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Dr Tabassum Presentation Transcript

  • 1. DETERMINANTS OF BREASTFEEDING PRACTICES IN DISTRICT ALIGARH.
    Authors :
    Dr Tabassum Nawab,
    Prof. Zulfia Khan,
    Dr M Athar Ansari,
    Dr R Ahmed,
    Dr E. Waqarib.
    Department of Community Medicine, JNMCH, Aligarh.
  • 2. Background:
    Exclusive breastfeeding - single most effective intervention for child survival.
    Universalising early & exclusive breastfeeding - major public health intervention to reduce mortality in the neonates and infants.
    Improving complementary feeding can reduce anemia and stunting .
    Objectives :
    1) To study the pattern of feeding of infants.
    2) To study the factors determining the feeding practices.
    3) To recommend ways to improve the same.
  • 3. METHODOLOGY:
    Design: cross-sectional
    Setting: antenatal & immunization clinic of Rural & Urban Health Training Centers , Department of Community Medicine, Antenatal OPD & Pediatric OPD, JNMCH, Aligarh.
    Study unit: mothers of children aged >6 months till 5 years of age , attending these clinics.
    Inclusion Criteria:
    A female having any child aged >6 months till 5 years , irrespestive of her current pregnancy status.
    Exclusion Criteria:
    • A female having a child aged <=6 months or >5 years.
    • 4. Mother who did not give consent for interview.
  • Study tool:
    • A predesigned & pretested oral questionnaire.
    • 5. In case a female had more than one child in the required age group, she was interviewed regarding the feeding practices in the youngest child.
    Sample size:
    In total 354 mothers were interviewed during 15 days of survey.
    Sampling: Consecutive sampling was done , with 25 mothers per day.
    Analysis: was done using SPSS 17. Chi square test was applied to test statistical significance.
  • 6. RESULTS
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Table no.1.Distribution of study population by antenatal history and infant feeding practices
  • 12. Table no.2.DETERMINANTS OF BREASTFEEDING PRACTICES
    a - SIGNIFICANT, P < 0.05 b -NOT SIGNIFICANT,
  • 13. Table no. 4.DETERMINANTS OF BREASTFEEDING PRACTICES
    a - SIGNIFICANT, P < 0.05 b -NOT SIGNIFICANT,
  • 14. Table no. 6.DETERMINANTS OF BREASTFEEDING PRACTICES
    a - SIGNIFICANT, P < 0.05 b -NOT SIGNIFICANT,
  • 15. CONCLUSION:
    Breastfeeding was started within 1 hr - 29.7% of infants
    Exclusive Breastfeeding - 41.24% infants only.
    Complementary feeding was started at appropriate time - 61.3% infants.
    Breastfeeding started within 1 hr is affected significantly by urban residence, any ANC, advice for BF given during pregnancy & institutional delivery.
    Prelacteals administration is affected by any ANC, advice for BF given during pregnancy & institutional delivery.
    Exclusive breastfeeding for 6 Months is affected significantly by education of mother, any ANC, advice for BF given during pregnancy & institutional delivery.
    Appropriate complementary feeding is affected significantly by education of mother and place of residence.
  • 16. CONCLUSION:
    Majority of the mothers living in urban areas started breastfeeding within 1 hour after birth.
    Complementary feeding was started appropriately in mothers who were urban and were educated >high school.
    Mothers who had even a single contact with health personnel, who received health education regarding breastfeeding during pregnancy and who underwent institutional delivery were more likely to have good breastfeeding practices.
    RECOMMENDATIONS:
    IEC activities should be directed towards education of mothers .
    Atleast three contact with the health personnel during antenatal period, as recommended under RCH, and health education regarding breastfeeding during pregnancy should be ensured.
  • 17. Thank you!
    BAB-E-SYED