孟加拉国加济布尔县农村地区母亲的婴幼儿喂养方式

Md Anwar Hossain, Humaira Nazneen, Saida Sharmin, Ayesha Mahzabin Chowdhury, Atia Afrin
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引用次数: 0

摘要

为了了解孟加拉国农村地区的婴幼儿喂养实践(IYCF),我们对至少有一名 0-23 个月大婴儿的 599 名母亲进行了一项横断面描述性研究。研究于 2019 年 11 月至 2020 年 3 月期间在加济布尔区的农村地区进行。研究采用了一份经过预先测试的半结构化问卷来收集数据。在 599 名受访者中,大多数(62.93%)年龄在 21-30 岁之间。只有 6.67% 的受访者是文盲,其余的受访者受过不同程度的教育。约三分之一(33.38%)的受访者月收入在 5001-15000 第纳尔之间。27% 的母亲不能给婴儿喂初乳;其中一半(50%)提到婴儿吸吮不畅,43.83% 提到长辈劝告(不要喂初乳),6.17% 提到自己生病。27% 的母亲在哺乳前喂奶,常见的哺乳前食物是蜂蜜(61.25%)、糖水(35.63%)和动物奶(4.32%)。73.29% 的母亲在婴儿出生后一小时内开始母乳喂养。53.26%的母亲实行纯母乳喂养(EBF)。纯母乳喂养面临的困难是母乳分泌不足(46.42%)、不了解纯母乳喂养(42.51%)和母亲生病(11.07%)。大多数母亲(81.63%)在正确的时间(6 个月)内添加辅食,主要辅食是 Khichuri(51.91%);然而,大多数母亲(60.77%)一天内添加辅食的次数少于 3 次。我们的数据表明,农村母亲的综合育儿实践并不理想。为了改善这一状况,有必要通过适当的健康教育来激发母亲们的积极性,让她们认识到 "综合育儿法 "对儿童健康的积极影响。
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Infant and Young Child Feeding Practice among Mothers in Rural Areas of Gazipur District, Bangladesh
A cross-sectional, descriptive study was conducted among 599 mothers who had at least one child aged 0–23-month to determine infant and young child feeding practice (IYCF) in rural areas of Bangladesh. The study was conducted between November 2019 and March 2020 in rural areas of Gazipur district. A pre-tested semi-structured questionnaire was used to collect data. Out of 599 respondents, the majority (62.93%) were in the 21-30 years age-group. Only 6.67% were illiterate and the rest of the respondents were literate with different levels of education. About one third (33.38%) of the respondents had monthly income between BDT 5001- 15000. 27% of the mothers could not give colostrum to the babies; half of them (50%) mentioned that baby could not suck well, while 43.83% mentioned being advised by the elders (not to give colostrum) and 6.17% mentioned their own illness. Pre-lacteal feeding practice was observed among 27% mothers and common pre-lacteal food was honey (61.25%), sugar water (35.63%) and animal milk (4.32%). Breastfeeding was initiated within the first hour of birth among 73.29% of mothers. 53.26% percent of mothers practice exclusive breastfeeding (EBF). Difficulties faced by mothers for EBF are insufficient secretion of breast milk (46.42%), not having knowledge about EBF (42.51%), and mother’s illness (11.07%). Most of the mothers (81.63%) gave complementary feeding in the correct time (6 months) and predominant complementary food was Khichuri (51.91%); however, most of them (60.77%) gave complementary food ≤3 times in a day. Our data suggests that the practice of IYCF was not optimum among the rural mothers. To improve this condition, it is necessary to motivate mothers through proper health education about the positive impacts of IYCF on child health. CBMJ 2024 January: vol. 13 no. 01 P: 28-34
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