Influence of media (internet and smartphone applications) on infant and young child feeding practices among mothers of children under 5 years availing health care in a rural hospital in Ramanagara district, Karnataka

Joeberate Vinshula, A. Johnson, A. Menezes, Merlyn Joseph, Srilekha C, P. S, Jessi Jennifer
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Abstract

Background: Appropriate infant and young child feeding (IYCF) practices are a key strategy to reduce under-5 mortality. Increasing mobile technology penetration in rural areas can influence IYCF practices. Aims: This study aims to assess IYCF practices among mothers of children under 5, in a rural maternity hospital in Ramanagara district and its association with the use of various mass media including internet and smartphones. Methods: A hospital-based cross-sectional study was conducted among 89 mothers and a pre-tested face-validated semi-structured interview schedule was administered to collect information regarding sociodemographic details, IYCF practices, and use of media. Results: The mean age of the study population was 23.84±3.5 years. About 44.9% of them had their last child in the age group of 6–24 months. About 87.6% of them were breastfed within the 1st h of birth. The mean age of starting complementary feeding was 7±2.6 months. About 98.9% had access to a smartphone, however, only 19.1% used WhatsApp videos and messages and 12.3% internet to search for information regarding IYCF practices. Almost all respondents reported health-care providers as their primary source of information regarding IYCF practices. Conclusion: IYCF practices of the study population were better than national average. These findings highlight the importance of the role of grassroot level workers and primary care physicians in imparting knowledge among mothers in IYCF practices. The scope of using media to bring about behavior change communication in this context can be explored.
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媒体(互联网和智能手机应用程序)对在卡纳塔克邦拉马纳加拉区农村医院接受保健服务的5岁以下儿童的母亲喂养婴幼儿做法的影响
背景:适当的婴幼儿喂养做法是降低5岁以下儿童死亡率的一项关键战略。提高移动技术在农村地区的普及率可以影响国际青年发展基金的做法。目的:本研究旨在评估拉马纳加拉区一家农村妇产医院5岁以下儿童母亲的儿童年基金做法及其与包括互联网和智能手机在内的各种大众媒体使用的关系。方法:对89名母亲进行了以医院为基础的横断面研究,并采用预先测试的面部验证半结构化访谈计划,以收集有关社会人口统计学细节、IYCF实践和媒体使用的信息。结果:研究人群平均年龄23.84±3.5岁。约44.9%的妇女最后一个孩子的年龄在6-24个月。约87.6%的婴儿在出生后1小时内接受母乳喂养。开始辅食的平均年龄为7±2.6个月。大约98.9%的人有智能手机,然而,只有19.1%的人使用WhatsApp视频和消息,12.3%的人上网搜索有关IYCF实践的信息。几乎所有答复者都报告说,保健提供者是其关于儿童年基金做法的主要信息来源。结论:研究人群的IYCF实践优于全国平均水平。这些发现强调了基层工作者和初级保健医生在IYCF实践中向母亲传授知识的重要性。在此背景下,可以探索利用媒体带来行为改变传播的范围。
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