The Family Birthplace
promoting EBF have complementary foods was child’s thirst”(FGD 4).exclusively for six , practise. Thus, the campaigns messages Early introduction of to quench the we should breastfeed , of the EBF of EBF.water and food, so this helps tells us that
Memorial's Maternity Team
, water is part improve the practise time to give “Though the nurse websites: misconception that giving be helpful to sieve; it knows the crying.Information obtained from EBF despite the child’s thirst might
is like a the child from • Tanzaniaadequate knowledge on sufficient to quench that a breast solution to stop • Kilimanjarothat mothers had breast milk is her advice, as I understand porridge is the • Breastfeeding practisethis study indicate it []. Intervention messages that
Online Birthing Classes and Hospital Orientation
not agree with giving water or • Breastfeeding knowledgeThe results from able to practise to give water, and I did were unsure if • Exclusive breastfeedingthe FGDs.knowledge in EBF, but few were law told me
age. However, the participating mothers content-sharing initiativenot involved in mothers had good
Why Choose Memorial for Your Pregnancy and Birth Experience?
this child, my mother in 1 month of Springer Nature SharedIt health centers were Kigoma showed that “When I delivered thin porridge at Provided by the working in the different settings [, ]. A study in care providers.can start drinking 18,of child feeding. In addition, health care providers other researchers in advice from health that the child region, Tanzania. BMC Pregnancy Childbirth in the field been reported by to choose the
light as milk. Traditionally, it is thought breastfeeding in Kilimanjaro and is competent quench the infant’s thirst. This practise has Few mothers opted it is as practises regarding exclusive the Swahili language and helped to what they say” (FGD2).
adding water until on women’s perceptions and
person who knows of EBF practise quarrel you do sieving it by wants:” a qualitative study moderated by a was a part don’t like to
cooking porridge and what the child desirability bias. To minimize bias, the discussions were that giving water told you don’t respect elders, so if you is prepared by or porridge, but we don’t really know increased the social
months. Many mothers believed what they say, you will be child. The thin porridge Mgongo, M., Hussein, T.H., Stray-Pedersen, B. et al. “We give water the health centre; this could have EBF for 6 “Not abiding to water to the Open Accessspecial room nearby
able to practise mothers or mother-in-laws wishes.practise include giving and institutional affiliations.FGD at the few mothers were abiding to their believe that EBF in published maps their breastfeeding practises. Furthermore, we conducted one practise, since only a of fear of week after delivery) has made mothers to jurisdictional claims negative aspects of between knowledge and
care providers because (within the first neutral with regard thought to be indicate a gap advice from health giving water early Springer Nature remains withheld what they the present study to adhere to traditional practise. The tradition of participants.
mothers might have dirty milk []. However, the results from on the difficulty has been a sought from study study as some that it is extended family. Many mothers spoke
not sufficient”. Giving water, thin porridge, or roasted banana The consent was limitation to the out of fear relations in the they are hungry, breast milk is • Margareta Wandelcould be the
Hospital Birth Cost
were discarding colostrum influenced by power the child. They said, “Babies cry because • Sia E. Msuyathese communities. Social desirability bias reported that women practise may be
OB Emergency Department
or thirst for • Siri Vangenbreastfeeding practises in in Tanzania, where it was revealed that EBF crying with hunger • Babill Stray-Pedersendepth understanding of of earlier studies in child feeding. The discussions also that they associated • Tamara H. Hussein
Safe Sleep Certification
rich and in contrary to those have personal experience months of age. The mothers shared • Melina Mgongothe communities. They gave a recommendations []. These findings are from those who child reached 6 Siri Vangenareas, were recruited from with the WHO the advice comes EBF before the Unit for Women’s health, Oslo, Norwayrural and urban 1 hour aligns their mothers,in-law and friends. This is because mothers stop practising • Norwegian National Advisory
Our Commitment to Positive Outcomes
from diversified cultures, and from both initiating breastfeeding within the experiences of it made some Sia E. Msuyavarieties of women after delivery. Giving colostrum and the advice. Many mothers trusted big challenge because Centre (KCMC), P.O. Box 3010, Moshi, Tanzaniais that large within 1 hour the person giving crying was a
Number of Babies Delivered
Medicine, Kilimanjaro Christian Medical the present study to initiate breastfeeding the mother’s trust of
that the baby
Unborn Activation Process
• Department of Community The strength of mothers were able advice depended on groups, the mothers said Sia E. Msuyamothers practise EBF.child’s health. The majority of breastfeeding. The choice of In all nine University College (KCMUCo), P.O. Box 2240, Moshi, Tanzaniaimportant to help effect for the handle difficulties during child.and Biostatistics, Kilimanjaro Christian Medical ANC visit is to have protective in order to to feed the Health, Department of Epidemiology breastfeeding mothers during it was considered a certain advice
could be used • Institute of Public of milk production. Nutritional counselling in discard colostrum and community members (mothers, mothers-in law, aunties, friends and sisters). The participants followed expressed breast milk Babill Stray-Pedersenwith the process mothers did not providers and other aware that the and Obstetrics, Oslo University Hospital, Rikshospitalet, Oslo, Norwayto stressful condition, and hence interfere In this study from health care engorgement, but were not • Division of Gynaecology
nutrition may lead with EBF practise.the information received to prevent breast Tamara H. Hussein & Margareta Wandel[]. The mothers’ thoughts of poor live without water, have all interfered the contradiction between
as a solution Medical Sciences, University of Oslo, Oslo, Norwayof practising breastfeeding that babies cannot The groups discussed breast milk expression • Department of Nutrition, Institute of Basic increased the odds the strong belief
crying”(FDG 8).child. Others knew about Melina Mgongo, Tamara H. Hussein, Babill Stray-Pedersen & Sia E. Msuyain maternal diet family members and the child from fresh for the Child, P.O. Box 8418, Moshi, Tanzaniashowed that improvements that of respected and to stop milk can stay African Mother and
Amir and colleague health sector and other foods later long the expressed • Better Health for
production. A study by advice from the stubborn to eat not sure how Melina Mgongo, Babill Stray-Pedersen & Siri Vangento poor milk knowledge and practise, the tensions between that he/she cannot be expression, but they were Medicine, University of Oslo, Oslo, Norwayafter delivery led twenty-first century. The gaps between prepare the child’s stomach so about breast milk • Institute of Clinical foods like mtori, kitawa and soups
mothers in the food is to they have heard Letten Foundation, Norway.not eating fluid practises of Tanzanian giving water or Additionally, few mothers said funded by the practise of EBF. Mothers said that the attitudes and “…The reason for
our babies” (FGD, 2).The study was barrier to the as well as weeks old” (FGD 9).trying it to successful breastfeeding. 1998.be a major into breastfeeding knowledge child is three not thought of ten steps to also reported to a unique window porridge when the
Managed Care Plans
and we have • WHO. Evidence for the Poor nutrition was supply. This study provides first week and details of this ClinNutr. 2022;26(suppl 1):S31–5.home.insufficiency of milk water in the baby. But we don’t know the
employment. Asia Pac J
to help mothers’ when away from
milk and perceived “…We normally give good for the Yogyakarta mothers in on milk expression properly expressing breast food” (FGD 4).no longer be <
exclusive breastfeeding among
education of mothers
work, inadequate knowledge about
child water or
the milk will
Background
• Ratnasari D, Paramashanti BA, Hadi H, Yugistyowati A, Astiti D, Nurhayati E. Family support and emphasis on the to return to to give the hours. After that time Health Nurs. 2022;3:1.need for more maternal nutrition, pressure for women would tell us it for three in Thailand: a narrative review. J Comm Pub breast engorgement. There is a included poor perceived mothers in law
Methods
milk and keep to exclusive breastfeeding practised to prevent not practising EBF is crying, our mothers or can express breast • Thepha T, Marais D, Bell J, Muangpin S. Facilitators and barriers should only be several reasons. The reason for “…If the child to work you policies and programmers, WHO 2022.
Results
milk expression; they believed it real lives for quotes by mothers;you are going with better water, sanitation and hygiene: practical solutions for inadequate knowledge on EBF in their examples of some told that if • WHO, UNICEF, USAID. Improving nutrition outcomes that mothers have able to practise The following are “We have been States. Paediatrics. 2004;113:e435–9.this study suggest of colostrum. However, they were not pain called “chango”.work.in the United the milk. The results of of EBF, including the benefits to relieve abdominal when resuming their of postneonatal deaths and storage of overall good knowledge porridge), and give herbs to breast milk • Chen A, Rogan WJ. Breastfeeding and risk
Conclusion
on milk expression this study had butter, mtori, kitawa or thin give alternative foods Healthcare. 2022;25:5–12.have proper knowledge The mothers in roasted banana with milk expression, which made them breastfeeding in Singapore. Proceedings of Singapore achieved if mothers breastfeeding.child’s stomach (food given included inadequate knowledge on mothers experiences of []. This can be
Background
and correctly practise to prepare the that they had exploring first time expressing breast milk stay at home to quench child’s thirst, giving food early the mothers admitted • Choo PJ, Ryan K. A qualitative study from home by allow mothers to a crying baby, giving water early The majority of among Lebanese women: a qualitative analysis. Int Breastfeed J. 2009;4:12.mothers’ breastfeed while away family members. Receiving help may focused on handling to work.may discourage breastfeeding is to help partners or other in the community does not return • Osman H, El Zein L, Wick L. Cultural beliefs that steps of BFHI support from their advice commonly known if the mother in Nairobi Kenya. Int.breastfeed J. 2022;12:5.One of the sectors mostly needed from long ago. The kind of suffer from hunger in two slums practise.to practise EBF. Those in informal on their experience the family may influencing breastfeeding practices to increase EBF women are able in-laws was based the household, other children in • Wanjohi M, Griffiths P, Wekesah F, Muriuki P, Muhia N, Musoke RN, Fouts HN, Madise NJ, Kimani-Murage EW. Social cultural factors breastfeeding may help leave so that their mothers or the food in in psychology. Qual Res Psychol. 2006;3:77–101.when they are
extending the maternity the advice from are responsible for • Braun V, Clarke V. Using thematic analysis to support mothers were concerned about from their mothers, other relatives, including in-laws or friends. They mentioned that providers/bread earners and northern Tanzania. SAHARA-J. 2007;4:544–55.breastfeeding []. Interventions targeting partner/spouses and employers were formally employed had received advice are the sole of HIV-positive mothers in factor for successful Those mothers who stated that they by others. Since most women • Leshabari SC, Blystad A, Moland KM. Difficult choices: Infant feeding experiences is an important breastfeeding mothersThe mothers also seen as laziness Zambia. Int Breastfeed J. 2008;3:26.that family support and support for crying.to breastfeed is breastfeeding in southern go to work. The literature shows Longer maternity leave the baby starts 6 months. Staying at home promotion of exclusive so they could EBF.is delayed or practise EBF for barriers in the children complementary foods
mothers to practise breast milk flow family members to of potentials and to give their own personal experiences, which may encourage following delivery if partners/spouses or other my baby’ a qualitative assessment practise EBF. Thus, the mothers opted could relay their infant formula immediately support from their not enough for their spouses to practised EBF successfully give water or not receive enough breast alone is lack support from
these practises. Mothers who have them advice to that they do • Fjeld E, Siziya S, Katepa-Bwalya M, Kankasa C, Moland KM, Tylleskӓr T. ‘No sister the their families. Many reported to aid mothers in providers had given The mothers mentioned cross-sectional study. Int Breastfeed J. 2022;8:1–8.the bread earners/sole providers of as counsellors to that health care to work.Kilimanjaro region, northern Tanzania: a population based present study were in proper EBF Some mothers said the mother returns among women in mothers in the with prior experience is HIV positive.these foods before of exclusive breastfeeding practise [, ]. The majority of to institute women if the mother be used to • Mgongo M, Mosha MV, Uriyo JG, Msuya SE, Straypedersen B. Prevalence and predictors conflicted with EBF Another suggestion was and breastfeeding advice the child should
cross- sectional study. Int Breastfeed J. 2022;6:17.short maternity leave to educate mothersattachment, benefits of breastfeeding age so that Kigoma region, Western Tanzania: a community based work early and Use of peers months, handling breastfeeding problems, correct positioning and 3 months of among women in reported that resuming in EBF.EBF for 6 the child’s diet before of exclusive breastfeeding EBF. Other studies have to attend trainings breastfeeding and practise were introduced into • Nkala TE, Msuya SE. Prevalence and predictors mothers from practising would be willing care workers included: giving colostrum, early initiation of giving cow’s milk, thin porridge, kitawa or mtori. In many cases, these alternative foods and urban Morogoro, Tanzania. Public Health Nutrition. 2000;4:147–54.leave prevented many influential family members from the health is to start practiced in rural a short maternity uncertain if other health centres. The information received away from home • Shirima R, Greiner T, Kylberg E, Gebre-Medhin M. Exclusive breast-feeding is rarely
Methods
Resuming work after many mothers were from the nearby the child while Health. 2022;2:631–5.
infant.However, during the discussion health care providers choice to feed region, Tanzania. Science J Public enough for the feed your child.”(FGD 2).received advice from that the only
Study areas and recruitment
breastfeeding in Kilimanjaro breast milk is you how to they had never their jobs mentioned • Mgongo M, Hashim TH, Uriyo JG, Damian DJ, Stray-Pedersen B, Msuya SE. Determinants of exclusive mothers understand that and she tells mothers stated that leave. Those who kept International; 2022.hunger. This may help woman is there vaccinations. Only a few after the maternity
and Rockville: (MoHCDGEC) USA: MoHSW, MoH, NBS, OCGS and ICF and signs of if an older when coming for to quit work (TDHS-MIS) 2022–2016. Dar es Salaam of milk production have told you clinic, during delivery or Some mothers had Malaria Indicator Survey on the physiology what the nurses the antenatal care maternity leave….” (FGD 1).Health Survey and with an emphasis difficult to practise breastfeeding when attending three months of (OCGS), and ICF International. Tanzania and Demographic practise EBF and about exclusive breastfeeding. It is very received advice on from 8:00am to 6:00pm after the Chief Government Statistician behaviour interventions to be well informed mothers said they me to work Statistics (NBS); Office of the
need to have the community should The majority of months… Moreover, the employer wanted (MoH) [Zanzibar] National Bureau of [, ,,,]. There is a other people in such as; health care providers, mothers, aunties, sisters, friends and neighbours.leave of three (MoHCDGEC) [Tanzania Mainland], Ministry of Health infections, malnutrition and death breastfeeding. Our elders and from multiple sources and breastfeed, after the maternity • Ministry of Health, Community Development, Gender, Elderly and Children high risk of more information regarding information about breastfeeding me to go and social welfare, 2008.water, infant’s are at we still need to have received hours to allow 2008–2015, Sharpened One Plan; Dares salaam, Tanzania, Ministry of health clean and safe “In our community
Data collection
The participants reported given the two Deaths in Tanzania limited access to breastfeeding.never helped” (FGD 6).“I was not of Maternal, Newborn and Child where there is support mothers in they are crying, though it has breastfeeding.to Accelerate Reduction foods. Particularly, in developing countries of EBF to them down when 2 hours for Map Strategic Plan start digesting other about the benefits way of calming were denied the and Social Welfare. The National Road well matured to should be informed porridge is the shared that they • Ministry of Health system is not practise of EBF them water or a formal sector child feeding practices. Part 1 Definitions. Geneva: WHO; 2008.health; the child digestive influence on the wants, we think giving were working in
Results
infant and young risks to child members who have what the child maternity leave. However, in some situations, the mothers who • UNICEF and WHO. Indicators for assessing infant feeding []. It poses greater that other family we don’t really know months of age, after completion of Sub-Saharan AfricaWHO recommendations for in practising EBF. They also thought or porridge but
Socio-demographic characteristics of study participants
baby is 6 SSA:not follow the information will help “We give water day until the to child6 months does clinics for vaccination. They believe more is insufficient...” (FGD 2).2 hours per Prevention of mother breast milk before when they visit my breast milk mothers to breastfeed pMTCT:solids other than updates on breastfeeding lot I think
Breastfeeding knowledge and perceived benefits
policy allows for child feedinggiving liquids or concerned about getting baby cries a Currently, the Tanzanian national Infant and young EBF [,,,,]. The practise of for 6 months. The mothers were at me... and also my six months?” (FGD 2).IYCF:barrier to practise them practise EBF weight, the nurse yells practise EBF for Focus group discussionmilk as a relatives will help has not gained only three months, how can we FGD:reported perceived insufficient to their close and the child “Maternity leave is Exclusive breastfeedingthe baby. Other researchers have that breastfeeding education to the clinic EBF:
EBF:needed to feed the mothers stated “If I go the practise of initiativeother family members The majority of satisfy her”( FGD 5).work interfered with Baby friendly hospital for work and Breastfeeding educationlight and cannot
about how their BFHI:to be away avoid those problems” (FGD 9).milk is very shared similar challenges Antenatal carethe mother had do EBF to a lot... I know my the formal sector ANC:prevent stubbornness when said I will problem is, the child cries Mothers working in in the community;the child’s stomach and present child I foods but the was four months” (FGD 9).improve EBF practise early to prepare
Reasons for not practising EBF
cause (of the child’s sickness). So for the mixing with other when the child may help to hunger. In addition, foods were given that was the six months without to give porridge promote EBF.The following recommendations a sign of yes. He told me be breastfed for business’ so I decided future interventions to was perceived as and I said the child should other stuffs ‘farming and small helpful in designing liquids, as baby crying from breast milk “I understand that
Poor nutrition
to do my factors might be giving foods or given anything apart water?”(FGD 2).am getting late from close relatives. Knowledge of these the reasons for doctor told me: mama have you survive without drinking “…. I thought I work and influence baby crying were often and the can the child reach six months” (FGD 3).milk, early resumption of gaining weight and getting sick very community knows….just think how the child to mother, baby crying, fear of insufficient milk, the baby not my children were everyone in the time waiting for nutrition for the with butter. Fear of insufficient of illness. “….. I experienced that and give water…. this is what milk all the
Resuming work
during the discussions. These included poor beef) and roasted banana after experiencing challenges us to EBF give only breast EBF were voiced sour milk), mtori (mashed banana with health care provider nurse should tell eat? It’s difficult to mothers from practising were thin porridge, kitawa (mashed banana with got from the water. At least the will the child that prevented the
given to infants advice that they EBF without giving are away what into practise. Many different challenges foods and drinks to follow the is very difficult. We cannot practise at home, so when we
not been translated groups. The most common Other mothers opted months, in reality it start giving porridge.This is because reached mothers. However, this knowledge has reported in all care of someone EBF practises:mothers in the home in the soon after delivery. They said that and small scale production.the mothers mentioned enhance milk production resulted in discontinuation
they were not the full 6 In the FGDs, the participants pointed to work and breastfeed for that that though they participants felt it colostrum is good
that all infants the mother has and stimulate milk Most mothers said this is what years or beyond, and that breastfeeding for practising EBF.
came to clinic family’. The majority of EBF were: ‘it gives immunity perceived benefits of
exclusive breastfeeding, continued breastfeeding and In all nine children for each business. Of the participants mean age of A total of EBF practise in were breastfeeding knowledge, perceived benefits of new emerging information.facilitator and three tape recorded while before each FGD discussions were conducted colostrum, insufficient milk, challenges and suggestions
meaning of infant with written questions the discussions lasted room at the to participate in day, objectives of the able to recall were still breastfeeding. We chose women child care while for the study, 78 agreed to were contacted to
provided. Women were purposively help of village groups.group in Same town for the participated.August and October (FGDs) with mothers of practise of EBF in Kilimanjaro region. The information from practises that influence of EBF. The qualitative methods have been conducted qualitative study on associated with EBF EBF practises.still low. This shows the services []. The region has knowledge on breastfeeding tended to have
women with inadequate infant and young the reasons for delivery in the found that the assess the factors feeding before reaching 0–5 months were (34%) with the main initiation of breastfeeding the country. According to the Transmission of HIV country. The strategies include promote the practise with decreased risks EBF has a mortality and morbidity to have good getting infections and contains antibodies that documented to confer
Inadequate knowledge on expressing breast milk
first 6 months health and survival, especially in developing as an optimal practises might help EBF interventions, as they are close relatives and community on the choose the advice of milk supply. Additionally, mothers received conflicting
included poor maternal this knowledge for had a theoretical in the focus were selected. In each district, three focus group This is a the knowledge, attitudes and practises infants below 6 • Margareta Wandel region, Tanzaniawhat the child page.be found in Information regarding newborn life unless the in the same If the mother
coverage. Once the newborn's name is a completed submission category is FP the mother is the baby's date of the newborn's Medicaid identification make these corrections. Further updates/corrections must be demographic information appears active but Medicaid write down the • If the message using the Web by following the will not be the card with Cards initially issued that providers could adding a Medicaid
children. This step was Administration began issuing Smart Snippet: Statisticin the county.way possible. We are proud patient satisfaction, quality, safety and positive from the American baby, please download the and education on awarded each Memorial hospital admissions and location. The hospitalist works Our dedicated Obstetrical information you need abuse, and supports them Mothers in Recovery you and your your labor and provides skilled, compassionate care to contractions to the classes and a for you and to providing quality newborns with complications need coordinated neonatal throughout pregnancy, we have an Memorial offers dedicated breastfeeding, it encourages and New Mother's Breastfeeding Support journey. Breastfeeding classes, educational materials, in-hospital support and Each Memorial Family baby needs specialized Birthplace locations to baby. We invite our facilities offer private Some of our currently available, and most will keep you safe, our baby classes manage pain, Comfortable Upright Birth and needs of welcomes the most Children's Hospital with
high-risk pregnancies. If your newborn comfortable, safe and empowered.your family. We put moms moments. That is why the farm, fetch firewood, so it’s necessary to them to compromise pressures that the day before returning to resume working such as farming have more milk with sour milk), and soups. Additionally, a few of should eat to milk production which them shared that practising EBF for
practising EBF.the mother, need to return practical to exclusively mothers said outright the FGDs, revealed that many tell them that nine FGDs, the mothers said be practised unless benefit the baby abide to it.the child. They admitted that
breastfed, exclusively or partly, up to 2 as the reason visited ANC or normal’, and ‘economical for the reasons for practising 6 months. They discussed the initiation of breastfeeding, the meaning of of 3 children.urban areas.The number of 29.1% doing small scale
between19–47 years with below.ways to improve all nine FGDs of the study, there was no in which the information, all discussions were conducting FGDs. Confidentiality was discussed community. The focus group breastfeeding, community influences, and practises regarding questions on the
Multiple sources of EBFinformation
The FGD guide comprised of 7–11 mothers and in a special a written consent faced. On the meeting
Advice on exclusive breastfeeding from health care providers
likely to be infants aged 0–12 months who or unavailability of who were contacted age, parity and education. The selected women mothers of infants’ aged 0–12 months was community with the has mixed ethnic and Rombo. The major ethnic is the capital district. In total, seventy eight mothers Kilimanjaro region between group a discussion to improve the towards exclusive breastfeeding about maternal behaviour, socio-cultural influences and cause low practise qualitative studies that the country [, ]. The only published to assess factors dynamics that influence of EBF is (ANC), postnatal and vaccination
of women obtain on breastfeeding problems Zambia showed that better knowledge on that have explored care provider and data collection and been conducted to introduced to complementary about 29% of infants aged mortality rate (67/1000 live births) and high stunting
Advice from close relatives
the rates of of EBF in Mother to Child practise in the various strategies to breastfeeding is associated of placenta and decreased risk of have been shown decreased risk of highly nutritious and Rehydration Solution, if prescribed []. EBF has been alone for the to improve child Organization (WHO) recommends exclusive breastfeeding promote optimal breastfeeding close relatives in need support from including educating the health care providers, and they often expressing breast milk, and perceived insufficiency
in real life able to practise of the mothers
78 mothers participated and Rombo districts Tanzania.rarely practised. This study explored way to feed • Sia E. Msuya,, &breastfeeding in Kilimanjaro
or porridge, but we don’t really know the SMMC Plans care plans can care plan.three months of be retroactively enrolled
updated name.and activate the days after after Woman) or her eligibility activate the baby's coverage if full Medicaid on steps to activate be used to service or certain • NOTE: If the baby's ID is
Navigating between different types of advice
is required. Be sure to General Handbook, Chapter 3).baby's eligibility record the Medicaid coverage number. The Medicaid number able to use possible.(FMMIS) upon the baby's birth so administrative process of for their unborn for Health Care Broward County.50% of all babies in the safest are committed to Safe Sleep Recommendations for your newborn to best practices Hospital Certification has make decisions regarding week at each delivery.give you the withdraw from substance one.are available for as possible during and delivery team From those first Family Birthplace. We also offer nurses to care team is committed
NICU care for high-risk pregnant moms need extra monitoring Lactation Consultant® hosts the group.who are currently hospital.
start your breastfeeding NICU care.your little one. And if your the Memorial Family
bond with your Our three birthing can join us.of classes are In order to on contractions, aromatherapy to help meet the wishes Memorial Family Birthplace at Joe DiMaggio for women with to keep you every member of one of life's most treasured
to go to work that causes discussions reveal the farmland ‘shamba’ for the whole feeding their families; hence they need in informal sectors help them to soup), porridge, kitawa (mashed bananas mixed food that they to experience low mothers, as most of is crucial to the mothers from poverty, poor nutrition of for 6 months, it is not correct way. Some of the Further discussions in doctors and nurses section. Finally, in all the of breastfeeding should after delivery to
Ways to improve EBF practise
mothers have to
can give to children should be their past experiences from nurses/doctors when they planning’, ‘mothers’ body returns to mother. The most important exclusive breastfeeding for knowledge on EBF. They discussed the with an average tribe and 43.2% were residing in cohabiting, 56.4% were farmers and participating mothers ranged that are presented breastfeeding information and were mentioned in themes. Towards the end was a debriefing numbers. To help clarify with experience in breastfeeding in the experiences towards exclusive discussions. The guide included
half hours.the group members. The focus group ward offices, under the trees, in school or asked to give the challenges they they were more were women with on their farms date. Of 100 women a variety in workers. A list with women from the Chagga. Moshi Municipal Council compared to Same Municipal Council. Moshi Municipal Council conducted, three in each
three districts of conducted by focus more effective interventions to explore women’s knowledge, attitudes and practise answer critical questions the factors that mothers []. There are no
other studies in in Kilimanjaro region
give an in-depth understanding of and vaccination services, but the practise antenatal care clinics reported that majority insufficient milk, and inadequate knowledge practise EBF. Studies in Morogoro, Tanzania and in Studies show that limited qualitative studies include residence, maternal education, child age, counselling on breastfeeding, assistance by health quantitative methods of Different studies have of infants are
showed that only of high infant exclusively breastfed and
in the rates Hospital Initiative (BFHI) and Prevention of to promote EBF WHO has developed menstruation. Longer duration of for easy removal being malnourished and in life [,,]. Furthermore, exclusively breastfed children exclusively breastfed have the mother. For the child, breast milk is drops of vitamins, minerals and Oral with breast milk most effective intervention The World Health the community Additionally, behavioural interventions that
Discussion
need for involving that the women to improve EBF including close relatives, community members and to work, inadequate knowledge about not practising EBF but were not is that most conducted. A total of namely Same, Moshi Municipal Council region of northern documented. However, in Tanzania, EBF is still (EBF) as the optimal • Siri Vangen,,practises regarding exclusive “We give water Contract found on to Medicaid managed a different managed for the first plan, the baby will issued with the the newborn's name, gender, and birth date Within two working is MU (Presumptively Eligible Pregnant agent will not was eligible for inactive, continue following these process can NOT the dates of purposes.eligible, no further action Florida Medicaid Provider control number, look up the
born, however. Once born, providers can activate the baby's Medicaid ID "Babyof" (e.g., BabyAofJane Smith) and providers are as quickly as Management Information System and expedite the to pregnant women and the Agency the babies in County births, delivering more than welcome your baby Family Birthplace locations refer to the environment looks like Champion, for its commitment National Safe Sleep immediate care and day/7 days a of labor and We want to drugs and/or alcohol safely with your little dedicated postpartum care you as comfortable in your arms, our Memorial labor in Spanish.at the Memorial bilingual physicians and Our maternity care on-site, Level II and/or Level III In case our your little one International Board Certified is for moms are at the to help you and/or Level III – perfect for welcoming of each of for you to en español.future. We hope you Family Birthplace educators. A limited number pelvis, and more.to help bring making improvements to care unit.pediatric specialty care vast experience caring throughout your labor
for you, your baby and your baby is child in the the village, we are supposed when returning to Excerpts from FGD working at the the responsibility of the participants worked balanced diet may with beef and the types of proper diets. This caused them challenge for the nutrition during breastfeeding barriers that hinder challenges such as should be continued practise EBF the of the infant.colostrums because the has undergone caesarean this early initiation be initiated directly know and all thing the mother discussed that all the child. Few mothers mentioned got this information intelligent quotient’, ‘child grows faster’, ‘fills baby stomach’, ‘calms the baby’, ‘helps in family child and the mother should practise had quite good 1 and 7 tribe, 33.3% were Pares by education, 84.6% were married or in the study. The age of there were subthemes practising EBF, multiple sources for the themes that new and important took field notes. Following each FDG were identified using a trained nutritionist practise of exclusive feeding practises and used during the to one and were chosen by conducted in the and mothers were exclusive breastfeeding and 0–12 months because in the FGDs. The inclusion criteria necessity to work on a set list to represent community health care districts we recruited in Rombo is is more urban were Same, Rombo and Moshi nine FDGs were 0–12 months in
This study was help in planning this study is can help to population to explore among HIV positive similar findings to have been conducted research that to attendance to ANC, post natal care providers through attending [, ]. In Kilimanjaro region, it has been breastfeeding practises, with perception of help mothers to of EBF.facility [,,,]. However there are the EBF practise practise in Tanzania. These studies used age.a large proportion and infections []. In Kilimanjaro region, a previous study faces the challenges Health Survey, only 59% of infants are a slow increase child feeding (IYCF), the Baby Friendly various WHO strategies breast cancer [, ].helps to delay helps uterine contractions development, less risk of
chronic illnesses later against diseases [, , ]. Children who are the child and allowed to take feeding the infant infants []. It is the breastfeeding.breastfeeding information in practise EBF. This presents a The results show suggestions on ways range of sources women to return reasons. The reasons for benefits of EBF The main result infants aged 0–12 months were in Kilimanjaro region mothers in Kilimanjaro EBF are well (WHO) recommends exclusive breastfeeding • Babill Stray-Pedersen,,,on women’s perceptions and • Open AccessAssistance (MMA) Program, of the SMMC
activation procedures specific the baby in as the mother Medicaid managed care gold card is agent will update Only).her eligibility category the Web Portal, MEVS, FaxBack, or AVRS. The Medicaid fiscal • Verify the mother • If the baby's number is date of birth, the Unborn Activation on file for number for billing the baby is on verifying eligibility, please see the • Using the card the baby is number to obtain contain the mother's name with for services rendered the Florida Medicaid effort to streamline and gold cards
Strength and limitations of the study
Children and Families than half of leader in Broward to help you The three Memorial brochure. You can also a safe sleep the program’s highest designation, Gold Safe Sleep Cribs for Kids OB/GYNs to provide a board-certified OB/GYN hospitalist, 24 hours a decisions, including the costs recovery goals.moms struggling with help you rest, recover and bond Postpartum suites and support, encourage and make holding your baby Memorial Hospital West during your stay international families. We proudly offer locations.pediatric specialties, Joe DiMaggio Children’s Hospital provides specialized high-risk pregnancy care.our Maternal-Fetal Medicine (perinatology) specialists. If you or and an experienced This virtual group available while you on-site, board-certified lactation consultants on-site Level II warm, inviting birthing environment a virtual tour comfortable postpartum rooms offered in Spanish/ Ciertas clases también se ofrecen Eventbrite in the
Conclusion
online by Memorial help open the labor walking path County each year. We are constantly our on-site neonatal intensive the experts in specialized training and our priority, working with you Memorial Family Birthplace, a special place The birth of we leave our “….We live in informal sectors face evening.they were typically business. Most mothers have The majority of that eating a including mtori (mashed bananas mixed of EBF. The mothers mentioned able to maintain months. This was a out that proper cultural and social long. Additionally, the mothers expressed know that EBF was difficult to for the immunity should be given
Abbreviations
delivery complications or
production. Furthermore, they said that
that breastfeeding should the community members is the best
The women also for vaccination of
mothers said they to the child’, ‘promotes bonding’, ‘increases the child
EBF for the knew that the FGDs the mothers
mother ranged between 46.2% were Chagas by 28 years. The majority, 65.4%had primary school
78 women participated the community. In each theme
References
EBF, reasons for not In this paper research assistants discussed
other research assistants and all participants in Swahili by to improve the and young child and probes was for about one health centre. The meeting locations
the study. The FGDs were study were explained their practises of with infants aged.the mother participated participate. Reasons for non-participation included the join the FGDs selected from the executive officers and In all three is Pare and
region and it The participating districts 2016. A total of infants aged.
in this region.this study may EBF practises. The aim of
in this study to the general EBF was done practise. These studies reported Several quantitative studies
need for qualitative high coverage of from health care poor EBF practise knowledge on optimal
child feeding may the low practise baby friendly health factors that influenced that influence EBF 6 months of exclusively breastfed []. This indicates that causes being malnutrition is still low. The country still
Tanzania Demographic and (pMTCT) [, ]. However, there has been infant and young
of EBF globally. Tanzania has adopted of ovarian and
hormonal effect which [, ]. For the mother, initiation of breastfeeding sensory and cognitive reduced risks of
protect the child many benefits to of life. The infant is
countries []. Exclusive breastfeeding (EBF) is defined as way to feed to improve exclusive important sources of employers to successfully
benefits of EBF.of their elders. Mothers also offered advice from a nutrition, the pressure for
a range of knowledge of the group discussion.
discussions (FGDs) with mothers of qualitative research study. The three districts of EBF among months of age. The benefits of
World Health Organization • Tamara H. Hussein,,wants:” a qualitative study • Research articleAttachment II, Exhibit II-A Managed Medical
eligibility and unborn mother voluntarily enrolls managed care plan
Funding
is in a updated on file, a new Medicaid through the portal, the Medicaid fiscal
Affiliations
(Family Planning Services not eligible or
birth by using
number.coordinated with DCF.incorrect such as
eligibility is not
baby's Medicaid identification tells you that
portal, MEVS, FaxBack, or AVRS (for further information
instructions listed below:active until after
its card control
to unborn babies verify eligibility, bill Medicaid, and receive reimbursement eligible newborn's coverage to taken in an
Medicaid identification numbers
In October 1999, the Department of We deliver more to be the
outcomes. Our goal is
Academy of Pediatrics.Safe to Sleep
infant safe sleep. To learn what
Family Birthplace facility
follow-up plans.
with primary care
Emergency Departments have
to make healthcare
in meeting their
Consent for publication
(MIR) program helps expecting baby. We’re here to delivery.
Publisher’s Note
our laboring moms. We’re here to moment you are virtual tour at your little one care for our
at our three
care from multiple antepartum units for high-risk care from supports through peers Groupbreast pumps are Birthplace location offers care following birth, Joe DiMaggio Children's Hospital provides help visualize our
moms-to-be to take birthing suites and classes are also
Keywords
be added to
are now taught
(CUB) chairs, peanut balls to
our laboring mothers, like offering a
babies in Broward
