Skip to main content
Erschienen in: International Journal of Public Health 1/2017

01.09.2016 | Original Article

Changes in knowledge, attitude and involvement of fathers in supporting exclusive breastfeeding: a community-based intervention study in a rural area of Vietnam

verfasst von: Tran Huu Bich, Nguyen Manh Cuong

Erschienen in: International Journal of Public Health | Sonderheft 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To test the hypotheses of positive changes of fathers’ knowledge, attitude and involvement in supporting exclusive breastfeeding (EBF) after receiving breastfeeding education materials and counseling services.

Methods

A quasi-experimental, pre-test–post-test, non-equivalent control group design was used. At baseline, 251 and 241 pregnant women and their husbands were enrolled into the intervention and control groups, respectively. The 1-year intervention targeting fathers included mass media, game show-style community events, group and individual counseling at health facilities and home visits.

Results

Compared to fathers in the control group, fathers in the intervention group had higher BF knowledge scores and higher attitude scores reflecting more positive attitudes toward early initiation of BF and 6 months EBF. Fathers in the intervention group were also more likely to report active involvement in supporting mothers to practice EBF during antenatal and postpartum periods.

Conclusions

The community-based education model should be maintained and considered for conducting further test in wider application to mobilize fathers in supporting EBF.
Literatur
Zurück zum Zitat Almroth S, Arts M, Quang ND, Hoa PT, Williams C (2008) Exclusive breastfeeding in Vietnam: an attainable goal. Acta Paediatr 97(8):1066–1069CrossRefPubMed Almroth S, Arts M, Quang ND, Hoa PT, Williams C (2008) Exclusive breastfeeding in Vietnam: an attainable goal. Acta Paediatr 97(8):1066–1069CrossRefPubMed
Zurück zum Zitat Amy B, Ruth D (2014) Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Matern Child Nutr 10:510–526CrossRef Amy B, Ruth D (2014) Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Matern Child Nutr 10:510–526CrossRef
Zurück zum Zitat Anderson JW, Johnstone BM, Remley DT (1999) Breastfeeding and cognitive development: a meta-analysis. Am J Clin Nutr 70:525–535PubMed Anderson JW, Johnstone BM, Remley DT (1999) Breastfeeding and cognitive development: a meta-analysis. Am J Clin Nutr 70:525–535PubMed
Zurück zum Zitat Bachrach VR, Schwarz E, Bachrach LR (2003) Breastfeeding and the risk of hospitalization for respiratory diseases in infancy: a meta-analysis. Arch Pediatr Adolesc Med 157:237–243CrossRefPubMed Bachrach VR, Schwarz E, Bachrach LR (2003) Breastfeeding and the risk of hospitalization for respiratory diseases in infancy: a meta-analysis. Arch Pediatr Adolesc Med 157:237–243CrossRefPubMed
Zurück zum Zitat Bahl R, Frost C, Kirkwood BR et al (2005) Infant feeding patterns and risks of death and hospitalization in the first half of infancy: multicentre cohort study. Bull World Health Organ 83(6):418–426PubMedPubMedCentral Bahl R, Frost C, Kirkwood BR et al (2005) Infant feeding patterns and risks of death and hospitalization in the first half of infancy: multicentre cohort study. Bull World Health Organ 83(6):418–426PubMedPubMedCentral
Zurück zum Zitat Bar-Yam BN, Darby L (1997) Fathers and breastfeeding: a review of literature. J Hum Lact 13(1):45–50CrossRefPubMed Bar-Yam BN, Darby L (1997) Fathers and breastfeeding: a review of literature. J Hum Lact 13(1):45–50CrossRefPubMed
Zurück zum Zitat Bich TH (2008) Relationship between paternal involvement and child malnutrition in a rural area of Vietnam. Food Nutr Bull 29(1):59–66CrossRef Bich TH (2008) Relationship between paternal involvement and child malnutrition in a rural area of Vietnam. Food Nutr Bull 29(1):59–66CrossRef
Zurück zum Zitat Bich TH, Hoa DT, Malqvist M (2014) Fathers as supporters for improved exclusive breastfeeding in Viet nam. Matern Child Health J 18(6):1444–1453CrossRefPubMed Bich TH, Hoa DT, Malqvist M (2014) Fathers as supporters for improved exclusive breastfeeding in Viet nam. Matern Child Health J 18(6):1444–1453CrossRefPubMed
Zurück zum Zitat Clifford J, McIntyre E (2008) Who supports breastfeeding? Breastfeed Rev 16(2):9–19PubMed Clifford J, McIntyre E (2008) Who supports breastfeeding? Breastfeed Rev 16(2):9–19PubMed
Zurück zum Zitat Cohen R, Lange L, Slusser W (2002) A description of a male-focused breastfeeding promotion corporate lactation program. J Hum Lact 18(1):61–65CrossRefPubMed Cohen R, Lange L, Slusser W (2002) A description of a male-focused breastfeeding promotion corporate lactation program. J Hum Lact 18(1):61–65CrossRefPubMed
Zurück zum Zitat Dashti M, Scott JA, Edwards CA et al (2014) Predictors of breastfeeding duration among women in Kuwait: results of a Prospective Cohort Study. Nutrients 6:711–728CrossRefPubMedPubMedCentral Dashti M, Scott JA, Edwards CA et al (2014) Predictors of breastfeeding duration among women in Kuwait: results of a Prospective Cohort Study. Nutrients 6:711–728CrossRefPubMedPubMedCentral
Zurück zum Zitat De Zoysa I, Rea M, Martines J (1991) Why promote breast feeding in diarrhoeal disease control programmes? Health Policy Plan 6:371–379CrossRef De Zoysa I, Rea M, Martines J (1991) Why promote breast feeding in diarrhoeal disease control programmes? Health Policy Plan 6:371–379CrossRef
Zurück zum Zitat Dearden KA, Quan NL, Do M, Marsh DR, Pachon H et al (2002) Work outside the home is the primary barrier to exclusive breastfeeding in rural Vietnam: insights from mothers who exclusively breastfed and worked. Food Nutr Bull 23(4 Suppl):101–108PubMed Dearden KA, Quan NL, Do M, Marsh DR, Pachon H et al (2002) Work outside the home is the primary barrier to exclusive breastfeeding in rural Vietnam: insights from mothers who exclusively breastfed and worked. Food Nutr Bull 23(4 Suppl):101–108PubMed
Zurück zum Zitat Duong DV, Binns CW, Lee AH (2004) Breast-feeding initiation and exclusive breast-feeding in rural Vietnam. Public Health Nutr 7(6):795–799CrossRefPubMed Duong DV, Binns CW, Lee AH (2004) Breast-feeding initiation and exclusive breast-feeding in rural Vietnam. Public Health Nutr 7(6):795–799CrossRefPubMed
Zurück zum Zitat Duong DV, Lee AH, Binns CW (2005) Determinants of breast-feeding within the first 6 months post-partum in rural Vietnam. J Paediatr Child Health 41(7):338–343CrossRefPubMed Duong DV, Lee AH, Binns CW (2005) Determinants of breast-feeding within the first 6 months post-partum in rural Vietnam. J Paediatr Child Health 41(7):338–343CrossRefPubMed
Zurück zum Zitat Fitzgerald HE, Mann T, Barratt M (1999) Fathers and infants. Infant Ment Health J 20(3):213–221CrossRef Fitzgerald HE, Mann T, Barratt M (1999) Fathers and infants. Infant Ment Health J 20(3):213–221CrossRef
Zurück zum Zitat Fjeld E, Siziya S, Katepa-Bwalya M, Kankasa C et al (2008) ‘No sister, the breast alone is not enough for my baby’ a qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia. Int Breastfeed J. doi:10.1186/1746-4358-3-26 PubMedPubMedCentral Fjeld E, Siziya S, Katepa-Bwalya M, Kankasa C et al (2008) ‘No sister, the breast alone is not enough for my baby’ a qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia. Int Breastfeed J. doi:10.​1186/​1746-4358-3-26 PubMedPubMedCentral
Zurück zum Zitat Forster D, McLachlan H, Lumley J (2006) Factors associated with breastfeeding at six months postpartum in a group of Australian women. Int Breastfeed J. doi:10.1186/1746-4358-1-18 Forster D, McLachlan H, Lumley J (2006) Factors associated with breastfeeding at six months postpartum in a group of Australian women. Int Breastfeed J. doi:10.​1186/​1746-4358-1-18
Zurück zum Zitat Freed G, Fraley J, Schanler R (1992) Attitudes of expectant fathers regarding breast-feeding. Pediatrics 90(2):224–227PubMed Freed G, Fraley J, Schanler R (1992) Attitudes of expectant fathers regarding breast-feeding. Pediatrics 90(2):224–227PubMed
Zurück zum Zitat Giugliani E, Bronner Y, Caiaffa W et al (1994) Are fathers prepared to encourage their partners to breast feed? A study about fathers’ knowledge of breast feeding. Acta Paediatr 83(11):1127–1131CrossRefPubMed Giugliani E, Bronner Y, Caiaffa W et al (1994) Are fathers prepared to encourage their partners to breast feed? A study about fathers’ knowledge of breast feeding. Acta Paediatr 83(11):1127–1131CrossRefPubMed
Zurück zum Zitat Glover M, Waldon J, Manaena-Biddle H et al (2009) Barriers to best outcomes in breastfeeding for Maori: mothers’ perceptions, Whanau perceptions, and services. J Hum Lact 25(3):307–316CrossRefPubMed Glover M, Waldon J, Manaena-Biddle H et al (2009) Barriers to best outcomes in breastfeeding for Maori: mothers’ perceptions, Whanau perceptions, and services. J Hum Lact 25(3):307–316CrossRefPubMed
Zurück zum Zitat Ingram J, Cann K, Peacock J, Potter B (2008) Exploring the barriers to exclusive breastfeeding in black and minority ethnic groups and young mothers in the UK. Matern Child Nutr 4(3):171–180CrossRefPubMed Ingram J, Cann K, Peacock J, Potter B (2008) Exploring the barriers to exclusive breastfeeding in black and minority ethnic groups and young mothers in the UK. Matern Child Nutr 4(3):171–180CrossRefPubMed
Zurück zum Zitat Jimoh AG (2004) Knowledge, attitudes and practices of men towards breastfeeding women in Mongomo, Guinea Equatorial. Niger Med Pract 45(4):61–66 Jimoh AG (2004) Knowledge, attitudes and practices of men towards breastfeeding women in Mongomo, Guinea Equatorial. Niger Med Pract 45(4):61–66
Zurück zum Zitat López-Alarcón M, Villalpando S, Fajadro A (1997) Breast-feeding lowers the frequency and duration of acute respiratory infection and diarrhea in infants under six months of age. J Nutr 127(3):436–443PubMed López-Alarcón M, Villalpando S, Fajadro A (1997) Breast-feeding lowers the frequency and duration of acute respiratory infection and diarrhea in infants under six months of age. J Nutr 127(3):436–443PubMed
Zurück zum Zitat McIntyre E, Hiller JE, Turnbull D (1999) Determinants of infant feeding practices in a low socio-economic area: identifying environmental barriers to breastfeeding. Aust N Z J Public Health 23(2):207–209CrossRefPubMed McIntyre E, Hiller JE, Turnbull D (1999) Determinants of infant feeding practices in a low socio-economic area: identifying environmental barriers to breastfeeding. Aust N Z J Public Health 23(2):207–209CrossRefPubMed
Zurück zum Zitat Raj V, Plicha S (1998) The role of social support in breastfeeding promotion: a literature review. J Hum Lact 14(1):41–45CrossRefPubMed Raj V, Plicha S (1998) The role of social support in breastfeeding promotion: a literature review. J Hum Lact 14(1):41–45CrossRefPubMed
Zurück zum Zitat Rempel LA, Rempel JK (2011) The breastfeeding team: the role of involved fathers in the breastfeeding family. J Hum Lact 27(2):115–121CrossRefPubMed Rempel LA, Rempel JK (2011) The breastfeeding team: the role of involved fathers in the breastfeeding family. J Hum Lact 27(2):115–121CrossRefPubMed
Zurück zum Zitat Rivera Alvarado I, Vázquez García V, Dávila Torres RR (2006) Exploratory study: breastfeeding knowledge and attitude towards sexuality and breastfeeding and disposition towards supporting breastfeeding in future Puerto Rican male parents. P R Health Sci J 25(4):337–341PubMed Rivera Alvarado I, Vázquez García V, Dávila Torres RR (2006) Exploratory study: breastfeeding knowledge and attitude towards sexuality and breastfeeding and disposition towards supporting breastfeeding in future Puerto Rican male parents. P R Health Sci J 25(4):337–341PubMed
Zurück zum Zitat Sciacca J, Dube D, Phipps B, Ratliff M (1995) A breast-feeding education and promotion program: effects on knowledge, attitudes and support for breast feeding. J Community Health 20(6):473–490CrossRefPubMed Sciacca J, Dube D, Phipps B, Ratliff M (1995) A breast-feeding education and promotion program: effects on knowledge, attitudes and support for breast feeding. J Community Health 20(6):473–490CrossRefPubMed
Zurück zum Zitat Sherriff N, Hall V, Panton C (2014) Engaging and supporting fathers to promote breast feeding: a concept analysis. Midwifery 30(6):667–677CrossRefPubMed Sherriff N, Hall V, Panton C (2014) Engaging and supporting fathers to promote breast feeding: a concept analysis. Midwifery 30(6):667–677CrossRefPubMed
Zurück zum Zitat Susin LR, Giugliani ER (2008) Inclusion of fathers in an intervention to promote breastfeeding: impact on breastfeeding rates. J Hum Lact 24(4):386–392CrossRefPubMed Susin LR, Giugliani ER (2008) Inclusion of fathers in an intervention to promote breastfeeding: impact on breastfeeding rates. J Hum Lact 24(4):386–392CrossRefPubMed
Zurück zum Zitat Taşpınar A, Coban A, Küçük M, Sirin A (2012) Fathers’ knowledge about and attitudes towards breast feeding in Manisa, Turkey. Midwifery 29(6):653–660PubMed Taşpınar A, Coban A, Küçük M, Sirin A (2012) Fathers’ knowledge about and attitudes towards breast feeding in Manisa, Turkey. Midwifery 29(6):653–660PubMed
Zurück zum Zitat Tohotoa J, Maycock B, Hauck Y et al (2011) Supporting mothers to breastfeed: the development and process evaluation of a father inclusive perinatal education support program in Perth, Western Australia. Health Promot Int 26(3):351–361CrossRefPubMed Tohotoa J, Maycock B, Hauck Y et al (2011) Supporting mothers to breastfeed: the development and process evaluation of a father inclusive perinatal education support program in Perth, Western Australia. Health Promot Int 26(3):351–361CrossRefPubMed
Zurück zum Zitat Turan J, Nalbant H, Bulut A, Sahip Y (2001) Including expectant fathers in antenatal education programmes in Istanbul, Turkey. Reprod Health Matters 9(18):114–125CrossRefPubMed Turan J, Nalbant H, Bulut A, Sahip Y (2001) Including expectant fathers in antenatal education programmes in Istanbul, Turkey. Reprod Health Matters 9(18):114–125CrossRefPubMed
Zurück zum Zitat Wolfberg AJ, Michels KB, Shields W, O’Campo P et al (2004) Dads as breastfeeding advocates: results from a randomized controlled trial of an educational intervention. Am J Obstet Gynecol 191(3):708–712CrossRefPubMed Wolfberg AJ, Michels KB, Shields W, O’Campo P et al (2004) Dads as breastfeeding advocates: results from a randomized controlled trial of an educational intervention. Am J Obstet Gynecol 191(3):708–712CrossRefPubMed
Zurück zum Zitat World Health Organization (1998) Evidence for the ten steps to successful breastfeeding. ISBN: 9241591544. WHO/CHD/98.9 World Health Organization (1998) Evidence for the ten steps to successful breastfeeding. ISBN: 9241591544. WHO/CHD/98.9
Metadaten
Titel
Changes in knowledge, attitude and involvement of fathers in supporting exclusive breastfeeding: a community-based intervention study in a rural area of Vietnam
verfasst von
Tran Huu Bich
Nguyen Manh Cuong
Publikationsdatum
01.09.2016
Verlag
Springer International Publishing
Erschienen in
International Journal of Public Health / Ausgabe Sonderheft 1/2017
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-016-0882-0

Weitere Artikel der Sonderheft 1/2017

International Journal of Public Health 1/2017 Zur Ausgabe