Open AccessUsing cognitive‐behavioural techniques to improve exclusive breastfeeding in a low‐literacy disadvantaged population
Author(s) -
Rahman Atif,
Haq Zaeem,
Sikander Siham,
Ahmad Ikhlaq,
Ahmad Mansoor,
Hafeez Assad
Publication year - 2012
Publication title -
maternal and child nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 63
eISSN - 1740-8709
pISSN - 1740-8695
DOI - 10.1111/j.1740-8709.2011.00362.x
Subject(s) - medicine , breastfeeding , disadvantaged , cognition , literacy , population , health literacy , cognitive skill , gerontology , pediatrics , environmental health , psychiatry , economic growth , health care , economics
Despite being an important component of Pakistan's primary health care programme, the rates of exclusive breastfeeding at 6 months remain among the lowest in the world. Low levels of literacy in women and deeply held cultural beliefs and practices have been found to contribute to the ineffectiveness of routine counselling delivered universally by community health workers in Pakistan. We aimed to address this by incorporating techniques of cognitive‐behavioural therapy (CBT) into the routine counselling process. We conducted qualitative studies of stakeholders' opinions (mothers, community health workers, their trainers and programme managers) and used this data to develop a psycho‐educational approach that combined education with techniques of CBT that could be integrated into the health workers' routine work. The workers were trained to use this approach and feedback was obtained after implementation. The new intervention was successfully integrated into the community health worker programme and found to be culturally acceptable, feasible and useful. Incorporating techniques of CBT into routine counselling may be useful to promote health behaviours in traditional societies with low literacy rates.