Breast feeding practices among female health functionaries

Area of Science:

• Public Health
• Maternal and Child Health
• Nutrition

Background:

• Breastfeeding (BF) is a critical component of infant and maternal health.
• Understanding current BF practices among healthcare providers is essential for promoting optimal infant feeding.
• Previous research indicates variations in BF initiation and duration globally.

Purpose of the Study:

• To assess the current breastfeeding practices among female health functionaries in District Kangra, Himachal Pradesh.
• To identify the average duration of breastfeeding initiation and continuation.
• To determine the prevalence of prelacteal feeding and bottle-feeding practices.

Main Methods:

• A cross-sectional study was conducted involving 59 married female health functionaries (48 ANMs, 11 LHVs).
• Data was collected using a self-administered questionnaire in August 1999.
• Key indicators assessed included timing of BF initiation, duration, and use of prelacteal/bottle feeds.

Main Results:

• Breastfeeding practice was universal among the study participants.
• The average duration for initiating breastfeeding post-delivery was 6 hours.
• Average breastfeeding continuation was 23 months, with prevalent use of prelacteal and bottle feeds.
• 17% of respondents reported difficulties in initiating breastfeeding.

Conclusions:

• While breastfeeding is universally practiced, the use of prelacteal and bottle feeds indicates areas for improved infant feeding counseling.
• Addressing challenges in breastfeeding initiation is crucial for ensuring optimal infant nutrition and health outcomes.
• Health functionaries' own feeding practices can influence community-level health education and support for breastfeeding.