Thesis (MPH) --University of Limpopo, 2011 / The aim of the study was to assess breastfeeding practices of healthcare providers at level one hospitals in Capricorn District of Limpopo province. Methods: Five level one district hospitals within the Capricorn district of Limpopo province were the study sites. Two focus groups with members ranging from three to nine members were conducted. Two managers per hospital were interviewed. In both focus groups and in-depth interviews an audio tape recorder was used. This was transcribed and from the first transcription categories were developed. These formed a basis for data analysis, although the categories had undergone transformation as the analysis unfolded. Results: The study found that there are three practices that are adopted with regard to breastfeeding practices. Most employees choose to breastfeed as the first choice in baby feeding. Majority succeeded in breastfeeding their babies for sometime. There are those who feed their babies’ breast milk as the only source of milk during infancy. Others practice mixed feeding, where the baby is given breast milk and supplemented by formula. However, others fed their babies formula only. They indicate that this was not the initial choice in baby feeding. Conclusion: Healthcare providers have the same needs as the rest of the population with regard to breastfeeding and work. Their challenges are more work-related; which affect their decision whether to breastfeed or not to.

Background To date, the vast majority of studies on infant feeding behavior of Chinese population have been conducted in Asian and some western countries but not the U.S. As the fastest growing Asian subgroup and with the largest Chinese community outside of Asia, studies that focus on their health choices in the U.S. are long overdue. Where studies are available, the overseas Chinese population is often regarded as high formula feeding and low breastfeeding. Chinese mothers often cite family, cultural, and social expectations as the determining factors for their choice of infant feeding. Given the cultural beliefs and traditions of Chinese immigrant population in the U.S., this study argues for the importance of including the input of the overall community, as opposed to only mothers, as a more data-based explanation of the prevalence of formula feeding among the Chinese community in New York City, and in addition, why this community continues to accept formula feeding as the norm. Methods Guided by Theory of Planned Behavior, this study incorporated both quantitative and qualitative components. A total of 434 surveys and 20 in-person interviews were collected in Chinese populated areas in New York City. Results In examining the prevalence of formula feeding in the Chinese community, both quantitative and qualitative findings consistently identified the central role friends and family played in motivating certain groups to use formula. These less acculturated, educated, and China-born subgroups are likely to conform to the idea that breast milk supplemented by infant formula is necessary in order to meet the nutritional demand of a growing infant. For the first-generation immigrants who breastfeed for health benefits and tradition, their attitudes towards infant feeding shifted after seeing other formula-fed children in populated Chinese communities as evident by shorter breastfeeding durations for the child born in the U.S. as compared to previous child born in China. As for the second-generation, who are more acculturated and educated, although they are aware of the benefits of breastfeeding and intend to breastfeed, they are expected by the older generation to continue the formula feeding tradition in the family. Conclusion When investigating why infant formula remained as the popular choice of feeding and is often perceived as the norm by this community, the current study identified the psychosocial variables that motivated individual subgroups and the context underlay. The findings provided new insights to the current literature and are intended to help guide future studies and to develop educational policy interventions to improve the overall infant feeding experiences for the Chinese community in New York City.

Breastfeeding is the best food source for the nutritional and health needs of young children. However when a mother returns to work, breastfeeding may be discontinued prematurely. The purpose of this study was to study infant feeding practices used by working mothers in Nairobi. Mothers attending clinics at two hospitals, one a private hospital serving higher socioeconomic groups and the other a public hospital represented the low socioeconomic groups, were interviewed. A structured interview was held with 444 mothers (200 from the low socioeconomic group and 244 from the high socioeconomic group) between January 5th and February 11th 2000. All mothers with infants aged 16-48 weeks who were willing to participate were interviewed. The prevalence of breastfeeding at the time of the study was found to be 94.1%. The low socioeconomic group exhibited a higher prevalence of breastfeeding (99%) with a 10% difference between the low and high socioeconomic groups. The prevalence of exclusive breastfeeding was 13.3% at three months. Early introduction of other feeding methods was high, with 46.4% of the mothers introducing other feeding methods before one month. Multivariate logistic regression was used to determine factors that were associated with exclusive breastfeeding using two separate models for exclusive breastfeeding at one month and two months. The mode of work (fixed working hours as opposed to shift work) was associated with exclusive breastfeeding for at least month (OR=0.45) and two months (OR=0.39). Insufficient milk and return to work were the main reasons cited for cessation of exclusive breastfeeding. / Multiple linear regression was used to find out whether growth rates differed between feeding methods and types of foods for complementary feeding. Bottle-feeding had a significant negative association (-0.240, p=0.018) with baby weight and a downward trend was evident in baby Z-score for age exhibiting a risk of growth faltering in all infants. The results of this study indicate that the prevalence of breastfeeding in Nairobi Kenya has remained considerably high. Working mothers are still committed to breastfeeding despite the long working hours of separation (mean 46.23 hours). However exclusive breastfeeding is low, recommendations are made for interventions to promote exclusive breastfeeding and policies with strategies to enable working mothers to exclusively breastfeed for at least four months.

Mixed feeding confers excess risk of mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV) compared with exclusive breastfeeding (EBF) and exclusive formula feeding (EFF). We undertook a quantitative and qualitative cross-sectional survey to identify the social determinants of mixed feeding among a subset of HIV-infected women enrolled in a MTCT prevention program in Jos, Nigeria. Of the 91 participants, 68(75%) exclusively formula fed, 7(8%) exclusively breastfed, and 16(18%) practiced mixed feeding. Of the mixed feeding women, 7 primarily formula fed and 9 primarily breastfed. Women who primarily formula fed described family pressure as the reason for mixed feeding, whereas women who primarily breastfed indicated insufficient breast milk. In a multivariate analysis, lack of partner support of the feeding decision predicted mixed feeding behavior (OR: 4.2; 95% CI: 1.2-14.9; p=0.03). Disclosure of HIV status was significantly correlated (p<0.001) with partner support. HIV prevention interventions aimed at reducing mixed feeding should encourage supportive partner relationships that facilitate disclosure of HIV status. Attention should also be made to the differing pressures faced by women attempting to exclusively breastfeed and exclusively formula feed.

Thesis (M.S.P.H.)--University of Michigan, 1932.

Thesis (M.S.P.H.)--University of Michigan, 1932.

Magister Chirurgiae Dentium (MChD) / Early childhood caries (ECC) is one of the most common chronic infectious diseases affecting early childhood. It has a multifactorial aetiology and is difficult to control on a population scale. Feeding habits, throughout the first year of life, involve several simultaneous and consistent behaviours, such as breastfeeding, bottle-feeding and the introduction of complementary foods. Particular feeding behaviours recognized at this age may be maintained in later years, potentially impacting health over the life course. The following study was done to interrogate bottle-feeding practices among caregivers in Khartoum and to determine if there was an association with the prevalence of dental caries among young children.

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Thesis (MCurr)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Background Diarrhoea (frequent, loose, watery stools) is one of the major causes of morbidity and mortality globally and affects mainly infants and children under the age of five years. Unhygienic feeding practices and feeding utensils contribute to diarrhoeal incidences. The most common causes of acute gastroenteritis worldwide are infectious agents, such as viruses, bacteria and parasites Aim The aim of the study was to investigate which out of three particular sterilising methods is the most effective for sterilising feeding bottles and cups. Methods An experimental quantitative approach was most appropriate for the current study. An in vitro experimental study with a descriptive design was utilised under controlled laboratory conditions. The study was conducted at the University of the Western Cape (UWC) in April 2009. Results The sample size consisted of 16 samples, of which two were used for each method of sterilisation, namely: two (2) bottles and two (2) cups for sunlight; two (2) bottles and two (2) cups for Milton™; two (2) bottles and two (2) cups for Sunlight™ dishwashing liquid; and control utensils that consisted of two (2) bottles and two (2) cups. The target population for the study comprised infant feeding bottles and feeding cups. The analysis for the APC cultures that was compared in the cups vs. bottles, in order to see whether there was a significant difference between the mean bacteria counts, shows that the average bacteria count (on the ln scale) was 6 cfu/ml and 9 cfu/ml for the cups and bottles, respectively. The t-value was -1.17524. As the ρ-value was 0.2595, no significant difference was found between the cups and bottles. The E. coli cultures were compared in the cups vs. bottles to see whether there was a significant difference between the mean bacteria counts. The results show that the average bacteria count (on the ln scale) was 7 cfu/ml and 7.6 cfu/ml for cups and bottles, respectively. The t-value was -0.211902. The ρ-value was 0.835237, and therefore there was no significant difference between cups and bottles. Conclusion The current study showed no significant difference between the sterilising methods or between the use of either bottles or cups. Therefore, a study with a larger sample size is recommended for further research. Recommendations The researcher recommends that future researchers conduct broader studies, with a larger sample size on the topic. Studies with a larger sample size enabled the real differences to be large enough to be significant. The use of sunlight is recommended as a sterilisation method for infant feeding utensils, as it is both time- and cost-effective. Sunlight is an inexpensive and readily available method of sterilisation; therefore, it can be used by relatively under resourced socio-economic communities. / AFRIKAANSE OPSOMMING: Agtergrond Diarree (gereelde, los, waterige stoelgang) is een van die hoofoorsake van morbiditeit en sterflikheid wêreldwyd en affekteer hoofsaaklik suigelinge en kinders onder die ouderdom van vyf jaar. Onhigiëniese voedingspraktyke en -gereedskap dra by tot die voorkoms van diarree-gevalle. Die mees algemene oorsake van akute gastroënteritus wêreldwyd word veroorsaak deur aansteeklike agente soos virusse, bakterieë en parasiete. Doel Die doel van hierdie studie is om ondersoek te doen na watter van die drie bepaalde steriliseringsmetodes die mees effektiewe is vir die sterilisering van bottels en koppies. Metodes ’n Eksperimentele kwantitatiewe benadering is die mees geskikte een vir die huidige studie. ’n In vitro-eksperimentele studie met ’n deskriptiewe ontwerp is onder gekontroleerde laboratorium omstandighede aangewend. Die studie is by die Universitet van die Wes-Kaap (UWK) in April 2009 uitgevoer. Resultate Die steekproefgroote het bestaan uit 16 monsters waarvan twee gebruik is vir elke steriliseringsmetode, naamlik: twee (2) bottels en twee (2) koppies vir sonlig; twee (2) bottels en twee (2) koppies vir Milton™; twee (2) bottels en twee (2) koppies vir Sunlight™ skottelgoedopwasmiddel; en kontrole gereedskap wat bestaan het uit twee (2) bottels en twee (2) koppies. Die teikenbevolking vir die studie het bestaan uit voedingsbottels en -koppies vir suigelinge. Die analise vir die APC-kulture wat vergelyk is in die koppies vs. bottels om te bepaal of daar ’n beduidende verskil is tussen die gemiddelde bakterie-tellings, toon dat die gemiddelde bakterie-telling (op die In-skaal) is 6 cfu/ml en 9 cfu/ml vir die koppies en bottels respektiewelik. Die t-waarde is -1.17524. Aangesien die p-waarde 0.2595 is, is daar geen beduidende verskil gevind tussen die koppies en die bottels nie. Die E. coli-kulture is vergelyk in die koppies vs. bottels om te bepaal of daar ’n beduidende verskil tussen die gemiddelde bakterie-tellings is. Die uitslae wys dat die gemiddelde bakterie-telling (op die In-skaal) is 7cfu/ml en 7.6 cfu/ml vir koppies en bottels respektiewelik. Die t-waarde is -0.211902. Die p-waarde is 0.835237 en dus is daar geen beduidende verskil tussen koppies en bottels nie. Gevolgtrekking Die huidige studie toon dat daar geen beduidende verskil tussen die steriliseringsmetodes of tussen die gebruik van of bottels of koppies is nie. Dus, ’n studie met ’n groter steekproefgrootte word aanbeveel vir toekomstige navorsing. Aanbevelings Die navorser beveel aan dat toekomstige navorsers meer omvattende studies met ’n groter steekproefgrootte oor die onderwerp uitvoer. Studies met ’n groter steekproefgrootte sal veroorsaak dat die werklike verskille vanweë hul grootte genoegsaam sal wees, om beduidend te wees. Die gebruik van sonlig as ’n steriliseringsmetode vir die gereedskap van suigelinge word aanbeveel, aangesen dit beide tyd- en kostebesparend is. Sonlig is ’n goedkoop en maklik verkrygbare metode van sterilisasie; dus kan dit gebruik word deur gemeenskappe wat nie oor die nodige middele beskik nie, vanweë hul sosio-ekonomiese situasies.

Student Number : 9603059A - MA research report - School of Speech Pathology - Faculty of Humanities / Rationale: Infant feeding practices are cur rently under the spotlight due to the HIV/AIDS pandemic and the awareness that the virus may be transmitted through breast milk . Aim: This study examined the beliefs and practices of mothers living with HIV/AIDS regarding infant feeding. Method: An exploratory-descriptive cross -sectional survey research design was employed which incorporated both qualitative and quantitative dimensions, and involved the use of individual interviews . Participants: Forty-two mothers living with HIV who had infants under 6 months of age and attended Coronation Hospital were interviewed . Results: The majority of mothers living with HIV, reported that they fed their infants formula milk. However, they felt that breastfeeding was still best for their babies. Most of the mothers fed their infants formula milk out of fear of them contracting HIV/AIDS. They appeared to be influenced in their infant feeding decisions by their community, culture and family members . Conclusions: The findings have implications for enhancing theoretical knowledge and understanding of infant feeding practices and cultural beliefs ; early intervention and the clinical practice of speech-language pathologists; the formulation of feeding policies of provincial hospitals ; and future research.