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Abstract

Optimal nutrition plays a key role in the survival and overall health outcome of young children. This study sought to assess infant and young child feeding (IYCF) practices and maternal socio-demographic factors and health-seeking behaviors affecting exclusive breastfeeding (EBF) practice. A descriptive cross-sectional study was conducted at the Child Welfare Clinic of the Bono Regional Hospital, Sunyani, Ghana. Two hundred and forty-five mothers with 6-23 months old infant pairs were recruited for the study through convenience sampling. Data were collected using semi-structured, interviewer-administered questionnaires. Statistical Package for Social Sciences (SPSS) version 25 was used to analyze the data. All infants (245) in the study had been breastfed at some point in time. Approximately, 5 in 10 infants (54.3%) were introduced to breast milk within the first hour of birth. EBF rate was 49.4%. More than 7 in 10 children (75.5 percent) were predominantly breastfed in their first 6 months of life. Eight in 10 infants (80.8%) were being fed complementary foods. In a multiple logistic regression analysis, maternal age and health education/counseling on EBF significantly predicted EBF practice. Mothers aged 35-49 years were more likely to practice EBF compared to those aged 15-24 years (AOR 0.47; 95% CI 0.24, 0.92). Also, mothers who received education/counseling on EBF during antenatal care were more likely to practice EBF than those who did not (AOR 2.68; 95% CI 1.29, 5.53). The rate of EBF was below the World Health Assembly approved target for 2025 (≥ 50%), suggesting a need for intervention.

Keywords

infant young child feeding Exclusive breastfeeding Sunyani

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Nketia, R., Asraa, A. A., Atta-Nyarko, D., Naana Arthur, F., Adotei, N., & Adobasom-Anane, A. G. (2022). Infant and Young Child Feeding Practices and Determinants of Exclusive Breastfeeding: A Study at the Bono Regional Hospital, Sunyani, Ghana. International Journal of Multidisciplinary Studies and Innovative Research, 10(2), 1426–1440. https://doi.org/10.53075/Ijmsirq/6564456463
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References

  1. Afaya, A., Fuseini, K. J., Anaman-Torgbor, J. A., Salia, S. M., Adatara, P., & Afaya, R. A. (2017). Family belief systems and practices that influence exclusive breastfeeding in Sagu, Ghana. International Journal of Nursing and Midwifery, 2(1), 23–32. http://www.numidhorizon.com
  2. Alshammari, M. B., & Haridi, H. K. (2021). Prevalence and determinants of exclusive breastfeeding practice among mothers of children aged 6–24 months in Hail, Saudi Arabia. Scientific, 2021, 1–10. https://doi.org/10.1155/2021/2761213
  3. Alzaheb, R. A. (2017). A review of the factors associated with the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Clinical Medicine Insights: Pediatrics, 11, 1–15. https://doi.org/10.1177/1179556517748912
  4. Asare, B. Y., Baa, D., Dwumfour-asare, B., & Adam, A. (2019). Factors associated with adolescent pregnancy in the Sunyani Municipality of Ghana. International Journal of Africa Nursing Sciences, 10, 87–91. https://doi.org/10.1016/j.ijans.2019.02.001
  5. Asare, B. Y., Preko, J. V., Baafi, D., & Dwumfour-asare, B. (2018). Breastfeeding practices and determinants of exclusive breastfeeding in a cross-sectional study at a child welfare clinic in Tema Manhean, Ghana. International Breastfeeding Journal, 13, 1–9. https://doi.org/10.1186/s13006-018-0156-y
  6. Asemahagn, M. A. (2016). Determinants of exclusive breastfeeding practices among mothers in Azezo district, northwest Ethiopia. International Breastfeeding Journal, 11, 1–7. https://doi.org/10.1186/s13006-016-0081-x
  7. Ayawine, A., & Ayuurebobe, K. (2015). Determinants of exclusive breastfeeding: a study of two sub-districts in the Atwima Nwabiagya district of Ghana. The Pan African Medical Journal, 22(248), 1–12. https://doi.org/10.11604/pamj.2015.22.248.6904
  8. Bernard, J. Y., Rifas-Shiman, S. L., Cohen, E., Lioret, S., Lauzon-Guillain, B. de, Charles, M.-A., Kramer, M. S., & Oken, E. (2021). Maternal religion and breastfeeding intention and practice in the US Project Viva cohort. Birth, 47(2), 191–201. https://doi.org/10.1111/birt.12477
  9. Bhandari, S., Thorne-lyman, A. L., Shrestha, B., Neupane, S., Aletta, B., Nonyane, S., Manohar, S., Klemm, R. D. W., & West, K. P. (2019). Determinants of infant breastfeeding practices in Nepal: a national study. International Breastfeeding Journal, 14, 1–17. https://doi.org/10.1186/s13006-019-0208-y
  10. Bhattacharjee, N. V, Schaeffer, L. E., Marczak, L. B., Ross, J. M., Swartz, S. J., Albright, J., Gardner, W. M., Shields, C., Sligar, A., Schipp, M. F., Pickering, B. V, Henry, N. J., Johnson, K. B., Louie, C., Cork, M. A., Steuben, K. M., Lazzar-atwood, A., Lu, D., Kinyoki, D. K., … Hay, S. I. (2019). Mapping exclusive breastfeeding in Africa between 2000 and 2017. Nature Medicine, 28(8), 1–24. https://doi.org/10.1038/s41591-019-0525-0
  11. Boateng, M. F. (2018). Knowledge, attitude and practice of exclusive breastfeeding among mothers in Techiman, Ghana (Master’s thesis). The University of Eastern Finland.
  12. Centres for Disease Control and Prevention. (2014). Infant feeding practices study II and its year six fellow-up. Accessed on June 8, 2020. Available at https://www.cdc.gov/breastfeeding/data/ifps/questionnaires.htm
  13. Chamberlain, C. R., Wilson, A. N., Amir, L. H., Dea, K. O., Campbell, S., Leonard, D., Ritte, R., Mulcahy, M., Eades, S., & Wolfe, R. (2017). Low rates of predominant breastfeeding in hospital after gestational diabetes, particularly among Indigenous women in Australia. Australian and New Zealand Journal of Public Health, 41(2), 144–150. https://doi.org/10.1111/1753-6405.12629
  14. Dharel, D., Dhungana, R., Basnet, S., Gautam, S., Dhungana, A., Dudani, R., & Bhattarai, A. (2020). Breastfeeding practices within the first six months of age in mid-western and eastern regions of Nepal: a health facility-based cross-sectional study. BMC Pregnancy and Childbirth, 20, 1–9. https://doi.org/10.1186/s12884-020-2754-0
  15. Dorri, R. A., Donnelly, T. T., Mckiel, E., & Bouchal, S. R. (2022). Family and religion’s influence on Arab immigrant mothers’ initiation and exclusive breastfeeding. International Journal of Healthcare, 8(1), 1–9. https://doi.org/10.5430/ijh.v8n1p1
  16. Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–4. https://doi.org/10.11648/j.ajtas.20160501.11
  17. Feldmann, C. (2014). Sampling and its relevance for sound data collection. Data network for better European organic market information, 1–18.
  18. Gautam, N., Kanaujia, A., & Arun, A. (2020). Prevalence and determinants of exclusive breastfeeding in an urban slum. IOSR Journal of Dental and Medical Sciences, 19(8), 9–14. https://doi.org/10.9790/0853-1908080914
  19. Ghana Statistical Service, Ghana Health Service, & Inter City Fund Macro. (2015). Ghana demographic and health survey 2014. Accra, Ghana: GSS, GHS, and ICF Macro.
  20. Ghana Statistical Service, Ghana Health Service, & Inter City Fund Macro. (2009). Ghana Demographic and health survey. Accra, Ghana: GSS, GHS, and ICF Macro.
  21. Ghana Statistical Service. (2012). Ghana multiple indicator cluster surveys with an enhanced malaria module and biomarker, 2011, final report. Accra, Ghana: Author.
  22. Ghana Statistical Service. (2017). Ghana multiple indicator cluster surveys (MICS2017/18). Survey findings report. Accra, Ghana: Ghana Statistical Service.
  23. Ghana Statistical Service. (2021). Ghana 2021 population and housing census. General report (V. 3). Accra: Ghana Statistical Service
  24. Gionet, L. (2013). Health at a glance: breastfeeding trends in Canada. Ottawa, ON: Statistics Canada.
  25. Green, V. L., Killings, N. L., & Clare, C. A. (2021). The Historical, psychosocial, and cultural context of breastfeeding in the African American community. Breastfeeding Medicine, 16(2), 116–120. https://doi.org/10.1089/bfm.2020.0316
  26. Haghighi, M., & Varzandem R. (2016). Maternal knowledge and attitude toward exclusive breastfeeding six months after birth in Shiraz, Iran. Int J Pediatr, 4(11), 3759–67.
  27. IBM Corp. (2017). IMB SPSS Statistic. Armonk, New York, United States.
  28. Kazmi, S., Akparibo, R., Ahmed, D., & Faizi, N. (2021). Prevalence and predictors of exclusive breastfeeding in urban slums, Bihar. J Family Med Prim Care, 10(3), 1301–1307. https://doi.org/10.4103/jfmpc.jfmpc
  29. Khasawneh, W. (2017). Breastfeeding practices, facilitators, and barriers among immigrant Muslim Arab women living in a Metropolitan area of the Southwest United States (Undergraduate thesis). Arizona State University, United States.
  30. Kriska, S. D., Sass, M. M., & Fulcomer, M. C. (2013). Assessing limitations and uses of convenience samples: a guide for graduate students. JSM proceedings, 2828–2834.
  31. Kumar, B. H., & Gaonkar, R. S. (2020). Practices and determinants of exclusive breastfeeding among young mothers attending a secondary health care facility. A cross-sectional study. Athens Journal of Health & Medical Sciences, 7(3), 171–186. https://doi.org/10.30958/ajhms.7-3-4
  32. Manyeh, A. K., Amu, A., Akpakli, D. E., Williams, J. E., & Gyapong, M. (2020). Estimating the rate and determinants of exclusive breastfeeding practices among rural mothers in Southern Ghana. International Breastfeeding Journal, 15, 1–9. https://doi.org/10.1186/s13006-020-0253-6
  33. Masaba, B. B., Mmusi-Phetoe, R. M., & Mokula, L. L. D. (2021). Factors affecting WHO breastfeeding recommendations in Kenya. International Journal of Africa Nursing Sciences, 15, 1–7. https://doi.org/10.1016/j.ijans.2021.100314
  34. Ministry of Finance - Ghana. (2022). 2021 PBB estimates for Sunyani Municipal. Accra, Ghana: Ministry of Finance - Ghana.
  35. Mundagowa, P. T., Chadambuka, E. M., Chimberengwa, P. T., & Mukora-Mutseyekwa, F. (2019). Determinants of exclusive breastfeeding among mothers of infants aged 6 to 12 months in Gwanda District, Zimbabwe. International Breastfeeding Journal, 14, 1–8. https://doi.org/10.1186/s13006-019-0225-x
  36. Nketia, R., Mahama, S., Azure, S. A., Adobasom-Anane, A. G., Arthur, F. N., & Atta-Nyarko, D. (2022). Association between nutritional knowledge and dietary compliance among type 2 diabetes mellitus patients at the Bono Regional Hospital, Sunyani, Ghana. International Journal of Multidisciplinary Studies and Innovative Research, 10(1), 1397–1418. https://doi.org/10.53075/Ijmsirq/6867556758
  37. Nukpezah, R. N., Nuvor, S. V., & Ninnoni, J. (2018). Knowledge and practice of exclusive breastfeeding among mothers in the tamale metropolis of Ghana. Reproductive Health, 15, 1–9. https://doi.org/10.1186/s12978-018-0579-3
  38. Ogbo, F. A., Ezeh, O. K., Khanlari, S., Naz, S., Senanayake, P., Ahmed, K. Y., Mckenzie, A., Ogunsiji, O., Agho, K., Page, A., Ussher, J., Perz, J., Am, B. B., & Eastwood, J. (2019). Determinants of exclusive breastfeeding cessation in the early postnatal period among culturally and linguistically diverse (CALD) Australian mothers. Nutrients, 11, 1–16. https://doi.org/10.3390/nu11071611
  39. Olasinde, Y. T., Ibrahim, O. R., Idowu, A., Odeyemi, A. O., Olasinde, A., Agelebe, E., Ogunlaja, O. A., & Gbadero, D. A. (2021). Determinants of exclusive breastfeeding practices among mothers of infants less than six months attending an immunization clinic in Southwestern Nigeria. Cureus, 13(6), 1–12. https://doi.org/10.7759/cureus.15975
  40. Oyelana, O., Kamanzi, J., & Richter, S. (2021). A critical look at exclusive breastfeeding in Africa: Through the lens of diffusion of innovation theory. International Journal of Africa Nursing Sciences, 14, 1–9. https://doi.org/10.1016/j.ijans.2020.100267
  41. Rahimi, B. A., Mohamadi, E., Stanikzai, M. H., & Wasiq, A. W. (2020). Determinants of exclusive breastfeeding practices in Kandahar, Afghanistan: A cross-sectional analytical study. International Journal of Pediatrics, 8(76), 11125–11140. https://doi.org/10.22038/ijp.2019.42987.3601
  42. Rollins, N. C., Bhandari, N., Hajeebhoy, N., Horton, S., Lutter, C. K., Martines, J. C., Piwoz, E. G., Richter, L. M., Victora, C. G., Bahl, R., Barros, A. J. D., Franca, G. V. A., Chowdhury, R., Sinha, B., Sanka, J., Krasevec, J., Murch, S., Speakman, E., & Wu, D. (2016). Why invest, and what it will take to improve breastfeeding practices? Lancet, 387(10017), 491–504. https://doi.org/10.1016/S0140-6736(15)01044-2
  43. Saputra, D. D. (2022). Determinants of exclusive breastfeeding practice in Gorontalo Province. International Journal of Data Science Engineering, and Analytics, 6, 63–90. https://doi.org/10.3305/ijdasea.v2i1.27
  44. Seid, A. M., Yesuf, M. E., & Koye, D. N. (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, 1–8. https://doi.org/10.1186/1746-4358-8-14
  45. Soumah, A. M., Baldé, M. D., Tassembedo, M., Ouédraogo, O., Garanet, F., Ouédraogo, A. M., Yara, A., Koulibaly, M., Camara, I., & Kouanda, S. (2021). Determinants of the practice of exclusive breastfeeding in Guinea: evidence from 2018 Guinean demographic and health survey. BMC Nutrition, 7, 1–10. https://doi.org/10.1186/s40795-021-00450-2
  46. Titaley, C. R., Dibley, M. J., Ariawan, I., Mu, A., Paramashanti, A., Damayanti, R., Thanh, T., Elaine, D., Htet, M. K., Li, M., Sutrisna, A., & Fahmida, U. (2022). The impact of a package of behaviour change interventions on breastfeeding practices in East Java Province, Indonesia. Maternal and Child Nutrition, 18, e13362. https://doi.org/10.1111/mcn.13362
  47. United Nations International Children Fund. (2021). UNICEF global infant and young child feeding databases. Accessed on September 10, 2022. Available at https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
  48. Walters, D. D., Phan, L. T. H., & Mathisen, R. (2019). The cost of not breastfeeding: global results from a new tool. Health Policy and Planning, 34(6), 407–417. https://doi.org/10.1093/heapol/czz050
  49. Watson, C., Wei, J., Varnado, N., Rios, N., Flanagan, T., Alabaster, A., Staunton, M., Sterling, S. A., Gunderson, E. P., & Young-wolff, K. C. (2021). Adverse childhood experiences and early and continued breastfeeding: findings from an integrated health care delivery system. Journal of Women’s Health, 30(3), 367–376. https://doi.org/10.1089/jwh.2020.8697
  50. World Health Organization & United Nations International Children Fund. (2014). Global nutrition targets 2025: breastfeeding policy brief (WHO/NMH/NHD/14.7). Geneva, Switzerland: World Health Organization. www.who.int/nutrition/topics/nutrition_globaltargets2025/en/
  51. World Health Organization. (2009). Indicators for assessing infant and young child feeding practices. Part 1 Definitions. Geneva, Switzerland: World Health Organization.
  52. World Health Organization. (2021). Infant and young child feeding. Accessed on August 18, 2022. Available at https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
  53. Yazdanpanah, F., Nasirzadeh, M., Ahmadinia, H., & Abdolkarimi, M. (2022). Exploring determinants of exclusive breastfeeding intention in nulliparous pregnant women: a cross-sectional study. Caspian Journal of Health Research, 7(1), 43–52. https://doi.org/10.32598/CJHR.7.1.394.1

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