Measurement of breastfeeding initiation: Ethiopian mothers’ perception about survey questions assessing early initiation of breastfeeding

International Breastfeeding Journal

Tanya Marchant¹  Suzanne Filteau¹  Mihretab Melesse Salasibew¹ 

[1] London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK

关键词: Saving newborn lives;    Essential interventions;    Breast milk;    Infant feeding;    Breastfeeding;    Early initiation;   

Others  :  1135865
DOI  :  10.1186/1746-4358-9-13

 received in 2014-03-15, accepted in 2014-07-21,  发布年份 2014

【 摘 要 】

Background

Although breastfeeding is almost universal in Ethiopia, only 52% newborns benefited from early initiation in 2011. Early initiation is one of the recommended interventions for saving newborn lives but its potential seems not yet realized for Ethiopian newborns and there is a need for continued efforts to increase coverage. To do so, it is also relevant to focus on consistent and accurate reporting of coverage in early initiation.

WHO recommends the question “how long after birth did you first put [name] to the breast?” in order to assess coverage in early initiation. It is designed to measure the time after birth when the mother attempted to initiate breastfeeding regardless of whether breast milk had arrived or not. However, it is unclear how mothers perceive this question and what their responses of time refer to. In this study, we assessed Ethiopian mothers’ perception about the question assessing early initiation.

Methods

Cognitive interviews were conducted between April and May 2013 with eligible mothers in Basona and Debrebirhan woredas (districts), 120 km away from Addis Ababa, Ethiopia.

Results

A total of 49 mothers, most from Basona (n = 36) and the rest from Debrebirhan woredas (n = 13) were interviewed. No probes or follow on questions were required for mothers to understand what the WHO recommended question was about. However, further probing was needed to ascertain what maternal responses of time refer to. Accordingly, mothers’ response about the timing of early initiation was related to the first time the newborn received breast milk rather than their first attempt to initiate breastfeeding. In addition, considerable probing was required to approximate and code responses of time based on the WHO coding format because some mothers were unable to assess time in minutes or hours.

Conclusion

The existing question is not adequate to identify intended attempts of mothers to initiate breastfeeding. We recommend revising the question as “how long after birth did you first put [name] to the breast even if your breast milk did not arrive yet?” Standard probes or follow on questions are required to avoid subjective interpretation of the indicator.

【 授权许可】

   
2014 Salasibew et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]United Nations: The Millennium Development Goals Report. New York: Statistics Division of the United Nations Department of Economic and Social Affairs; 2013.
• [2]UNICEF, WHO and WORLD BANK: Committing to Child Survival: A Promise Renewed Progress Report 2013. New York: UNICEF; 2013.
• [3]The Partnership for Maternal, Newborn & Child Health: A Global Review of the key Interventions Related to Reproductive, Maternal, Newborn and Child Health (RMNCH). Geneva, Switzerland: PMNCH; 2011.
• [4]Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS, Bellagio Child Survival Study Group: How many child deaths can we prevent this year? Lancet 2003, 362(9377):65-71.
• [5]Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR: Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006, 117(3):e380-e386.
• [6]Ethiopian Central Statistical Agency and ICF International: Ethiopian Demographic and Health Survey 2011. Addis Ababa, Ethiopia: Central Statistical Agency and ICF International; 2012.
• [7]World Health Organization: Indicators for Assessing Breastfeeding Practices. Geneva, Switzerland: WHO; 1991.
• [8]WHO, UNICEF, USAID, AED, UCDAVIS, IFPRI: Indicators for Assessing Infant and Young Child Feeding Practices: Part I Definitions. Geneva, Switzerland: WHO; 2008.
• [9]WHO: Indicators for Assessing Infant and Young Child Feeding Practices: Part II Measurement. Geneva, Switzerland: WHO; 2010.
• [10]Thomson ME, Hartsock TG, Laron C: The importance of immediate postnatal contact: its effect on breastfeeding. Can Fam Physician 1979, 25:1374-1378.
• [11]Widström AM, Ransjö-Arvidson AB, Christensson K, Matthiesen AS, Winberg J, Uvnäs-Moberg K: Gastric suction in healthy newborn infants: Effects on circulation and developing feeding behaviour. Acta Paediatr Scand 1987, 76(4):566-572.
• [12]De Chateau P, Wiberg B: Long-term effect on mother-infant behaviour of extra contact during the first hour post partum: A follow-up at three months. Acta Paediatr Scand 1977, 66(2):145-151.
• [13]Righard L, Alade MO: Effect of delivery room routines on success of first breast-feed. Lancet 1990, 336(8723):1105-1107.
• [14]Moore ER, Anderson GC, Bergman N: Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2012, 5:CD003519.
• [15]WHO: Evidence for the ten Steps to Successful Breastfeeding. Geneva, Switzerland: WHO; 1998.
• [16]Hector DJ: Complexities and subtleties in the measurement and reporting of breastfeeding practices. Int Breastfeed J 2011, 6:5.
• [17]Debes A, Kohli A, Walker N, Edmond K, Mullany L: Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health 2013, 13(Suppl 3):S19.
• [18]MEASURE DHS/ICF International: DHS Guide to Statistics: Demographic and Health Surveys Methodology. Maryland, USA: United States Agency for International Development (USAID); 2006.
• [19]Livingstone MB, Black AE: Markers of the validity of reported energy intake. J Nutr 2003, 133(Suppl 3):895S-920S.
• [20]Mennen LI, Jackson M, Cade J, Mbanya JC, Lafay L, Sharma S, Walker S, Chungong S, Wilks R, Balkau B, Forrester T, Cruickshank JK: Underreporting of energy intake in four populations of African origin. Int J Obes Relat Metab Disord 2000, 24(7):882-887.
• [21]Scagliusi FB, Ferriolli E, Lancha AH Jr: Underreporting of energy intake in developing nations. Nutr Rev 2006, 64(7 Pt 1):319-330.
• [22]Scagliusi FB, Ferriolli E, Pfrimer K, Laureano C, Cunha CS, Gualano B, Lourenço BH, Lancha AH Jr: Underreporting of energy intake in Brazilian women varies according to dietary assessment: a cross-sectional study using doubly labeled water. J Am Diet Assoc 2008, 108(12):2031-2040.
• [23]Aho J, Koushik A, Diakite SL, Loua KM, Nguyen VK, Rashed S: Biological validation of self-reported condom use among sex workers in Guinea. AIDS Behav 2010, 14(6):1287-1293.
• [24]Glynn JR, Kayuni N, Banda E, Parrott F, Floyd S, Francis-Chizororo M, Nkhata M, Tanton C, Hemmings J, Molesworth A, Crampin CA, French N: Assessing the validity of sexual behaviour reports in a whole population survey in rural Malawi. PLoS One 2011, 6(7):e22840.
• [25]Helleringer S, Kohler HP, Kalilani-Phiri L, Mkandawire J, Armbruster B: The reliability of sexual partnership histories: implications for the measurement of partnership concurrency during surveys. AIDS 2011, 25(4):503-511.
• [26]Rassjo EB, Mirembe F, Darj E: Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated. Afr Health Sci 2011, 11(3):383-389.
• [27]Li R, Scanlon KS, Serdula MK: The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev 2005, 63(4):103-110.
• [28]Alemayehu AA, Abebe Y, Gibson RS: A 24-h recall does not provide a valid estimate of absolute nutrient intakes for rural women in southern Ethiopia. Nutrition 2011, 27(9):919-924.
• [29]Agampodi S, Fernando S, Dharmaratne S, Agampodi T: Duration of exclusive breastfeeding: validity of retrospective assessment at nine months of age. BMC Pediatr 2011, 11:80.
• [30]Rao MR, Levine RJ, Wasif NK, Clemens JD: Reliability of maternal recall and reporting of child births and deaths in rural Egypt. Paediatr Perinat Epidemiol 2003, 17(2):125-131.
• [31]Bland RM, Rollins NC, Solarsh G, Van den Broeck J, Coovadia HM, Child health group: Maternal recall of exclusive breast feeding duration. Arch Dis Child 2003, 88(9):778-783.
• [32]Andresen EM, Malmstrom TK, Miller DK, Wolinsky FD: Reliability and validity of observer ratings of neighborhoods. J Aging Health 2006, 18(1):28-36.
• [33]Sicotte M, Ledoux M, Zunzunegui MV, Ag Aboubacrine S, Nguyen VK: Reliability of anthropometric measures in a longitudinal cohort of patients initiating ART in West Africa. BMC Med Res Methodol 2010, 10:102.
• [34]Henderson C, Evans-Lacko S, Flach C, Thornicroft G: Responses to mental health stigma questions: the importance of social desirability and data collection method. Can J Psychiatry 2012, 57(3):152-160.
• [35]Vernon SW, Abotchie PN, McQueen A, White A, Eberth JM, Coan SP: Is the accuracy of self-reported colorectal cancer screening associated with social desirability? Cancer Epidemiol Biomarkers Prev 2012, 21(1):61-65.
• [36]Vu A, Tran N, Pham K, Ahmed S: Reliability of the Marlowe-Crowne social desirability scale in Ethiopia, Kenya, Mozambique, and Uganda. BMC Med Res Methodol 2011, 11:162.
• [37]Langhaug LF, Cheung YB, Pascoe SJ, Chirawu P, Woelk G, Hayes RJ, Cowan FM: How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth. Sex Transm Infect 2011, 87(2):165-173.
• [38]Neville MC, Morton J: Physiology and endocrine changes underlying human lactogenesis II. J Nutr 2001, 131(11):3005S-3008S.
• [39]Pérez-Escamilla R, Chapman DJ: Validity and public health implications of maternal perception of the onset of lactation: an international analytical overview. J Nutr 2001, 131(11):3021S-3024S.
• [40]Rogers NL, Abdi J, Moore D, Nd’iangui S, Smith LJ, Carlson AJ, Carlson D: Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia. Public Health Nutr 2011, 14(11):2029-2036.