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  1. Impact and sustainability of a "baby friendly" health education intervention at a district hospital in Bihar, India.

    Article - En anglais

    Objectives-To evaluate the impact and sustainability of a baby friendly training intervention for staff at an Indian district hospital on initiation of breast feeding and use of prelacteal feeds by mothers.

    Design-Intervention study with assessment by interviewing mothers.

    Subjects-172 mothers recruited before the intervention, 195 recruited immediately after the intervention, and 101 recruited six months later.

    Setting-District hospital in a small town in Bihar, India.

    Main outcome measures-Age of infant when breast feeding started, use of prelacteal feeds, and colostrum feeding.

    Intervention-10 day training programme for doctors, nurses, and midwives, explaining the benefits and fensibility of early breast feeding and dangers of prelacteal feeds together with instruction on explaining this information to mothers.


    Breast feeding was started within 24 hours of birth by 53 (29%) of control mothers, 164 (84%) in the early follow up group, and 60 (59%) in the late follow up group.

    Prelacteal feeds were used by 165 (96%), 84 (43%), and 78 (77%) respectively.

    Only 36 mothers in the late follow up group reported receiving education on feeding.

    Mothers in this group who had received the education were significantly more likely than mothers who received no education to breast feed early (28 (78%) upsilon 11 (17%), P<0.001) and not use prelacteal feeds (21 (58%) upsilon 2 (3%), P<0.001).

    Mots-clés Pascal : Allaitement, Inde, Education nutritionnelle, Education sanitaire, Homme, Femme, Asie

    Mots-clés Pascal anglais : Breast feeding, India, Nutrition education, Health education, Human, Woman, Asia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0233282

    Code Inist : 002B30A03B. Création : 09/06/1995.