Breastfeeding Practices and Care Among Mothers in a Primary Health Facility

Authors

DOI:

https://doi.org/10.22235/ech.v13i2.3923

Keywords:

breast feeding, quality assurance, health care

Abstract

Objective: To analyze the relationship between breastfeeding practices and mothers’ perception of the quality of care for their children under 1 year of age in a primary health care center in Peru. Methods: A quantitative method, analytical type of research and cross-sectional design were used in a sample of 202 mothers of children under 1 year of age from the Growth and Development Control area of the Mazamari Health Center, using the SERVQUAL instrument and a questionnaire on exclusive breastfeeding practices. Results: Exclusive breastfeeding practices were significantly related, with weak magnitude and positive direction with the dimensions of quality of care: reliability (ρ = 0.344; p = 0.001) and empathy (ρ = 0.349; p = 0.001); however, no significant correlation was found between responsiveness (p = 0.057), safety (p = 0.108) and tangible aspects (p = 0.710). Conclusion: Higher levels of trust in health professionals and empathy of health personnel are related to exclusive breastfeeding practices in mothers of children under 1 year of age who attended the Mazamari Health Center.

Downloads

Download data is not yet available.

References

World Health Organization, Organisation for Economic Co-operation and Development, The World Bank. Delivering quality health services: A global imperative for universal health coverage [Internet]. Geneva, Switzerland: WHO, OECD, WB; 2018. Available from: https://documents1.worldbank.org/curated/en/482771530290792652/pdf/127816-REVISED-quality-joint-publication-July2018-Complete-vignettes-ebook-L.pdf

Zafra Tanaka JH, Veramendi Espinoza L, Villa Santiago N. Problemas en la calidad de atención en salud: oportunidad de mejora. An Fac Med. 2015;76(1):87-88. doi: 10.15381/anales.v76i1.11084

Yanful B, Kirubarajan A, Bhatia D, Mishra S, Allin S, Di Ruggiero E. Quality of care in the context of universal health coverage: a scoping review. Health Res Policy Sys. 2023;21(1):21. doi: 10.1186/s12961-022-00957-5

Ibarra L, Espinoza B. Servqual: una propuesta metodológica para evaluar la percepción de la calidad. Rev Iberoam Cienc. 2014;1(4):107-20. Available from: http://reibci.org/publicados/2014/septiembre/3300110.pdf

Bustamante M, Zerda-Barreno E, Obando F, Tello-Sánchez M. Fundamentos de calidad de servicio: el modelo Servqual. Rev Empresarial. 2019;13(2):1-15. doi: 10.23878/empr.v13i2.159

Loreche AM, Pepito VCF, Hartigan-Go KY, Dayrit MM. Measuring quality of care for universal health coverage in the Western Pacific. Int J Qual Health Care. 2023;35(4): mzad084. doi: 10.1093/intqhc/mzad084

Ahmed T, Arur A, De Walque D, Shapira G. Incentivizing quantity and quality of care: evidence from an impact evaluation of performance-based financing in the health sector in Tajikistan. Econ Dev Cult Change. 2023;71(2):667-707. doi: 10.1086/715579

Gathron EL. Strategically positioned: breastfeeding advocacy and the hands-on nurse. Creat Nurs. 2017;23(3):192-200. doi: 10.1891/1078-4535.23.3.192

Phillips K. Breastfeeding as a method of health promotion. LOJNHC [Internet]. 2019 [cited 2024 Sep 20];2(2), 181-184. doi: 10.32474/LOJNHC.2019.02.000134

Masi AC, Stewart CJ. Role of breastfeeding in disease prevention. Microb Biotechnol. 2024;17(7):e14520. doi: 10.1111/1751-7915.14520

Nelson JM, Perrine CG, Freedman DS, Williams L, Morrow B, Smith RA, et al. Infant feeding-related maternity care practices and maternal report of breastfeeding outcomes. Birth. 2018 Dec;45(4):424-431. doi: 10.1111/birt.12337

Feldman-Winter L, Ustianov J, Anastasio J, Butts-Dion S, Heinrich P, Merewood A, et al. Best Fed Beginnings: a nationwide quality improvement initiative to increase breastfeeding. Pediatrics. 2017;140(1):e20163121. doi: 10.1542/peds.2016-3121

Alves RDV, De Oliveira MIC, Domingues RMSM, Pereira APE, Leal MDC. Breastfeeding in the first hour of life in Brazilian private hospitals participating in a quality-of-care improvement project. Reprod Health. 2023;20(Suppl2):10. doi: 10.1186/s12978-022-01538-z

Takamune DM, Cury GSA, Ferrás G, Herrerias GSP, Rivera A, Barros JR, et al. Quality of care in patients with inflammatory bowel disease from a public health center in Brazil. World J Clin Cases. 2022;10(33):12184-12199. doi: 10.12998/wjcc.v10.i33.12184

Monteiro VCM, Aiquoc KM, Xavier SSDM, Silva De Paula WKA, De Souza NL, Pinto ESG. Avaliação do grau de implantação dos atributos da atenção primária à saúde como indicador da qualidade da assistência prestadas às comunidades quilombolas no estado do Rio Grande do Norte. Enferm Glob. 2022;21(4):484-530. doi: 10.6018/eglobal.507371

Betran AP, De Onis M, Lauer JA, Villar J. Ecological study of effect of breastfeeding on infant mortality in Latin America. BMJ. 2001;323(7308):303-306. doi: 10.1136/bmj.323.7308.303

Gribble K, Mathisen R, Ververs MT, Coutsoudis A. Mistakes from the HIV pandemic should inform the COVID-19 response for maternal and newborn care. Int Breastfeed J. 2020;15(1):67. doi: 10.1186/s13006-020-00306-8

Vinces C. Calidad de la atención en relación con la satisfacción de los usuarios del centro de salud Zorritos – I4 Tumbes 2021 [Master’s Thesis]. Tumbes, Peru: Universidad Nacional de Tumbes; 2023. Available from: https://repositorio.untumbes.edu.pe/handle/20.500.12874/64034

Davila B. Calidad de atención y satisfacción de los usuarios que acuden al Centro de Salud Mental Comunitario de Bellavista-Región San Martín [Master’s Thesis]. Chiclayo, Peru: Universidad César Vallejo; 2023. Available from: https://hdl.handle.net/20.500.12692/126674

Dilas D, Flores R, Morales-García WC, Calizaya-Milla YE, Morales-García M, Sairitupa-Sanchez L, et al. Social support, quality of care, and patient adherence to tuberculosis treatment in Peru: the mediating role of nurse health education. Patient Prefer Adherence. 2023;17:175-186. doi: 10.2147/PPA.S391930

Hilario J, Soto A, Céspedes B, Arias Y. Organizational climate and quality of care according to professionals from a health center in Huánuco, Peru. Rev Cubana Enferm. 2022;38(2):e5154. Available from: http://www.scielo.sld.cu/pdf/enf/v38n2/1561-2961-enf-38-02-e5154.pdf

Bandyopadhyay S, Pal D, Dasgupta A, Datta M, Paul B. Status of maternal health care services: an assessment study in slums of Kolkata. J Family Med Prim Care. 2020;9(9):4861-4868. doi: 10.4103/jfmpc.jfmpc_688_20

Yitbarek K, Tuji A, Alemayehu YK, Tadesse D, Tadele A, Tsegaye S, et al. Effect of USAID-funded obstetric ultrasound service interventions on maternal and perinatal health outcomes at primary healthcare facilities in Ethiopia: a propensity score matching analysis. BMJ Open. 2022;12(10):e065351. doi: 10.1136/bmjopen-2022-065351

Tiruneh GT, Demissie M, Worku A, Berhane Y. Community’s experience and perceptions of maternal health services across the continuum of care in Ethiopia: a qualitative study. PLoS One. 2021;16(8):e0255404. doi: 10.1371/journal.pone.0255404

Birmeta K, Dibaba Y, Woldeyohannes D. Determinants of maternal health care utilization in Holeta town, central Ethiopia. BMC Health Serv Res. 2013;13:256. doi: 10.1186/1472-6963-13-256

Ekawati FM, Putri DAD, Novitasari DA, Muchlis M. Provision of maternal health service in Indonesian primary care during the COVID-19 pandemic. J Family Med Prim Care. 2023 Jul;12(7):1320-1330. doi: 10.4103/jfmpc.jfmpc_2201_22

Pérez-Escamilla R, Martinez JL, Segura-Pérez S. Impact of the Baby-Friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review. Matern Child Nutr. 2016;12(3):402-417. doi: 10.1111/mcn.12294

Cummins A, Symon A. Transforming the Quality Maternal Newborn Care Framework into an index to measure the quality of maternity care. Birth. 2023 Mar;50(1):192-204. doi: 10.1111/birt.12694

Nuliana W, Lusmilasari L, Rustiyaningsih A. Relationship between mother care behavior and quality of life stunting children in Kota Masohi District, Central Maluku Regency. IJPHRD. 2020;11(8):332-338. doi: 10.37506/ijphrd.v11i8.10945

Aoki A, Mochida K, Kuramata M, Sadamori T, Sapalalo P, Tchicondingosse L, et al. Association between the quality of care and continuous maternal and child health service utilisation in Angola: longitudinal data analysis. J Glob Health. 2023;13:04073. doi: 10.7189/jogh.13.04073

Manu A, Pingray V, Billah SM, Williams J, Kilima S, Yeji F, et al. Implementing maternal and newborn health quality of care standards in healthcare facilities to improve the adoption of respectful maternity care in Bangladesh, Ghana, and Tanzania: a controlled before and after study. BMJ Glob Health. 2023;8(11):e012673. doi: 10.1136/bmjgh-2023-012673

Kujawski SA. Maternal health infrastructure and interpersonal quality of care during childbirth: an examination of facility delivery in Malawi. Matern Child Health J. 2021;25(3):460-470. doi: 10.1007/s10995-020-03081-4

Gao X, Kelley DW. Understanding how distance to facility and quality of care affect maternal health service utilization in Kenya and Haiti: a comparative geographic information system study. Geospat Health. 2019;14(1). doi: 10.4081/gh.2019.690

Gómez Gil C. Objetivos de Desarrollo Sostenible (ODS): una revisión crítica. Papeles de Relaciones Ecosociales y Cambio Global. 2018;140(1):107-118. Available from: https://www.cvongd.org/ficheros/documentos/ods_revision_critica_carlos_gomez_gil.pdf

Hernández C, Cruz J. Hambre cero y alimentación sostenible: el papel de la investigación agraria para el desarrollo: libro de actas. Madrid, Spain: Editorial Agrícola Española; 2019.

Santillán M. Lactancia materna en el neonato críticamente enfermo como calidad en la atención médica. Rev CONAMED. 2018;23(2):55-57. Available from: https://www.medigraphic.com/pdfs/conamed/con-2018/con182a.pdf

Rondón A, Salazar D. Calidad de atención del profesional de enfermería en el servicio de maternidad I del Hospital Universitario Ruiz y Páez, Ciudad Bolívar [Bachelor’s Thesis]. Cumaná, Venezuela: Universidad del Oriente; 2010. Available from: http://ri2.bib.udo.edu.ve/bitstream/123456789/1217/2/18%20Tesis.%20WX9%20R771.pdf

Alvarracin C. Programa de mejoramiento de la calidad de atención en el cuidado de los niños lactantes y preescolares del centro infantil del buen vivir “Virgen de las Mercedes” Santa Isabel, provincia del Azuay, 2012 [Master’s Thesis]. Loja, Ecuador: Universidad Técnica Particular de Loja; 2013. Available from: http://dspace.utpl.edu.ec/handle/123456789/6812

Ministerio de Salud. Control de Crecimiento y Desarrollo (CRED) para menores de 11 años [Internet]. Peru: Gobierno de Peru; 2023. Available from: https://www.gob.pe/32588-control-de-crecimiento-y-desarrollo-cred-para-menores-de-11-anos

Ghanad A. An overview of quantitative research methods. Int J Multidiscip Res Approaches [Internet]. 2023 [cited 2024 Sep 20];6(8):3794-3803. doi: 10.47191/ijmra/v6-i8-52

Nzabonimpa JP. Quantitizing and qualitizing (im-)possibilities in mixed methods research. Methodol Innov. 2018;11(2):205979911878902. doi: 10.1177/2059799118789021

Pereyra L. Metodología de la investigación. Ciudad de México, México: Klik; 2020.

Setia M. Methodology series module 3: cross-sectional studies. Indian J Dermatol. 2016;61(3):261-264. doi: 10.4103/0019-5154.182410

Otzen T, Manterola C. Técnicas de muestreo sobre una población a estudio. Int J Morphol. 2017;35(1):227-232. doi: 10.4067/S0717-95022017000100037

Zeithaml V, Parasuraman A, Berry L. Delivering quality service: balancing customer perceptions and expectations. Nueva York, NY: Simon and Schuster; 1990.

Castillo L. Modelo SERVQUAL de la calidad de servicio y la satisfacción del usuario externo en el Centro de Rehabilitación en Sustancias Psicoactivas del Hospital Hermilio Valdizán, Lima - 2018 [Master’s Thesis]. Piura, Peru: Universidad César Vallejo; 2018. Available from: https://repositorio.ucv.edu.pe/handle/20.500.12692/31268

Obregón J. Conocimientos y prácticas sobre lactancia materna exclusiva de las madres primíparas en un centro materno infantil de Lima, 2018 [Bachelor’s Thesis]. Lima, Peru: Universidad Nacional Mayor de San Marcos; 2019. Available from: https://hdl.handle.net/20.500.12672/10376

Ferrando P, Anguiano-Carrasco C. El análisis factorial como técnica de investigación en psicología. Pap Psicol. 2010;31(1):18-33. Available from: https://www.papelesdelpsicologo.es/pdf/1793.pdf

Akoglu H. User’s guide to correlation coefficients. Turk J Emerg Med. 2018;18(3):91-93. doi: 10.1016/j.tjem.2018.08.001

Gil-Estevan D, Solano-Ruiz C. Diversidad cultural y lactancia materna: prestación de cuidados culturalmente competentes en Atención Primaria. Index Enferm [Internet]. 2017 [cited 2024 Sep 20];26(3), 162-165. Available from: https://www.index-f.com/index-enfermeria/v26n3/11021.php

Debnath F, Mondal N, Deb AK, Chakraborty D, Chakraborty S, Dutta S. Determinants of optimum exclusive breastfeeding duration in rural India: a mixed method approach using cohort and content analysis design. Int Breastfeed J. 2021;16(1):13. doi: 10.1186/s13006-021-00359-3

Shanmugam J, Kumar M, Jayaraj NP, Rajan P. Maternal experiences during pregnancy, delivery and breastfeeding practices: a community-based analytical cross-sectional study. Indian J Community Med. 2024;49(3):532-538. doi: 10.4103/ijcm.ijcm_636_22

Feltner C, Weber RP, Stuebe A, Grodensky CA, Orr C, Viswanathan M. Breastfeeding programs and policies, breastfeeding uptake, and maternal health outcomes in developed countries [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 [cited 2023 Dec 16]. AHRQ Comparative Effectiveness Reviews. Available from: http://www.ncbi.nlm.nih.gov/books/NBK525106/

Squizato L, Silva ADD, Martinelle E, Machineski GG, Toso BRGDO, Viera CS. Autoeficacia materna en la atención al recién nacido prematuro y del mantenimiento de la lactancia materna. Cogitare Enferm. 2023;28:e87287. doi: 10.1590/ce.v28i0.87287

Hoyt-Austin AE, Phillipi CA, Lloyd-McLennan AM, King BA, Sipsma HL, Flaherman VJ, et al. Physician personal breastfeeding experience and clinical care of the breastfeeding dyad. Birth. 2024;51(1):112-120. doi: 10.1111/birt.12772

Decety J, Fotopoulou A. Why empathy has a beneficial impact on others in medicine: unifying theories. Front Behav Neurosci [Internet]. 2015 [cited 2024 Sep 20];8:457. doi: 10.3389/fnbeh.2014.00457

Dumphy D, Thompson J, Clark M. A breastfeeding quality improvement project in rural primary care. J Hum Lact. 2016;32(4):633-641. doi: 10.1177/0890334416662240

Bartick M, Stuebe A, Shealy KR, Walker M, Grummer-Strawn LM. Closing the quality gap: promoting evidence-based breastfeeding care in the hospital. Pediatrics. 2009;124(4):e793-802. doi: 10.1542/peds.2009-0430

Pallás C, Soriano J, Colomer J, Cortés O, Esparza J, Sánchez-Ventura J, et al. Apoyo a la lactancia materna en atención primaria. Pediatr Aten Primaria. 2019;21(82):191-201. Available from: https://scielo.isciii.es/pdf/pap/v21n82/1139-7632-pap-21-82-191.pdf

Ashinyo M, Duti V, Dubik S, Amegah K, Alhassan R. Experiences of postnatal mothers with quality of care, including water, sanitation, and hygiene amenities during the outbreak of COVID-19 in Ghana: an institutional cross-sectional study. Public Health Pract (Oxf). 2023;5(1):1-11. doi: 10.1016/j.puhip.2023.100361

Published

2024-11-04

How to Cite

Flores Raymondi, K. M. (2024). Breastfeeding Practices and Care Among Mothers in a Primary Health Facility. Enfermería: Cuidados Humanizados, 13(2), e3923. https://doi.org/10.22235/ech.v13i2.3923