Evaluating a DOHaD-informed breastfeeding education programme for adolescents in rural South African schools.
Background: Breastfeeding is essential for infant survival and health, yet South Africa's exclusive breastfeeding rates remain below global targets, with adolescents, future parents, and influencers seldom engaged in breastfeeding education. Methods: A quasi-experimental design study was conducted w...
| Publicado en: | South African Journal of Clinical Nutrition Vol. 39; no. 2; pp. 116 - 122 |
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| Autores principales: | , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194673472&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194673472 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16070658 39WI jtl: South African Journal of Clinical Nutrition issn: 16070658 maglogo: N pubinfo: dt: Jun2026 vid: 39 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 194673472 192614675 194673472 194673472 10.1080/16070658.2026.2645369 194673472 ppf: 116 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluating a DOHaD-informed breastfeeding education programme for adolescents in rural South African schools. aug: au: Mukoma, Gudani Goodman Golele, Nkhensani Precious Maswanganyi, Tinstwalo Doreen Macnab, Andrew affil: Faculty of Health Sciences, Department of Biokinetics, Recreation and Sport Science, University of Venda, Thohoyandou, South Africa sug: subj: Breast Feeding Education Health Knowledge Evaluation Rural Health Services Program Evaluation Learning Environment Disease Health Schools South Africa Public Sector Human Male Female Adolescence Adult Funding Source Quasi-Experimental Studies Pretest-Posttest Control Group Design South Africa Students, High School World Health Organization Practice Guidelines Paired T-Tests McNemar's Test Chi Square Test Sexual Dimorphism Unpaired T-Tests Logistic Regression Data Analysis Software Descriptive Statistics Odds Ratio Confidence Intervals Clinical Trials Parental Role Community Support Family Support Health Promotion Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Background: Breastfeeding is essential for infant survival and health, yet South Africa's exclusive breastfeeding rates remain below global targets, with adolescents, future parents, and influencers seldom engaged in breastfeeding education. Methods: A quasi-experimental design study was conducted with 119 Grade 11 and 12 learners in two rural South African public schools. A standardised 40-minute education session, based on WHO guidelines and the Developmental Origins of Health and Disease (DOHaD) framework, was delivered in English and Tshivenda during regular school hours. Breastfeeding knowledge was assessed using a 10-item questionnaire administered before and after the intervention. Preferences for breastfeeding benefits were ranked post-intervention. Statistical analyses involved paired t-tests, McNemar's test, chi-square tests, and logistic regression. Results: Breastfeeding knowledge scores improved significantly, rising from a mean score of 6.45 ± 1.3–7.53 ± 1.2 (p < 0.001), with a large effect size (Cohen's d = 0.83). Notable changes were observed in awareness of fathers' roles in breastfeeding (54% to 83%, p < 0.001) and in awareness of the benefits for fathers (17% to 66%, p < 0.001). Adolescents found maternal (38.7%) and paternal (30.3%) benefits most interesting. Female sex was identified as a significant predictor of high engagement, defined as rating two or more breastfeeding benefit categories as most interesting (OR = 1.80, 95% CI: 1.05–3.20, p = 0.04) Conclusion: A brief classroom intervention improved adolescents' understanding and involvement in breastfeeding, emphasising parental roles. Integrating DOHaD-informed education in secondary schools may strengthen family and community support for breastfeeding in rural South Africa. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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