Research Article

Knowledge of Exclusive Breastfeeding among Nursing Mothers Attending under 5 Welfare Clinic in a Nigerian Tertiary Health Institution

N. C. Ekeleme
Abia State University Teaching Hospital, Nigeria
E. C. Iwuoha
Abia State University Teaching Hospital, Nigeria
* Corresponding author
S. N. Ijeoma
Abia State University Teaching Hospital, Nigeria
P. I. Ejikem
Abia State University Teaching Hospital, Nigeria
DOI icon 10.24018/ejmed.2021.3.3.914

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Submitted 2021-06-04
Published 2021-06-26

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Article Main Content

Background: Exclusive Breastfeeding (EBF) offers important protective effects on child survival. Knowledge on EBF is a prerequisite to enhance its practice among nursing mothers.

Objective: To determine the knowledge of exclusive breastfeeding practice among nursing mothers attending Under-5 Welfare Clinic in a tertiary health facility in Nigeria.

Materials and Methods: This was a cross-sectional descriptive study involving 333 nursing mothers. Pre-tested self/interviewer administered questionnaires were used to obtain information from consenting eligible women. Knowledge was assessed using a 12-point score and classified as good or poor. Data obtained was analyzed using IBM SPSS version 25.

Results: Our respondents had a mean age of 31±4.9years while 84.7% were 27 years and above. Majority were married (93.1%) with 57% of them having at least two (2) living children. Well over half of the respondents had attained a tertiary education. Antenatal care (ANC) was attended by 94.9% of the women where 96.8% said they had received advice on EBF. A total of 86% of the women had good knowledge score of EBF. Educational status and occupation showed statistically significant association with knowledge of EBF among the mothers (p=<0.001 and p=0.018) respectively while marital status (p=0.046), number of living children (p=0.001), educational status (p=<0.001) and occupation (p=0.050) all showed significant association with ANC attendance.

Conclusion: The effect of female education on knowledge of health issues is brought to the fore by the findings of this study. More emphasis on delivering at health facilities where information to women on the practice of optimal breastfeeding is readily available will go a long way to reduce the infant and maternal mortality rates in Nigeria.

Keywords: Exclusive breastfeeding, Knowledge, Nursing mothers, Under-5 Clinic

References

  1. Ayawine A, Ayuurebobi K. Determinants of exclusive breastfeeding: a study of two sub-districts in the AtwimaNwabiagya District of Ghana. The Pan African Medical Journal. 2015;22. https://doi.org/10.11604/pamj.2015.22.248.6904.
     Google Scholar
  2. Kiragu R, Neupane JE, Kandel S. Knowledge, attitude and challenges of exclusive breastfeeding among primigravidas; 2014. https://www.theseus.fi/bitstream/handle/10024/71668/student_reginah
     Google Scholar
  3. WHO/UNICEF, “Innocenti Declaration 2005: On Infant and Young Child Feeding. “Celebrating Innocenti 1990-2005: Achievements, Challenges and Future Imperatives,” Florence, Italy, 2005, http://innocenti15.net/declaration.pdf.pdf.
     Google Scholar
  4. Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS, Group BCSS. How many child deaths can we prevent this year? The Lancet. 2003;362:65–71.
     Google Scholar
  5. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, AlMazroa MA, Amann M, Anderson HR, Andrews KG. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. The Lancet. 2013;380:2224–60.
     Google Scholar
  6. Tampah-Naah AM, Kumi-Kyereme A. Determinants of exclusive breastfeeding among mothers in Ghana: a cross-sectional study. International Breastfeeding Journal. 2013;8:13.
     Google Scholar
  7. Aryeetey RNO, Antwi CL. Re-assessment of selected Baby-Friendly maternity facilities in Accra. Ghana International Breastfeeding Journal. 2013;8:1.
     Google Scholar
  8. Lawoyin T, Olawuyi J, Onadeko M. Factors associated with exclusive breastfeeding in Ibadan, Nigeria. Journal of Human Lactation. 2001;17:321–5.
     Google Scholar
  9. Sholeye OO, Abosede OA, Salako AA. Exclusive Breastfeeding and Its Associated Factors among Mothers in Sagamu, Southwest Nigeria. J Heal Sci [Internet]. 2015;5(2):25–31.
     Google Scholar
  10. Cherop C, Keverenge-Ettyang A, Mbagaya G. Barriers To Exclusive Breastfeeding Among Infants Aged 0-6 Months In Eldoret Municipality, Kenya. East Afr J Public Health. 2009 Apr 1;6:69–72.
     Google Scholar
  11. Kishore MSS, Kumar P, Aggarwal AK. Breastfeeding knowledge and practices amongst mothers in a rural population of North India: A community-based study. J Trop Pediatr. 2009;55(3):183–8.
     Google Scholar
  12. Cascone D, Tomassoni D, Napolitano F, Di Giuseppe G. Evaluation of knowledge, attitudes, and practices about exclusive breastfeeding among women in Italy. Int J Environ Res Public Health. 2019.
     Google Scholar
  13. Ijarotimi OS. Assessing exclusive breastfeeding practices, dietary intakes and body mass index (BMI) of nursing mothers in Ekiti State of Nigeria. Nutr Res Pract. 2010;4(3):222.
     Google Scholar
  14. Nyaloko M, Lubbe W, Minnie K. Perceptions of Mothers and Community Members Regarding Breastfeeding in Public Spaces in Alexandra, Gauteng Province, South Africa. Open Public Health J. 2020;13(1):582–94.
     Google Scholar
  15. Alamirew MW, Bayu NH, Birhan Tebeje N, Kassa SF. Knowledge and Attitude towards Exclusive Breast Feeding among Mothers Attending Antenatal and Immunization Clinic at Dabat Health Center, Northwest Ethiopia: A Cross-Sectional Institution Based Study. Nurs Res Pract. 2017;2017:1–9.
     Google Scholar
  16. Berhe HH, Mekonnen B, Bayray A, Berhe HH. Determinants of breast feeding practices among mothers attending public health facilities, Mekelle, northern Ethiopia; a cross sectional study. Int J Pharm Sci Res [Internet]. 2013;4(2):650–60. Available from: https://pdfs.semanticscholar.org/2552/86c5d7767f48d06f17d39bf18d08b2053c9e.pdf?_ga=2.28417404.1759822155.1570122728-578834258.1568201966.
     Google Scholar
  17. Dearden K, Altaye M, De Maza I, De Oliva M, Stone-Jimenez M, Morrow AL, et al. Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala. Rev Panam Salud Publica. 2002 Sep;12(3):185–92.
     Google Scholar
  18. Tesfaye S, Belachew T, Gerbaba M. Determinants of timely breastfeeding initiation among mothers in goba woreda south east Ethiopia: a cross sectional study. BMC Public Health [Internet]. 2011;11. Available from: https://doi.org/10.1186/1471-2458-11-21
     Google Scholar
  19. Aidam BA, Pérez-Escamilla R, Lartey A, Aidam J. Factors associated with exclusive breastfeeding in Accra, Ghana. Eur J Clin Nutr. 2005;59(6):789–96.
     Google Scholar
  20. Iliyasu Z, Kabir M, Abubakar I, Galadanci N. Current knowledge and practice of exclusive breastfeeding among mothers in Gwale local government area of Kano State. Niger Med Pract. 2006 Jan 4;48.
     Google Scholar
  21. Freed GL, Clark SJ, Sorenson J, Lohr JA, Cefalo R, Curtis P. National assessment of physicians’ breast-feeding knowledge, attitudes, training, and experience. JAMA. 1995 Feb;273(6):472–6.
     Google Scholar
  22. Radhakrishnan S, Balamuruga Ss. Prevalence of exclusive breastfeeding practices among rural women in Tamil Nadu. Int J Heal Allied Sci. 2012;1(2):64.
     Google Scholar
  23. Mohan L. Patterns and Determinants of Breast Feeding Practices in Dodoma Municipality: A Cross Sectional Study. J Food Stud. 2012 Jul 11;1.
     Google Scholar
  24. Patil S, Hasamnis A, S P, Aarti P, Khan A, K A N. Prevalence Of Exclusive Breast Feeding And Its Correlates In An Urban Slum In Western India. Int J Sci Med Educ. 2009 Dec 1;3.
     Google Scholar
  25. Umar AS, Oche MO. Breastfeeding and weaning practices in an Urban Slum, North Western Nigeria. Int J Trop Dis Heal [Internet]. 2013;3(2):114–25. Available from: www.sciencedomain.org.
     Google Scholar
  26. Fagbule DO, Olaosebikan A. Weaning practices in Ilorin community, Nigeria. West Afr J Med. 1992.
     Google Scholar
  27. Ogbonna C, Daboer JC. Current knowledge and practice of exclusive breastfeeding among mothers in Jos, Nigeria. Niger J Med. 2007.
     Google Scholar
  28. Nyanga NM, Musita C, Otieno A, Kaseje D. Factors influencing knowledge and practice of exclusive breastfeeding in Nyando District, Kenya. African J Food, Agric Nutr Dev. 2012.
     Google Scholar