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Infant and young child feeding education and its impact on infant mortality in rural Nepal

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Added on  2020-05-08

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Different studies found that 65 – 75 % of women breastfeed their neonates in the first hour of their birth (Khan et al., 2014; Khanal et al., 2013). Studies from all over the world established that there is positive correlation between the educational status of women with the early initiation of breastfeeding, exclusive breastfeeding practice (EBF) and duration of breastfeeding (Daelmans et al., 2009).

Infant and young child feeding education and its impact on infant mortality in rural Nepal

   Added on 2020-05-08

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Health Advancement and Promotion1
Infant and young child feeding education and its impact on infant mortality in rural Nepal_1
Title: Infant and young child feeding (IYCF) education and its impact on infantmortality in rural Nepal.Background, brief literature and rationale:Worldwide approximately 60 % infant and child deaths occur mainly due to inadequatebreast feeding. It is estimated that around two-thirds of the undernutrition children areattributed in the first year of their life. Exclusive breastfeeding (EBF) in the initial six monthsof children’s life can improve growth, health and survival status of newborns. It has beenestablished that EBF can reduce mortality rate in neonates by approximately 20 % indeveloping countries. EBF is considered as one of the best preventive medicine (Arimond etal., 2008). Addressing this issue is very important because World Health Organization(WHO) established that inadequate breastfeeding has negative impact on the socioeconomicdevelopment and poverty lessening. WHO also recommends initiating breastfeeding in thefirst hour of birth. In Nepal, mortality rate of neonate remains stagnant at the higher rate of 33per 1000 live births. It has been observed that in Nepal mortality rate of neonates is stillhigher in neonates who got breastfeeding after 24 hours of birth. Different studies found that 65 – 75 % of women breastfeed their neonates in the first hour oftheir birth (Khan et al., 2014; Khanal et al., 2013). Studies from all over the world establishedthat there is positive correlation between the educational status of women with the earlyinitiation of breastfeeding, exclusive breastfeeding practice (EBF) and duration ofbreastfeeding (Daelmans et al., 2009). However, there is scarcity of evidence for relationshipbetween educational status of women in Nepal and breastfeeding status. One of the reasonsresponsible for this neglected issue is less education of women in Nepal as compared to themen (Chandrashekhar et al., 2007). However, in recent few years improvement in theeducational status of women in Nepal was observed. Surely, this improvement in theeducational status would have positively impacted breastfeeding status and reduction inmortality rate of infants in Nepal (Karkee et al., 2014). There are several social determinantswhich can influence health status and quality of life of children. Educational status of womenis the most important factor which can affect these factors in children. Hence, it is need of thehour to explore role of educational status of the women in Nepal on the mortality rate ofinfants and children. This study aims to explore relationship among educational status ofwomen, early breastfeeding and mortality rate of neonates. 2
Infant and young child feeding education and its impact on infant mortality in rural Nepal_2
Aim:Aim of this study is to evaluate effect of Infant and young child feeding (IYCF) educationprogramme on reducing mortality rate in infant and children in rural Neapl.Research questions : Can IYCF education programme in mothers reduce infant mortality ?Is IYCF programme is cost effective ? What is efficiency of IYCF programme using retired health professionals. Study design:In this study randomised controlled plan will be implemented. In randomised controlled plan,participants get randomised into different groups (Cook et al., 2015). Out of these twogroups, one group would be with intervention; study group and another group would bewithout intervention; control group. Women selected in this study will be from the lowsocioeconomic background because educational status of these women is usually low ascompared to the women in the high socioeconomic status. Work to be accomplishedYear 1QuartersYear 2QuartersYear 3QuartersYear 4Quarters1234123412341234Ethics clearance XProject set-upXFormative researchXDevelop intervention XDevelop study instrumentsXPilot study XEnrolment of study subjectsXXXXImplementation ofintervention XXXXXXXXXEvaluation SurveysXXXXX3
Infant and young child feeding education and its impact on infant mortality in rural Nepal_3
Follow up of mother &infants XXXXXXXXXXData entry & cleaningXXXXXXXXXXXData analysis of trial XXPreparation of scientificpapers XXSampling methods:Purposive sampling method will be applied in this study. This method of sampling is basedon the characteristic of the people and it is judgemental, selective and subjective (Palinkas etal., 2015). This data will be collected from the different hospitals of the rural area of Nepal. Inclusion criteria for the women will be :Women having first pregnancy,Women without complications,Women with single fetus,In 24 to 28 weeks of gestation,Women having phone connectivity,Women whom didn’t attended breastfeeding promotion programmes.Exclusion criteria:Women from the areas which cannot be reached.Sample size and power:In this study, 500 women will be incorporated, out of these 250 will be from the interventiongroup and 250 will be from the control group. Recruitment will start in third trimester ofwomen and it will continue upto 12 months of child age.Ethical consideration:This intervention will be carried out according to the Declaration of Helsinki. Prior toinitiation of the study, ethical approval for the conduct of the study will be taken EthicalReview Board of the Regional Health Bureau in Nepal. Study proposal will be presented infront of the ethics committee and their suggestions will be incorporated in the study.4
Infant and young child feeding education and its impact on infant mortality in rural Nepal_4

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