Good Knowledge Of Exclusive Breastfeeding Research Articles

Demystifying Barriers to and Drivers of Exclusive Breastfeeding Practice – A Cross-Sectional Study Among Mothers & Caregivers of Children Under 5 in Kaduna State, Nigeria.

This study presents findings from a cross-sectional survey conducted among mothers and caregivers of children under 5 in Kaduna State, Nigeria. Out of the 1647 collected questionnaires, 77.5% were validated for analysis. Results reveal that 53.3% of the women were aged 20-29 years, with older adolescent mothers (18-19 years) comprising 7.8%. The majority were married (97.8%), and over two-thirds had at least primary education (69.5%). While 54.5% identified as housewives, 28.7% engaged in petty trading, and 12.3% pursued farming full-time. Table 2 in the appendix indicates good knowledge of exclusive breastfeeding (EBF) practices, with 88.4% knowing breastfeeding should start immediately after birth. However, EBF prevalence was only 33.3%, higher among women with more than secondary education (43.2%) and those aged 20-29 years (35.4%). Positive perceptions toward EBF were evident, but misconceptions persisted, impacting practice. Social norms influenced some contradictory behaviors, such as early introduction of water (51%).

Exclusive breastfeeding knowledge and practice among nursing mothers in selected healthcare facilities in Kaduna Metropolis, Nigeria.

Exclusive breast feeding (EBF) in the first six months of life is recognized as an indispensable component of survival, physical and mental development of children. Despite the enormous benefits of EBF, only 39% of infants less than 6 months of age are exclusively breastfed globally. This study assessed EBF knowledge, practice and associated factors among nursing mothers attending health facilities in Kaduna metropolis. Descriptive and cross-sectional study carried out with the aid of a structured questionnaire at the Barau Dikko Teaching Hospital and Gwamna Awwal General Hospital in Kaduna. The participants were recruited by simple random sampling technique with the assistance of trained research assistants for four consecutive weeks in each of the hospital. Data were analysed using SPSS version 16. Majority of the participants were in the age range of 21-30 years. Their main source of information on breastfeeding was from ante-natal clinics (78.3%). Most (86.6%) of the participants had a good knowledge and awareness about EBF, 69.1% of them initiated breastfeeding immediately after birth (within an hour) and 70% of the participants practiced EBF. Insufficient milk, belief that infants require extra fluid, fear of alteration in the breast figure, cultural practice and societal beliefs were identified as the most common barriers to the practice of EBF. Findings from this study showed that most of the participants had a very good knowledge of EBF and are practicing it.

Factors affecting exclusive breastfeeding practices among working-class women in Osun State, Nigeria.

Breastfeeding has been accepted as the most vital intervention for reducing infant mortality and ensuring optimal growth and development of children. However, studies on the factors affecting exclusive breastfeeding, especially, among working-class women are sparse. This study determined the factors affecting exclusive breastfeeding among working-class women in Osun state. Multistage sampling was used to select a total of 316 respondents for this cross-sectional study and a pretested, interviewer-administered questionnaire was used to elicit information. More than half (57.6%) of the respondents were between the ages of 26-35 years. Ninety-eight percent (98.1%) of the respondents had good knowledge of exclusive breastfeeding (EBF). Sixty-six percent (66.8%) had good exclusive breastfeeding practices. The study showed that there was a significant relationship between knowledge and practices of exclusive breastfeeding among the respondents (P<0.05). Identified factors affecting exclusive breastfeeding among the respondents are: duration of maternity leave, availability of crèche near the place of work, breastfeeding break at work, husband and family support, health conditions that could hinder EBF, and engagement in other activities with work. Breastfeeding breaks at work (AOR=4.717; P=0.000), husband and family support (AOR=2.944; P=0.000), and one-month maternal leave (P=0.000) were factors significantly associated with EBF practices. We conclude that good knowledge and good practices of exclusive breastfeeding were found among the study group. Improved policies around maternity leave and the provision of breastfeeding friendly work environment are needed to increase exclusive breastfeeding practices. Husbands and family members should be educated on the need to provide support to breastfeeding mothers.

Mother's Knowledge About Exclusive Breastfeeding in Toddlers

Growth is an important component in assessing nutritional status and can be used to indicate the health or well-being of individuals and their populations. Growth disruption is still a health problem in Indonesia. This study aims to determine the mother's knowledge about exclusive breastfeeding in toddlers. Quantitative research methods with a descriptive approach. The results showed that 17 respondents were knowledgeable (56.7%). The conclusion is that most respondents have a fairly good knowledge of Exclusive Breastfeeding. This is supported by the level of Repondent Education, which is the level of High School Education. The more a person's level of education is, the easier it is to receive information, so the more knowledge he has

Edukasi Mengenai Pentingnya ASI Eksklusif melalui Metode Ular Tangga

The exclusive breastfeeding coverage in Panca Makmur Village has not met the target. Based on a situation analysis from collected data, it was found that the coverage of exclusive breastfeeding in Panca Makmur Village was only 50.7%, while the coverage of exclusive breastfeeding in Dusun 3 was only 38.9%. The aim of this study was to educate pregnant women on the importance of exclusive breastfeeding. The intervention involved a pre-test followed by a snakes and ladders game and a post-test. The evaluation of the post-test questionnaire revealed an increase in pregnant women's knowledge. After the counseling activities, the proportion of participants with good knowledge of exclusive breastfeeding increased from 20% to 80%. These findings suggest that periodic counseling by the village midwife can improve awareness of exclusive breastfeeding among mothers who may not know its importance and may neglect their child's needs.

Factors associated with the practice of exclusive breastfeeding among mothers of children aged 6 to 12 months in Kaolack (Senegal)

the World Health Organization (WHO) recommends immediate and exclusive breastfeeding in order to reduce malnutrition and neonatal mortality. The purpose of this study was to determine the prevalence of exclusive breastfeeding (EBF) and to identify its associated factors among mothers of children aged 6 to 12 months in Kaolack. we conducted a cross-sectional descriptive and analytical study. The study was conducted from July 8th, 2020 to February 8th, 2021. Multivariate analysis was performed using the logistic regression model. The target population consisted of mothers of children aged 6 to 12 months residing in the city of Kaolack and met during vaccination sessions. a total of 400 women were enrolled in the study. Among them, 51.8% practiced EBF according to the WHO recommendations. The average age of mothers was 27.42 years; 56.3% were housewives and 82.7% have done at least 4 antenatal care (ANC). Logistic regression showed an association between EBF and the following factors: age < 25 years (OR=2.03 CI 95% [1.23-3.36]), receiving advice on EBF during ANCs (OR=2.92 CI 95% [1.70-5.01]), receiving advice on EBF during postnatal care (PNC) (OR=4.33 CI 95% [2.51-7.45]), the permanent presence of mother with her baby (OR=3.97 CI 95% [1.99-7.91]), and a good knowledge of EBF (OR=4.54 CI 95% [1.96-10.51]). these modifiable factors can help improve the practice of EBF in the city of Kaolack.

Relationship between Knowledge, Attitude and Family Support with Exclusive Breastfeeding

Exclusive breastfeeding is an important factor in infants, especially early breastfeeding (colostrum) because it's rich in antibodies which have an effect on reducing the risk of death. Government efforts to support an increase in exclusive breastfeeding have issued agreements or various recognition both globally and nationally aimed at protecting, and supporting breastfeeding. This is in accordance with the Sustainable Development Goals (SDGs) of the three second targets, namely 2030, ending preventable infant and under-five mortality. This study aims to determine the relationship between knowledge, attitudes and family support simultaneously with exclusive breastfeeding at Sungai Menang Health Center, Ogan Komering Ilir Regency in 2021. An analytical survey research with cross sectional. The population in this study were mothers who had babies aged 7-12 months totaling 389 respondents and the sample size was determined by the slovin formula. Obtained a sample of 79 respondents, the sample was taken by purposive sampling technique. Data analysis used chi square statistical test with research results p value value (0.05). The results of this study were from 33 respondents who had good knowledge of exclusive breastfeeding as many as 22 respondents (66.7%) with p value = 0.003, 31 respondents who got a positive attitude with exclusive breastfeeding as many as 19 respondents (61.3%) p value = 0.04, meanwhile, 26 respondents who received family support by exclusive breastfeeding were 19 respondents (73.1%) p value = 0.001. Midwives are expected to increase counseling and socialize the exclusive breastfeeding program to the community.

Knowledge and Practice of Exclusive Breastfeeding among Working-Class Mothers in Rumuigbo Community, Obio Akpo Local Government Area of Rivers State

This study was carried out in Rumuigbo Community, Obio/Akpor Local Government Area in Rivers State on the knowledge and practice of Exclusive Breastfeeding by Working class mothers. Objectives of the study were to determine if the working class mothers in Rumuigbo community know the benefits of exclusive breastfeeding, to ascertain if the nature of their jobs limits the practice of exclusive breastfeeding by working-class mothers, to ascertain the level of practice of exclusive breastfeeding and to ascertain the perception of working-class mothers in Rumuigbo community towards the practice of exclusive breastfeeding. The objectives were translated into research questions. One null hypothesis was formulated, there will be no significant relationship between knowledge and practice of exclusive breastfeeding by working-class mothers in Rumuigbo community. Literature were reviewed in line with the objectives of the study. Purposive random sampling technique was used to select the sample of 100 nursing mothers from the target population of 200. The instrument used for the study was a self-constructed questionnaire which consisted of two (2) different sections. Section “A” contains the personal data of respondents and Section B contained questions constructed to elicit answers on the research variable. Data were obtained from 85 respondents out of the sample size of 100. The research questions and hypothesis formulated revealed the information needed. Percentages, tables and figures were used to present the findings of the research while the chi-square (X2) statistical tool was used to test the hypothesis at alpha level of 0.05% significance. It was discovered that the majority of working-class mothers have a good knowledge of exclusive breastfeeding but do not practice it effectively. Based on the findings, the following recommendations were made: health workers especially nurses and midwives in union with Government and Organizations should map out strategies to support, promote and encourage working-class mothers to practice exclusive breastfeeding in our society. Members of the families of working-class mothers should support and assist in feeding infants with expressed milk when the mothers are away. The need for further studies such as: the effectiveness of exclusive breastfeeding in the reduction of infantile infections was also suggested.

Cadre Empowerment and Exclusive Breastfeeding Assistance for Pregnant Women in Sempor Village, Sempor District, Kebumen

Breast milk is the ideal food for babies. Preparation for exclusive breastfeeding should start during pregnancy. The success of exclusive breastfeeding requires a lot of support from husband and family. Health volunteers are the spearhead of providing health information in the village so it is necessary to empower health volunteers in the socialization of exclusive breastfeeding to pregnant women. The purpose of the activity is to empower health volunteers regarding the importance of exclusive breastfeeding so that they can provide assistance on exclusive breastfeeding for pregnant women. The method of activity is to empower health volunteers about exclusive breastfeeding. Pre-test and post-test were carried out before the activity as an evaluation. The tools and materials used are LCD, screen, leaflet, questionnaire. A sample of 15 health volunteers. The results, before empowering health volunteers there were 8 health volunteers with sufficient knowledge of exclusive breastfeeding (53%) and 2 health volunteers with good knowledge of exclusive breastfeeding (13.3%). After empowering health volunteers, there was an increase in the knowledge of health volunteers, namely 13 health volunteers had good knowledge of exclusive breastfeeding (86.6%) and the remaining 2 health volunteers had sufficient knowledge (13.3%). At the mentoring stage, 15 health volunteers managed to provide assistance to 15 pregnant women who were willing to prepare themselves during pregnancy to provide exclusive breastfeeding to their babies after birth. The conclusion is that there is an increase in knowledge of health volunteers after empowering health volunteers so that pregnant women get assistance in preparing exclusive breastfeeding.

Breastfeeding Practices Among Infants and Young Children in Bushenyi, Uganda: Influence of Maternal Knowledge and Occupation

Breastfeeding has proven to be a reference standard for infants’ and young children nutrition worldwide. Improvement of breastfeeding rates is important if lives of under-five age children are to be saved yearly. In Uganda, malnutrition remains a serious health problem contributing significantly to both infant and child mortality and this has been attributed to low levels of breast feeding practices. The objective of this study was to assess the influence of knowledge and occupation of mothers on breastfeeding practices of infants and young children in Bushenyi, Uganda. A heath facility-based cross-sectional study was conducted among lactating mothers who attended Kyabugimbi health center IV, Ishaka Adventist Hospital and Kampala International University-Teaching Hospital (KIU-TH). Data was collected using a self-administered structured questionnaire from 346 participants. Majority (87.6%) of the participants had knowledge of the right time to initiate breast milk, majority (87.3%) and (93.9%) had good knowledge of exclusive breastfeeding and complementary feeding duration respectively. Majority (87.6%) of the mothers initiated breast milk within 1 hour of child birth. Only 31.9% of children above 6 months were exclusively breastfed. Majority (81.9%) of the mothers practiced complementary breastfeeding for at least 2 years. House wives have 42% [OR: 1.42, 95% (1.31-3.88) x²=0.79] higher odds to practice breastfeeding while mothers whose occupation is studentship have 2 times [OR: 2.04, 95% (1.31-3.88) x²=1.767] higher odds to practice breastfeeding optimally. Young children in Bushenyi district are at risk of malnutrition and childhood diseases as breastfeeding practices especially exclusive breastfeeding do not meet the national and WHO target and recommendation given that only three in ten children were exclusively breastfed. A combination of rural health outreaches and health education could be a possible option for the improvement of breastfeeding practices in the region.

Knowledge, Practice and Problems of Exclusive Breastfeeding among Mothers Attending the Outpatient Clinic of a Baby Friendly Hospital Initiative Designated Hospital in Port Harcourt, Nigeria

Background: Exclusive breastfeeding (EBF) provides all an infant requires for optimal growth and development in the first six months of life. Although most babies are breastfed in Nigeria, only 23% are exclusively breastfed. This study was carried out to ascertain the knowledge, practice and problems associated with EBF amongst mothers attending the Rivers State University Teaching Hospital (RSUTH).&#x0D; Methods: A 5-month cross sectional study was carried out in the Paediatric outpatient clinic (POPC) of RSUTH. A total of 343 mothers were randomly recruited and a pre-tested structured questionnaire administered after obtaining informed consent.&#x0D; Results: Ninety eight percent of the mothers had heard of EBF, 88% knew of its content and 80.2% knew that the duration of EBF was for 6 months. Only 46.4% exclusively breastfed their babies for 6 months and about 66% of participants knew of its benefits to both mother and child. Breastfeeding was commenced within 1 hour of delivery by 40.8% of mothers and pre-lacteal feeds given by 34.1% of mothers. Tertiary education, attending antenatal clinic and hospital delivery were significantly associated with good knowledge of EBF, while hospital delivery and multiparous women with at least 4 pregnancies were significantly associated with good EBF practice. Common challenges to EBF were perception that breast milk was insufficient for the babies (17.5%) and the need for mothers to return to work (9.3%).&#x0D; Conclusion: Knowledge of EBF was high among mothers attending the POPC in RSUTH but the EBF rate was suboptimal. Increased health education on the importance of EBF, the provision of creches at work places and the extension of maternity leave is advocated.

The acceptance and practice of exclusive breastfeeding by female health professionals: Our experience in a tertiary health facility

Introduction: Exclusive breastfeeding (EBF) is the feeding of infants with breast milk alone in the first 6 months of life. EBF is an important component of the child survival strategy and the Baby-Friendly Initiative. Exclusively breastfed babies are often at lower risk of diarrhea disease and respiratory tract infection, and they have a better growth pattern. Over the years, there has been a progressive decline in the acceptance of EBF by breastfeeding mothers; this study, therefore, sought to determine the acceptance of EBF among health workers. Materials and Methods: This was cross-sectional and descriptive study involving female health workers who had children while working with Federal Medical Centre, Birnin Kebbi, Kebbi State, Nigeria; it was conducted between October 2017 and December 2017. Female health workers comprising doctors, nurses, pharmacists, and laboratory scientists/technicians were recruited. Pretested, structured, and self-administered questionnaires were used. Results: One hundred and twenty-three respondents were recruited for this study, and 95.1% of the respondents were aware of EBF. Among those who were aware of EBF, 61 (52.1%) correctly defined it and 82 (70.1%) practiced EBF, while among non-EBF mothers, the most common reason for not practicing EBF was the demands of their work; however, only 3 (7.3%) had good knowledge of EBF. Majority of the respondents from the clinical departments practiced EBF, and this observation was statistically significant (χ2 = 11.382, df = 4, P = 0.021). Most of the respondents from the surgery and obstetrics and gynaecology (O and G) departments could not correctly define EBF; this observation was also statistically significant (χ2 = 11.642, df = 4, P = 0.019). Conclusion: Most of the respondents in this study were aware and also practiced EBF; however, their knowledge base of EBF was dismally poor, especially those in the surgery and O and G departments .

Knowledge, attitude and support for exclusive breastfeeding among bankers in Mainland Local Government in Lagos State, Nigeria

BackgroundBreastfeeding is a recognized means of ensuring optimal nutrition for the infant. Exclusive breastfeeding is defined as feeding an infant child breast milk only, and for optimal nutrition it is recommended that infants be exclusively breastfed for the first 6 months of life. Without workplace support, exclusive breastfeeding is difficult for working mothers who return to work. The aim of this study was to examine the knowledge, attitude, and support for exclusive breastfeeding among female bank workers in Lagos, Nigeria.MethodsThis was a cross-sectional descriptive study. A total of 210 mothers from all banks in Mainland Local Government, Lagos State were selected using systematic sampling, with a response rate of 95%, so we had 200 respondents. A pretested, structured, self-administered questionnaire adapted from previous studies was used for data collection.ResultsThe mean age of the respondents in this study was 33 years (range 21- 50 years). Of the 200 respondents 188 (94%) had a good knowledge of exclusive breastfeeding and 173 (86.5%) of them reported that the hospital was their source of information. More than 180 (90%) respondents had a positive attitude towards exclusive breastfeeding. Exclusive breastfeeding was practiced by 112 (56%) of the respondents, however, only 57 (28.5%) practiced exclusive breastfeeding for up to 6 months postdelivery. The major source of breastfeeding support came from the baby’s father for 88 (44%) respondents while the least breastfeeding support came from the workplace for three (1.5%) respondents. The duration of maternity leave was mostly 3 months, and less than 20 (10%) respondents reported having support for breastfeeding at the workplace.ConclusionsIn spite of the good knowledge of exclusive breastfeeding among the respondents as well as their positive attitude, the exclusive breastfeeding rate up to 6 months postpartum was very low. This may be related to the inadequate breastfeeding support from the various support systems especially in the workplace, as demonstrated in this survey. There should be advocacy for a government policy for a mandatory 6 month maternity leave for all working mothers.

Increases Knowladge Exclusive Breastfeeding at Mother in Makassar

Breast milk is the best food for babies because it contains all the necessary nutrients the baby needs in an appropriate amount and immunologic substances that protect the baby from infection. This is due to the presence of antibodies contained in ASI colostrum. Breast-fed baby can regulate energy intake associated with internal response in realizing the sense of satiety. The purpose of this study to determine the description of the level of knowledge and work with exclusive breastfeeding to mothers in Makassar. The design of this study is an analytical study using cross sectional design. Quantitative data is then analyzed descriptively in the distribution of frequency characteristics of mothers who have children 7-12 months. Chi square analysis was used to compare categorical data of influence including knowledge and work status on exclusive breastfeeding using chi square test with the help of computer program. Good knowledge of respondents about exclusive breastfeeding (67.9%) and knowledge of exclusive breastfeeding (32.1%). Distribution of working mother (54%) and distribution of unemployed mother (45,7%). Mothers who do not work choose not breastfeeding as much as 37.8%. Knowledge of the mother's exclusive breastfeeding is related to maternal actions to exclusively breastfeed to infants in Makassar. Maternal occupations are not related to maternal action to exclusively breastfeed to infants in Makassar. The conclusions of the study show that good knowledge of exclusive breastfeeding increases exclusive breastfeeding.

Predictors of knowledge and practice of exclusive breastfeeding among health workers in Mwanza city, northwest Tanzania.

BackgroundUniversal exclusive breastfeeding (EBF) for the first 6 months is estimated to reduce infant mortality by 13–15% (9 million) in resource poor countries. Although 97% of women initiate breastfeeding in Tanzania, exclusive breastfeeding for 6 months remains below 50%. Accurate knowledge and practical skills pertaining to exclusive breastfeeding among health workers is likely to improve breastfeeding rates. Our study reports the health workers’ knowledge and practice on EBF in Mwanza City, northwest of Tanzania.MethodsOne principal researcher and two research assistants conducted data collection from 11 June–6 July 2012. In total, 220 health care workers including: 64 clinicians (medical specialists, residents, registrars, assistant medical officers and clinical officers) and 156 nurses were interviewed using a structured knowledge questionnaire. Amongst 220 health workers, 106 were observed supporting Breastfeeding using a checklist. Logistic regression was used to determine factors associated with exclusive breastfeeding knowledge and desirable skills.ResultsAlmost half of the 220 health workers interviewed correctly described EBF as defined by the World Health Organization. Only 52 of 220 respondents had good knowledge. In the adjusted analysis, working at hospital facility level compared to dispensary (OR 2.1; 95% CI 1.1–4.0, p-value = 0.032) and attending on job training (OR 2.7; 95% CI 1.2–6.1, p-value = 0.015) were associated with better knowledge. In total, 38% of respondents had a desirable level of practical skills. Clinicians were more likely to have good practice (OR 3.6; 95% CI 1.2–10.8; p-value = 0.020) than nurses. Most of the health workers had no training on EBF, and were not familiar with breastfeeding policy.ConclusionLess than 25% of healthcare workers surveyed had good knowledge of EBF. These findings identify the need for comprehensive training and mentoring of health workers on exclusive breastfeeding, making breastfeeding policies available and understood, along with supportive supervision and monitoring.Electronic supplementary materialThe online version of this article (doi:10.1186/s12912-016-0192-0) contains supplementary material, which is available to authorized users.

Exploring the barriers to exclusive breastfeeding in Ibadan North Local Government Area, Oyo State, Nigeria

Background:Breastfeeding is a crucial strategy in improving child health and reducing infant mortality, but the majority of women still do not practise exclusive breastfeeding (EBF).Aims:This study aimed to assess the barriers to implementation of EBF among nursing women in Ibadan North, Nigeria.Methods:A cross-sectional design was used. A total of 210 nursing women were selected using a purposive sampling technique, in two health centres in Ibadan North, Nigeria. The study questionnaire had a reliability of 0.77. Data were analysed using descriptive statistics and chi-square test.Findings:The main barriers reported were: occupation (90.00%), insufficient milk (71.43%), spouse's influence (66.19%), influence of extended family (62.38%) and inadequate time (54.76%). Participants with good knowledge of EBF were more likely to practise EBF.Conclusions:This study suggests a need for women to be empowered through informal education on the benefits of EBF. Regular prenatal counselling is advocated, both to enhance informed decision-making and to reduce infant mortality.

Knowledge and practice of exclusive breastfeeding among mothers in a rural population in south eastern Nigeria

Background: Exclusive breast feeding has been recommended worldwide as optimal feeding option for human infants. Despite its numerous advantages, most lactating mothers are not practicing it. Objective: To assess the knowledge of rural women of exclusive breast feeding, to determine their practices of it and factors that affect this practice. Methods: Cross sectional study of 254 women attending infant welfare clinics at Nnamdi Azikiwe University Teaching Hospital substations at Umunya and Neni. Results: Eighty seven percent (87.0%) of the mothers had good knowledge of exclusive breastfeeding but only fifty three percent (53.6%) were practicing exclusive breastfeeding. Sixty three percent (63.0%) of the women were breastfeeding exclusively at birth but the rates had dropped to 30.5% at ages of four to six months. The result showed that 76.4% initiated breastfeed within one hour of delivery. Marital status significantly affected the practice of exclusive breast feeding with less number of single mothers practicing exclusive breastfeeding. Post natal support by health workers was found to significantly influence mothers initiation of breastfeeding. Mothers with more antenatal visits practiced exclusive breast feeding more. Maternal age and educational level did not affect the practice of exclusive breast feeding. Conclusion: Practice of exclusive breast feeding was not commensurate with mothers’ knowledge of exclusive breastfeeding. Education and support to lactating mothers by health workers should be encouraged.