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Community based peer counsellors for support of exclusive breastfeeding: experiences from rural Uganda

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dc.contributor.author Nankunda, Jolly
dc.contributor.author Tumwine, James K.
dc.contributor.author Soltvedt, Åshild
dc.contributor.author Semiyaga, Nulu
dc.contributor.author Ndeezi, Grace
dc.contributor.author Tylleskär, Thorkild
dc.date.accessioned 2006-11-24T15:54:57Z
dc.date.available 2006-11-24T15:54:57Z
dc.date.issued 2006-10-20
dc.identifier.citation International Breastfeeding Journal 1(19) en
dc.identifier.issn 1746-4358
dc.identifier.uri http://dx.doi.org/10.1186/1746-4358-1-19
dc.identifier.uri http://hdl.handle.net/1956/1962
dc.description.abstract Background: Universal exclusive breastfeeding for the first six months could reduce infant mortality by 13%. Although 99% women initiate breastfeeding in Uganda, exclusive breastfeeding rates remain low. Although peer counsellors for support of breastfeeding mothers have been found useful in other countries, they have not been used in Uganda. The aim of this pilot study was to assess the feasibility of training community based peer counsellors to support exclusive breastfeeding in a rural district in Uganda. Methods: With assistance of the investigators, the local communities selected fifteen women aged 25 to 30 years. These women were trained for five days on breastfeeding counselling using the La Leche League curriculum. After training they returned to their communities and started supporting breastfeeding peers. They were followed up and supported in their work for three months. The programme was evaluated through focus group discussions with the peer counsellors, fathers and mothers. Results: The trainees appreciated the knowledge gained and discussed cultural beliefs which affect breastfeeding. They offered breastfeeding support to 15 mothers each within the first two months. They found time to visit and help their breastfeeding peers despite busy schedules. They identified common breastfeeding problems as "insufficient breast milk", sore nipples, breast engorgement, mastitis and poor positioning at the breast. They further observed that most of these problems were eased by correct positioning of the baby at the breast. The peer counsellors were easily accepted by their communities. The mothers were happy to have someone within their community helping them with their breastfeeding problems. Although the peer counsellors were initially selected as volunteers, soon they demanded remuneration. Conclusion: The training and follow up of peer counsellors to support exclusive breastfeeding in this rural district is feasible. The peer counsellors were accepted by their communities. en
dc.format.extent 288312 bytes
dc.format.mimetype application/pdf
dc.language.iso eng en
dc.publisher BioMed Central en
dc.relation.ispartof <a href="http://hdl.handle.net/1956/5607" target="blank">Individual peer counselling for exclusive breastfeeding in Uganda</a> en
dc.rights Copyright 2006 Nankunda et al; licensee BioMed Central Ltd. en
dc.title Community based peer counsellors for support of exclusive breastfeeding: experiences from rural Uganda en
dc.type Journal article en
dc.type Peer reviewed en
dc.subject.nsi VDP::Medisinske Fag: 700::Helsefag: 800 no
bora.cristinID 377686


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