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纯母乳喂养至六个月:乌干达穆拉戈医院横断面调查结果。

Exclusive breast-feeding in the first six months: findings from a cross-sectional survey in Mulago hospital, Uganda.

机构信息

College of Health Sciences, University of Sharjah, PO Box 27272, Sharjah, UAE.

Institute of Health and Medical Research, University of Sharjah, PO Box 27272, Sharjah, UAE.

出版信息

Afr Health Sci. 2022 Jun;22(2):535-544. doi: 10.4314/ahs.v22i2.62.

Abstract

BACKGROUND

Improving maternal and child health, one of the key UN Sustainable Development Goals (SDGs), is a major challenge in sub-Saharan Africa. Exclusive breast-feeding contributes significantly to child survival and development, but many mothers in Africa do not exclusively breastfeed their infants. This paper reports a study in Mulago hospital in Kampala. The study aims to identify factors influencing mothers' choices of infant feeding practices.

METHODS

Mixed methods were used. Respondents included 362 lactating mothers and health workers. Participants were who came for treatment were selected using simple random sampling. EpiInfor and SPSS were used for analysing the data and presented as descriptive study.

RESULTS

Results indicate that socio-demographic factors including age and education level influence mothers' ability and willingness to breastfeed exclusively for the first six months. Awareness about breast-feeding was mainly obtained from health centres, leaving mothers unable to attend these centres to miss out on vital information about exclusive breast-feeding. Around 43% of health workers were unaware of the country's Young and Infant Feeding Policy Guidelines.

CONCLUSIONS

To increase the rate of exclusive breast-feeding in Uganda, it is important that community health is strengthened, and health workers are trained on national breast-feeding policies.

摘要

背景

改善母婴健康是联合国可持续发展目标(SDGs)的关键目标之一,在撒哈拉以南非洲地区是一项重大挑战。纯母乳喂养对儿童的生存和发展有重大贡献,但非洲许多母亲并未对婴儿进行纯母乳喂养。本文报告了在坎帕拉穆拉戈医院进行的一项研究。该研究旨在确定影响母亲选择婴儿喂养方式的因素。

方法

采用混合方法。受访者包括 362 名哺乳期母亲和卫生工作者。使用简单随机抽样选择前来接受治疗的参与者。使用 EpiInfor 和 SPSS 分析数据并以描述性研究呈现。

结果

结果表明,社会人口因素,包括年龄和教育水平,影响母亲在前六个月内完全母乳喂养的能力和意愿。母乳喂养意识主要来自保健中心,使无法前往这些中心的母亲错过了有关纯母乳喂养的重要信息。约有 43%的卫生工作者不知道该国的《婴幼儿喂养政策指南》。

结论

为了提高乌干达的纯母乳喂养率,必须加强社区卫生,并对卫生工作者进行有关国家母乳喂养政策的培训。

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本文引用的文献

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Maternal work and exclusive breastfeeding practice: a community based cross-sectional study in Efutu Municipal, Ghana.
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Infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality.
PLoS One. 2017 Feb 13;12(2):e0171792. doi: 10.1371/journal.pone.0171792. eCollection 2017.
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Int Breastfeed J. 2012 Sep 29;7(1):13. doi: 10.1186/1746-4358-7-13.

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