Authors: Vasanthakumar Namasivayam, Bidyadhar Dehury, Ravi Prakash, Marissa Becker, Lisa Avery, Deepa Sankaran, B. M. Ramesh, James Blanchard, Pankaj Kumar, John Anthony, Manish Kumar, Ties Boerma, Shajy Isac
Timely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India.
Data from a cross-sectional survey of 9124 eligible women (who had a live birth in 59 days preceding the survey) conducted in 25 districts of Uttar Pradesh, India, in 2018, were used. Simple random sampling was used to randomly select 40 Community Development Blocks (sub district administrative units) in 25 districts. The Primary Sampling Units (PSUs), health service delivery unit for frontline workers, were selected randomly from a linelisting of PSUs in each selected Community Development Block. Bivariate and multivariate logistic regression analyses were performed to assess the association of prenatal counselling and postnatal support on early initiation of breastfeeding in public, private and home deliveries.
Overall 48.1% of mothers initiated breastfeeding within an hour, with major variation by place of delivery (61.2% public, 23.6% private and 32.6% home). The adjusted odds ratio (aOR) of early initiation of breastfeeding was highest among mothers who received both counselling and support (aOR 2.67; 95% CI 2.30, 3.11), followed by those who received only support (aOR 1.99; 95% CI 1.73, 2.28), and only counselling (aOR 1.40; 95% CI 1.18, 1.67) compared to mothers who received none. The odds of early initiation of breastfeeding was highest among mothers who received both prenatal counselling and postnatal support irrespective of delivery at public health facilities (aOR 2.49; 95% CI 2.07, 3.01), private health facilities (aOR 3.50; 95% CI 2.25, 5.44), or home (aOR 2.84; 95% CI 2.02, 3.98).
A significant association of prenatal counselling and postnatal support immediately after birth on improving early initiation of breastfeeding, irrespective of place of delivery, indicates the importance of enhancing coverage of both the interventions through community and facility-based programs in Uttar Pradesh.
Citation: Namasivayam, V., Dehury, B., Prakash, R. et al. Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India. Int Breastfeed J 16, 26 (2021). https://doi.org/10.1186/s13006-021-00372-6
Cluster Meeting Capacity Building Intervention has been designed to build competencies of ASHAs through ASHA Sanginis, who provide mentoring on a day-to-day basis. A customised cluster module was developed to train the ASHA Sanginis as facilitators to enhance knowledge and skills of ASHAs to achieve improved reproductive, maternal, child health and nutrition (RMNCHN) outcomes.
The eighth issue of PAHAL throws light on UP TSU’s support in 2020 to the Government of Uttar Pradesh in managing COVID-19 and continuing healthcare services in the state. In the relentless bid to intensify COVID-19 response in the state, UP TSU has supported the government at each step to overcome multiple challenges including restoring delivery of maternal, newborn and child healthcare services.
The 7th issue of PAHAL chronicles the concerted efforts of the GoUP and UP TSU to restore access and delivery of RMNCH+A & nutrition services in Uttar Pradesh, while managing the COVID crisis. It highlights UP TSU’s efforts to convert to online ecosystem – real-time UPHMIS data updation by ANMs, the LaQshya Resource Package to ensure NQA standards, among other strategy innovations.