Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal

Ousmane Diongue; Adama Diouf; Pape Sitor Ndour; Mane Hélène Faye; Abdou Badiane; Mbeugué Thiam; Olouwafemi Mistourath Mama; El Hadji Momar Thiam; Nicole Idohou Dossou

doi:doi:10.11648/j.ijnfs.20231201.12

Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal

Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, Mbeugué Thiam, Olouwafemi Mistourath Mama, El Hadji Momar Thiam, Nicole Idohou Dossou

Published in International Journal of Nutrition and Food Sciences (Volume 12, Issue 1)

Received: 19 January 2023 Accepted: 14 February 2023 Published: 24 February 2023

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Abstract

Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.

Published in	International Journal of Nutrition and Food Sciences (Volume 12, Issue 1)
DOI	10.11648/j.ijnfs.20231201.12
Page(s)	10-20
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Breast Milk Intake, Exclusive Breastfeeding, Deuterium Dilution, Communication Intervention, Rural Senegal

References

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Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, et al. (2023). Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. International Journal of Nutrition and Food Sciences, 12(1), 10-20. https://doi.org/10.11648/j.ijnfs.20231201.12

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Ousmane Diongue; Adama Diouf; Pape Sitor Ndour; Mane Hélène Faye; Abdou Badiane, et al. Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. Int. J. Nutr. Food Sci. 2023, 12(1), 10-20. doi: 10.11648/j.ijnfs.20231201.12

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Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, et al. Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. Int J Nutr Food Sci. 2023;12(1):10-20. doi: 10.11648/j.ijnfs.20231201.12

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@article{10.11648/j.ijnfs.20231201.12,
  author = {Ousmane Diongue and Adama Diouf and Pape Sitor Ndour and Mane Hélène Faye and Abdou Badiane and Mbeugué Thiam and Olouwafemi Mistourath Mama and El Hadji Momar Thiam and Nicole Idohou Dossou},
  title = {Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal},
  journal = {International Journal of Nutrition and Food Sciences},
  volume = {12},
  number = {1},
  pages = {10-20},
  doi = {10.11648/j.ijnfs.20231201.12},
  url = {https://doi.org/10.11648/j.ijnfs.20231201.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20231201.12},
  abstract = {Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.},
 year = {2023}
}

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TY - JOUR
T1 - Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal
AU - Ousmane Diongue
AU - Adama Diouf
AU - Pape Sitor Ndour
AU - Mane Hélène Faye
AU - Abdou Badiane
AU - Mbeugué Thiam
AU - Olouwafemi Mistourath Mama
AU - El Hadji Momar Thiam
AU - Nicole Idohou Dossou
Y1 - 2023/02/24
PY - 2023
N1 - https://doi.org/10.11648/j.ijnfs.20231201.12
DO - 10.11648/j.ijnfs.20231201.12
T2 - International Journal of Nutrition and Food Sciences
JF - International Journal of Nutrition and Food Sciences
JO - International Journal of Nutrition and Food Sciences
SP - 10
EP - 20
PB - Science Publishing Group
SN - 2327-2716
UR - https://doi.org/10.11648/j.ijnfs.20231201.12
AB - Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.
VL - 12
IS - 1
ER -

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Author Information

Ousmane Diongue

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
Adama Diouf

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
Pape Sitor Ndour

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
Mane Hélène Faye

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
Abdou Badiane

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
Mbeugué Thiam

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
Olouwafemi Mistourath Mama

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal
El Hadji Momar Thiam

Conseil National de Developpement de la Nutrition, Rue 7 - Point E, Dakar, Senegal
Nicole Idohou Dossou

Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

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Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, et al. (2023). Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. International Journal of Nutrition and Food Sciences, 12(1), 10-20. https://doi.org/10.11648/j.ijnfs.20231201.12

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Ousmane Diongue; Adama Diouf; Pape Sitor Ndour; Mane Hélène Faye; Abdou Badiane, et al. Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. Int. J. Nutr. Food Sci. 2023, 12(1), 10-20. doi: 10.11648/j.ijnfs.20231201.12

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Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, et al. Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. Int J Nutr Food Sci. 2023;12(1):10-20. doi: 10.11648/j.ijnfs.20231201.12

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@article{10.11648/j.ijnfs.20231201.12,
  author = {Ousmane Diongue and Adama Diouf and Pape Sitor Ndour and Mane Hélène Faye and Abdou Badiane and Mbeugué Thiam and Olouwafemi Mistourath Mama and El Hadji Momar Thiam and Nicole Idohou Dossou},
  title = {Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal},
  journal = {International Journal of Nutrition and Food Sciences},
  volume = {12},
  number = {1},
  pages = {10-20},
  doi = {10.11648/j.ijnfs.20231201.12},
  url = {https://doi.org/10.11648/j.ijnfs.20231201.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20231201.12},
  abstract = {Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.},
 year = {2023}
}

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