Article
http://hdl.handle.net/10361/7401
2024-03-28T21:41:56Z
2024-03-28T21:41:56Z
Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study
Joshi, Prakash Chandra
Angdembe, Mirak Raj
Das, Sumon Kumar
Ahmed, Shahnawaz
Faruque, Abu Syed Golam
Ahmed, Tahmeed
http://hdl.handle.net/10361/7569
2018-03-27T05:11:32Z
2014-01-01T00:00:00Z
Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study
Joshi, Prakash Chandra; Angdembe, Mirak Raj; Das, Sumon Kumar; Ahmed, Shahnawaz; Faruque, Abu Syed Golam; Ahmed, Tahmeed
Background: Exclusive breastfeeding (EBF) means that the infant receives only breast milk for the first six months of life after birth. In Bangladesh, the prevalence of EBF remained largely unchanged for nearly two decades and was 43% in 2007. However, in 2011, a prevalence of 64% was reported, an increase by 21 percentage points. The reasons for this large change remain speculative at this point. Thus to investigate the issue further, this study was conducted. The objective was to assess the prevalence of EBF and associated factors among mothers having children aged 0-6 months in rural Bangladesh. Methods: A cross-sectional study was conducted in Mirzapur Upazilla (sub district) among 121 mothers of infants aged 0-6 months. Eligible mothers were identified and randomly selected using the demographic surveillance system's computerized database that is updated weekly. A semi-structured questionnaire was used for interviews that inquired information on socio-demographic characteristics, obstetric, health service, breastfeeding related factors (initiation of breastfeeding, prelacteal feeding and colostrum feeding) and economic factors. EBF prevalence was calculated using 24 hour recall method. In multivariate analysis, a logistic regression model was developed using stepwise modeling to analyze the factors associated with EBF. Results: The prevalence of EBF in the last 24 hours preceding the survey was 36%. Bivariate and multivariate analysis revealed no significant association between EBF and its possible predictors at 0.05 level of alpha. However, there was some evidence of an association between EBF and having a caesarean delivery (OR = 0.47, 95% CI: 0.21, 1.06). In multivariate analysis, type of delivery: caesarean (AOR = 0.45, 95% CI: 0.19, 1.03) and wealth quintile: richer (AOR = 2.40, 95% CI: 0.94, 6.16) also showed some evidence of an association with EBF. Conclusion: The prevalence of EBF in Mirzapur (36%) is lower than the national figure (64%). Prelacteal feeding was not uncommon. These findings suggest that there is a need for breastfeeding support provided by health services. Hence, promotion of EBF during the first six months of life needs to be addressed and future breastfeeding promotion programmes should give special attention to those women who are not practicing EBF.
This article was published in International Breastfeeding Journal [© 2014 BioMed Central Ltd.] and the definite version is available at: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/1746-4358-9-7
2014-01-01T00:00:00Z
Illness perception of tuberculosis (TB) and health seeking practice among urban slum residents of Bangladesh: a qualitative study
Bam, Kiran
Prasad Bhatt, Lokesh
Thapa, Rajshree
Karimjee Dossajee, Hussein
Raj Angdembe, Mirak
http://hdl.handle.net/10361/7554
2018-03-27T05:02:06Z
2014-01-01T00:00:00Z
Illness perception of tuberculosis (TB) and health seeking practice among urban slum residents of Bangladesh: a qualitative study
Bam, Kiran; Prasad Bhatt, Lokesh; Thapa, Rajshree; Karimjee Dossajee, Hussein; Raj Angdembe, Mirak
Background: Combating tuberculosis (TB) in urban slums is more complex than in rural areas due to reasons such as over-crowding, unhygienic living conditions and poverty. This study aimed to assess illness perception of TB and identify barriers and facilitators for health seeking practice among the residents of Badda slum, Dhaka, Bangladesh. Methods. The Badda slum was purposively selected. Convenience sampling was carried out to select participants aged 18 years and above. Twenty two in-depth interviews, two key informants' interviews and participatory rapid appraisal (PRA) were conducted. Data were analyzed manually by using defined a priori codes and color coding of the quotes in data matrix table. Results: TB was commonly recognized as Jokkha (pulmonary TB), Sas rog (disease associated to breathing) followed by TB. More females than males had knowledge about TB related illness. Very few perceived of being at risk of TB despite the high risk behavior and environment. Prime barriers for health seeking practice of TB were cost along with other barriers like prevailing stigma on TB, lack of information on service sites and unavailability of accompanying person. Training and orientation to community organizations and people, awareness on TB and free treatment through advertisements/media, community level diagnostic and home based care were identified as the facilitators for the health seeking practice of TB. Conclusions: Perceptions of TB and knowledge associated with the disease shape the health seeking practice, therefore promotion of media awareness campaign, targeting the people of urban slums for reducing misconceptions and promotion of home based service is needed to encourage health seeking practice in the future.
This article was published in BMC Research Notes [© 2014 BioMed Central Ltd.] and the definite version is available at: http://bmcresnotes.biomedcentral.com/articles/10.1186/1756-0500-7-572
2014-01-01T00:00:00Z
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health
Raj Angdembe, Mirak
Choudhury, Nuzhat
Raisul Haque, Mohammad
Ahmed, Tahmeed
http://hdl.handle.net/10361/7402
2018-03-15T05:11:26Z
2015-01-01T00:00:00Z
Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study Global health
Raj Angdembe, Mirak; Choudhury, Nuzhat; Raisul Haque, Mohammad; Ahmed, Tahmeed
Background: Multiple micronutrient powder (MMNP) can be sprinkled onto any semisolid food and can be given to young children to address iron deficiency anemia. The female community health volunteers of BRAC (an NGO) known as Shasthya Shebikas (SS) sell MMNP sachets during their regular household visits. Currently there are no data on adherence or real uptake of MMNP by children. The objective of the study was to assess adherence to MMNP and associated factors among children aged 6-59 months in rural Bangladesh. Methods: A cross sectional study was conducted in Saturia Sub-district among 78 children aged 6-59 months who were fed MMNP supplied by BRAC SS in the past 60 days. A one stage cluster sampling technique was used to select mothers with eligible children. Semi-structured questionnaire was used for interviews. A logistic regression model was developed to obtain adjusted odds ratios (AOR) with 95% CI. Results: Sample mean adherence was calculated to be 70%. In multivariate analysis, age of mother in years (AOR∈=∈0.74, 95% CI: 0.61-0.88), households belonging to poorer (AOR∈=∈0.01, 95% CI: 0.00-0.68), middle (AOR∈=∈0.04, 95% CI: 0.00-0.35) and richer (AOR∈=∈0.11, 95% CI: 0.01-0.84) wealth quintiles and mothers who prefer to feed flexibly (AOR∈=∈0.03, 95% CI: 0.00-0.26) were significantly associated with high adherence. Further, for every one unit increase in visit by BRAC SS in the past 60 days, the odds of having high adherence significantly increased by 55% (AOR∈=∈1.55, 95% CI: 1.09-2.20). Conclusions: SS are the key to improving adherence through regular visits to households of MMNP users. However, expanding coverage beyond the vicinity of the SS's household is a challenge. Perception of families whose children have low adherence should be studied.
This article was published in BMC Public Health [© 2015 BioMed Central Ltd.] and the definite version is available at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1752-z
2015-01-01T00:00:00Z