Davies-Adetugbo A A, Adebawa H A
Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile Ife, Nigeria.
Bull World Health Organ. 1997;75(4):323-32.
Reported are the results of a project to promote exclusive breastfeeding in rural communities through the training of community health extension workers in rural Nigeria. A workshop for the trainers was organized for health workers in the study area; subsequently, these trainers ran district-level training workshops. In the study area perinatal facilities, early initiation of breastfeeding has increased compared with those in the control area (P < 0.001). Also, the trained health workers had significantly better knowledge about breastfeeding than their untrained colleagues in both the study (P < 0.001) and control areas (P < 0.001), and more often recommended timely initiation and exclusive breastfeeding than the controls (P < 0.001). A multivariate analysis showed that the training programme and the study area were the only significant variables that were predictors of breastfeeding knowledge (P < 0.001). Appropriate education of health extension workers can therefore contribute significantly to the promotion of breastfeeding in rural communities.
报告了在尼日利亚农村通过培训社区卫生推广工作者来促进农村社区纯母乳喂养的项目结果。为研究区域的卫生工作者组织了一次针对培训人员的讲习班；随后，这些培训人员举办了区级培训讲习班。与对照区域相比，研究区域围产期设施中纯母乳喂养的早期启动率有所提高（P<0.001）。此外，在研究区域（P<0.001）和对照区域（P<0.001），接受培训的卫生工作者对母乳喂养的知识明显优于未接受培训的同事，并且比对照组更常建议及时启动和纯母乳喂养（P<0.001）。多变量分析表明，培训项目和研究区域是母乳喂养知识的唯一显著预测变量（P<0.001）。因此，对卫生推广工作者进行适当教育可显著促进农村社区的母乳喂养。
