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Review of breastfeeding training in Aceh, Indonesia


Document type: mthesis
Download file(s): 193919 (516 KB)
Abstract: BACKGROUND: Since 2004, Indonesia had followed WHO recommendation for exclusive breastfeeding (EBF) up to 6 months and continued breastfeeding (BF) until 2 years in addition to complementary feeding. National and local data showed that early initiation and EBF practices are not widely practiced. OBJECTIVE: This thesis is aimed to analyze the BF determinants, to review BF training in BF practices. Review of literature in BF determinants was carried out to see factors influence BF practices. For BF trainings from other countries, studies included in meta-analysis of Cochrane review by Britton et al. (2007) were analyzed. The impact of BF training was evaluated using Kirkpatrick’s evaluation model. RESULTS: The analysis of BF determinants showed diverse factors affecting mothers to breastfeed their child. Traditional belief, misconception and lack of support from family members influence mothers not to breastfeed their children. Lack of health worker’s (HW) BF knowledge, attitude and skill (KAS) and the massive promotion of breastmilk substitute also contribute to low BF practices. Both HW and peer counselor (PC) trainings aim to provide support by providing relevant information to mothers and other people including family members and assisting mothers to practice BF. BF training for HW in India and PC in Bangladesh can be seen as a good example. To be able to transfer the learning, motivation from trained HW and PC and support from work environment such as acceptance from other colleagues as well as from supervisor are needed. The BF determinants also influence the training implementation. CONCLUSION: There are many factors influence the impact of BF training in addition to the training itself. They are including determinants of BF, motivation of trainees and support from work environment. Conducting BF training should be seen as one approach integrated with other interventions to improve the BF practices. For recommendation, implementing the training process based on the training cycle including community analysis to find the most influential person for BF decision is recommended. Assessing BF KAS of HWs and their workload is proposed in order to train the right people. Evaluate the BF practices as the impact of the training by using a combination of methods such as observation and interview with mothers. Advocacy for scaling up the training for HW and CHW is suggested. Along with BF training, other BF intervention such as campaign and research in the effectiveness of training for other target groups and measuring BF practices accurately are proposed.
Authors: Mardewi, A.
Country: Indonesia
Category: Research
Department: Development Policy & Practice
Institute: KIT (Royal Tropical Institute)
Keywords: maternal and child health , education
Language: eng
Organization: KIT - Royal Tropical Institute
PAGE: v, 84
Year: 2008
Region: Southeast Asia
Right: © 2008 Mardewi
Subject: Health and Nutrition
Title: Review of breastfeeding training in Aceh, Indonesia
Training: Master of Public Health / International Course in Health Development (ICHD)