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.
Published in | Journal of Family Medicine and Health Care (Volume 7, Issue 4) |
DOI | 10.11648/j.jfmhc.20210704.12 |
Page(s) | 90-97 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Breastfeeding, Bushenyi, Infant, Kyabugimbi, Optimal Breastfeeding, Outreaches
[1] | Abedi P, Jahanfar S, Namvar F, et al. (2016). Breastfeeding or nipple stimulation for reducing postpartum haemorrhage in the third stage of labour. Cochrane Database System Review. |
[2] | Ashmika Motee, Deerajen Ramasawmy, Prity Pugo-Gunsam, and Rajesh Jeewon (2013). An Assessment of the Breastfeeding Practices and Infant Feeding Pattern among Mothers in Mauritius Journal of Nutrition and Metabolism. Volume 2013, Article ID243852, 8. |
[3] | Atimati AO and VY Adam (2020) Breastfeeding practices among mothers of children aged 1–24 months in Egor Local Government Area of Edo State, Nigeria, South African Journal of Clinical Nutrition, 33: 1, 10-16. |
[4] | Ben Slama F, Ayari I, Buzini F, Belhadj O, Achour N. (2010). Exclusive breastfeeding and mixed feeding- knowledge, attitudes and practices of premiparous mothers. East Mediterranean Health Journal. 16 (6), 630-35. |
[5] | Black RE, Allen LH, Bhutta ZA, et al. (2008). Maternal and child under nutrition: global and regional exposures and health consequences. Lancet. 371: 243–60. |
[6] | Bhutta ZA, Salam RA. (2012). Global nutrition epidemiology and trends. Annals of Nutrition Metabolism. 61 (1): 19–27. |
[7] | Debes AK, Kohli A, Walker N, et al. (2013). Time to initiation of breastfeeding and neonatal mortality and morbidity: a systematic review. BMC Public Health. 13 (3): S19. |
[8] | Divya Karnawat, B S Karnawat, Avadhesh Joshi, G. Kalsi Kohli (2015). Knowledge, attitude & practices about infant feeding among mothers of urban & rural areas of Ajmer district. The Journal of Medical Research. 1 (3): 90-94. |
[9] | Edmond KM, Zandoh C, Dingley MA, Amenga Etega S, Weesee Agyei S, et al., (2006). Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 117: e380-86. |
[10] | Edward Bbaale (2014). Determinants of Early Initiation, Exclusiveness, and Duration of Breastfeeding in Uganda. Journal of Health Population Nutrition. 32 (2): 249-260. |
[11] | Glagn M, Kejela G (2019) Knowledge, Attitude and Practice towards Initiation of Complementary Feeding Among Mothers of under Two Years Children in Birbir Town, Southern Ethiopia. Journal of Pregnant Child Health 6: 414. |
[12] | Ishaka Adventist Hospital (2020). Background to Ishaka Adventist Hospital. |
[13] | Issaka AI, Agho KE, Page AN, Burns PL, Stevens GJ, Dibley MJ. (2015). Determinants of Suboptimal complementary feeding practices among children aged 6–23 months in four anglophone West African countries. Maternal Child Nutrition. 11 (1): 14–30. |
[14] | Kish, L. (1965). Survey Sampling. John Wiley & Sons Inc., New York. |
[15] | Macharia TN, Ochola S, Mutua MK, et al (2018). Association between household food security and infant feeding practices in urban informal settlements in Nairobi, Kenya. Journal of Development of Origin of Health Disease 9 (1): 20–29. |
[16] | Ministry of Health (2018). National health facility master list 2018. A complete list of all health facilities in Uganda. |
[17] | Modupe Rebekah Akinyinka, Foluke Adenike Olatona, Esther Oluwakemi Oluwole (2016). Breastfeeding Knowledge and Practices among Mothers of Children under 2 Years of Age Living in a Military Barrack in Southwest Nigeria. International Journal of MCH and AIDS. Volume 5, Issue 1, 1-13. |
[18] | Mohammed ES, Ghazawy ER, Hassan EE. (2014). Knowledge, attitude, and practices of breastfeeding and weaning among mothers of children up to 2 years old in a rural area in El-Minia Governorate, Egypt. Journal of Family Medicine Primary Care. 2014; 3 (2): 136–140. |
[19] | NEOVITA Study Group (2016). Timing of initiation, patterns of breastfeeding, and infant Survival: prospective analysis of pooled data from three randomised trials. Lancet Global Health. 4: 266–75. |
[20] | Ogbo FA, Page A, Agho KE, et al. (2015). Determinants of trends in breast-feeding indicators in Nigeria, 1999-2013. Public Health Nutrition. 18 (18): 3287–99. |
[21] | Omuemu V. O., Scott A. Adamu (2019). Assessment of breastfeeding knowledge and practices among working mothers in the federal capital territory Nigeria. International Journal of Community Medicine and Public Health, 6 (1): 20-29. |
[22] | Seid MA, Melkie Edris Yesuf EM, Koye NG. (2013). Prevalence of exclusive breastfeeding practices and associated factors among mothers in Bahir Dar city, Northwest Ethiopia: a community based cross-sectional study. International Breastfeeding Journal. 8: 14. |
[23] | Short RV, Lewis PR, Renfree MB, Shaw G, et al. (1991). Contraceptive effects of extended Lactational amenorrhea: beyond the Bellagio consensus. Lancet. 337: 715–7. |
[24] | Solomon Adomi Mbina, Justin Atiang Beshel and Caroline Keburingi (2019). Physiologic Factors Influencing Exclusive Breastfeeding among Mothers Attending Health Facilities in Bushenyi District, Uganda. International Journal of Research in Medical and Basic Sciences Vol. 5 Issue 3. |
[25] | Taha Zainab, Malin Garemo and Joy Nanda (2018). Patterns of breastfeeding practices among infants and young children in Abu Dhabi, United Arab Emirates. International Breastfeeding Journal. 13: 48. |
[26] | Unar-Munguía M, Meza R, Colchero MA, et al. (2017). Economic and disease burden of breast cancer associated with suboptimal breastfeeding practices in Mexico. Cancer Causes Control. 28: 1381–91. |
[27] | Uganda Bureau of Statistics (2016). The National Population and Housing Census 2014–Main Report. |
[28] | Uganda Bureau of Statistics (UBOS) and ICF Macro (2012). Uganda Demographic and Health Survey 2011: key indicators Report. Kampala, Uganda and Calverton, Maryland, USA. |
[29] | UNICEF, WHO. ADVOCACY STRATEGY (2015). Breastfeeding Advocacy Initiative for best start in life. |
[30] | United Nations Children’s Fund (UNICEF), 2018. Breastfeeding: A Mother’s Gift, for Every Child. |
[31] | Van der Wijden C, Manion C. (2015). Lactational amenorrhea method for family planning. Cochrane fertility regulation group. Cochrane Database System Review 2015. |
[32] | Victoria, C. G.; Bahl, R.; Barros, A. J.; França, G. V.; Horton, S.; Krasevec, J.; Murch, S.; Sankar, M. J.; Walker, N.; Rollins, N. C.; et al. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 387, 475–490. |
[33] | Wondu Garoma Berra (2013). Knowledge, Perception and Practice of Mothers/Caretakers and Family’s regarding Child Nutrition (under 5 years of age) in Nekemte Town, Ethiopia. Science, Technology and Arts Research Journal 2 (4): 78-86. |
[34] | World Health Organization (2003). Infant and young child feeding a tool for assessing national practices, policies and programs. Geneva. |
[35] | World Health Organization (2003). Infant and Young Child Feeding A tool for assessing national practices policy program. 2003. |
APA Style
Solomon Adomi Mbina, Gali Magaji, Amuko Fanuel, Theophilus Pius, Abalinda Gorret, et al. (2021). Breastfeeding Practices Among Infants and Young Children in Bushenyi, Uganda: Influence of Maternal Knowledge and Occupation. Journal of Family Medicine and Health Care, 7(4), 90-97. https://doi.org/10.11648/j.jfmhc.20210704.12
ACS Style
Solomon Adomi Mbina; Gali Magaji; Amuko Fanuel; Theophilus Pius; Abalinda Gorret, et al. Breastfeeding Practices Among Infants and Young Children in Bushenyi, Uganda: Influence of Maternal Knowledge and Occupation. J. Fam. Med. Health Care 2021, 7(4), 90-97. doi: 10.11648/j.jfmhc.20210704.12
AMA Style
Solomon Adomi Mbina, Gali Magaji, Amuko Fanuel, Theophilus Pius, Abalinda Gorret, et al. Breastfeeding Practices Among Infants and Young Children in Bushenyi, Uganda: Influence of Maternal Knowledge and Occupation. J Fam Med Health Care. 2021;7(4):90-97. doi: 10.11648/j.jfmhc.20210704.12
@article{10.11648/j.jfmhc.20210704.12, author = {Solomon Adomi Mbina and Gali Magaji and Amuko Fanuel and Theophilus Pius and Abalinda Gorret and Ahumuza Nicholas Mavine and Nagasha Lucky and Asiimwe Ronald and Swase Dominic Terkimbi and Kembabazi Stellamaris}, title = {Breastfeeding Practices Among Infants and Young Children in Bushenyi, Uganda: Influence of Maternal Knowledge and Occupation}, journal = {Journal of Family Medicine and Health Care}, volume = {7}, number = {4}, pages = {90-97}, doi = {10.11648/j.jfmhc.20210704.12}, url = {https://doi.org/10.11648/j.jfmhc.20210704.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210704.12}, abstract = {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.}, year = {2021} }
TY - JOUR T1 - Breastfeeding Practices Among Infants and Young Children in Bushenyi, Uganda: Influence of Maternal Knowledge and Occupation AU - Solomon Adomi Mbina AU - Gali Magaji AU - Amuko Fanuel AU - Theophilus Pius AU - Abalinda Gorret AU - Ahumuza Nicholas Mavine AU - Nagasha Lucky AU - Asiimwe Ronald AU - Swase Dominic Terkimbi AU - Kembabazi Stellamaris Y1 - 2021/12/02 PY - 2021 N1 - https://doi.org/10.11648/j.jfmhc.20210704.12 DO - 10.11648/j.jfmhc.20210704.12 T2 - Journal of Family Medicine and Health Care JF - Journal of Family Medicine and Health Care JO - Journal of Family Medicine and Health Care SP - 90 EP - 97 PB - Science Publishing Group SN - 2469-8342 UR - https://doi.org/10.11648/j.jfmhc.20210704.12 AB - 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. VL - 7 IS - 4 ER -