AN ASSESSMENT OF THE IMPACT OF BABY FRIENDLY HOSPITAL INITIATIVE IN AZARE TOWN
AN ASSESSMENT OF THE IMPACT OF BABY FRIENDLY HOSPITAL INITIATIVE IN AZARE TOWN
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Date
2000-12
Authors
SAMBO, LIMAN MOHAMMED
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Abstract
A global perspective of high infant morbidity and mortality, high prevalence
of malnutrition and low prevalence of breastfeeding heralded the global
declaration to protecting, promoting and supporting breastfeeding through the
baby friendly hospital initiative in 1990. Several hospitals were designated baby
friendly.
Mothers with children aged 0 - 2 3 months were randomly sampled in a
cross-sectional study to assess the impact of the BFHI in Azare, a town with a
General Hospital designated baby friendly in 1997. The ancient town is
predominantly inhabited by Hausas and Fulanis and the mothers are mostly
housewives.
The full set of data obtained was analysed. Breastfeeding remained
universal with 66.67% of mothers initiating breastfeeding within one hour of
delivery. Exclusive breastfeeding was low with 16.67% at four months and steadily
declining to 14.78% at six months. Water in addition to breastmilk was widely
given to infants under six months as indicated by the high breastmilk + water rate
of 74.78%. Cultural beliefs rather than ignorance were identified as hindering
exclusive breastfeeding as 58.57% of all mothers had average knowledge on
breastfeeding.
Predominant breastfeeding rate was 73.54% while the timely
complementary feeding rate was 62.67%. Breastfeeding was well continued into
the second year of life as indicated by the high rate of 95.31% at one year and
75.00% at two years. Feeding bottles are rarely used as shown by the low bottle
feeding rate of 9.17%. Diarrhoea tends to occur more in non-exclusive than
exclusively breastfed infants. There was unexpectedly no association between
increasing mother's education and exclusive breastfeeding.
Description
A PROJECT SUBMITTED TO THE POST GRADUATE SCHOOL, AHMADU
BELLO UNIVERSITY, ZARIA
IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF
MASTERS OF PUBLIC HEALTH
DEPARTMENT OF COMMUNITY MEDICINE
FACULTY OF MEDICINE
AHMADU BELLO UNIVERSITY, ZARIA NIGERIA
DECEMBER, 2000
Keywords
ASSESSMENT,, IMPACT,, BABY FRIENDLY,, HOSPITAL,, INITIATIVE,, AZARE,, TOWN.