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Bangladesh women breastfeeding

Purnima Menon, Phuong Hong Nguyen, Kuntal Kumar Saha, Adiba Khaled, Andrew Kennedy, Lan Mai Tran, Tina Sanghvi, Nemat Hajeebhoy, Jean Baker, Silvia Alayon, Kaosar Afsana, Raisul Haque, Edward A Frongillo, Marie T Ruel, Rahul Rawat
BACKGROUND: Despite recommendations supporting optimal breastfeeding, the number of women practicing exclusive breastfeeding (EBF) remains low, and few interventions have demonstrated implementation and impact at scale. Alive & Thrive was implemented over a period of 6 y (2009-2014) and aimed to improve breastfeeding practices through intensified interpersonal counseling (IPC), mass media (MM), and community mobilization (CM) intervention components delivered at scale in the context of policy advocacy (PA) in Bangladesh and Viet Nam...
October 2016: PLoS Medicine
Aatekah Owais, Benjamin Schwartz, David G Kleinbaum, Parminder S Suchdev, A S G Faruque, Sumon K Das, Aryeh D Stein
The association between suboptimal infant feeding practices and growth faltering is well-established. However, most of this evidence comes from cross-sectional studies. To prospectively assess the association between suboptimal infant feeding practices and growth faltering, we interviewed pregnant women at 28-32 weeks' gestation and followed-up their offspring at postnatal months 3, 9, 16 and 24 months in rural Bangladesh. Using maternal recall over the past 24 hours, exclusive breastfeeding (EBF) status at 3 months, age at complementary feeding (CF) initiation, and receipt of minimum acceptable diet (MAD; as defined by WHO) at 9 months were assessed...
2016: PloS One
Ashraful Islam Khan, Iqbal Kabir, Hanna Eneroth, Shams El Arifeen, Eva-Charlotte Ekström, Edward A Frongillo, Lars Åke Persson
AIM: It is unknown whether maternal malnutrition reduces the effect of counselling on exclusive breastfeeding. This study evaluated the effect of breastfeeding counselling on the duration of exclusive breastfeeding, and whether the timing of prenatal food and different micronutrient supplements further prolonged this duration. METHODS: Pregnant women in Matlab, Bangladesh, were randomised to receive daily food supplements of 600 kcal at nine weeks of gestation or at the standard 20 weeks...
January 2017: Acta Paediatrica
Mahfuzar Rahman, Fakir Md Yunus, Rasheduzzaman Shah, Fatema Tuz Jhohura, Sabuj Kanti Mistry, Tasmeen Quayyum, Bachera Aktar, Kaosar Afsana
OBJECTIVES: We evaluated the impact of the Improving Maternal, Neonatal, and Child Survival (IMNCS) project, which is being implemented by BRAC in rural communities in Bangladesh. METHODS: Four districts received program intervention i.e. trained community health workers to deliver essential maternal, neonatal, and child healthcare and nutrition services while two districts were treated as comparison group. A quasi-experimental study design (compared before-and-after) was undertaken...
2016: PloS One
Rukhsana Haider, Kuntal Kumar Saha
BACKGROUND: Exclusive breastfeeding and growth faltering during infancy remain challenges in Bangladesh. The Training & Assistance for Health & Nutrition Foundation has been working to address this gap through community-based peer counsellors since 2000. In this paper, we assessed the programme's progress, particularly with respect to early initiation of breastfeeding and exclusive breastfeeding for normal birth weight, as well as for low birth weight (LBW) infants. METHODS: The peer counselling programme is continuing in rural and urban areas of Bangladesh, but only data collected between January 2013 and June 2015 is presented in this descriptive study...
2016: International Breastfeeding Journal
Javaid Iqbal, Tahmina Ferdousy, Rahela Dipi, Reza Salim, Wei Wu, Steven A Narod, Joanne Kotsopoulos, Mohammad G Mostafa, Ophira Ginsburg
Background. The incidence of premenopausal breast cancer is rising throughout South Asia. Our objective was to determine the role of risk factors associated with Westernization for premenopausal breast cancer in Bangladesh. Methods. We conducted a matched case-control study between January 1, 2007, and December 31, 2010, at four hospitals in Bangladesh. Cases were premenopausal women diagnosed with invasive breast cancer. Controls were premenopausal women with no personal history of breast cancer. Logistic regression was used to calculate the odds ratios (OR) for breast cancer...
2015: International Journal of Breast Cancer
Deborah Sitrin, Tanya Guenther, Peter Waiswa, Sarah Namutamba, Gertrude Namazzi, Srijana Sharma, K C Ashish, Sayed Rubayet, Subrata Bhadra, Reuben Ligowe, Emmanuel Chimbalanga, Elizabeth Sewell, Kate Kerber, Allisyn Moran
BACKGROUND: Nearly all newborn deaths occur in low- or middle-income countries. Many of these deaths could be prevented through promotion and provision of newborn care practices such as thermal care, early and exclusive breastfeeding, and hygienic cord care. Home visit programmes promoting these practices were piloted in Malawi, Nepal, Bangladesh, and Uganda. OBJECTIVE: This study assessed changes in selected newborn care practices over time in pilot programme areas in four countries and evaluated whether women who received home visits during pregnancy were more likely to report use of three key practices...
2015: Global Health Action
Juliet Rayment, Christine McCourt, Lisa Vaughan, Janice Christie, Esther Trenchard-Mabere
This study examined the main factors that influence Bangladeshi women living in London's decisions to partially breastfeed their children, including the influence of older women within the community. Fifty-seven women of Bangladeshi origin living in the London Borough of Tower Hamlets took part in seven discussion groups between April and June 2013. Five groups were held with women of child-bearing age and two groups with older women in the community. A further eight younger women and three older women took part in one-on-one interviews...
July 2016: Maternal & Child Nutrition
Khurshid Jahan, S K Roy, Seema Mihrshahi, Nigar Sultana, Soofia Khatoon, Hema Roy, Laboni Rani Datta, Anjana Roy, Sania Jahan, Wajiha Khatun, Naimun Nahar, Jessica Steele
BACKGROUND: Maternal malnutrition and poor gestational weight gain are the most important causes of low birthweight and infant mortality in Bangladesh. OBJECTIVE: To assess the effect of short-term nutrition education on weight gain in the third trimester of pregnancy, birth outcomes, and breastfeeding. METHODS: Three hundred pregnant women participated in this randomized, controlled trial during a 3-month intervention period. The study was conducted in two antenatal clinics in urban Dhaka...
December 2014: Food and Nutrition Bulletin
Md Rafiqul Islam, John Attia, Mohammad Alauddin, Mark McEvoy, Patrick McElduff, Christine Slater, Md Monirul Islam, Ayesha Akhter, Catherine d'Este, Roseanne Peel, Shahnaz Akter, Wayne Smith, Stephen Begg, Abul Hasnat Milton
BACKGROUND: Early life exposure to inorganic arsenic may be related to adverse health effects in later life. However, there are few data on postnatal arsenic exposure via human milk. In this study, we aimed to determine arsenic levels in human milk and the correlation between arsenic in human milk and arsenic in mothers and infants urine. METHODS: Between March 2011 and March 2012, this prospective study identified a total of 120 new mother-baby pairs from Kashiani (subdistrict), Bangladesh...
2014: Environmental Health: a Global Access Science Source
Salahuddin Ahmed, Maureen Norton, Emma Williams, Saifuddin Ahmed, Rasheduzzaman Shah, Nazma Begum, Jaime Mungia, Amnesty Lefevre, Ahmed Al-Kabir, Peter J Winch, Catharine McKaig, Abdullah H Baqui
BACKGROUND: Short birth intervals are associated with increased risk of adverse maternal and neonatal health (MNH) outcomes. Improving postpartum contraceptive use is an important programmatic strategy to improve the health and well-being of women, newborns, and children. This article documents the intervention package and evaluation design of a study conducted in a rural district of Bangladesh to evaluate the effects of an integrated, community-based MNH and postpartum family planning program on contraceptive use and birth-interval lengths...
August 2013: Global Health, Science and Practice
Prakash Chandra Joshi, Mirak Raj Angdembe, Sumon Kumar Das, Shahnawaz Ahmed, Abu Syed Golam Faruque, Tahmeed Ahmed
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...
2014: International Breastfeeding Journal
Joan S Thomas, Elaine A Yu, Noor Tirmizi, Aatekah Owais, Sumon K Das, Shahed Rahman, A S G Faruque, Benjamin Schwartz, Aryeh D Stein
Achieving optimal exclusive breastfeeding (EBF) remains a challenge. Because intention is a precursor of practice, we examined factors associated with EBF intention during pregnancy in two rural sub-districts of Kishoreganj district, Bangladesh. We studied 2,400 pregnant women in their third trimester (26-32 weeks gestation). We assessed knowledge (6 items, scale range 0-6), attitudes (15 items, scale range 15-75) and self-efficacy (6 items, scale range 6-30) by interview using a standardized questionnaire...
January 2015: Maternal and Child Health Journal
Ashraful Islam Khan
BACKGROUND: Nutritional insults and conditions during fetal life and infancy influence subsequent growth and body composition of children. OBJECTIVES: Effects of maternal food and micronutrient supplementation and exclusive breastfeeding counseling on growth of offspring aged 0-54 months and their body composition at 54 months of age were studied. METHODS: In the MINIMat trial (ISRCTN16581394) in Matlab, Bangladesh, pregnant women were randomized to early (around 9 weeks) or usual invitation (around 20 weeks) to food supplementation and to one of the three daily micronutrient supplements: 30-mg Fe and 400-µg folic acid (Fe30F), 60-mg Fe and 400-µg folic acid (Fe60F), and multiple micronutrient supplements (MMS)...
2013: Global Health Action
Edward Fottrell, Kishwar Azad, Abdul Kuddus, Layla Younes, Sanjit Shaha, Tasmin Nahar, Bedowra Haq Aumon, Munir Hossen, James Beard, Tanvir Hossain, Anni-Maria Pulkki-Brannstrom, Jolene Skordis-Worrall, Audrey Prost, Anthony Costello, Tanja A J Houweling
IMPORTANCE: Community-based interventions can reduce neonatal mortality when health systems are weak. Population coverage of target groups may be an important determinant of their effect on behavior and mortality. A women's group trial at coverage of 1 group per 1414 population in rural Bangladesh showed no effect on neonatal mortality, despite a similar intervention having a significant effect on neonatal and maternal death in comparable settings. OBJECTIVE: To assess the effect of a participatory women's group intervention with higher population coverage on neonatal mortality in Bangladesh...
September 2013: JAMA Pediatrics
Maria E Sundaram, Alain B Labrique, Sucheta Mehra, Hasmot Ali, Abu A Shamim, Rolf D W Klemm, Keith P West, Parul Christian
Exclusive breastfeeding of newborns, a practice recommended by WHO, is hindered in many countries by practices such as prelacteal feeding (feeding other foods before breast milk is fed to infants). This paper describes maternal and infant characteristics and trends over time associated with early neonatal feeding (ENF) in Bangladesh. The analysis used data from 24,992 participants in a randomized controlled trial supplementing vitamin A and β-carotene to women in northwestern rural Bangladesh. A majority of newborns (89...
July 2013: Journal of Nutrition
Ashraful I Khan, Sophie Hawkesworth, Eva-Charlotte Ekström, Shams Arifeen, Sophie E Moore, Edward A Frongillo, Md Yunus, Lars Å Persson, Iqbal Kabir
AIM: Exclusive breastfeeding (EBF) for 6 months is recommended for optimal infant health, but the evidence for longer-term impacts is weak. We examined whether randomization to receive EBF counselling (BFC) in rural Bangladeshi women had an impact on childhood growth trajectories and body composition. METHODS: In the Maternal and Infant Nutrition Interventions in Matlab trial, 4436 pregnant women were randomized to six equally sized, food and micronutrient groups...
August 2013: Acta Paediatrica
S M Akter, S K Roy, S K Thakur, M Sultana, W Khatun, R Rahman, S S Saliheen, N Alam
BACKGROUND: Maternal malnutrition and poor gestational weight gain are the most important causes of low birth weight and high rates of newborn mortality. OBJECTIVE: To assess the effects of nutrition counseling in the third trimester of pregnancy on maternal weight gain, birth weight of newborn, and breastfeeding practices. METHODS: This was a longitudinal experimental study with nutrition intervention for a period of 3 months. One hundred fifteen women (57 in the intervention group and 58 in the comparison group) who were visiting the Maternal and Child Health Training Institute at 6 months of pregnancy were randomly selected...
September 2012: Food and Nutrition Bulletin
Naomi Douglas
In the last decade recognition of the impact of social inequalities on health has resulted in a refocus of the public health agenda, with health visitors having a pivotal role. While this involvement is in the form of family-centred public health, it is also intended to involve work with the wider community and primarily focuses on beginning to address the injustice of inequality before a child is born, acknowledging that early intervention is key to breaking the cycle of deprivation. Such inequalities disproportionately affect those from black and minority ethnic (BME) groups who are more likely to report long-term ill health than their white counterparts...
June 2012: Community Practitioner: the Journal of the Community Practitioners' & Health Visitors' Association
Tahmeed Ahmed, Mustafa Mahfuz, Santhia Ireen, A M Shamsir Ahmed, Sabuktagin Rahman, M Munirul Islam, Nurul Alam, M Iqbal Hossain, S M Mustafizur Rahman, M Mohsin Ali, Fatima Perveen Choudhury, Alejandro Cravioto
Although child and maternal malnutrition has been reduced in Bangladesh, the prevalence of underweight (weight-for-age z-score <-2) among children aged less than five years is still high (41%). Nearly one-third of women are undernourished with body mass index of <18.5 kg/m2. The prevalence of anaemia among young infants, adolescent girls, and pregnant women is still at unacceptable levels. Despite the successes in specific programmes, such as the Expanded Programme on Immunization and vitamin A supplementation, programmes for nutrition interventions are yet to be implemented at scale for reaching the entire population...
March 2012: Journal of Health, Population, and Nutrition
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