Exploring Breastfeeding Practices and Influencing Factors Among the KOL Tribe in Uttar Pradesh: A Mixed-Methods Study
DOI:
https://doi.org/10.47203/IJCH.2024.v36i04.007Keywords:
Breastfeeding, KOL Tribe, Tribals, India, Mixed-Method Research, Food FadsAbstract
Introduction: Breastfeeding is crucial for infant health, yet challenges persist in promoting early initiation and exclusive breastfeeding, particularly among marginalized communities like the KOL tribe in Uttar Pradesh. This study aimed to understand breastfeeding practices among the KOL tribe and identify factors influencing these practices. Methods: A mixed-methods approach was employed, involving quantitative data collection through pre-designed questionnaires and qualitative in-depth interviews with KOL tribe mothers. Sampling included random selection, and data analysis was conducted using SPSS for quantitative data and QDA minor lite software for qualitative data. Results: Socioeconomic challenges were prevalent among the KOL tribe, with most women being illiterate and engaged in manual labour. Breastfeeding practices varied, including delayed initiation, reliance on cow/goat milk, and misconceptions about colostrum Health care utilization was limited, with home deliveries common due to family incompliance. Despite challenges, community support for breastfeeding was reported, and mothers felt comfortable breastfeeding in public. Conclusion: The study underscores the influence of socio-economic factors, cultural beliefs, and limited awareness on breastfeeding practices among the KOL tribe. Targeted interventions focusing on education, community engagement, and improving healthcare access are crucial for promoting optimal breastfeeding practices and improving infant health outcomes in marginalized communities.
Downloads
References
U.N.I.C.E.F. Infant and Young Child Feeding.http://unicef.in/Whatwedo/7/Infant-and-YoungChild-Feeding#sthash.8JKRf1jv.dpuf. (Accessed on 25 Aug 2024)
Organization WH. Global Strategy for Infant and Young Child Feeding. World Health Organization; 2003. 70 p. (Accessed on 25 Aug 2024)
India.pdf [Internet]. Available from: http://rchiips.org/nfhs/NFHS-5_FCTS/India.pdf(Accessed on 25 Aug 2024)
Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed Breastfeeding Initiation Increases Risk of Neonatal Mortality. Pediatrics [Internet]. 2006 Mar 1 [cited 2020 Feb 16];117(3):e380–6.
Mullany LC, Katz J, Li YM, Khatry SK, LeClerq SC, Darmstadt GL. Breast-Feeding Patterns, Time to Initiation, and Mortality Risk among Newborns in Southern Nepal. J. 2008;138(3):599-603.
Mikiel-Kostyra K, Mazur J, Wojdan-Godek E. Factors affecting exclusive breastfeeding in Poland: cross-sectional survey of population-based samples. Soz Praventivmed. 2005;50(1):52–9.
Bertini G, Perugi S, Dani C, Pezzati M, Tronchin M, Rubaltelli FF. Maternal education and the incidence and duration of breast feeding: a prospective study. J Pediatr Gastroenterol Nutr. 2003;37(4):447–52.
Soren SK, Sahu S, Kujur A, Dandpat A, Kashyap V, Kumari P, et al. Predictors of Breastfeeding Initiation Among Postnatal Mothers at Tertiary Care Center of a Tribal Dominant State in India: A Regression Analysis. Cureus [Internet]. [cited 2023 Jun 6];13(8):e16936.
Islam S, Kenah E, Bhuiyan MAA, Rahman KM, Goodhew B, Ghalib CM, et al. Clinical and Immunological Aspects of Post–Kala-Azar Dermal Leishmaniasis in Bangladesh. The American Journal of Tropical Medicine and Hygiene [Internet]. 2013;89(2):345–53.
Randhawa A, Chaudhary N, Gill BS, Singh A, Garg V, Balgir RS. A population-based cross-sectional study to determine the practices of breastfeeding among the lactating mothers of Patiala city. J Family Med Prim Care [Internet]. 2019;8(10):3207–13.
Sharma A, Thakur PS, Tiwari R, Kasar PK, Sharma R, Kabirpanthi V. Factors associated with early initiation of breastfeeding among mothers of tribal area of Madhya Pradesh, India: a community based cross sectional study. Int J Community Med Public Health. 2016;3:194–9.
Chirmulay D, Nisal R. Nutritional status of tribal underfive children in Ahmadnagar District, Maharashtra in relation to weaning/feeding practices. Indian Pediatr. 1993;30(2):215–22.
Stiller CK, Golembiewski SKE, Golembiewski M, Mondal S, Biesalski HK, Scherbaum V. Maternal nutritional status and child feeding practices: a retrospective study in Santal communities, Birbhum District, West Bengal, India. International Breastfeeding Journal [Internet]. 2020 May 29 [cited 2023 May 11];15(1):50.
Sikarwar RL. Ethnobotany of Kol Tribe of in Bahilpurva village of Chitrakoot district of Uttar Pradesh. 2020 Dec 23;
Wise T. DISTRICT CENSUS HANDBOOK.
Bbaale E. Determinants of Early Initiation,Exclusiveness, and Duration of Breastfeeding in Uganda. J Health, Population. 2014;32(2):249-60.
Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review.Geneva: World Health Organization. 2002. p. 47 01 08.
Dash M, Choudhury RK. Breast Feeding Practices Among Santals and Non- Santals of Orissa. The Anthropologist [Internet]. 2005;7(4):283–7.
Kumari S, Kshatriya GK. Breastfeeding practices among currently married women of selected tribes of Jharkhand, India. International Journal Of Community Medicine And Public Health. 2018;5(7):2959.
Sarkar D, Dalai CK, Sarkar K, Das SS, Banerjee S. Breastfeeding practices and infant feeding pattern of a tribal population region of eastern India. J Family Med Prim Care [Internet]. 2020;9(9):4570–5.
Meshram II, A L, K V, N V BG. Impact of feeding and breastfeeding practices on the nutritional status of infants in a district of Andhra Pradesh, India. Natl Med J India. 2012;25(4):201–6.
Nguyen PH, Kachwaha S, Tran LM, Sanghvi T, Ghosh S, Kulkarni B, et al. Maternal Diets in India: Gaps, Barriers, and Opportunities. Nutrients [Internet]. 2021;13(10):3534.
Newborn Feeding Practices In India: A Review, IJSR - International Journal of Scientific Research(IJSR), IJSR | World Wide Journals [Internet]. [cited 2024 Mar 9]. Available from: https://www.worldwidejournals.com/international-journal-of-scientific-research-(IJSR)/article/newborn-feeding-practices-in-india-a-review/OTUwMQ==/?is=1&b1=13&k=4
Srikanth L, Subbiah K, Srinivasan S. Beliefs and practices of newborn feeding in tribal areas of India: a decennary review. International Journal Of Community Medicine And Public Health [Internet]. 2017 Jan 25 [cited 2023 May 11];4(2):281–5. Available from: https://www.ijcmph.com/index.php/ijcmph/article/view/571
Kakati R, Rahman S, Borah M, Borah H. Colostrum feeding practices and its determinants among urban and rural mothers in Kamrup, Assam, India. International Journal of Research in Medical Sciences. 2016 Jan 1;4567–72.
Bandyopadhyay M. Impact of ritual pollution on lactation and breastfeeding practices in rural West Bengal, India. International Breastfeeding Journal [Internet]. 2009 Mar 26 [cited 2023 Jun 9];4(1):2. Available from: https://doi.org/10.1186/1746-4358-4-2
Home Based Care of New Born and Young Child [Internet]. [cited 2023 Jun 10]. Available from: https://hbnc-hbyc.mohfw.gov.in/AboutUs/aboutHBNC
Downloads
Published
How to Cite
License
Copyright (c) 2024 Surbhi Yadav, Shamshad Ahmad, Pallavi Lohani, Anju Gahlot, Mahendra Kumar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.