Breastfeeding practices after a counselling intervention for factory workers in Bangladesh

Abstract Breastfeeding may be particularly challenging for female factory workers who have long working hours and inadequate access to health information and care. In Chattogram, Bangladesh, a peer counselling intervention was undertaken to improve infant feeding practices of factory workers. Counse...

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Main Authors: Rukhsana Haider, Virginia Thorley, Jennifer Yourkavitch
Format: Article
Language:English
Published: Wiley 2021-04-01
Series:Maternal and Child Nutrition
Subjects:
Online Access:https://doi.org/10.1111/mcn.13113
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author Rukhsana Haider
Virginia Thorley
Jennifer Yourkavitch
author_facet Rukhsana Haider
Virginia Thorley
Jennifer Yourkavitch
author_sort Rukhsana Haider
collection DOAJ
description Abstract Breastfeeding may be particularly challenging for female factory workers who have long working hours and inadequate access to health information and care. In Chattogram, Bangladesh, a peer counselling intervention was undertaken to improve infant feeding practices of factory workers. Counselling started during pregnancy and continued until children were 18 months old. This article presents the results of a cross‐sectional survey undertaken during 2 weeks in March–April 2017, after the project's conclusion. The aim was to compare breastfeeding practices, specifically early breastfeeding initiation and exclusive breastfeeding (EBF), among factory workers who had received peer counselling in the intervention areas (IA) with those of non‐counselled factory workers in the nearby comparison areas (CA). Six female interviewers, trained over 3 days, conducted interviews at the workers' homes. Data were analysed to assess the association of peer counselling with infant feeding practices. Factory workers (N = 382) with infants between 0 and 18 months of age participated in the survey, in IA (n = 188) and in CA (n = 194). Although there were more health facility deliveries among the CA workers, only 43 (22%) of those workers had initiated breastfeeding within 1 h of birth versus 166 (88%) of the IA workers (p < .001). EBF prevalence on 24‐h recall in infants aged 0–6 months was only 7/83 (8%) for the CA workers versus 73/75 (97%) for IA workers (p < .001). The survey showed that breastfeeding practices of factory workers in the IA after the intervention were significantly better than those of factory workers in the CA.
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spelling doaj.art-6bd14182a9bf4db0a240d22dcd3d4e3e2022-12-21T20:44:17ZengWileyMaternal and Child Nutrition1740-86951740-87092021-04-01172n/an/a10.1111/mcn.13113Breastfeeding practices after a counselling intervention for factory workers in BangladeshRukhsana Haider0Virginia Thorley1Jennifer Yourkavitch2MBBS, MSc, PhD, FABM; Training and Assistance for Health and Nutrition Foundation (TAHN) Dhaka BangladeshPhD, IBCLC, FILCA; School of Historical and Philosophical Inquiry The University of Queensland Brisbane Queensland AustraliaMPH, PhD, IBCLC; Department of Public Health Education University of North Carolina, Greensboro Greensboro North Carolina USAAbstract Breastfeeding may be particularly challenging for female factory workers who have long working hours and inadequate access to health information and care. In Chattogram, Bangladesh, a peer counselling intervention was undertaken to improve infant feeding practices of factory workers. Counselling started during pregnancy and continued until children were 18 months old. This article presents the results of a cross‐sectional survey undertaken during 2 weeks in March–April 2017, after the project's conclusion. The aim was to compare breastfeeding practices, specifically early breastfeeding initiation and exclusive breastfeeding (EBF), among factory workers who had received peer counselling in the intervention areas (IA) with those of non‐counselled factory workers in the nearby comparison areas (CA). Six female interviewers, trained over 3 days, conducted interviews at the workers' homes. Data were analysed to assess the association of peer counselling with infant feeding practices. Factory workers (N = 382) with infants between 0 and 18 months of age participated in the survey, in IA (n = 188) and in CA (n = 194). Although there were more health facility deliveries among the CA workers, only 43 (22%) of those workers had initiated breastfeeding within 1 h of birth versus 166 (88%) of the IA workers (p < .001). EBF prevalence on 24‐h recall in infants aged 0–6 months was only 7/83 (8%) for the CA workers versus 73/75 (97%) for IA workers (p < .001). The survey showed that breastfeeding practices of factory workers in the IA after the intervention were significantly better than those of factory workers in the CA.https://doi.org/10.1111/mcn.13113breastfeeding initiationexclusive breastfeedingfactory workerspeer counsellors
spellingShingle Rukhsana Haider
Virginia Thorley
Jennifer Yourkavitch
Breastfeeding practices after a counselling intervention for factory workers in Bangladesh
Maternal and Child Nutrition
breastfeeding initiation
exclusive breastfeeding
factory workers
peer counsellors
title Breastfeeding practices after a counselling intervention for factory workers in Bangladesh
title_full Breastfeeding practices after a counselling intervention for factory workers in Bangladesh
title_fullStr Breastfeeding practices after a counselling intervention for factory workers in Bangladesh
title_full_unstemmed Breastfeeding practices after a counselling intervention for factory workers in Bangladesh
title_short Breastfeeding practices after a counselling intervention for factory workers in Bangladesh
title_sort breastfeeding practices after a counselling intervention for factory workers in bangladesh
topic breastfeeding initiation
exclusive breastfeeding
factory workers
peer counsellors
url https://doi.org/10.1111/mcn.13113
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