Fathers as Supporters for Improved Exclusive Breastfeeding in Viet Nam
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To determine the extent of exclusive breastfeeding practices among mothers of 4 and 6 month old infants whose fathers received breastfeeding education materials and counseling services. A quasi-experimental design was used. At the baseline, 251 and 241 couples were recruited into the intervention and control sites respectively. Fathers in the intervention area received breastfeeding education materials, counseling services at commune health centers and household visits. In the control site, where mothers routinely receive services on antenatal and postpartum care, fathers did not receive any intervention services on promoting breastfeeding. Primary indicators were exclusive breastfeeding at 4 and 6 months. At 6 months of age, based on 24-hour recall, 16.0 % (38/238) of mothers in the intervention group were exclusively breastfeeding their children, compared to 3.9 % (10/230) of those mothers in the control group (p < 0.001). Significant differences were found based on last-week recall (8.8 % in the intervention group vs. 1.3 % in the control group, p < 0.001) and since-birth recall (6.7 % in the intervention group vs. 0.9 % in the control group, p < 0.01). At 4 months of age, based on since birth recall, the breastfeeding proportion was significantly higher in the intervention group than in control group (20.6 % in the intervention group vs. 11.3 % in the control group, p < 0.01). An intervention targeting fathers might be effective in increasing exclusive breastfeeding practices at 4 and 6 months. To improve exclusive breastfeeding, health care staff working in maternal and child health units, should consider integrating fathers with services delivered to mothers and children.
KeywordsExclusive breastfeeding Health promotion Fathers Viet Nam
This study was supported by Bill and Melinda Gates Foundation to FHI 360, through the Alive and Thrive Small Grants Program managed by UC Davis.
- 1.WHO Collaborative Study Team on the Role of Breastfeeding on the Prevention of Infant Mortality. (2000). Role of breastfeeding on the prevention of infant mortality—effect of breastfeeding on infant and childhood mortality due to infectious diseases in less developed countries: A pooled analysis. Lancet, 55(9202), 451–455.Google Scholar
- 2.Gartner, L. M., Morton, J., Lawrence, R. A., et al. (2005). Breastfeeding and the use of human milk. Pediatrics, 115(2), 496–506.Google Scholar
- 3.Kramer, M. S., & Kakuma, R. (2012). Optimal duration of exclusive breastfeeding. Cochrane Database of Systematic Reviews (8) (Review).Google Scholar
- 4.WHO. (2010). Indicators for assessing infant and young child feeding practices. Part 3. Country profiles. Geneva: World Health Organization. http://www.who.int/nutrition/publications/infantfeeding/9789241599757/en/.
- 5.WHO/UNICEF. (2003). Global strategy for infant and young child feeding. Geneva: World Health Organization. http://www.who.int/child_adolescent_health/documents/9241562218/en/index.html.
- 7.Otoo, G. E., Lartey, A. A., & Perez-Escamilla, R. (2009). Perceived incentives and barriers to exclusive breastfeeding among periurban Ghanaian women. Journal of Human Lactation, 25(1), 34–41 (Research Support, N.I.H., Extramural).Google Scholar
- 10.Dearden, K. A., Quan, L. N., Do, M., et al. (2002). Work outside the home is the primary barrier to exclusive breastfeeding in rural Viet Nam: Insights from mothers who exclusively breastfed and worked. Food and Nutrition Bulletin, 23(4), 99–106.Google Scholar
- 11.Agunbiade, M. O., & Ogunleye, O. V. (2012). Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: Implications for scaling up. International Breastfeeding Journal, 7(5). http://www.internationalbreastfeedingjournal.com/content/7/1/5.
- 13.Fjeld, E., Siziya, S., Katepa-Bwalya, M., et al. (2008). ‘No sister, the breast alone is not enough for my baby’ a qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia. International Breastfeeding Journal, 3(1), 26.PubMedCentralPubMedCrossRefGoogle Scholar
- 14.WBTi. (2008). The World Breastfeeding Trends Iniitiative (WBTi), Vietnam. http://www.worldbreastfeedingtrends.org/report/WBTi-Vietnam-2008.pdf.
- 16.WHO, (Ed.). (2007). Planning guide for national implementation of the global strategy for infant and young child feeding. Geneva: World Health Organization.Google Scholar
- 17.WHO, UNICEF. (1989). Protecting, promoting and supporting breast-feeding: the special role of maternity services. Geneva: World Health Organization.Google Scholar
- 18.Hofvander, Y. (2005). Breastfeeding and the baby friendly hospitals initiative (BFHI): Organization, response and outcome in Sweden and other countries. Acta Paediatrica, 94(8), 1012–1016 (Comparative Study).Google Scholar
- 19.Merten, S., Dratva, J., & Ackermann-Liebrich, U. (2005). Do baby-friendly hospitals influence breastfeeding duration on a national level? Pediatrics, 116(5), e702–e708 (Research Support, Non-US Gov’t).Google Scholar
- 20.National nutrition strategy for 2011–2020, with a vision toward 2030. Ha Noi: Medical Publishing House (2012). http://www.unicef.org/vietnam/resources_18460.html.
- 22.Tuyen, L. D., Hong, T. N., Do, T. T., et al. (2010). Viet Nam nutrition profile. Ha Noi: NIN, UNICEF and Alive & Thrive.Google Scholar
- 23.Alive&Thrive. (2012). Formative research on infant and young child feeding in Viet Nam: Phase 1 summary report. Ha Noi: Alive & Thrive.Google Scholar
- 24.Tuyen, L. D., & Hop, L. T. (2012). General nutrition survey 2009–2010. Ha Noi: Medical publishing house.Google Scholar
- 26.Johnston, M. L., & Esposito, N. (2007). Barriers and facilitators for breastfeeding among working women in the United States. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 36(1), 9–20 (Review).Google Scholar
- 33.Susin, L. R., & Giugliani, E. R. (2008). Inclusion of fathers in an intervention to promote breastfeeding: Impact on breastfeeding rates. Journal of Human Lactation, 24(4), 386–92; quiz 451–453 (Randomized Controlled Trial).Google Scholar
- 34.Conkle, J. (2007). Exclusive breastfeeding in Cambodia: An analysis of improvement from 2000 to 2005. Phnom Penh: UNICEF.Google Scholar
- 36.Jana, A. K. (2009). Interventions for promoting the initiation of breastfeeding: RHL commentary (last revised: 2 March 2009. Geneva: World Health Organization.Google Scholar
- 37.Duong, D. V., Binns, C., Lee, A. H. (2005). Introduction of complementary food to infant within the first six months postpartum in rural Viet Nam. Acta Paediatrica.Google Scholar
- 39.World Health Organization, UNICEF. (2007). Planning guide for national implementation of the global strategy for infant and young child feeding. Geneva: World Health Organization.Google Scholar
- 40.Kerber, K. J., de Graft-Johnson, J. E., Bhutta, Z. A., et al. (2007). Continuum of care for maternal, newborn, and child health: From slogan to service delivery. Lancet, 370(9595), 1358–1369 (Research Support, Non-US Gov’t Review).Google Scholar
- 42.Agampodi, S. B., Agampodi, T. C., & Silva, A. (2009). Exclusive breastfeeding in Sri Lanka: Problems of interpretation of reported rates. International Breastfeeding Journal, 4(14). http://www.internationalbreastfeedingjournal.com/content/4/1/14.
- 43.Bich, T. H., Hoa, D. T., Ha, N. T., et al. (2012). Changes in knowledge of exclusive breastfeeding for six months among fathers-finding from community intervention study in a rural area of Viet Nam. Special Edition of Vietnam Journal of Public Health, 1(1), 4–11.Google Scholar