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Implementation of health education, based on ethnographic study, to increase the colostrum and decrease early solid

Hananto Wiryo1, M Hakimi

  • 1Department of Pediatrics, Mataram General Hospital, SMF AnakRSU Mataram, Jl. Pejanggik No. 6, Mataram, Nusa Tenggara Barat, Indonesia. Hananto@Mataram.Wasantara.Net.Id

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|January 12, 2005
PubMed
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Community health education modules reduced harmful neonatal practices like banana feeding and colostrum discharge. This intervention positively impacted perinatal health outcomes by engaging influential religious leaders.

Area of Science:

  • Maternal and Child Health
  • Public Health Interventions
  • Cultural Anthropology in Health

Background:

  • Traditional neonatal practices, including early banana feeding and colostrum (the first breast milk) discharge, pose significant risks to infant health, contributing to perinatal morbidity and mortality.
  • These detrimental customs are deeply ingrained in some communities, necessitating culturally sensitive interventions.

Purpose of the Study:

  • To develop and implement health education modules aimed at discouraging the practices of neonatal banana feeding and colostrum discharge.
  • To assess the effectiveness of these modules in reducing harmful neonatal feeding practices and improving perinatal health outcomes.

Main Methods:

  • An ethnographic study was conducted to understand community-specific practices and identify influential individuals.

Related Experiment Videos

  • Health education modules were developed based on ethnographic findings and disseminated through community leaders, particularly religious leaders.
  • A cohort of 2,670 neonates was followed from birth to 28 days to monitor changes in feeding practices and health outcomes.

    • Main Results:

    • Neonatal banana feeding decreased by 18.3%, while the practice of providing colostrum increased by 32.8%.
    • Health modules were most effectively executed by religious leaders, highlighting their significant community influence.
    • The intervention demonstrated a positive impact on reducing detrimental customs and improving perinatal health.

    Conclusions:

    • Utilizing ethnographic data to tailor interventions and engage influential community figures, such as religious leaders, is an effective strategy.
    • This approach successfully reduced harmful neonatal practices, contributing to improved perinatal health and reduced morbidity/mortality.
    • Culturally informed public health education is crucial for modifying detrimental traditional practices affecting newborn health.