PERCEIVED INSUFFICIENT MILK AS A BARRIER TO OPTIMAL INFANT FEEDING: EXAMPLES FROM BOLIVIA

2005 ◽  
Vol 38 (3) ◽  
pp. 341-364 ◽  
Author(s):  
MARGARET F. McCANN ◽  
DEBORAH E. BENDER
Keyword(s):  
Infant Feeding ◽  
Global Strategy ◽  
World Health ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Infant Feeding Decisions ◽  
Insufficient Milk ◽  
Research Recommendations ◽  
Urgent Action

In its recently adopted Global Strategy on Infant and Young Child Feeding, the World Health Assembly called for urgent action in addressing the barriers to optimal feeding practices. This paper examines mothers’ concerns about milk insufficiency as a major contributor to suboptimal infant feeding decisions, using survey data from periurban areas of two Bolivian cities. Mothers in the lowland modernizing city of Santa Cruz were more likely than mothers in the highland traditional city of Cochabamba to express concern about insufficient milk, and also less likely to feed their infants according to international recommendations. Furthermore, perceived milk insufficiency was particularly common among mothers of infants younger than 6 months of age – an age at which infants are particularly vulnerable to the adverse effects of breast-feeding cessation and complementary feeding initiation. The paper concludes with policy, programme and research recommendations to address the critical problem of perceived insufficient breast milk.

scholarly journals Protection, promotion and support of breast-feeding in Europe: current situation

2005 ◽  
Vol 8 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Adriano Cattaneo ◽  
Agneta Yngve ◽  
Berthold Koletzko ◽  
Luis Ruiz Guzman
Keyword(s):  
Young Child ◽  
Breast Feeding ◽  
Current Situation ◽  
Global Strategy ◽  
World Health ◽  
Child Feeding ◽  
Eu Countries ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Service Training

AbstractObjective:To describe the current situation regarding protection, promotion and support of breast-feeding in Europe, as a first step towards the development of a blueprint for action.Design and setting:A questionnaire was completed by 29 key informants and 128 other informants in the EU, including member states, accession and candidate countries.Results:EU countries do not fully comply with the policies and recommendations of the Global Strategy on Infant and Young Child Feeding that they endorsed during the 55th World Health Assembly in 2002. Some countries do not even comply with the targets of the Innocenti Declaration (1990). Pre-service training on breast-feeding practice is inadequate and in-service training achieves only low to medium coverage. The Baby Friendly Hospital Initiative is well developed only in three countries; in 19 countries, less than 15% of births occur in baby-friendly hospitals. The International Code of Marketing of Breastmilk Substitutes, endorsed in 1981 by all countries, is not fully applied and submitted to independent monitoring. The legislation for working mothers meets on average the International Labour Organization standards, but covers only women with full formal employment. Voluntary mother-to-mother support groups and trained peer counsellors are present in 27 and 13 countries, respectively. Breast-feeding rates span over a wide range; comparisons are difficult due to use of non-standard methods. The rate of exclusive breast-feeding at 6 months is low everywhere, even in countries with high initiation rates.Conclusions:EU countries need to revise their policies and practices to meet the principles inscribed in the Global Strategy on Infant and Young Child Feeding in order to better protect, promote and support breast-feeding.

scholarly journals Determinan pemberian ASI eksklusif pada ibu menyusui di Puskesmas I Denpasar Barat

2021 ◽  
Vol 10 (1) ◽  
pp. 23
Author(s):  
Ari Febriyanti NM ◽  
Ayu Sugiartini NK
Keyword(s):  
Young Child ◽  
World Health Organization ◽  
Global Strategy ◽  
World Health ◽  
Chi Square ◽  
Child Feeding ◽  
Cross Sectional ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Health Organization

ASI merupakan makanan terbaik yang dapat membantu proses pertumbuhan dan perkembangan bayi. World Health Organization (WHO) merekomendasikan Global Strategy for Infant and Young Child Feeding yang merupakan empat hal esensial dalam pemberian makanan bayi dan anak, salah satunya adalah pemberian ASI saja kepada bayi sampai umur 6 bulan, atau yang disebut dengan ASI ekslusif. Tujuan penelitian ini adalah mengetahui determinan pemberian ASI Eksklusif pada ibu menyusui. Desain penelitian ini adalah cross-sectional analitik. Subjek penelitian menggunakan 80 ibu yang memiliki bayi umur 6-12 bulan di Puskesmas I Denpasar Barat dengan analisis yang digunakan adalah chi-square dan regresi poisson. Hasil penelitian didapatkan sebagian besar (55,0%) tidak memberikan ASI Eksklusif pada bayinya. Hasil bivariat menunjukkan terdapat hubungan yang signifikan antara pendidikan (p= 0,00), pengetahuan (p= 0,00), persepsi (p= 0,00), dukungan suami (p= 0,04), keterpaparan informasi (p= 0,00) dengan pemberian ASI Eksklusif. Faktor dominan yang mempengaruhi pemberian ASI Eksklusif yaitu persepsi dengan nilai p= 0,01 (aPR= 6,49 95%CI: 1,3-31,8).

Protecting Breastfeeding From Conflicts of Interest

2019 ◽  
Vol 36 (1) ◽  
pp. 22-28
Author(s):  
Lida Lhotska ◽  
Judith Richter ◽  
Maryse Arendt
Keyword(s):  
Infant Feeding ◽  
Conflict Of Interest ◽  
Health Professionals ◽  
Conflicts Of Interest ◽  
Global Strategy ◽  
Civil Society Organizations ◽  
Best Interests ◽  
World Health ◽  
Child Feeding ◽  
Young Child Feeding

In order to maximize profits from sales of breastmilk substitutes, manufacturers use a whole gamut of strategies to interfere with the effective implementation of policies that protect, promote, and support breastfeeding (e.g., the International Code of Marketing of Breastmilk Substitutes with its subsequent World Health Assembly resolutions and the Global Strategy on Infant and Young Child Feeding). Their strategies create, among other problems, personal and institutional conflicts of interest. Effective Conflict of Interest policies are therefore needed for ensuring that governments, international organizations, non-governmental organizations, and health professionals can protect their independence, integrity, and credibility in order to work in the best interests of children. Conflicts of interest are discussed by Dr Lida Lhotska and Dr Judith Richter, who have been actively involved in these issues internationally. Lida Lhotska holds a BSc in Biology and a PhD in Anthropology. Her international work spans over 25 years. She headed the Infant Feeding and Care team for UNICEF and subsequently joined the IBFAN-Geneva Infant Feeding Association team, always focusing on advancing the protection of breastfeeding through legal and other policy measures. Judith Richter has a multidisciplinary background combining knowledge in the humanities with health sciences (PhD Social Sciences; MA Development Studies; MSc Pharmaceutical Sciences). Her work as a freelance researcher for United Nations agencies, governments, and civil society organizations and networks has centered on safeguarding their capacity to hold transnational corporations accountable. In her interview, Judith Richter explains why conflict of interest regulation matters to health professionals working in the field of lactation. (MA = Maryse Arendt; LL = Lida Lhotska; JR = Judith Richter)

scholarly journals Infant and Young Child Feeding in Croatian Nursing Programs

2020 ◽  
Vol 4 (1) ◽  
pp. 127-133
Author(s):  
Ana Vidović Roguljić ◽  
Irena Zakarija-Grković
Keyword(s):  
Young Child ◽  
Infant Feeding ◽  
Professional Education ◽  
Nursing Programs ◽  
Allied Health Professionals ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Undergraduate Nursing ◽  
Nursing Curricula ◽  
Infant And Young Child

Introduction. Breastfeeding rates in Croatia are far from WHO recommendations, with only 8% of women exclusively breastfeeding at 6 months. Nurses play a key role in supporting optimal infant feeding; therefore, their undergraduate training should cover this topic. Aim. The aim of this study was to determine if infant feeding is part of undergraduate nursing programs in Croatia, and to analyse relevant textbooks. Methods. Between January and March 2019, all publicly available nursing undergraduate curricula (N=9) for the 2018/2019 academic year were assessed. Required textbooks were analysed by two independent assessors using the WHO Infant and Young Child Feeding: Model Chapter for textbooks for medical students and allied health professionals. Results. Infant feeding was included in all the curricula. The mean number of topics from the Model Chapter covered in the four evaluated textbooks was 30.4%, of which 2.7% were classified as correct and thorough, 21% as correct and brief, and 6.7% as incorrect. Fields most poorly covered were: ‘Policy, health system and community actions’ and ‘Appropriate feeding in exceptionally difficult circumstances’. Discussion. This is one of only a few published studies looking at nursing textbook content related to infant feeding. Less than a third of topics, considered mandatory for health professional education, were covered in the required textbooks. Conclusion. Even though infant feeding was part of all assessed nursing curricula in Croatia, the required textbooks were largely outdated, incomplete and at times incorrect.

scholarly journals Are our babies off to a healthy start? The state of implementation of the Global strategy for infant and young child feeding in Europe

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Irena Zakarija-Grković ◽  
Adriano Cattaneo ◽  
Maria Enrica Bettinelli ◽  
Claudia Pilato ◽  
Charlene Vassallo ◽  
...  
Keyword(s):  
Young Child ◽  
Global Strategy ◽  
The State ◽  
Healthy Start ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

scholarly journals National Recommendations for Infant and Young Child Feeding in the World Health Organization European Region

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Berthold Koletzko ◽  
Nathali Lehmann Hirsch ◽  
Jo Martin Jewell ◽  
Quenia Dos Santos ◽  
João Breda ◽  
...  
Keyword(s):  
Young Child ◽  
World Health Organization ◽  
World Health ◽  
European Region ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
The World ◽  
Health Organization

scholarly journals Factores que favorecen la lactancia materna exclusiva en madres adolescentes

Respuestas ◽  
2014 ◽  
Vol 19 (2) ◽  
pp. 70-80
Author(s):  
Claudia Consuelo Domínguez-Nariño ◽  
Alexandra García-Rueda ◽  
Elvinia Pinilla-Gómez ◽  
Luis Carlos Orozco-Vargas
Keyword(s):  
Breast Feeding ◽  
Multivariable Analysis ◽  
World Health ◽  
Bivariate Analysis ◽  
Child Feeding ◽  
First Semester ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
The Family ◽  
Health Organization

Antecedente: Pese a que la OMS recomienda que “Si se empezase a amamantar a cada niño en la primera hora tras su nacimiento, dándole solo leche materna durante los primeros seis meses de vida y siguiendo dándole el pecho hasta los dos años, cada año se salvarían unas 800 000 vidas infantiles”, en la Reunión Mundial de Consenso de la Organización Mundial de la Salud sobre los Indicadores de Alimentación del Lactante y del Niño Pequeño de 2007, se demostró que en la realidad es cada vez menor el porcentaje de niños que reciben pecho exclusivo y reconoce que “El apoyo a la madre es esencial”. Objetivo: Determinar los factores que favorecen la lactancia materna exclusiva en madres adolescentes. Método: Estudio observacional analítico de corte transversal; la población de estudio fueron 158 madres adolescentes en etapa de lactancia que asistieron a los servicios de la Empresa Social del Estado Instituto de Salud de Bucaramanga, (ESE ISABU) durante el segundo semestre de 2011 y primer semestre del 2012. Se calculó tamaño de muestra con Epi info versión 6.04d y se analizó en Stata10.1. El análisis multivariado se realizó calculando razones de prevalencia e intervalo de confianza del 95%. Como no existía una hipótesis previa, se realizó un análisis bivariado y para el multivariado se incluyeron todas las variables con una p<0.05. Se aplicaron dos Instrumentos: uno generado por los autores para caracterizar las familias y el segundo el APGAR familiar para evaluar la funcionalidad familiar. Resultados: La edad promedio de las madres adolescentes participantes fue de 17.9 años. El 24% había lactado exclusivamente durante 6 meses. Los factores asociados a la lactancia exclusiva fueron: Apoyo de centros de salud, influencia de la suegra y madre, sentimientos de alegría al lactar y el Ciclo vital familiar. Conclusiones: El apoyo familiar y de las Instituciones de Salud son factores favorecedores de la lactancia materna exclusiva de madres adolescentes.Palabras claves: Adolescente, Enfermería, Familia, Lactancia Materna.  Abstract  Background: Despite the WHO recommending that “If every child was breastfed within an hour of birth, given only breast milk for their first six months of life, and continued breastfeeding up to the age of two years, about 800 000 child lives would be saved every year.”, during the 2007 Global Meeting of Consensus organized by the World Health Organization about the Indicators for assessing infant and young child feeding practices, it was proven that in reality there is a decreasing percentage of children that are breastfed exclusively and recognize that “Supporting the mother is essential”. Objective: To stablish factors that enhance exclusive breastfeeding in teenaged mothers of exclusively breast feeding in teenage moms. Methods: Analytic observational study of 158 teenage moms in the breast feeding stage that attended to the Empresa Social del Estado Instituto de Salud de Bucaramanga (ESE ISABU) services during the second semester of 2011 and first semester of 2012. EPI Info 6.04d was used to calculate the data, and Stata 10.1 to analyze it. The multivariable analysis was made using prevalence ratios and their confidence intervals of 95%. As there was no previous hypothesis, a bivariate analysis was made and for the multivariate analysis all variables with p < 0.2 were used. In the final model only variables with a p<0.05 were included. Two instruments were applied: one to characterize families and the second, the family APGAR, to evaluate family functionality. Results: On average, teenage moms that participated in the study were 17.9 years old, 24% had exclusively breast fed for 6 months. Factors associated to breast feeding exclusively were: Support from health centers, influence from mother and mother in law, feelings of happiness when breast feeding and the family’s vital cycle. Conclusions: Support from the family and the health institutions are factors that support a breast feeding-exclusive behavior in teenaged mothers.Keywords: Adolescent, Nursing, family, Breast Feeding.

Infant and Young Child Feeding Indicators in Children <2 Yrs of Age in a Tertiary Care Centre

2017 ◽  
Vol 54 (1) ◽  
pp. 111
Author(s):  
Manisha Maurya ◽  
Arun Kumar Maurya ◽  
Poonam Pandey
Keyword(s):  
Young Child ◽  
Support Groups ◽  
Tertiary Care ◽  
Feeding Practices ◽  
World Health ◽  
Tertiary Care Centre ◽  
Child Feeding ◽  
Mortality And Morbidity ◽  
Young Child Feeding ◽  
Infant And Young Child

Adequate infant and young child feeding practices in children &lt;2years is the most important determinant of under-five mortality and morbidity. According to World Health Organization1 (WHO) under nutrition is associated with 47 % of child deaths and about 800,000 lives can be saved if optimal feeding practices are followed world wide1. Study done by Kushwaha et al showed significant improvement in IYCF practices after counseling of mothers by mother support groups in Lalitpur.

Sign in / Sign up

Export Citation Format

Share Document