Training & Assistance for Health & Nutrition Foundation (TAHN), Dhaka, Bangladesh.
1974 School of Historical and Philosophical Inquiry, The University of Queensland, QLD 4072, Australia.
J Hum Lact. 2020 Aug;36(3):414-425. doi: 10.1177/0890334419871229. Epub 2019 Sep 9.
Thirty-six percent of females are employed in Bangladesh, many in the readymade garments manufacturing industry. Inadequate access to health information, care, and long working hours makes exclusive breastfeeding particularly challenging for these employed mothers.
To describe the influence of a breastfeeding education and support program on breastfeeding patterns of mothers working in garment and other factories in Bangladesh.
A descriptive two-group prospective, mixed methods, longitudinal prospective study was conducted from May 2015 to March 2017. Peer counselors were trained to provide home-based counseling from 6 months of pregnancy until infants completed 6 months for pregnant and lactating factory workers and neighboring unemployed women. The total evaluation sample ( = 304) consisted of participants still employed ( = 190) and unemployed ( = 144). Peer counselors recorded socioeconomic information, weights, and infant feeding patterns. Descriptive statistical analyses examined the peer counselors' influence on breastfeeding practices.
Initiation of breastfeeding within 1 hr was high in both groups, 173 (91%) among the employed, and 101 (89%) among the unemployed participants. Exclusive breastfeeding at 6 months was reported by 107 out of 125 (86%) of the employed participants versus 72 out of 76 (95%) of those unemployed.
Community-based peer counselors can help to inform, encourage, and support both factory workers and unemployed women with optimal breastfeeding patterns. Factories who have female workers should consider employing outreach peer counselors as part of their community social responsibility, and as a way to contribute to the sustainability of these programs.
在孟加拉国，36%的女性有工作，其中许多人在成衣制造业工作。由于获取健康信息、医疗护理的机会不足，以及工作时间长，这些职业女性给孩子进行纯母乳喂养尤其具有挑战性。
描述母乳喂养教育和支持计划对孟加拉国制衣厂和其他工厂工作的母亲母乳喂养模式的影响。
采用描述性、两群组、前瞻性、混合方法、纵向前瞻性研究方法，于 2015 年 5 月至 2017 年 3 月进行。培训同行顾问，为怀孕 6 个月的孕妇和哺乳期制衣厂工人及周边失业妇女提供上门咨询，服务持续到婴儿满 6 个月。总评估样本（n=304）包括仍在职（n=190）和失业（n=144）的参与者。同行顾问记录社会经济信息、体重和婴儿喂养模式。描述性统计分析考察了同行顾问对母乳喂养实践的影响。
两组的母乳喂养启动率都很高，在职组 173 名（91%），失业组 101 名（89%）。在职组 125 名中，107 名（86%）报告了 6 个月的纯母乳喂养，而失业组 76 名中，72 名（95%）报告了纯母乳喂养。
社区同行顾问可以为工厂工人和失业妇女提供最佳母乳喂养模式的信息、鼓励和支持。有女性员工的工厂应考虑雇佣外展同行顾问作为其社区社会责任的一部分，并以此作为这些项目可持续性的一种方式。
