Main Article Content
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.
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References
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References
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
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
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
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
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
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
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
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
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
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
Boateng, M. F. (2018). Knowledge, attitude and practice of exclusive breastfeeding among mothers in Techiman, Ghana (Master’s thesis). The University of Eastern Finland.
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
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
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
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
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
Feldmann, C. (2014). Sampling and its relevance for sound data collection. Data network for better European organic market information, 1–18.
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
Ghana Statistical Service, Ghana Health Service, & Inter City Fund Macro. (2015). Ghana demographic and health survey 2014. Accra, Ghana: GSS, GHS, and ICF Macro.
Ghana Statistical Service, Ghana Health Service, & Inter City Fund Macro. (2009). Ghana Demographic and health survey. Accra, Ghana: GSS, GHS, and ICF Macro.
Ghana Statistical Service. (2012). Ghana multiple indicator cluster surveys with an enhanced malaria module and biomarker, 2011, final report. Accra, Ghana: Author.
Ghana Statistical Service. (2017). Ghana multiple indicator cluster surveys (MICS2017/18). Survey findings report. Accra, Ghana: Ghana Statistical Service.
Ghana Statistical Service. (2021). Ghana 2021 population and housing census. General report (V. 3). Accra: Ghana Statistical Service
Gionet, L. (2013). Health at a glance: breastfeeding trends in Canada. Ottawa, ON: Statistics Canada.
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
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.
IBM Corp. (2017). IMB SPSS Statistic. Armonk, New York, United States.
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
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.
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.
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
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
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
Ministry of Finance - Ghana. (2022). 2021 PBB estimates for Sunyani Municipal. Accra, Ghana: Ministry of Finance - Ghana.
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
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
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
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
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
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
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
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
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