Breastfeeding practices after a counselling intervention for factory workers in Bangladesh.

Matern Child Nutr

MPH, PhD, IBCLC; Department of Public Health Education, University of North Carolina, Greensboro, Greensboro, North Carolina, USA.

Published: April 2021

AI Article Synopsis

  • Breastfeeding can be tough for female factory workers in Bangladesh due to long hours and lack of health support.
  • A peer counselling program was implemented in Chattogram to improve breastfeeding practices, starting during pregnancy and continuing up to 18 months after birth.
  • A survey conducted after the program found that factory workers who received counselling had significantly better breastfeeding practices compared to those who did not, with 88% initiating breastfeeding within an hour and 97% practicing exclusive breastfeeding versus much lower rates in the non-counselled group.

Article Abstract

Breastfeeding may be particularly challenging for female factory workers who have long working hours and inadequate access to health information and care. In Chattogram, Bangladesh, a peer counselling intervention was undertaken to improve infant feeding practices of factory workers. Counselling started during pregnancy and continued until children were 18 months old. This article presents the results of a cross-sectional survey undertaken during 2 weeks in March-April 2017, after the project's conclusion. The aim was to compare breastfeeding practices, specifically early breastfeeding initiation and exclusive breastfeeding (EBF), among factory workers who had received peer counselling in the intervention areas (IA) with those of non-counselled factory workers in the nearby comparison areas (CA). Six female interviewers, trained over 3 days, conducted interviews at the workers' homes. Data were analysed to assess the association of peer counselling with infant feeding practices. Factory workers (N = 382) with infants between 0 and 18 months of age participated in the survey, in IA (n = 188) and in CA (n = 194). Although there were more health facility deliveries among the CA workers, only 43 (22%) of those workers had initiated breastfeeding within 1 h of birth versus 166 (88%) of the IA workers (p < .001). EBF prevalence on 24-h recall in infants aged 0-6 months was only 7/83 (8%) for the CA workers versus 73/75 (97%) for IA workers (p < .001). The survey showed that breastfeeding practices of factory workers in the IA after the intervention were significantly better than those of factory workers in the CA.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988857PMC
http://dx.doi.org/10.1111/mcn.13113DOI Listing

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