The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh
Exclusive breastfeeding (EBF) for the first 6 months has established benefits, yet had slow improvements globally. Little is known about electronic job aid-assisted counselling to support EBF. As a secondary outcome of a cluster randomized controlled trial in Bangladesh, we assessed the effect of el...
| Autores principales: | , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Wiley
2022
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/141333 |
| _version_ | 1855527573379874816 |
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| author | Billah, Sk Masum Ferdous, Tarana E. Siddique, Abu Bakkar Raynes-Greenow, Camille Kelly, Patrick Gillespie, Stuart Hoddinott, John F. Menon, Purnima |
| author_browse | Billah, Sk Masum Ferdous, Tarana E. Gillespie, Stuart Hoddinott, John F. Kelly, Patrick Menon, Purnima Raynes-Greenow, Camille Siddique, Abu Bakkar |
| author_facet | Billah, Sk Masum Ferdous, Tarana E. Siddique, Abu Bakkar Raynes-Greenow, Camille Kelly, Patrick Gillespie, Stuart Hoddinott, John F. Menon, Purnima |
| author_sort | Billah, Sk Masum |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Exclusive breastfeeding (EBF) for the first 6 months has established benefits, yet had slow improvements globally. Little is known about electronic job aid-assisted counselling to support EBF. As a secondary outcome of a cluster randomized controlled trial in Bangladesh, we assessed the effect of electronic job aid-supported nutrition counselling and practical demonstration on EBF. We randomized pregnant women to one of five study arms in the trial and followed mother–child dyads until 2 years of age. Community health workers (CHWs) provided breastfeeding counselling with or without prenatal and complementary nutrient supplements in all four intervention arms. The comparison arm continued with the usual practice where mothers could receive nutrition counselling at routine antenatal and postnatal care, and during careseeking for childhood illnesses. We assessed breastfeeding indicators at birth and monthly until the child was 6 months old, in both intervention and comparison arms. To evaluate the effect of nutrition counselling on breastfeeding, we combined all four intervention arms and compared them with the comparison arm. Intervention newborns had half the risk (relative risk [RR]: 0.54, 95% confidence interval [CI]: 0.39, 0.76) of receiving prelacteal feeds than those in the comparison arm. EBF declined steeply in the comparison arm after 3 months of age. EBF was 16% higher in the intervention than the comparison arm at 4 months (RR: 1.16, 95% CI: 1.08, 1.23) and 22% higher at 5 months of age (RR: 1.22, 95% CI: 1.12, 1.33). Maternal background and household characteristics did not modify the intervention effect, and we observed no difference in EBF among caesarean versus vaginal births. Breastfeeding counselling and practical demonstration using an electronic job aid by CHWs are promising interventions to improve EBF and are scalable into existing community-based programmes. |
| format | Journal Article |
| id | CGSpace141333 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1413332025-10-26T13:01:45Z The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh Billah, Sk Masum Ferdous, Tarana E. Siddique, Abu Bakkar Raynes-Greenow, Camille Kelly, Patrick Gillespie, Stuart Hoddinott, John F. Menon, Purnima maternal and child health infants child nutrition undernutrition health nutrition infant feeding breastfeeding rural areas Exclusive breastfeeding (EBF) for the first 6 months has established benefits, yet had slow improvements globally. Little is known about electronic job aid-assisted counselling to support EBF. As a secondary outcome of a cluster randomized controlled trial in Bangladesh, we assessed the effect of electronic job aid-supported nutrition counselling and practical demonstration on EBF. We randomized pregnant women to one of five study arms in the trial and followed mother–child dyads until 2 years of age. Community health workers (CHWs) provided breastfeeding counselling with or without prenatal and complementary nutrient supplements in all four intervention arms. The comparison arm continued with the usual practice where mothers could receive nutrition counselling at routine antenatal and postnatal care, and during careseeking for childhood illnesses. We assessed breastfeeding indicators at birth and monthly until the child was 6 months old, in both intervention and comparison arms. To evaluate the effect of nutrition counselling on breastfeeding, we combined all four intervention arms and compared them with the comparison arm. Intervention newborns had half the risk (relative risk [RR]: 0.54, 95% confidence interval [CI]: 0.39, 0.76) of receiving prelacteal feeds than those in the comparison arm. EBF declined steeply in the comparison arm after 3 months of age. EBF was 16% higher in the intervention than the comparison arm at 4 months (RR: 1.16, 95% CI: 1.08, 1.23) and 22% higher at 5 months of age (RR: 1.22, 95% CI: 1.12, 1.33). Maternal background and household characteristics did not modify the intervention effect, and we observed no difference in EBF among caesarean versus vaginal births. Breastfeeding counselling and practical demonstration using an electronic job aid by CHWs are promising interventions to improve EBF and are scalable into existing community-based programmes. 2022-07 2024-04-12T13:37:42Z 2024-04-12T13:37:42Z Journal Article https://hdl.handle.net/10568/141333 en Open Access Wiley Masum Billah, Sk; Ferdous, Tarana E.; Siddique, Abu Bakkar; Raynes-Greenow, Camille; Kelly, Patrick; Gillespie, Stuart; Hoddinott, John F.; Menon, Purnima; et al. 2022. The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh. Maternal and Child Nutrition 18(3): e13377. https://doi.org/10.1111/mcn.13377 |
| spellingShingle | maternal and child health infants child nutrition undernutrition health nutrition infant feeding breastfeeding rural areas Billah, Sk Masum Ferdous, Tarana E. Siddique, Abu Bakkar Raynes-Greenow, Camille Kelly, Patrick Gillespie, Stuart Hoddinott, John F. Menon, Purnima The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh |
| title | The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh |
| title_full | The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh |
| title_fullStr | The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh |
| title_full_unstemmed | The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh |
| title_short | The effect of electronic job aid assisted one-to-one counselling to support exclusive breastfeeding among 0–5-month-old infants in rural Bangladesh |
| title_sort | effect of electronic job aid assisted one to one counselling to support exclusive breastfeeding among 0 5 month old infants in rural bangladesh |
| topic | maternal and child health infants child nutrition undernutrition health nutrition infant feeding breastfeeding rural areas |
| url | https://hdl.handle.net/10568/141333 |
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