Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study
Introduction: Breastfeeding is very important for the infant and for the mother. Breastfeeding practices in India and abroad are not up to the mark, and they pose serious health risk to the mothers and the babies. Methodology: This single-group before–after intervention study was conducted to assess...
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doaj-c02accfce33b4a2dafa59311d788e45e2020-11-25T01:26:50ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2019-01-016422222810.4103/cjhr.cjhr_165_18Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention studyAbhay SrivastavaKanchan GwandeSudip BhattacharyaVijay Kumar SinghIntroduction: Breastfeeding is very important for the infant and for the mother. Breastfeeding practices in India and abroad are not up to the mark, and they pose serious health risk to the mothers and the babies. Methodology: This single-group before–after intervention study was conducted to assess the impact of positive deviance (PD) approach on knowledge about exclusive breastfeeding (EBF) practices among tribal pregnant women. The sample size was 376. Data were collected using convenient sampling method. At first, we identified eight positive deviants from that area. They were trained by the investigator regarding EBF practices. They were also motivated to share their knowledge and practices in the community. Results: It was observed that knowledge regarding initiation of breastfeeding (<1 h of birth) increased from 181 (52.2%) to (67.1%) among 347 study participants. Only 81 (23.3%) knew that breastfeeding should be on demand before intervention, which increased by 21% after the intervention. The majority of the study participants, i.e., 286 (82.4%) knew the advantages of breast milk. The proportion of study participants who knew that breastfeeding should not be stopped during mother's illness was 171 (49.3%) before and 229 (66%) after intervention. Before intervention, around one-fourth, that is, 85 (24.5%), knew that if the mother is not producing enough milk, then she should visit a health center which increased to 130 (37.5%) after intervention. The majority of the participants, i.e., 145 (41.8%) knew that bottle feeding should not be done for the babies which increased in proportion to around 55% after intervention. A statistically significant (P < 0.001) increase in knowledge was observed. Conclusion: It is possible to increase the awareness and practice level among the lactating mothers for EBF using the positive deviant approach. Recommendation: The concept of PD approach can be further popularized as they can strengthen our existing health system for better health outcomes in future.http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=4;spage=222;epage=228;aulast=Srivastavaexclusive breastfeedingintervention studypositive deviance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Abhay Srivastava Kanchan Gwande Sudip Bhattacharya Vijay Kumar Singh |
spellingShingle |
Abhay Srivastava Kanchan Gwande Sudip Bhattacharya Vijay Kumar Singh Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study CHRISMED Journal of Health and Research exclusive breastfeeding intervention study positive deviance |
author_facet |
Abhay Srivastava Kanchan Gwande Sudip Bhattacharya Vijay Kumar Singh |
author_sort |
Abhay Srivastava |
title |
Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study |
title_short |
Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study |
title_full |
Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study |
title_fullStr |
Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study |
title_full_unstemmed |
Impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: A before – After intervention study |
title_sort |
impact of the positive deviance approach on breastfeeding practices among tribal pregnant women: a before – after intervention study |
publisher |
Wolters Kluwer Medknow Publications |
series |
CHRISMED Journal of Health and Research |
issn |
2348-3334 2348-506X |
publishDate |
2019-01-01 |
description |
Introduction: Breastfeeding is very important for the infant and for the mother. Breastfeeding practices in India and abroad are not up to the mark, and they pose serious health risk to the mothers and the babies. Methodology: This single-group before–after intervention study was conducted to assess the impact of positive deviance (PD) approach on knowledge about exclusive breastfeeding (EBF) practices among tribal pregnant women. The sample size was 376. Data were collected using convenient sampling method. At first, we identified eight positive deviants from that area. They were trained by the investigator regarding EBF practices. They were also motivated to share their knowledge and practices in the community. Results: It was observed that knowledge regarding initiation of breastfeeding (<1 h of birth) increased from 181 (52.2%) to (67.1%) among 347 study participants. Only 81 (23.3%) knew that breastfeeding should be on demand before intervention, which increased by 21% after the intervention. The majority of the study participants, i.e., 286 (82.4%) knew the advantages of breast milk. The proportion of study participants who knew that breastfeeding should not be stopped during mother's illness was 171 (49.3%) before and 229 (66%) after intervention. Before intervention, around one-fourth, that is, 85 (24.5%), knew that if the mother is not producing enough milk, then she should visit a health center which increased to 130 (37.5%) after intervention. The majority of the participants, i.e., 145 (41.8%) knew that bottle feeding should not be done for the babies which increased in proportion to around 55% after intervention. A statistically significant (P < 0.001) increase in knowledge was observed. Conclusion: It is possible to increase the awareness and practice level among the lactating mothers for EBF using the positive deviant approach. Recommendation: The concept of PD approach can be further popularized as they can strengthen our existing health system for better health outcomes in future. |
topic |
exclusive breastfeeding intervention study positive deviance |
url |
http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=4;spage=222;epage=228;aulast=Srivastava |
work_keys_str_mv |
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