Department of Pediatrics, College of Medicine University of Ibadan & University College Hospital, Ibadan, Oyo State, Nigeria.
Department of Pediatrics, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
J Hum Lact. 2024 Nov;40(4):522-534. doi: 10.1177/08903344241271911. Epub 2024 Sep 12.
Breastfeeding is crucial in providing infants with needed nutrition and immunity to foster their healthy growth and development; yet, optimal support from health workers is critical for it to be successful.
To determine factors influencing tangible breastfeeding support among health workers in Nigeria.
This cross-sectional study was conducted in Nigeria's six geopolitical zones between August 2022 and February 2023 among health workers ( = 2,922). Data were gathered through an interviewer-administered, validated questionnaire. Significant factors of tangible breastfeeding support were identified through multivariable logistic regression, and corresponding odds ratios with 95% confidence intervals were reported.
The mean age of the health workers was 28.6 ( = 9.3) years. Just 45% (1,316) achieved optimal scores for tangible breastfeeding support. Only 31.4% (918) of lactation support providers/specialists practice tangible breastfeeding support and half (50.6%, 1,479) had a favorable attitude towards providing tangible breastfeeding support. About two-fifths (39.3%, 1,148) engaged caregivers in reviewing breast milk storage procedures, whereas, 54.6% (1,595) and 78.0% (2,279) of health workers assisted with breast pumps and breastfeeding attachment respectively. The odds of having optimal tangible breastfeeding support were higher for health workers aged 52 years or older compared to those aged under 20 years (aOR 1.88, 95% CI [1.13, 3.12]), a positive attitude (aOR 1.43, 95% CI [1.22, 1.69]), availability of a breastfeeding champion (aOR 1.47, 95% CI [1.21, 1.79]), 1.69]), provision of breast-pump videos (aOR; 2.33, 95% CI [1.85, 2.95]), and hand-expression videos (aOR; 1.41, 95% CI [1.02, 1.79]). (duplication).
Health workers' tangible breastfeeding support in Nigeria is suboptimal and is driven by age, service level, attitude, availability of breastfeeding champions, and appropriate practice aids. Targeted interventions to improve health workers' attitudes, technical skills, provision of aids, and task shifting to non-specialists are needed for optimal tangible breastfeeding support.
母乳喂养对于为婴儿提供所需的营养和免疫力至关重要，以促进其健康成长和发育；然而，卫生工作者的最佳支持对于母乳喂养的成功至关重要。
确定影响尼日利亚卫生工作者提供有形母乳喂养支持的因素。
本横断面研究于 2022 年 8 月至 2023 年 2 月在尼日利亚的六个地缘政治区进行，调查对象为卫生工作者（n=2922）。通过访谈者管理的、经过验证的问卷收集数据。通过多变量逻辑回归确定有形母乳喂养支持的显著因素，并报告相应的比值比及其 95%置信区间。
卫生工作者的平均年龄为 28.6（9.3）岁。只有 45%（1316 人）达到有形母乳喂养支持的最佳评分。只有 31.4%（918 人）的哺乳支持提供者/专家实践有形母乳喂养支持，一半（50.6%，1479 人）对提供有形母乳喂养支持持积极态度。大约五分之二（39.3%，1148 人）让照顾者审查母乳储存程序，而 54.6%（1595 人）和 78.0%（2279 人）的卫生工作者分别协助使用吸奶器和正确的母乳喂养姿势。与 20 岁以下的卫生工作者相比，52 岁或以上的卫生工作者具有更好的提供有形母乳喂养支持的可能性（aOR 1.88，95%CI[1.13,3.12]），积极的态度（aOR 1.43，95%CI[1.22,1.69]），有母乳喂养冠军（aOR 1.47，95%CI[1.21,1.79]），提供吸奶器视频（aOR 2.33，95%CI[1.85,2.95]）和手动挤奶视频（aOR 1.41，95%CI[1.02,1.79]）。
尼日利亚卫生工作者的有形母乳喂养支持不足，这是由年龄、服务水平、态度、母乳喂养冠军的可用性以及适当的实践辅助工具决定的。需要针对卫生工作者的态度、技术技能、辅助工具的提供以及向非专家的任务转移进行有针对性的干预，以提供最佳的有形母乳喂养支持。
