The impact of a package of behaviour change interventions on breastfeeding practices in East Java Province, Indonesia.
breastfeeding
health promotion
infant feeding
newborn feeding behaviours
nutrition
nutrition education
Journal
Maternal & child nutrition
ISSN: 1740-8709
Titre abrégé: Matern Child Nutr
Pays: England
ID NLM: 101201025
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
revised:
15
03
2022
received:
24
12
2021
accepted:
30
03
2022
pubmed:
1
5
2022
medline:
25
6
2022
entrez:
30
4
2022
Statut:
ppublish
Résumé
Suboptimal infant young child feeding practices are frequently reported globally, including in Indonesia. This analysis examined the impact of a package of behaviour change interventions on breastfeeding practices in Malang and Sidoarjo Districts, East Java Province, Indonesia. The BADUTA study (which in the Indonesian Language is an acronym for BAwah DUa TAhun, or children aged less than 2 years) was an impact evaluation using a cluster-randomized controlled trial with two parallel treatment arms. We conducted household surveys in 12 subdistricts from Malang and Sidoarjo. We collected information from 5175 mothers of children aged 0-23 months: 2435 mothers at baseline (February 2015) and 2740 mothers at endline (January to February 2017). This analysis used two indicators for fever and diarrhoea and seven breastfeeding indicators (early initiation of breastfeeding, prelacteal feeding, exclusive breastfeeding under 6 months, predominant breastfeeding, continued breastfeeding, age-appropriate breastfeeding and bottle-feeding). We used multilevel logistic regression analysis to assess the effect of the intervention. After 2 years of implementation of interventions, we observed an increased odds of exclusive breastfeeding under 6 months (adjusted odds ratio [aOR] = 1.85; 95% confidence interval [CI]: 1.35-2.53) and age-appropriate breastfeeding (aOR = 1.39; 95% CI: 1.07-1.79) in the intervention group than in the comparison group, at the endline survey. We found significantly lower odds for prelacteal feeding (aOR = 0.52; 95% CI: 0.41-0.65) in the intervention than in the comparison group. Our findings confirmed the benefits of integrated, multilayer behaviour change interventions to promote breastfeeding practices. Further research is required to develop effective interventions to reduce bottle use and improve other breastfeeding indicators that did not change with the BADUTA intervention.
Identifiants
pubmed: 35488406
doi: 10.1111/mcn.13362
pmc: PMC9218323
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13362Informations de copyright
© 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.
Références
J Am Board Fam Med. 2015 Sep-Oct;28(5):663-72
pubmed: 26355139
Clin Trials. 2004;1(3):297-305
pubmed: 16279255
Lancet. 2016 Jan 30;387(10017):491-504
pubmed: 26869576
Int J Nurs Stud. 2018 Apr;80:94-105
pubmed: 29407349
Int Breastfeed J. 2019 Oct 21;14:42
pubmed: 31649743
Matern Child Nutr. 2022 Jul;18(3):e13362
pubmed: 35488406
Demography. 2001 Feb;38(1):115-32
pubmed: 11227840
Int Breastfeed J. 2014 Nov 18;9:19
pubmed: 25784955
Lancet. 2008 Feb 16;371(9612):588-95
pubmed: 18280329
Lancet. 2016 Jan 30;387(10017):475-90
pubmed: 26869575
Rev Paul Pediatr. 2021;39:e2019296
pubmed: 32876303
Int Breastfeed J. 2021 Jan 19;16(1):12
pubmed: 33468196
Matern Child Nutr. 2016 Jul;12(3):402-17
pubmed: 26924775
Nutrients. 2020 Mar 10;12(3):
pubmed: 32164187
Acta Paediatr. 2015 Dec;104(467):114-34
pubmed: 26183031
J Clin Nurs. 2008 May;17(9):1132-43
pubmed: 18416790
J Obstet Gynecol Neonatal Nurs. 2003 Nov-Dec;32(6):734-44
pubmed: 14649593
Health Psychol Rev. 2019 Sep;13(3):344-372
pubmed: 31117897
Lancet Glob Health. 2019 Mar;7(3):e357-e365
pubmed: 30784636
JMIR Res Protoc. 2020 Sep 8;9(9):e18521
pubmed: 32897234
Cochrane Database Syst Rev. 2017 Feb 28;2:CD001141
pubmed: 28244064
J Perinat Neonatal Nurs. 2013 Oct-Dec;27(4):353-8
pubmed: 24164818
Public Health Rep. 2014 Jan-Feb;129 Suppl 2:19-31
pubmed: 24385661
PLoS One. 2019 Jun 14;14(6):e0218467
pubmed: 31199849
Adv Nutr. 2012 Nov 01;3(6):790-800
pubmed: 23153733
Asia Pac J Clin Nutr. 2007;16(2):368-74
pubmed: 17468096