Breastfeeding support through wet nursing during nutritional emergency: A cross sectional study from Rohingya refugee camps in Bangladesh


Autoři: Faria Azad aff001;  M. A. Rifat aff002;  Mohammad Zahidul Manir aff003;  Nushrat Alam Biva aff004
Působiště autorů: Programme Assistant, World Food Programme of the United Nations, Cox’s Bazar, Chittagong, Bangladesh aff001;  Consultant, United Nations Children’s Fund, Cox’s Bazar, Chittagong, Bangladesh aff002;  Nutrition Officer, United Nations Children’s Fund, Cox’s Bazar, Chittagong, Bangladesh aff003;  Institute of Nutrition and Food Science, University of Dhaka, Dhaka, Bangladesh aff004
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0222980

Souhrn

Background/Objectives

This study examined the best practices with regard to infant and young child feeding in emergency (IYCF-E) program. This was done by observing a breastfeeding support scenario through wet nursing in Rohingya refugee camps in Cox’s Bazar, Bangladesh.

Methods

Information on demographics, IYCF-E knowledge, wet nursing support, type of constraints faced, and possible ways to overcome such constraints was collected through face-to-face interviews with 24 conveniently selected wet nurses. Linear regression was used to analyze the associations.

Results

Mean age of wet nurses was 21.6 years; 16.67% had adequate knowledge about IYCF-E; and 29.17% had prior knowledge about wet nursing. Mean age of supported infants was 1.29 months, and 58.33% had a familial relationship with the wet nurses. Duration of breastfeeding support was significantly associated with the wet nurse’s age, age of the wet nurses’ youngest children, familial relationship with infants, knowledge about IYCF-E, and follow-ups from community nutrition workers (Ps <0.05). The status of facing problems (58.33%) was negatively correlated with duration of wet nursing, although this association was not statistically significant. The most extensively reported problems were as follows: misunderstandings with the infant’s family (85.71%), family workload and time limitations (21.43%), household distance (42.86%), and family members’ poor compliance (21.43%). Counseling from community nutrition workers (64.29%) and mediation by community leaders (57.14%) played key roles in mitigating such problems. Self-satisfaction (37.50%), counseling (62.50%), and religious inspiration (58.33%) were key motivators behind dedicated breastfeeding support.

Conclusion

Wet nursing in the Rohingya refugee camps in Cox’s Bazaar, Bangladesh, was associated with several factors involving both supply and demand. The present findings may help design better IYCF-E programs in similar context.

Klíčová slova:

Breast feeding – Breast milk – Human families – Infants – Lactation – Nurses – Nutrition – Religion


Zdroje

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2019 Číslo 10

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