It takes a village

An empirical analysis of how husbands, mothers‐in‐law, health workers, and mothers influence breastfeeding practices in Uttar Pradesh, India

Dados Bibliográficos

ID15535844
AutoresMelissa Young (0000-0002-2768-1673, Emory University, autor correspondente), Phuong H Nguyen (0000-0003-3418-1674, International Food Policy Research Institute), Shivani Kachwaha (International Food Policy Research Institute), Lan Mai Tran (0000-0001-5129-5716, Family Health International 360), Sebanti Ghosh (Family Health International 360), Rajeev Agrawal (0000-0002-4008-9682, Family Health International 360), Jessica Escobar‐Alegria (Family Health International 360), Pratiksha Menon (0000-0001-5988-2894, International Food Policy Research Institute), Rasmi Avula (0000-0003-0066-6964, International Food Policy Research Institute)
Ano2019
Volume16
Fascículo2
Páginase12892-e12892
Data de publicação2019-11-26
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.12892
PMID31773869
OpenAlexW2991174716
IdiomaEN
Citações recebidas4
Referências citadas14

Evidence on strategies to improve infant and young child feeding in India, a country that carries the world's largest burden of undernutrition, is limited. In the context of a programme evaluation in two districts in Uttar Pradesh, we sought to understand the multiple influences on breastfeeding practices and to model potential programme influence on improving breastfeeding. A cross-sectional survey was conducted among 1,838 recently delivered women, 1,194 husbands, and 1,353 mothers/mothers-in-law. We used bivariate and multivariable logistic regression models to examine the association between key determinants (maternal, household, community, and health services) and breastfeeding outcomes [early initiation of breastfeeding (EIBF)], prelacteal feed, and exclusive breastfeeding (EBF). We used population attributable risk analysis to estimate potential improvement in breastfeeding practices. Breastfeeding practices were suboptimal: EIBF (26.3%), EBF (54%), and prelacteal feeding (33%). EIBF was positively associated with maternal knowledge, counselling during pregnancy/delivery, and vaginal delivery at a health facility. Prelacteal feeds were less likely to be given when mothers had higher knowledge, beliefs and self-efficacy, delivered at health facility, and mothers/mothers-in-law had attended school. EBF was positively associated with maternal knowledge, beliefs and self-efficacy, parity, and socio-economic status. High maternal stress and domestic violence contributed to lower EBF. Under optimal programme implementation, we estimate EIBF can be improved by 25%, prelacteal feeding can be reduced by 25%, and EBF can be increased by 23%. A multifactorial approach, including maternal-, health service-, family-, and community-level interventions has the potential to lead to significant improvements in breastfeeding practices in Uttar Pradesh

Breast feeding · Breastfeeding · Context (archaeology · Developing country · Economic growth · Environmental health · Health facility · Health services · Logistic regression · Malnutrition · Population · Psychological intervention · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Nursing · Pediatrics