Breastfeeding support through wet nursing during nutritional emergency: A cross sectional study from Rohingya refugee camps in Bangladesh

English version

Autoři: Faria Azad ^aff001; M. A. Rifat ^aff002; Mohammad Zahidul Manir ^aff003; Nushrat Alam Biva ^aff004
Působiště autorů: Programme Assistant, World Food Programme of the United Nations, Cox’s Bazar, Chittagong, Bangladesh ^aff001; Consultant, United Nations Children’s Fund, Cox’s Bazar, Chittagong, Bangladesh ^aff002; Nutrition Officer, United Nations Children’s Fund, Cox’s Bazar, Chittagong, Bangladesh ^aff003; Institute of Nutrition and Food Science, University of Dhaka, Dhaka, Bangladesh ^aff004
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0222980

Souhrn

Background/Objectives

This study examined the best practices with regard to infant and young child feeding in emergency (IYCF-E) program. This was done by observing a breastfeeding support scenario through wet nursing in Rohingya refugee camps in Cox’s Bazar, Bangladesh.

Methods

Information on demographics, IYCF-E knowledge, wet nursing support, type of constraints faced, and possible ways to overcome such constraints was collected through face-to-face interviews with 24 conveniently selected wet nurses. Linear regression was used to analyze the associations.

Results

Mean age of wet nurses was 21.6 years; 16.67% had adequate knowledge about IYCF-E; and 29.17% had prior knowledge about wet nursing. Mean age of supported infants was 1.29 months, and 58.33% had a familial relationship with the wet nurses. Duration of breastfeeding support was significantly associated with the wet nurse’s age, age of the wet nurses’ youngest children, familial relationship with infants, knowledge about IYCF-E, and follow-ups from community nutrition workers (Ps <0.05). The status of facing problems (58.33%) was negatively correlated with duration of wet nursing, although this association was not statistically significant. The most extensively reported problems were as follows: misunderstandings with the infant’s family (85.71%), family workload and time limitations (21.43%), household distance (42.86%), and family members’ poor compliance (21.43%). Counseling from community nutrition workers (64.29%) and mediation by community leaders (57.14%) played key roles in mitigating such problems. Self-satisfaction (37.50%), counseling (62.50%), and religious inspiration (58.33%) were key motivators behind dedicated breastfeeding support.

Conclusion

Wet nursing in the Rohingya refugee camps in Cox’s Bazaar, Bangladesh, was associated with several factors involving both supply and demand. The present findings may help design better IYCF-E programs in similar context.

Klíčová slova:

Human families – Nurses – Religion – Infants – Breast milk

Zdroje

1. Thorley V. Sharing breast milk: wet nursing, cross-feeding, and milk donations. Breastfeeding Review. 2008; 16(1): 9–25. https://www.ncbi.nlm.nih.gov/pubmed/18546574

2. Stevens E, Patrick T E & Pickler R. A history of infant feeding. The Journal of perinatal education. 2009; 18(2): 32–39. doi: 10.1624/105812409X426314 20190854

3. Binns C W, Lee M K, Tang L, Yu C, Hokama T & Lee A. Ethical issues in infant feeding after disasters. Asia Pacific Journal of Public Health. 2012; 24(4): 672–680. doi: 10.1177/1010539512453253 22790353

4. Jones G, Steketee R W, Black R E, Bhutta Z A, Morris S & Bellagio Child Survival Study Group. How many child deaths can we prevent this year? The lancet. 2003; 362(9377): 65–71. https://doi.org/10.1016/S0140-6736(03)13811-1

5. Cook V. Infant feeding in emergencies. British Journal of Midwifery. 2010; 18(1): 32–36. https://doi.org/10.12968/bjom.2010.18.1.45813

6. Gribble K D, McGrath M, MacLaine A & Lhotska L. Supporting breastfeeding in emergencies: protecting women's reproductive rights and maternal and infant health. Disasters. 2011; 35(4): 720–738. https://doi.org/10.1111/j.1467-7717.2011.01239.x

7. Gribble K. Supporting the most vulnerable through appropriate infant and young child feeding in emergencies. Journal of Human Lactation. 2018; 34(1): 40–46. doi: 10.1177/0890334417741469 29166567

8. Shaker‐Berbari L, Ghattas H, Symon A G & Anderson A S. Infant and young child feeding in emergencies: Organisational policies and activities during the refugee crisis in Lebanon. Maternal & child nutrition. 2018; 14(3): e12576. https://doi.org/10.1111/mcn.12576

9. UNHCR & Save the Children. Infant and Young Child Feeding in Refugee Situations: A Multi-Sectoral Framework for Action. Public Health Section, Division of Programme Support and Management, Geneva, Switzerland, July 2017. https://www.unhcr.org/5c0643d74.pdf

10. Borrel A, Taylor A, McGrath M, Seal A, Hormann E, Phelps L, et al. From policy to practice: challenges in infant feeding in emergencies during the Balkan crisis. Disasters. 2001; 25(2): 149–163.https://doi.org/10.1111/1467-7717.00167 11434234

11. World Health Organization Staff, World Health Organization, & UNICEF. Global strategy for infant and young child feeding. World Health Organization, 2003. https://whqlibdoc.who.int/publications/2003/9241562218.pdf

12. Palmquist A E & Gribble K D. Gender, displacement, and infant and young child feeding in emergencies. In International Handbook on Gender and Demographic Processes. Springer, Dordrecht. 2018; 341–355. https://doi.org/10.1007/978-94-024-1290-1_23

13. Chloe Angood. Operational Guidance on Infant Feeding in Emergencies (OG-IFE) version 3.0, 2017. https://www.ennonline.net/operationalguidance-v3-2017

14. Kent G. Wet Nursing in Emergencies. World Nutrition. 2018; 9(3): 314–323. https://doi.org/10.26596/wn.201893314-323

15. Zarni M & Cowley A. The slow-burning genocide of Myanmar's Rohingya. Pacific Rim Law & Policy Journal. 2014; 23(3): 683. http://hdl.handle.net/1773.1/1377

16. Beyrer C & Kamarulzaman A. Ethnic cleansing in Myanmar: the Rohingya crisis and human rights. The Lancet. 2017; 390 (10102):1570–73. https://doi.org/10.1016/S0140-6736(17)32519-9

17. Farzana K F. Memories of Burmese rohingya refugees: contested identity and belonging. Springer, 2017. https://doi.org/10.1057/978-1-137-58360-4

18. Leidman E, Humphreys A, Cramer B G, Toroitich-Van Mil L, Wilkinson C, Narayan A & Bilukha O. Acute Malnutrition and Anemia Among Rohingya Children in Kutupalong Camp, Bangladesh. JAMA. 2018; 319(14): 1505–1506. doi: 10.1001/jama.2018.2405 29634821

19. Frontières-Holland M. S. 10 years for the Rohingya refugees in Bangladesh: Past, present and future. MSF-Holland, 5 March 2002. http://www.rna-press.com/data/itemfiles/5ae98e43d068cb749b3060b002601b95.pdf

20. White K. Rohingya in Bangladesh: an unfolding public health emergency. The Lancet. 2017; 390(10106):1947. https://doi.org/10.1016/S0140-6736(17)32677-6

21. Riley A, Varner A, Ventevogel P, Taimur Hasan M & Welton-Mitchell C. Daily stressors, trauma exposure, and mental health among stateless Rohingya refugees in Bangladesh. Transcultural psychiatry. 2017; 54(3): 304–331. doi: 10.1177/1363461517705571 28540768

22. Kumar S & Weber-Steinhaus F. ‘A gift from God’: Rohingya refugees adopting orphaned babies. The Guardian. 25 Dec 2018. (Accessed on 22 January 2019) https://www.theguardian.com/global-development/2018/dec/25/rohingya-refugees-adopting-orphaned-babies

23. Khadivzadeh T. Mid upper arm and calf circumferences as indicators of nutritional status in women of reproductive age. Eastern Mediterranean Health Journal. 2002; 8(4–5): 612–618. http://www.who.int/iris/handle/10665/119207 15603044

24. Who E C. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England). 2004; 363(9403): 157–163. https://doi.org/10.1016/S0140-6736(03)15268-3

25. Frimpong-Nnuroh D. Ghost mothers and wet nurses: breast feeding practices and care of children in crisis in Ellembelle Nzema. Institute of African Studies Research Review. 2004; Supplement 6: 85–92. https://journals.co.za/content/inafstud/2004/sup-6/EJC45857

26. Dillaway H E & Douma M E. Are pediatric offices “supportive” of breastfeeding? Discrepancies between mothers’ and healthcare professionals’ reports. Clinical Pediatrics. 2004; 43(5): 417–430. doi: 10.1177/000992280404300502 15208746

27. Ergin A & Uzun S U. Turkish women’s knowledge, attitudes, and behaviors on wet-nursing, milk sharing and human milk banking. Maternal and child health journal. 2018; 22(4): 454–460. doi: 10.1007/s10995-018-2433-1 29340904

28. Winterburn S, Jiwa M & Thompson J. Maternal grandmothers and support for breastfeeding. Journal of Community Nursing. 2003; 17(12): 4–9. http://hdl.handle.net/20.500.11937/43424

29. Palmer V. Analysing cultural proximity: Islamic relief worldwide and Rohingya refugees in Bangladesh. Development in Practice. 2011; 21(1): 96–108. https://doi.org/10.1080/09614524.2011.530226

30. Kingston L N. Protecting the world's most persecuted: the responsibility to protect and Burma's Rohingya minority. The International Journal of Human Rights. 2015; 19(8): 1163–1175. https://doi.org/10.1080/13642987.2015.1082831

31. Efird J T & Bith-Melander P. Refugee Health: An Ongoing Commitment and Challenge. International Journal of Environmental Research and Public Health. 2018; 15 (1): 131. https://doi.org/10.3390/ijerph15010131

32. Mahmood S, Wroe E, Fuller A & Leaning J. The Rohingya people of Myanmar: health, human rights, and identity. The Lancet. 2017; 389 (10081): 1841–1850. https://doi.org/10.1016/S0140-6736(16)00646-2

33. Wray J D. Maternal nutrition, breast-feeding and infant survival. In Nutrition and human reproduction. Springer, Boston, MA. 1978; 197–229. https://doi.org/10.1007/978-1-4684-0790-7_12

34. Summers A, Humphreys A, Leidman E, Van Mil L T, Wilkinson C, Narayan A, et al. Notes from the Field: Diarrhea and Acute Respiratory Infection, Oral Cholera Vaccination Coverage, and Care-Seeking Behaviors of Rohingya Refugees—Cox’s Bazar, Bangladesh, Oct–Nov 2017. Morbidity and Mortality Weekly Report. 2018; 67(18): 533. doi: 10.15585/mmwr.mm6718a6 29746454