scholarly journals Factors associated with exclusive breastfeeding in Kenya: a systematic review

Author(s):  
Leah N. Mututho ◽  
Willy K. Kiboi ◽  
Patrick K. Mucheru

World Health Organization (WHO) recommends that infants should be exclusively breastfed (EBF) for the first six months of life. Breast milk is considered an ideal food for the healthy growth and development of the infant. Exclusive breastfeeding is also important in ensuring the health of the mother. Lack of exclusive breastfeeding in the first six months of a child’s life is considered a risk for infant and childhood morbidity and mortality. In Kenya, sub-optimal breastfeeding practices are still prevalent which has contributed to high rates of under nutrition. Different studies done in Kenya have reported varying factors as potential determinants of exclusive breastfeeding. These factors have been reported under different contexts and settings. This paper explores these factors, which can help in policy making and informing other relevant interventions promoting exclusive breastfeeding. Literature was searched through Freefullpdf, Google scholar and PubMed (Medline) using the following key terms; exclusive breastfeeding in Kenya, determinants of exclusive breastfeeding and factors influencing exclusive breastfeeding. Only peer reviewed articles, and research theses were included. Additionally, only literature reporting on exclusive breastfeeding practices and its associated factors was included. A total of 20 papers were included in the review. The following factors were found to be associated with exclusive breastfeeding; socioeconomic, demographic, maternal, socio-cultural, social and psychosocial support factors. Strategies targeting socioeconomic, demographic, maternal, socio-cultural, social and psychosocial support factors for improving exclusive breastfeeding should be up scaled. Behavior change communication on appropriate exclusive breastfeeding practices is also highly recommended. 

Author(s):  
Dr. S. Rajalakshmi ◽  
Dr. P. Kalaivani

Introduction Breastfeeding is the universally accepted means of infant feeding. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life and thereafter continued breastfeeding until two years of age along with complementary feeds (WHO, 2009).


2021 ◽  
Vol 15 (3) ◽  
Author(s):  
Roqaia Ahmad Dorri ◽  
Tam Truong Donnelly ◽  
Elaine McKiel ◽  
Shellely Raffin Bouchal

Breastfeeding is known to provide health benefits for newborns and breastfeeding mothers. The World Health Organization and Health Canada recommend exclusive breastfeeding for the first six months of an infant’s life. However, the rates of exclusive breastfeeding practices among Arab immigrant mothers are lower when compared with rates for non-immigrant Canadian mothers and mothers in the immigrants’ countries of origin. Critical ethnography was used to explore the contextual factors that influence the initiation and exclusive breastfeeding practices by Arab immigrant mothers in Canada. Critical ethnography, using individual in-depth interviews was employed to explore the breastfeeding practices among immigrant Arab mothers in Alberta, and factors influencing the mothers’ decision or ability to breastfeed exclusively. Exploratory and open-ended questions were used. Face-to-face interviews were conducted with ten women for 1 and 1 and ½ hours . Participant selection criteria included Arab mothers who were within six months postpartum, aged 18–49 years, and who have resided in Canada for less than five years. An analysis of the qualitative narrative data indicated that knowledge and traditional infant feedingpractices primarily influenced Arab immigrant mothers’ initiation and exclusive breastfeeding practices. The findings from this study have the potential to facilitate supportive culturally safe and sensitive interventions that are tailored to address Arab mothers’ breastfeeding concerns and needs, so that exclusive breastfeeding might be promoted within this population in Canada. Further, the research will provide information needed for addressing some key challenges relating to culture, religion, and the healthcare system. Key words: Arab immigrant mothers, exclusive breastfeeding,


2021 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Roqaia Ahmad Dorri ◽  
Tam Truong Donnelly ◽  
Elaine McKiel ◽  
Shelley Raffin Bouchal

Breastfeeding is known to provide health benefits for newborns and breastfeeding mothers. The World Health Organization and Health Canada recommend exclusive breastfeeding for the first six months of an infant’s life. However, the rates of exclusive breastfeeding practices among Arab immigrant mothers are lower when compared with rates for non-immigrant Canadian mothers and mothers in the immigrants’ countries of origin. Critical ethnography was used to explore the breastfeeding practices among immigrant Arab mothers in Alberta, Canada, and factors influencing their decision or ability to breastfeed exclusively. Face-to-face interviews were conducted with 10 participants, followed by thematic analysis of the qualitative narrative data. The results indicated that family and religion are the sociocultural factors that primarily influenced the mothers’ initiation and exclusive breastfeeding practices. The findings from this study can facilitate culturally safe and sensitive interventions to address Arab mothers’ breastfeeding needs and promote exclusive breastfeeding within this population in Canada.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 328
Author(s):  
Josephine Moshe Ibu ◽  
Euphemia Mbali Mhlongo

Nigeria contributes the highest to the global burden of HIV/AIDS and also accounts for the largest proportion of new vertically transmitted HIV infections among children. The Mentor Mothers program in the Nigerian Department of Defense was introduced in accordance with the World Health Organization and its implementing partner guidelines to curb the high incidence of vertically acquired HIV infections. Understanding the experiences of participants could serve as a gateway to evaluating the effectiveness of the program to better provide quality services within targeted health facilities. This qualitative study employed key informant interviews with six healthcare workers as well as two focus group discussions with six mentor mothers and six prevention of mother-to-child transmission (PMTCT) patients in four selected hospitals in the Nigerian Department of Defense to explore their experiences of the Mentor Mothers program. A thematic analysis technique was used to analyze the collated data. As a result, four main themes emerged, with the program perceived by most participants as providing psychosocial support to the patients, a valuable educational resource for raising HIV awareness, a valuable resource for promoting exclusive breastfeeding and mitigating vertical transmission of the virus, and functioning as a link between patients and the healthcare system. The participants reported that the program had effectively decreased HIV infections in children, reduced child and maternal mortality, and supported the livelihood and development of women, families, and communities in and around the Nigerian Department of Defense health facilities.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 557
Author(s):  
Kingsley Agho ◽  
Tahmeed Ahmed ◽  
Catharine Fleming ◽  
Mansi Dhami ◽  
Chundung Miner ◽  
...  

Optimal breastfeeding practices among mothers have been proven to have health and economic benefits, but evidence on breastfeeding practices among adolescent mothers in Bangladesh is limited. Hence, this study aims to estimate breastfeeding indicators and factors associated with selected feeding practices. The sample included 2554 children aged 0–23 months of adolescent mothers aged 12–19 years from four Bangladesh Demographic and Health Surveys collected between 2004 and 2014. Breastfeeding indicators were estimated using World Health Organization (WHO) indicators. Selected feeding indicators were examined against potential confounding factors using univariate and multivariate analyses. Only 42.2% of adolescent mothers initiated breastfeeding within the first hour of birth, 53% exclusively breastfed their infants, predominant breastfeeding was 17.3%, and 15.7% bottle-fed their children. Parity (2–3 children), older infants, and adolescent mothers who made postnatal check-up after two days were associated with increased exclusive breastfeeding (EBF) rates. Adolescent mothers aged 12–18 years and who watched television were less likely to delay breastfeeding initiation within the first hour of birth. Adolescent mothers who delivered at home (adjusted OR = 2.63, 95% CI:1.86, 3.74) and made postnatal check-up after two days (adjusted OR = 1.67, 95% CI: 1.21, 2.30) were significantly more likely to delay initiation breastfeeding within the first hour of birth. Adolescent mothers living in the Barisal region and who listened to the radio reported increased odds of predominant breastfeeding, and increased odds for bottle-feeding included male infants, infants aged 0–5 months, adolescent mothers who had eight or more antenatal clinic visits, and the highest wealth quintiles. In order for Bangladesh to meet the Sustainable Development Goals (SDGs) 2 and 3 by 2030, breastfeeding promotion programmes should discourage bottle-feeding among adolescent mothers from the richest households and promote early initiation of breastfeeding especially among adolescent mothers who delivered at home and had a late postnatal check-up after delivery.


2014 ◽  
Vol 32 (1) ◽  
pp. 26-30 ◽  
Author(s):  
MUH Begum

The World Health Organization (WHO) and the American Academy of Pediatrics (AAP) emphasize the value of breastfeeding for mothers as well as children. Both recommend exclusive breastfeeding for the first six months of life. Human breast milk is the healthiest form of milk for babies. Breastfeeding promotes health and helps to prevent diseases including diarrheal diseases. It contains all nutrients including antibodies (IgA),and lactoferrin, that potentially prevent infection and diarrhea in infants and children. Studies conducted in both developed and under developed nations have found that breast feeding is associated with significantly ( upto 64%) less diarrheal disease and the protective effect of breast feeding does not persist beyond two months after breast feeding is stopped. On the other hand, formula fed infants are found an upto 80% increased in the risk of developing diarrhea compared to breast fed infants and there is significantly more diarrheal disease in formula fed infants. Infection may be attributable to contamination of bottles, teats, milk, and food in infants who are not exclusively breastfed. Exclusive breastfeeding for the first six months of life and there after complementary feedings while breastfeeding continues for up to two years of age or beyond, enthusiastic support and involvement from clinicians, obstetricians and pediatricians, are essential in “breastfeeding vs formula feeding” issue and to reduce incidence of diarrheal diseases in infants and children. DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21033 J Bangladesh Coll Phys Surg 2014; 32: 26-30


2018 ◽  
Vol 7 (2) ◽  
pp. 14
Author(s):  
Karima Soamole

Abstract : It is estimated that 80% of mothers who gave birth were able to produce milk in quantities sufficient for the purposes of the baby in full without any additional food and according to the World Health Organization recommends breastfeeding until the age of 4-6 months baby. Annually, more than 25,000 babies Indonesia and 1.3 million babies around the world can be saved by exclusive breastfeeding in 1999, while according to the 2000 report, the WHO approximately 1.5 million children die because they are not feeding properly, less than 15% infants worldwide are given for four months of exclusive breastfeeding and complementary feeding is often inappropriate and unsafe. This research is explanatory research because it explains the relationship between independent variables and dependent variable through hypothesis testing. The method used in this study is a survey method with cross sectional study design. The population in this study are all mothers who breastfeed in Puskesmas Kalumata 2012. Knowledge of the highest in the category of knowledge of both 81 (95.3%) and the behavior of the Exclusive breastfeeding is highest among respondents with a good knowledge of the 55 categories (67.9%). Respondents' attitudes toward breastfeeding Exclusive showed much respondeng that supports 54 (63.5%) and 31 (36.5%) that does not support exclusive breastfeeding her baby. Family Support tehadap respondents in the most exclusive breastfeeding: supporting respondents in exclusive breastfeeding her baby 64 (75.3%) and 21 (24.7%) who did not support the.


2018 ◽  
Vol 4 (3) ◽  
pp. 279-286
Author(s):  
Nguyen Thi Truong Xuan ◽  
Nhan Thi Nguyen

Background: World Health Organization recommends mothers all over the world should continue breastfeeding up to the age of two years or beyond to achieve optimal health, growth and development for their infants. However, the breastfeeding practices among working mothers have been decreased by the time passed.Objective: to describe the breastfeeding experiences of mothers who returned to work after childbirth.Methods: This study was utilized a qualitative design. Purposive sampling was used to recruit the participant who met the inclusion criteria. Data were collected from 10 semi-structured in-depth interviews. All interviews were audio-recorded and transcribed verbatim. The interview transcriptions were analyzed by using the qualitative content analysis approach.Results: The breastfeeding period of 10 working mothers ranging from 7 to 15 months. Five categories emerged from the data were: 1) Attitude towards breastfeeding, 2) Breastfeeding support during working, 3) Strategic plan for breastfeeding, 4) Psychological distress, and 5) A need for support facilities and resources for breastfeeding during working.Conclusion: This research provided a better understanding of breastfeeding experiences of working mothers in Vietnam. The findings can help nurses and other healthcare professionals in providing anticipatory guidance to mothers who plan to continue breastfeeding after returning to work.


2019 ◽  
Vol 27 (5) ◽  
pp. 312-319
Author(s):  
Elizabeth Shortis

Background The World Health Organization recommends exclusive breastfeeding for the first 6 months of life; however, UK breastfeeding rates are some of the lowest worldwide. As such, various interventions have been trialled, aiming to increase breastfeeding rates. Aims To evaluate the effectiveness of interventions to increase breastfeeding rates in the UK and determine the features of successful interventions. Methods A literature search was performed, using four databases. The results were refined by applying inclusion and exclusion criteria. Two additional articles were recognised by scanning the references sections of identified studies, resulting in 12 articles for review. Findings Support-based interventions had predominantly insignificant effects upon breastfeeding rates. Incentives were associated with increases in rates, while combined interventions had mixed success. The interventions were well received by mothers and clinicians and may help to normalise breastfeeding. Conclusions Future interventions should provide targeted, personalised support to overcome breastfeeding difficulties, and reward mothers for their efforts.


2020 ◽  
Vol 21 (4) ◽  
pp. 213-221
Author(s):  
Katherine Skiff ◽  
Maria deValpine ◽  
Andrea Knopp

Appropriate breastfeeding has the potential to have the broadest impact on childhood survival in children under 5 years compared with all other preventive interventions. The World Health Organization and United Nations International Children’s Emergency Fund recommend that all facilities providing maternal services and newborn care have a written policy addressing breastfeeding that is routinely disseminated to staff. A Mara region hospital in rural Tanzania does not have a breastfeeding policy. Collins adapted Bardach’s eightfold path for policy analysis specifically for health policies. This eight-step process was used to evaluate three promising policies to improve breastfeeding in populations in and around this hospital. These policies include exclusive breastfeeding education, complementary food education, and community health worker home visits. Analysis identified exclusive breastfeeding with adjunct complementary food education as the most feasible policies to increase breastfeeding in and around the target hospital. With improved feeding practices, chronic malnutrition rates are expected to decline in the villages that the hospital serves. This methodology can be used by nurses to develop health polices addressing a wide range of health issues in a wide variety of settings.


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