000			05295nam a22003977a 4500
001			CUHAS/MD/4002108/T/17
003			OSt
005			20240305193939.0
008			220203b |||||||| |||| 00| 0 eng d
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_bEmail: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_cData centre
041			_aEnglish
041			_aKiswahili
100			_a Anastazia G Senya _d CUHAS/MD/4002108/T/17 _930473
210			_2A research report submitted for a project in a partial fulfilment of the requirements for the award of Degree of Medicine at Catholic University of Health and Allied Sciences (CUHAS). _aABBREVIATIONS. BFHI: Baby Friendly Hospital Initiative BMC: Bugando Medical Centre CBOs: community-based organizations EBF: exclusive breastfeeding NGOs: Non-governmental organizations UNICEF: United Nations International Children’s Emergency Fund WHO: World Health Organization
222			_aDEFINITION OF TERMS _bTimely initiation of breastfeeding: It is when a baby is put to the breast within one hour of birth according to (WHO, 2008).
222			_aDEFINITION OF TERMS _bSkin-to-skin: Holding the baby on the mother’s bare chest with their skins coming into contact. It is done immediately after birth and also a few days after birth (WHO, 2008).
222			_aDEFINITION OF TERMS _bRooming-in: A method for the care of newborn infants in which the baby stays in the same room with the mother, for her to take care of the baby with the help of the nurses and doctors (WHO, 2008).
222			_aDEFINITION OF TERMS _bPre-lacteals: Food given to a newborn before initiation of breastfeeding hence before colostrum; for instance, milk, honey, or sugar water (WHO, 2008).
222			_aDEFINITION OF TERMS _bPost-lacteals: Food given to a new born after initiation of breastfeeding, within three days of delivery (WHO, 2008).
222			_aDEFINITION OF TERMS _bExclusive breastfeeding: Giving breastmilk only to a baby after it has been born, and nothing else except vitamins, or other medicines and mineral supplements (UNICEF, 2007).
222			_aDEFINITION OF TERMS _bColostrum: Thick yellowish secretion from the breast within the first three days of the infant's life (WHO, 2008).
245			_a Knowledge, attitude and practices on timely initiation of breastfeeding among parturient women at Bugando Medical Centre, Mwanza, Tanzania
260			_aMwanza, Tanzania _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] _c©06.06.2022
300			_axiii; 47 Pages
300			_aIncludes References and Appendices
520			_aABSTRACT: Background; The World Health Organization (WHO) and United Nations International Children’s Emergency Fund (UNICEF) recommended that after delivery, optimal early breastfeeding practices should be encouraged. These optimal practices include initiating breastfeeding within 30 minutes to an hour of birth, giving colostrum, not giving pre-lacteals or post-lacteals and exclusive breastfeeding (EBF) of infants. This study was proposed in order to gain insights on what hinders or facilitates optimum breastfeeding in our site. Objectives; Assessment of knowledge, attitude and practice of timely initiation of breastfeeding among parturient at Bugando Medical Center. Methodology; Descriptive cross-sectional hospital-based study was conducted among 164 mothers who delivered at BMC with newborns aged between 0-72 hours. Maternal attitudes were measured using a five-point Likert scale. Mean scores were calculated for maternal knowledge and attitude. The association between categorical data such as the early breastfeeding knowledge, attitudes, and practices was determined using the odds ratio. Results; The majority of the mothers (95.8%) were knowledgeable on timely initiation of breastfeeding, 96.3% knew that colostrum should be given, while 94.5% knew that post-lacteals should not be given respectively. Most mothers had a positive attitude towards aspects of early breastfeeding: timely initiation of breastfeeding (92.7%); giving colostrum (92.1%) not giving pre- and post-lacteals (95.8% and 91.5% respectively), and practicing exclusive breastfeeding (97.6%). The mothers who practiced timely initiation of breastfeeding were 75.6%. About 95.7% gave breast milk only as the first feed, 95.7% did not give post-lacteal, while 96.3% gave colostrum. Challenges to early breastfeeding were breast problems, low milk production, not being able to position and attach the baby correctly. In conclusion, mothers had good knowledge and positive attitudes towards early breastfeeding, and practiced early breastfeeding as recommended by WHO. Conclusion and recommendation; Based on the findings of the study, it is recommended that the Ministry of Health in Tanzania should develop a policy targeting the mothers on the continuation of breastfeeding education after discharge from hospital as it has proven to be have a positive outcome towards early breastfeeding
600			_x Paediatrics and Child Health _933433
600			_xMicrobiology and Immunology _948529
700			_a Adolfine Hokororo _922795
700			_aHelmut Nyawale _926655
942			_2ddc _cCR
999			_c22404 _d22404