scholarly journals Cultural Practices on Infant Feeding and Nursing-Mothers’ Adoption of Exclusive Breastfeeding Practice in Imo State Nigeria

2017 ◽  
Vol 5 (5) ◽  
Author(s):  
Ibe SNO
Author(s):  
O. I. Douglas ◽  
S. N. O. Ibe ◽  
C. R. Nwufo

Perception and intent of significant others to promote exclusive breastfeeding is important in understanding their perceived behaviour and their state of mind toward exclusive breastfeeding practice.  It also helps to identify what intentions this significant other had toward the promotion of exclusive breastfeeding practice (EBF). This study aimed to determine the perceptions and intentions of significant others to promote exclusive breastfeeding in Umuokanne Community, Imo State, Nigeria. The descriptive study design was employed to elicit information from 245 significant others (mothers of the nursing mother, mothers-in-law and husbands) within the six villages in Umuokanne Community. Instruments for data collection were structured on the questionnaire and focus group discussions (FGDs). And finally, the reliability test was established (r = 0.68) between them. 20 significant others participated in the FGDs. Results of the study revealed that significant others had positive perceptions and indicate readiness towards the promotion of exclusive breastfeeding. 120(80%) of grandmothers and 69(73%) of husbands had positive perceptions on the elements of EBF, 100(100%) of grandmothers and 74(78%) of husbands had positive perceptions of the essential roles to play in the promotion EBF, 75(50%) of grandmothers and 57(60%) of husbands had negatively perceived not giving of colostrum to an infant, early introduction of any feed in less than six months of an infant life,  early introduction of fluid to an infant, giving off water and water mixed with medicinal herbs/roots, were not believed to be a barriers to EBF promotion. The description could be based on three key concepts namely, perceived insufficiency of breast milk, low income and cultural practices. Age, education, income and parity were also statistically significant (P = 0.05). However, 136(91%) of grandmothers and 78(82%) of husbands showed a positive intention towards the promotion of EBF practice. Hence, this study concluded that a positive perception shows the willingness to take action and a positive intention indicate readiness toward the promotion of EBF. Therefore, there is need to expand the current strategies employed in the promotion of EBF to include significant others and their cultural perspectives.


Author(s):  
Vera Yusnita ◽  
Yeni Rustina

International and national efforts have been made in increasing the rate of exclusive breastfeeding practice, but exclusive breastfeeding rate has not reached the target. The purpose of this study was to identify the barriers of exclusive breastfeeding practice. Literature study was conducted by analyzing scientific articles published from 2014 to 2019 and in English. Data was searched from various databases such as Scopus, Ebscho, Sciencedirect and Pubmed database using the keywords infant feeding, breastfeeding, exclusive breastfeeding, problems and barriers. The finding of this literature review was 18 qualitative and quantitative articles corresponding to the inclusion and exclusion criteria. The results of this study found that many factors influencing mothers to maintain exclusive breastfeeding during the first 6 months of life namely sociodemographic, medical and healthcare facilities, knowledge, perceptions of insufficient breastmilk supply, socio-cultural and environmental factors. Healthcare professionals and health care providers should be informed about the barriers of breastfeeding mother. The results of this literature study can be the basis for healthcare professionals and policy makers to plan the best way to support mothers in maintaining successful infant feeding. Keywords: exclusive breastfeeding; infant feeding; problem and barrier ABSTRAK Berbagai upaya baik internasional maupun nasional telah dilakukan dalam meningkatkan rata-rata pemberian ASI eksklusif, namun angka cakupan ASI eksklusif masih belum mencapai target. Tujuan penelitian ini adalah untuk mengidentifikasi berbagai hambatan dalam pemberian ASI eksklusif pada 6 bulan pertama kehidupan. Studi literatur ini dibuat dengan melakukan analisis terhadap artikel-artikel ilmiah yang dipublikasi tahun 2014 sampai 2019 dan berbahasa Inggris. Data didapatkan dari berbagai database seperti Scopus, Ebscho, Sciencedirect dan Pubmed dengan menggunakan kata kunci infant feeding, “exclusive breastfeeding”, problem dan barrier. Hasil penelusuran literatur didapatkan 18 artikel kualitatif dan kuantitatif yang sesuai dengan kriteria inklusi dan tidak memenuhi kriteria eksklusi. Hasil telaah didapatkan bahwa banyak faktor yang menghambat ibu dalam mempertahankan pemberian ASI eksklusif selama 6 bulan pertama kehidupan yaitu faktor sosiodemografi, kesehatan dan fasilitas kesehatan, pengetahuan tantang menyusui, persepsi ASI yang kurang, sosial budaya dan lingkungan. Profesional kesehatan dan penyedia layanan kesehatan harus mengetahui hambatan-hambatan yang sering terjadi pada ibu menyusui. Hasil studi literatur ini dapat menjadi dasar bagi profesional kesehatan dan pembuat kebijakan untuk merencanakan cara terbaik dalam mendukung ibu mempertahankan keberhasilan pemberian makanan bayi yang sesuai. Kata kunci: ASI eksklusif; masalah dan hambatan; menyusui bayi


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Ter Goon ◽  
Anthony Idowu Ajayi ◽  
Oladele Vincent Adeniyi

Abstract Background Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first 6 months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods This was a cross-sectional study conducted between January to May 2018, on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice. Results The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. E Exclusive breastfeeding’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women (adjusted odds ratio [AOR] 1.66, 95% Confidence Interval [CI] 1.08–2.56) and those with grade 12 or less level of education (AOR 2.76, 95% CI 1.02–7.49) had a higher likelihood of practising EBF for 6 months since birth while mothers who consumed alcohol (AOR 0.54, 95% CI 0.34–0.85) were less likely to practice EBF for 6 months. Conclusions The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.


Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Betty Mogesi Samburu ◽  
Judith Kimiywe ◽  
Sera Lewise Young ◽  
Frederick Murunga Wekesah ◽  
Milka Njeri Wanjohi ◽  
...  

Abstract Background Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural barriers to the practice. Therefore, to generate evidence for exclusive and continued breastfeeding policies in Kenya, we examined community perspectives on the facilitators and barriers in adherence to EBF for the HIV positive mothers. Methods Qualitative research was conducted in Koibatek, a sub-County in Baringo County Kenya, in August 2014 among 205 respondents. A total of 14 focus group discussions (n = 177), 14 In-depth Interviews and 16 key informant interviews were conducted. Transcribed data was analyzed thematically. NVivo version 10.0 computer qualitative software program was used to manage and facilitate the analysis. Results Facilitators to exclusive breastfeeding were perceived to include counselling at the health facility, desire to have a healthy baby, use of antiretroviral drugs and health benefits associated with breastmilk. Barriers to EBF included poor dissemination of policies, knowledge gap, misinterpretation of EBF, inadequate counselling, attitude of mother and health workers due to fear of vertical HIV transmission, stigma related to misconception and misinformation that EBF is only compulsory for HIV positive mothers, stigma related to HIV and disclosure, social pressure, lack of male involvement, cultural practices and traditions, employment, food insecurity. Conclusions There are multiple facilitators and barriers of optimal breastfeeding that needs a holistic approach to interventions aimed at achieving elimination of mother to child transmission. Extension of infant feeding support in the context of HIV to the community while building on existing interventions such as the Baby Friendly Community Initiative is key to providing confidential support services for the additional needs faced by HIV positive mothers.


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