Empower parents, enable breastfeeding: a behavioral change communication exercise conducted at a community health centre of Haryana

Aravind Gandhi Periyasamy, Nairita Dalui, Arun K. Aggarwal, Sanjeev Goyal, Rupa Jain


In India, only 41.6% of the children are breastfed within 1 hour and 54.9% of the children are exclusively breastfed till 6 months. In order to promote breastfeeding, the first week of August is being observed as World Breastfeeding week. We organized a brainstorming session followed by an Interactive, audio-visual health education event on breastfeeding for the pregnant women and their household members at a Community Health Centre (CHC) in Haryana, during that week. A behavior change communication (BCC) session was held on 1st August 2019 at the Antenatal clinic of the CHC. Target population was the pregnant, lactating mothers and their household members. Needs assessment was done to assess their current knowledge, attitude and needs about the breastfeeding and breast milk, by interacting with them and posing questions. Based on the above needs assessment exercise, we delivered a health education session. The household members were enlightened about their role in breastfeeding. The behavior change communication exercise, tailored to local population and conducted by us would have improved the knowledge, attitude of the pregnant women and their family members towards breastfeeding, and in turn will improve the practice in near future. The exercise is replicable in other settings, by tailoring it according to the local needs.


Breastfeeding week, Breast milk, Good feeding practices, Behavior change communication

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Lal V, Rai SK. The culture of bottle-feeding. Indian Assoc Prev Social Med. 2009;34:247.

Breastfeeding: Impact on child survival and global situation. UNICEF. Available at https://www.unicef. org/nutrition/index_24763.html#targetText=Breastfeeding%20also%20lowers%20the%20risk,adulthood%20than%20formula%2Dfed%20babies. Accessed 11th September 2019.

Guidelines for Enhancing Optimal Infant and Young Child feeding practices, Ministry of Health & Family Welfare.

India Fact sheet: National Family Health Survey 4. International Institue for Population Sciences.

Mahmood SE, Srivastava A, Shrotriya VP, Mishra P. Infant feeding practices in the rural population of north India. J Family Community Med. 2012;19:130.

Mothers Absolute Affection. Ministry of Health & Family Welfare. Available at MAA/Operational_Guidelines.pdf. Accessed 11th September 2019.

Breastfeeding. World Health organisation. Available at _breastfeeding/en/.. Accessed 11th September 2019.

Benefits of Bresatfeeding, UNICEF. Available at Accessed 11th September 2019.

Exclusive Breastfeeding in India: Trends and Data Gaps. POSHAN. Available at https://poshan.ifpri. info/2017/08/04/exclusive-breastfeeding-in-india-trends-and-data-gaps/. Accessed 11th September 2019.

Saqib N, Qazi M. Factors associated with exclusive breastfeeding in the first six months of life in Northern India. 2018. 2018;5:6.

Chinnasami B, Sundar S, Kumar J, Sadasivam K, Pasupathy S. Knowledge, attitude and practices of mothers regarding breastfeeding in a South Indian Hospital. Biomed Pharmacol J. 2016;9:195-9.

Kishore MSS, Kumar P, Aggarwal AK. Breastfeeding knowledge and practices amongst mothers in a rural population of North India: a community-based study. J Tropical Pediatr. 2008;55:183-8.

Gupta M, Aggarwal AK. Feasibility study of IMNCI guidelines on effective breastfeeding in a rural area of North India. Indian Assoc Prev Social Med. 2008;33:201.

14. Kaur. M. Work Load On Nurses And It’s Impact On Patientcare. IOSR J Nurs Health Sci. 2017;6:22–6.

The health workforce in India. World Health Organisation. Available at resources/16058health_workforce_India.pdf. Accessed 11th September 2019.

Mithani Y, Premani ZS, Kurji Z, Rashid S. Exploring fathers’ role in breastfeeding practices in the urban and semiurban settings of Karachi, Pakistan. Journal Perinatal Educ. 2015;24:249-60.

Breastfeeding mothers need peer counselling. World Health Organisation. Available at http://www.euro. news/2013/08/breastfeeding-mothers-need-peer-counselling. Accessed 11th September 2019.