Changes in paternal knowledge, attitudes and practices in supporting the frst 6 months’ exclusive breastfeeding: Results of a community-based intervention applied social cognitive theory

Tóm tắt

Objectives: This study evaluates the results of the health education intervention aimed at improving paternal knowledge, attitudes and practices toward exclusive breastfeeding (EBF) and also involvement in supporting EBF

Methods: A quasi-experimental design was used. At baseline, 390 and 412 pregnant women and their husbands were enrolled into the intervention and control groups, respectively. The 1-year intervention applied social cognitive theory targeting fathers included mass media, game show-style community events, group and individual counseling and home visits. 

Results: Fathers in the intervention group had higher BF knowledge scores and higher attitude scores reflecting more positive attitudes toward EBF for 6 months, self-effcacy, belief and social norms in practicing EBF. They were also more likely to report active involvement in supporting mothers to practice EBF through direct and indirect supporting activities.

Conclusion: The community-based education model should be maintained in a package and considered for conducting further evaluation in wider application to mobilize fathers of intact families in supporting EBF.

Key words: Fathers; knowledge; attitude and practice; Breastfeeding; social cognitive theory