Effect of breastfeeding education and support intervention (BFESI) versus routine care on timely initiation and exclusive breastfeeding in Southwest Ethiopia: study protocol for a cluster randomized controlled trial

Abdulahi, Misra; Fretheim, Atle; Magnus, Jeanette H.

doi:10.1186/s12887-018-1278-5

Cited by 19 publications

(30 citation statements)

References 39 publications

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“…Eligible participants were asked for their written consent of participation after they received an information session detailing the study, voluntary participation, and study withdrawal. Detailed description of the BFESI study setting is reported elsewhere [31].…”

Section: Participants and Study Designmentioning

confidence: 99%

“…A total of 468 pregnant women were enrolled at baseline of the BFESI study [31]. The mean ± SD age of the women was 25.2 ± 4.96 years.…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…Only one study in South Africa evaluated the content validity of IIFAS after cross-cultural adaptation though this was limited by the lack of a detailed psychometric assessment of the tool [30].Therefore, we aimed at adapting and validating the Afan Oromo versions of the BFKQ and the IIFAS among pregnant women in a rural setting from southwestern Ethiopia. The current study is part of the baseline study conducted for a Breastfeeding Education and Support Intervention (BFESI) trial [31].…”

Section: Introductionmentioning

confidence: 99%

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Adaptation and validation of the Iowa infant feeding attitude scale and the breastfeeding knowledge questionnaire for use in an Ethiopian setting

et al. 2020

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Background: Validated instruments to assess breastfeeding knowledge and attitude are non-existent in Africa including Ethiopia. We aimed to adapt and validate the Breastfeeding Knowledge Questionnaire (BFKQ) and the Iowa Infant Feeding Attitude Scale (IIFAS) for use in Afan Oromo (AO), the most widely spoken language in Ethiopia. Methods: After forward-backward translation into Afan Oromo, the instruments were reviewed for content validity by a panel of a nutritionist and pediatricians, and pretested on a sample of 30 mothers. Then, a cross-sectional study involving 468 pregnant women in their second and third trimester was conducted between May and August 2017 in the Manna district, Southwest Ethiopia, using the final versions of the adapted questionnaires. We used exploratory and confirmatory factor analysis to assess the construct validity, receiver operating characteristic (ROC) curves to determine the predictive validity and Cronbach's alpha coefficients to assess internal consistency. Results: Using exploratory factor analysis (EFA), nine domains containing 34 items were extracted from the BFKQ-AO. A confirmatory factor analysis of the constructs from EFA confirmed construct validity of the instrument (χ2/ df = 2.11, RMSEA = 0.049, CFI = 0.845, TLI = 0.823). In factor analysis of the IIFAS, the first factor explained 19.7% of the total variance and the factor loadings and scree plot test suggested unidimensionality of the tool. Cronbach's alpha was 0.79 for the BFKQ-AO and 0.72 for IIFAS-AO suggesting an acceptable internal consistency of both instruments. For the sensitivity and specificity in predicting intention of breastfeeding for ≥24 months, the area under the curve (AUC) was 82% for IIFAS score and 79% for BFKQ score. Conclusions: Here we present the first study that reported the use of the BFKQ and the IIFAS in Ethiopia. Our results showed that both BFKQ-AO and IIFAS-AO can be reliable and valid tools for measuring maternal breastfeeding knowledge and attitude in the study population, showing the potential for adapting these tools for application in a wider Ethiopian context.

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Section: Participants and Study Designmentioning

confidence: 99%

“…A total of 468 pregnant women were enrolled at baseline of the BFESI study [31]. The mean ± SD age of the women was 25.2 ± 4.96 years.…”

Section: Sample Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adaptation and validation of the Iowa infant feeding attitude scale and the breastfeeding knowledge questionnaire for use in an Ethiopian setting

et al. 2020

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“…Selanjutnya menurut Payne and Nicholls (2010) tempat kerja mewajibkan posisi 'pekerja yang baik' untuk menjadi yang utama, sehingga membatasi kesempatan bagi wanita untuk berlatih menjadi 'ibu yang baik' dalam memberikan ASI. b) Tenaga kesehatan Pernyataan dari Abdulahi et al (2018) bahwa pendidikan saat awal pertama menyusui adalah strategi bagus dalam kelanjutan pemberian ASI menyusui dan akan menekan hambatan, Chaplin et al (2016) mendukung bahwa hambatan terbesar menyusui bagi pasien adalah kurangnya informasi bekal pulang dari RS. Ridgway et al (2016) menyatakan bahwa peran penting tenaga kesehatan dalam melakukan promosi akan mempengaruhi ASI atau susu formula yang akan diberikan.…”

Section: B Segi Eksternal A) Lingkungan Kerjaunclassified

Mothers’ Experience In Support Of Exclusive Breastfeeding: Scoping Review

Nurvitriana

Triratnawati

Warsiti³

2020

midwiferia

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Exclusive breastfeeding is one of the important strategies to reduce child mortality which has been recommended by the World Health Organization (WHO). Exclusive breastfeeding is defined as the provision of nutritional intake to infants from the first time of birth until at least 6 months can without additional food and drinks. In 2016 WHO showed that the average level of breastfeeding worldwide was only 38% which occurred in urban areas. In the city area it was found that many breastfeeding mothers worked and obstacles and support arose. Working mothers have low trust and intention so as to increase the frequency of failure to give exclusive breastfeeding. This study aims to review support for exclusive breastfeeding. The systematic literature review covers eight stages, namely: Identifying middle frequency problems, Determining priority problems and research questions, Inclusion and Exclusion Criteria, literature search, Selecting articles, data extraction, Critical Assessment, Data collection and Mapping. Data searched from Pubmed and Onesearch. The researchers, then, examined the feasibility of finding documents. Finally, researchers found 9 documents that research criteria. Information on exclusive breastfeeding support was found from 5 journals, namely internal factors (self, family), while external factors (health workers, work environment) were found from 5 journals from 9 journals. The highest influence of support was a work environment characterized by a lack of support from facilities, coworkers, workloads of institutions that influenced the mothers' own intentions. The mother's experience of getting support from exclusive breastfeeding includes internal (self, family) and external (health worker, work environment).

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“…With the aim to improve breastfeeding knowledge, attitude and practices in Manna district, Southwest Ethiopia we conducted a randomized controlled trial in which we provided pregnant women with a breastfeeding education and support intervention (BFESI) that included prenatal breastfeeding education and the provision of postnatal peer support [29]. As one of the aims of the research project was to assess change in the level of knowledge and attitude towards breastfeeding, we sought to measure the baseline level and identify predictors of knowledge and attitude towards breastfeeding among women who enrolled into the BFESI trial.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Knowledge and Attitude Towards Breastfeeding Using Validated Instruments in Pregnant Women From a Rural Setting in Ethiopia

Ahmed

Fretheim

Argaw

et al. 2021

Preprint

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BackgroundUnderstanding the important underlying determinants of maternal knowledge and attitude towards breastfeeding guides the development of context-specific interventions aimed at increasing the rates of optimal breastfeeding practices. However, studies that used validated instruments to assess breastfeeding knowledge and attitude are nonexistent in Ethiopia.ObjectiveTo assess the level and determinants of breastfeeding knowledge and attitude using validated instruments in pregnant women who participated in breastfeeding education and support intervention in a rural district in Ethiopia.Methods468 pregnant women in their second or third trimester were interviewed at baseline to assess their knowledge and attitude towards breastfeeding practices using locally adapted and validated instruments. We used the Afan-Oromo versions of the Breastfeeding Knowledge Questionnaire (BFKQ-AO) and the Iowa Infant Feeding Attitude Scale (IIFAS-AO). Breastfeeding knowledge and attitude scores were standardized based on the distribution of the population and multiple linear regression models were fitted to identify the independent determinants knowledge and attitude.Results52.4% of the mothers had a high level of knowledge while 60.9% of the women had a neutral attitude towards breastfeeding. In a multiple linear regression model, the maternal occupation was the only predictor of the overall BFKQ-AO score (0.56 SD; 95% CI, 1.28, 4.59 SD; P=0.009). Age (0.57 SD; 95% CI, 0.24, 0.90 SD; P=0.001), parity (-0.24 SD; 95%CI, -0.47, -0.02SD; P=0.034), antenatal care visits (0.41 SD; 95% CI, (0.07, 0.74 SD; P=0.017) and the BFKQ score (0.08 SD; 95% CI, 0.06, 0.09 SD; P<0.000) were predictors of the IIFAS-AO score.ConclusionsAlthough more than half of the respondents had adequate knowledge about breastfeeding, most women had a neutral attitude towards breastfeeding. Occupation of mothers was an independent predictor of breastfeeding knowledge, whereas age, parity, antenatal care visits, and breastfeeding knowledge score were predictors of breastfeeding attitude. Thus, policymakers and managers should address these factors when planning educational interventions on breastfeeding to improve knowledge and attitude thereby improving breastfeeding practices.

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Effect of breastfeeding education and support intervention (BFESI) versus routine care on timely initiation and exclusive breastfeeding in Southwest Ethiopia: study protocol for a cluster randomized controlled trial

Cited by 19 publications

References 39 publications

Adaptation and validation of the Iowa infant feeding attitude scale and the breastfeeding knowledge questionnaire for use in an Ethiopian setting

Adaptation and validation of the Iowa infant feeding attitude scale and the breastfeeding knowledge questionnaire for use in an Ethiopian setting

Mothers’ Experience In Support Of Exclusive Breastfeeding: Scoping Review

Determinants of Knowledge and Attitude Towards Breastfeeding Using Validated Instruments in Pregnant Women From a Rural Setting in Ethiopia

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