behaviours that support breastfeeding. This study aims to assess the effectiveness of a Facebook programme for husbands' support of exclusive breastfeeding during the COVID-19 pandemic. We employed a quasi-experimental study design conducted from September 2020 to November 2021. Data were collected from two tertiary hospitals in Thailand, involving a total of 72 participants-36 in the experimental group and 36 in the control group. These participants were husbands of postpartum women admitted to the postpartum wards. Four research instrument were the demographic questionnaire, the Husband's EBF Knowledge, Husband's EBF Attitude, and Husband's EBF Behavior Questionnaires. Demographic data were analysed using frequency distribution, percentages, and the Chi-square test. The mean difference in husbands' exclusive breastfeeding (EBF) knowledge scores was analysed using an independent samples t-test. At baseline, there was no significant difference in husbands' exclusive breastfeeding (EBF) knowledge scores between the experimental and control groups (p = 0.82). By the 1st month, there was a significant difference in the mean scores of husbands' EBF knowledge between the two groups (p < 0.01). However, the mean score of attitude at 6-month (mean=108.03, SD=19.89) was higher than the mean score of behaviour at baseline (mean=101.81, SD=17.99), but it was not significant (p=0.40). In addition, the different score of behaviour among baseline (mean=65.86, SD=7.02) and 6-month (mean=68.58, SD=10.42) was not significant (p=0.24). The findings suggest that the Facebook programme is an effective platform for conveying exclusive breastfeeding (EBF) knowledge to husbands in Northeast Thailand during the COVID-19 pandemic.

Hubungan Sikap Dan Pengetahuan Ibu Menyusui Dengan Pemberian Asi Eksklusif Pada Bayi UPTD Puskesmas Sultan Daulat Kabupaten Subulussalam Tahun 2023

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

Effect of Exclusive Breastfeeding on the Risk of ARI in Under-Five Children: Literature Review

Introduction: Acute Respiratory Infection (ARI) is a major health problem in under-five children which can cause death. Exclusive breastfeeding can prevent infections, one of which is ARI. Objective: This study aims to examine the relationship between exclusive breastfeeding and the risk of ARI in under-five children. Method: This research uses a literature review approach which measures the relationship between exclusive breastfeeding and the risk of ARI in under-five children. The data source uses secondary data in the form of articles obtained through two databases, namely Scopus and Springer Link. Result: There are 5 articles that meet the requirements for research. Four out of five articles prove that exclusive breastfeeding reduces the risk of children under five getting ARI. The finding of a higher risk of ARI in the group of children under five who are not exclusively breastfed can be caused by a decrease in the immunity of children under five, seeing that breast milk is proven to fight infection. The content of sIgA and lactoferrin in breast milk and immunization can increase the immune system in children under five who suffer from ARI. Conclusion: Breast milk has nutrients in it which are useful for preventing infectious diseases, such as ARI and pneumonia in children under five. Given the influence on the health of children under five, the findings of this study demonstrate the need for improvements in breastfeeding programs, with a particular emphasis on exclusive breastfeeding and ARI management. There is a need for widely accessible health workers, information, and services connected to care for moms.