| dc.contributor.author | Mituki, D.M. | |
| dc.contributor.author | Tuitoek, Prisca J. | |
| dc.contributor.author | Varpalotai, A. | |
| dc.date.accessioned | 2018-11-08T11:28:59Z | |
| dc.date.available | 2018-11-08T11:28:59Z | |
| dc.date.issued | 2017 | |
| dc.identifier.issn | 2277‐9604 | |
| dc.identifier.uri | http://hdl.handle.net/123456789/3642 | |
| dc.description.abstract | Background
Optimal breastfeeding practices can help prevent under‐nutrition among under
five children and WHO recommends Exclusive breastfeeding (EBF) for the first
half of infancy. Rates of EBF are however low globally with Kenya at 61.2%
against the projected rate of 80% by end of 2017.
Aims
Factors that may influence the success of EBF interventions are unclear. The
study aimed at assessing the effect of a structured nutrition education
intervention (SNEI) on maternal breastfeeding self‐efficacy (BSE) and EBF.
Methods
A cluster randomized study in which pregnant mothers attending two health
facilities (Mangongeni and Kiandutu) in a resource restricted urban area of
Thika –West, Kenya were randomized into either intervention or comparison
groups. Maternal BSE was assessed at baseline (34 weeks) at midline (37 weeks) and at 6 months post‐partum
using the Dennis cindy breastfeeding self‐efficacy scale‐short form (BSES‐SF).Those in the intervention went
through four sessions of a structured nutrition education intervention (SNEI) that sought to improve BSE and
taught the importance of EBF.
Results
There were no significant differences at 34th weeks gestation between the intervention versus comparison
groups in the BSE scores but the findings were significant at midline and end‐line (t=3.816, df 351 p=0.001,
t=4.095, df 316 p=0.001) respectively. The intervention had an effect on BSE. p=0.001 (log odds 2.089 and 95%
CI of 0.823‐3.356). The survival distributions for the two groups were significantly different, log rank 20.277, (1,
n=314) p < 0.001 for duration of EBF at 6 months post‐partum. Those in the intervention were more likely to
EBF, p=0.008 (OR 0.17 95% CI of 0.05‐0.62).
Conclusions and Recommendations
A SNEI can improve BSE scores during anti‐natal clinics and BSE is predictive of EBF duration. Health care
providers can use the BSES‐SF to identify mothers with low BSE scores and design interventions to assist in
promoting EBF. | en_US |
| dc.language.iso | en | en_US |
| dc.publisher | GLOBAL JOURNAL OF MEDICINE AND PUBLIC HEALTH | en_US |
| dc.subject | Exclusive Breastfeeding, Breastfeeding Self‐Efficacy Nutrition Education | en_US |
| dc.title | Effectiveness of structured nutrition education on maternal breastfeeding self‐efficacy and exclusive breastfeeding duration in Kiandutu health centre, Thika – Kenya | en_US |
| dc.type | Article | en_US |
