Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial

Haider, Rukhsana; Ashworth, Ann; Kabir, Iqbal; Huttly, Sharon

doi:10.1016/s0140-6736(00)03159-7

Cited by 353 publications

(341 citation statements)

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“…Equally impressive results have recently been obtained in another randomized controlled trial using paid peer counselors in urban Bangladesh (13). In both Mexico and Bangladesh, all the women in the program communities who agreed to participate in the study received breast-feeding promotion and support.…”

Section: Discussionmentioning

confidence: 90%

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

Dearden¹,

Altaye²,

Maza³

et al. 2002

Rev Panam Salud Publica

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Section: Discussionmentioning

confidence: 90%

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

Dearden¹,

Altaye²,

Maza³

et al. 2002

Rev Panam Salud Publica

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“…Although giving water/tea is considered normal behavior in many countries, successful interventions have been implemented, for example, through community peer counselors in Bangladesh. 18 We do not know the reasons for why 22% of mothers intended to start other milks in the first month of life, but it is possible that improved support might persuade at least some of these mothers to delay introduction. Our findings suggest that current support for breastfeeding was poor, and a considerable proportion of mothers experienced problems for which they were insufficiently equipped.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding and Early Weaning Practices in Northeast Brazil: A Longitudinal Study

Marques

Lira²,

Lima

et al. 2001

Pediatrics

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ABSTRACT. Objectives. To describe breastfeeding practices from 0 to 12 months of age in 4 small towns that are representative of urban northeast Brazil and to identify factors associated with introduction of other milk in the first month of life.Methods. From January to August 1998, 364 mothers were interviewed at delivery to ascertain antenatal care; delivery room practices; and their intentions regarding breastfeeding, pacifiers, and introduction of water, teas, and other milk. Their perceptions of home support and the advantages of breastfeeding also were assessed. Thereafter, daily information about feeding practices was collected at twice-weekly home visits. When other milk was started, a second interview was conducted to ascertain initial and current breastfeeding problems and use of a pacifier. Reasons for starting other milk were investigated using 5-point Likert scales.Results. Mothers were positive toward breastfeeding, and 99% breastfed their new infant. Few intended to breastfeed exclusively, and in the first week 80% gave water/tea and 56% used a pacifier. The median duration of exclusive breastfeeding was 0 days, and the median age for starting other milk was 24 days. The median duration of breastfeeding was 65 days for mothers who started other milk within 1 month and 165 days for other mothers. After adjustment for confounding variables, the main factors associated with introduction of other milk within 1 month were pacifier use in the first week (odds ratio [OR], 4.01; 95% confidence interval [CI]: 2.07-7.78), intention to start other milk in the first month (OR, 3.79; 95% CI: 1.74 -8.24), giving water/tea in the first week (OR, 3.07; 95% CI: 1.56 -6.03), and leaving the maternity ward before breastfeeding was started (OR, 2.59; 95% CI: 1.34 -5.04).Conclusion. Although breastfeeding is common in this community, it rarely is exclusive and takes place for a relatively short duration. Identification of risk factors for early introduction of other milk offers potential avenues for future intervention, including improvement of breastfeeding support in antenatal and maternity services. Pediatrics 2001;108(4). URL: http://www. pediatrics.org/cgi/content/full/108/4/e66; pacifiers, breastfeeding, exclusive breastfeeding, risk factors.ABBREVIATIONS. OR, odds ratio; IQR, interquartile range; CI, confidence interval.T he Brazilian national breastfeeding promotion program began in 1981 and was noted for its intensity, coverage, and innovation. 1 Each state organized training for all categories of health professionals and also for traditional healers and others in the nonformal health sector. High-profile mass media campaigns featured national superstars, and legislation was passed on issues such as the advertising of breast milk substitutes and increased maternity leave. 2 Brazil also has been an active participant in the Baby Friendly Hospital Initiative, and in 1998 there were 103 accredited hospitals. 3 Data from national surveys showed an increase in the median duration of breastfeeding from 74 days in 1...

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“…To improve breast-feeding rates, a number of international studies have invested in determining the predictors of successful breast-feeding practices. Such investigations are essential in identifying target groups and modifiable risk factors for effective intervention programmes, such as counselling and educational programmes that have proved to be successful (4)(5)(6)(7) .…”

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confidence: 99%

Predictors of breast-feeding in a developing country: results of a prospective cohort study

Al-Sahab

Tamim

Mumtaz

et al. 2008

Public Health Nutr.

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Objective: Data on the prevalence and predictors of breast-feeding remain scarce in Lebanon. Moreover, no study has previously addressed the effect of the paediatrician's sex on breast-feeding. The present study aimed to assess the prevalence and predictors of breast-feeding at 1 and 4 months of infant age while exploring the potential role of the sex of the paediatrician. Design: Prospective cohort study. Predictors of breast-feeding significant at the bivariate level were tested at 1 and 4 months through two stepwise regression models. Setting: Infants were enrolled through the clinics and dispensaries of 117 paediatricians located in Beirut, Lebanon, and its suburbs. Subjects: A total of 1320 healthy newborn infants born between August 2001 and February 2002 were prospectively followed during the first year. Findings: Breast-feeding rates at 1 and 4 months were 56?3 % and 24?7 %, respectively. Early discharge, high parity and religion were significantly associated with higher breast-feeding rates at 1 and 4 months of age. Maternal age proved significant only at 1 month, while maternal working status and sex of the paediatrician were significant at 4 months. A novel finding of our study was the positive effect of female paediatricians on breast-feeding continuation until 4 months of age (OR 5 1?49; 95 % CI 1?03, 2?15). Conclusions: Breast-feeding rates are low at 1 and 4 months of infant age in Beirut. Further research to investigate the interactions between female physicians and lactating mothers in maintaining breast-feeding in other populations is warranted. The results constitute the basis for designing interventions targeting policy makers, health professionals and mothers.

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Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial

Cited by 353 publications

References 4 publications

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala

Breastfeeding and Early Weaning Practices in Northeast Brazil: A Longitudinal Study

Predictors of breast-feeding in a developing country: results of a prospective cohort study

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