A Cross Sectional study on the Prevalence of Exclusive Breastfeeding Practices among the Irular Mothers in Thiruvallur District, Tamilnadu, 2011.

Saravanakumar, P (2012) A Cross Sectional study on the Prevalence of Exclusive Breastfeeding Practices among the Irular Mothers in Thiruvallur District, Tamilnadu, 2011. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND : Exclusive breastfeeding, which means to give only breast milk to the infant till first six months, is the ideal way for the healthy growth and development. Globally 53% of the under-five deaths are due to under-nutrition. Exclusive breastfeeding prevents the under-nutrition, diarrhoea and Pneumonia. But the prevalence of exclusive breastfeeding is low globally (35%) and nationally (46.4%). In India, the prevalence of exclusive breastfeeding is not only low among the general population but also among the tribes, where malnutrition is highly prevalent, which needs to be explored. OBJECTIVES : To assess the prevalence of Exclusive breastfeeding practice and the factors influencing it among the Irulars in Thiruvallur District, one of the primitive tribes in Tamil Nadu. METHODOLOGY : This community based crosssectional study was conducted among the Irular mothers with children of age 6 to 24 months residing in the tribal villages in six Taluks of the Thiruvallur District, Tamil Nadu between March 2011 to November 2011. The sample size was 375 based on DLHS3 2007-08. Data was collected by simple random sampling using the pretested, standardized Tamil questionnaire and was analyzed using Chi Square and Fisher’s Exact test. RESULTS : The prevalence of Exclusive breastfeeding among the Irulars is 26.9% with the median duration as 5 months. Only 35.2% of the mothers gave colostrum as the first feed while 64.8% gave prelacteal feeds, of whom 73% had discarded the colostrum. The important reasons for non-exclusive breastfeeding were the lack of support from the family and fear of inadequate milk. Increasing maternal age, age at conception, Education, antenatal counseling on breastfeeding, awareness, previous breastfeeding experience and postnatal support from the health workers were the factors favouring the Exclusive breastfeeding with statistical significance (p<0.05). Conclusions: Health Education, antenatal counseling of the Irular mothers, encouraging to give colostrum within the first hour of life, Exclusive breastfeeding up to six months of age, avoiding the traditional beliefs like prelacteal feeds, discarding the colostrum and training the health workers to promote exclusive breastfeeding are the vital measures against the under-nutrition, morbidity and infant mortality.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Irular tribes ; Prelacteal feeds ; Health Education ; colostrums ; Exclusive breastfeeding.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 12 Jul 2017 05:31
Last Modified: 12 Jul 2017 05:32
URI: http://repository-tnmgrmu.ac.in/id/eprint/1184

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