By: Mary Rani Divya and Sujatha Vijaykumar
1Nursing Scholar, Department of Nursing, Himalayan University, Itanagar, Arunachal Pradesh, India.
2Professor, Department of Nursing, Himalayan University, Itanagar, Arunachal Pradesh, India.
Aim: This study aimed to assess the impact of a health worker training program on early initiation of breastfeeding among healthcare workers in selected hospitals of Dharwad district, Karnataka. Methods: Pilot study utilized a quantitative research approach with a quasi-experimental pre-post intervention design to evaluate the impact of a health worker training program on early initiation of breastfeeding among healthcare workers in selected hospitals of Dharwad district, Karnataka. A total of 10 healthcare workers, both male and female, with degrees or diplomas in nursing or auxiliary nurse midwifery training, were purposively sampled. Data were collected before and after the health worker training program intervention to assess changes in breastfeeding initiation practices. The independent variable was the health worker training program, and the dependent variable was the early initiation of breastfeeding. Demographic data, such as age, gender, religion, habitat, family income, educational status, and prior breastfeeding training were also gathered. Healthcare workers who were not present during the data collection were excluded. Results: Knowledge scores significantly improved post intervention, with 70% demonstrating good knowledge compared to 10% pre intervention. The mean knowledge score increased from 10.13 (standard deviation = 5.40) to 18.8 (standard deviation = 5.13), with a mean difference of 8.7 (t = 27.54, p < 0.05). Practice scores also showed improvement, with 40% having good practice post intervention compared to none pre intervention. The mean practice score rose from 6.13 (standard deviation = 5.40) to 11.8 (standard deviation = 3.13), with a mean difference of 5.67 (t = 21.54, p < 0.05). No significant association was found between the pre-test knowledge and practice scores and any demographic variables. Conclusion: The health worker training program significantly improved both the knowledge and practice of early initiation of breastfeeding among healthcare workers in selected hospitals of Dharwad district, Karnataka. Post intervention, there was a marked increase in the number of participants with good knowledge and practice scores. However, no significant associations were found between the pre-test scores and the socio-demographic variables. This suggests that the training program was effective across diverse groups of healthcare workers, highlighting the importance of targeted educational interventions in enhancing breastfeeding practices .
Keywords: Impact, health worker training program (HWTP), healthcare workers
Citation:
Refrences:
1. American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2020;129(3):e827–41.
2. UNICEF. (2020). From the first hour of life: Making the case for improved infant and young child feeding everywhere. Available at https://www.unicef.org/reports/first-hour-life
3. Agarwal S, Singh A, Sharma P. Awareness and knowledge about breastfeeding practices among healthcare workers in a tertiary care hospital. Indian J Commun Health. 2019;31(1):14–8.
4. Ministry of Health and Family Welfare, Government of India. (2020). National Guidelines on Infant and Young Child Feeding. Available at https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCHA/CH/Schemes/Maa/Training_Module_English_Lowres.pdf
5. Patel DV, Patel AK, Chauhan NM. A study to assess the knowledge and attitude regarding breastfeeding among health care providers at a tertiary care hospital of western India. Int J Contemp Med Res. 2020;7(11):H1–3.
6. James DC, Lessen R, American Dietetic Association. Promoting and supporting breastfeeding. J Am Diet Assoc. 2009;109:1926–42.
7. UNICEF global databases. (2019). Based on MICS, DHS and other nationally representative sources. Available at https://www.scirp.org/reference/referencespapers?referenceid=3325798 [Accessed in September 2020].
8. WHO. (2003). Global strategy for infant and young child feeding. Available at https://www.who.int/publications/i/item/9241562218 [Accessed in September 2020].
9. Nigeria Demographic and Health Survey. (2018). Available at https://dhsprogram.com/pubs/pdf/FR359/FR359.pdf [Accessed in April 2020].
10. Nigeria Demographic and Health Survey. (2013). Available at https://dhsprogram.com/pubs/pdf/FR293/FR293.pdf [Accessed in September 2020].
11. Ikobah JM, Ikpeme O, Omoronyia O, Ekpenyong N, Udoh E. Current knowledge of breastfeeding among health workers in a developing country setting: a survey in Calabar, Nigeria. Cureus. 2020;12(9):e10476. doi: 10.7759/cureus.10476.
12. Brown A, Raynor P, Lee M. Healthcare professionals’ and mothers’ perceptions of factors that influence decisions to breastfeed or formula feed infants: a comparative study. J Adv Nurs. 2011;67:1993–2003.
13. Naylor AJ. Baby-friendly hospital initiative. protecting, promoting, and supporting breastfeeding in the twenty-first century. Pediatr Clin North Am. 2001;48(2):475–83. doi: 10.1016/s0031-3955(08)70039-7.
14. Popkin BM, Canahuati J, Bailey PE, O’Gara C. An evaluation of a national breast-feeding promotion programme in Honduras. J Biosoc Sci. 1991;23(1):5–21. doi: 10.1017/s0021932000019027.
15. Shah S, Rollins NC, Bland R. Child health group. Breastfeeding knowledge among health workers in rural South Africa. J Trop Pediatr. 2005;51(1):33–8. doi: 10.1093/tropej/fmh071.
16. Okolo SN, Ogbonna C. Knowledge, attitude and practice of health workers in Keffi local government hospitals regarding baby-friendly hospital initiative (BFHI) practices. Eur J Clin Nutr. 2002;56(5):438–41. doi: 10.1038/sj.ejcn.1601331.
17. Utoo BT, Ochejele S, Obulu MA, Utoo PM. Breastfeeding knowledge and attitude among health workers in a healthcare facility in South-South Nigeria: the need for middle level health manpower development. Clin Mother Child Health. 2012;9:1–5.
18. Kish L. New York: Wiley-Interscience; 1995. Survey sampling. Available at https://www.wiley.com/en-us/Survey+Sampling-p-9780471109495 .
19. Ella RE, Ndep AO, Akpan MI. Factors affecting exclusive breastfeeding practice in rural communities of Cross River State, Nigeria. Int J Hum Soc Sci Educ. 2016;3(4):101–10.
20. Chale LE, Fenton TR, Kayange N. Predictors of knowledge and practice of exclusive breastfeeding among health workers in Mwanza city, Northwest Tanzania. BMC Nurs. 2016;15:72. doi: 10.1186/s12912-016-0192-0.
21. Olusanya BO, Osibanjo FB, Mabogunje CA, Slusher TM, Olowe SA. The burden and management of neonatal jaundice in Nigeria: a scoping review of the literature. Niger J Clin Pract. 2016;19(1):1–17. doi: 10.4103/1119-3077.173703.
22. Sadoh AE, Sadoh WE, Oniyelu P. Breast feeding practice among medical women in Nigeria. Niger Med J. 2011;52(1):7–12.
23. Sachdev HP, Krishna J, Puri RK, Satyanarayana L, Kumar S. Water supplementation in exclusively breastfed infants during summer in the tropics. Lancet. 1991;337(8747):929-–33. doi: 10.1016/0140-6736(91)91568-f.
