EFFECT OF NURSING INTERVENTION PROGRAMME ON BREASTFEEDING RELATED PROBLEMS AMONG THE NURSING MOTHERS IN TWO SELECTED PRIMARY HEALTH CARE CENTRES IN KADUNA SOUTH, NIGERIA
ABSTRACT
This study focused on the effect of nursing intervention on breastfeeding related problems among nursing mothers in two selected primary health care centers in Kaduna south, Nigeria. Breastfeeding is a process of feeding babies with breast milk from the mothers’ breast and that does not mean it is always easy. It was observed during the clinical posting that many breastfeeding mothers that attended this primary health care centers encountered a lot of challenges in the course of breastfeeding their babies hence many stopped breastfeeding at early stage .The broad objective of this study therefore is to determine the effect of nursing intervention on breastfeeding related problems among nursing mothers.
The study adopted a pretest posttest quasi experimental design. The population of the nursing mothers is 185 on the average per visit. The sample size consists of 36 nursing mothers, which was determined using Lesley Kish formula while the sampling technique used was simple random technique and purposive sampling technique. Simple random technique was used to select the Southern senatorial district from the three senatorial districts in Kaduna State which are Kaduna North, Kaduna South and Kaduna Central. There after purposive sampling technique was used to select two primary health care centers among the twenty PHCS in Kaduna South. Data was collected with the use of a reliable self-constructed questionnaire before and after the training.Cronbach Alpha was used to determine the reliability of the questionnaire (r=0.990)The training Programme consists of four modules and the training lasted for four weeks. The training comprises of four stages: pre-intervention stage, week 1, week 2, week 3, week 4 and administration of post-test. The study generated four research questions and the three hypotheses which were tested at 0.05 alpha levels. Data were analyzed using descriptive statistics, and t-test.
Demographic data of participants showed that majority of the maternal respondents with children numbering between 1 and 2 were 28(77.75%) had the highest percentage. The highest educational attainment of the respondent was secondary school (100%). The Igbo’s 16, (44.4%) had the highest percentage among the tribes. Majority (52.8%) of the nursing mothers have poor knowledge on adequate breastfeeding positioning, 14 (38.8%) of the participants had moderate level of knowledge on procedure for breastfeeding. 17 (47.2%) of the participants had moderate knowledge level of breast engorgement,). Majority 21 (58.4%) of the participants had moderate level of knowledge on sore nipples. Significant differences were found between the pre and post intervention in the following areas; on adequate positioning for effective latch-on (p=0.009), on procedure for breastfeeding (p=0.011), on breastfeeding problems (p=0.001).
In conclusion, the training was effective in improving the level of knowledge of breastfeeding mothers on breastfeeding related problems and its prevention. Based on the findings, it is recommended that the government should help in minimizing this breastfeeding related problems by organizing seminars, workshop and extension services to enlighten women on breastfeeding problems and early prevention
Keywords: Knowledge, Effectiveness, Breastfeeding related problems, Latching-on