Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

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):  
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.


2021 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Vivienne Tjung ◽  
Husnia Auliyatul Umma ◽  
Jarot Subandono

<p class="16"><strong><em>Introduction</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>Exclusive breast milk is breastfeeding for six months to babies, without providing other foods and drinks. Breastfeeding for up to 6 months is recommended by various health organizations, including the Ministry of Health. In Indonesia, exclusive breastfeeding is still low, even though the benefits of breastfeeding are numerous. Various studies that have been conducted have shown </em><em>different</em><em> results regarding the relationship between the number and sequence of children with breastfeeding practices. This stud</em><em>y </em><em>aimed</em><em> </em><em>to determine the relationship between the number of children and the order of the children with the practice of exclusive breastfeeding in Surakarta</em><em></em></p><p class="16"><strong><em>Methods</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>This study </em><em>was</em><em> an analytic observational study with a cross-sectional study design. The research sample was determined by random sampling of mothers registered at the Penumping Health Center. The research sample consisted of 50 people who have children aged 1-5 years. Assessment of completeness of breastfeeding was measured using a questionnaire. Data were analyzed using bivariate analysis techniques using chi-square and multivariate logistic regression</em><em>.</em><em></em></p><p class="16"><strong><em>Result</em></strong><strong><em>s and discussions: </em></strong><em>From</em><em> 47</em><em> </em><em>subjects studied with the bivariate analysis technique using the chi square between the number of children and the order of children with exclusive breastfeeding practice, the results were less significant, p = 0.724 and p = 0.401</em><em>.</em><em></em></p><p class="16"><strong><em>Conclusion</em></strong><strong><em>: </em></strong><em>There </em><em>was</em><em> no significant relationship between the number of children and the order of children with the practice of exclusive breastfeeding in Surakarta.</em><em></em></p><p class="18"><strong><em>Keywords</em></strong><strong><em>: </em></strong><strong><em>E</em></strong><strong><em>xc</em></strong><strong><em>lusive breastfeeding, number of children, </em></strong><strong><em>order </em></strong><strong><em>of children</em></strong><strong><em>.</em></strong><strong><em></em></strong></p>


2021 ◽  
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 six months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods: This was a cross-sectional study conducted between January – 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%. EBF’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 six months since birth while mothers who consumed alcohol (AOR = 0.54, 95% CI, 0.34-0.85) were less likely to practice EBF for six 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):  
Hesteria F.A.S ◽  
I.W.G. Artawan Eka Putra ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Working mothers and mothers who leave their babies in their home for more than 8 hours a day almost do not exclusively breastfeed their babies. The aim of this study was to determine the proportion of exclusive breastfeeding among mothers who work at home and factors associated with it.Methods: Cross-sectional survey was conducted by convenience sampling of 132 mothers with 6-12 months babies at Puskesmas Marga I Tabanan Regency from March-April 2016. The data was collected by interview about social-demographic characteristic, knowledge, perception, pregnancy and maternity counseling, early breastfeeding initiation, families support, medical assistant and exclusive breastfeeding. The data analyzed by univariate, bivariate, multivariate using STATA 12.1. Chi square applied in bivariate analysis and poison regression applied in multivariate analysis.Results: Proportion of respondents who exclusively breastfeed their babies for 6 months was 66.67%. Reasons for not exclusively breastfeed were not enough breastmilk (32.58%), no breastmilk (13.64%), families suggestion (8.33%), babies refused breastmilk (6.06%), health provider suggestion (2.27%) and to avoid the shape of the breast (1.52%). Multivariate analysis found that variables associated with the exclusive breastfeeding were parity (APR=1.50; 95%CI: 1.01-2.15), early breasfeeding initiation (APR=1.80; 95%CI: 1.13-2.90) and families support (APR=1.4; 95%CI: 1.10-1.76).Conclusion: Factors significantly associated with exclusive breastfeeding were parities less than 3, early breasfeeding initiation and families support.


2009 ◽  
Vol 6 (1) ◽  
pp. 42
Author(s):  
Siswanto Agus Wilopo

Background : A modernization can lead to the adoption of western behavior while cultural values can also prevails, resulting in rejection of certain aspects of modernity. The question is how such conflicting forces affect breastfeeding practices in Indonesian women. Objective : This study examined modern and traditional factors that may affect pattern, trends and differentials of breastfeeding in Indonesia. Methods : The study based on data from Indonesian Demographic Health Survey (IDHS) conducted in 2007. There were 32.895 women or 19.939 children born after January 2002 and contributed to this information. We used duration of breastfeeding as dependent variables which based on information pertained to the last two children of respondent. The variable was calculated as the number of months that the mother reports having breastfed the child. The early use of supplementary food for children and the use of health services were examined to represent cultural values and modernity respectively. Socio-economic and demographic variables were considered important variables for breastfeeding practices. Kaplan Meier graphs were employed for the analysis of pattern, trends, and differentials of breastfeeding.Result : In Indonesia, the duration of breastfeeding varied between provinces. There was a trend of shortening of duration breastfeding about two months during 5 years period. Factors associated with modernity were significant determinant in shortening breastfeeding practice. These included: type of residence (urban or rual), level of education, prenatal care, previous or ever use of contraceptives, delivery at the hospital, and the use of an infant formula. Conclusion : Factors associated with modernity were significant in terms of early termination of breastfeeding. Traditional factors associated with breastfeeding practice did not show significant roles in maintaining the breastfeeding practice. We recommend to use a social enginering to include breastfeeding practice as a part of modern health practices.


2021 ◽  
Author(s):  
Desta Markos Minamo

Abstract Introduction Contrary to the recommendation, children under the age of 6 months be exclusively breastfed, many infants are also fed with other liquids such as water, non-milk liquids, and other milks before 6 months. Because of level of education and proportion of employed women in Ethiopia has been increasing gradually. Consequently the practice of exclusive breastfeeding became very lower. The main objective of this study was to assess the magnitude and factors associated with the practice of exclusive breastfeeding among employed and unemployed mothers in Ethiopia, using dataset from EDHS 2016. METHOD Data was extracted from Ethiopia Demographic and Health Survey (EDHS-2016). A total of 1089 mothers with infants aged 0 to 6 months in the data set were included in the analysis. Descriptive analysis, chi-square and binary logistic regression models were used. RESULT This study has demonstrated a 64.7%, 95%CI(58.9-70.5) and 75.4%, 95%CI(72.378.2) prevalence of EBF practices among employed and unemployed mothers respectively in the 24h preceding the survey. Other factors associated with EBF practice included being unemployed mother, larger to normal birth weight; infant aged 0-3 month old, infant being male, have radio in the house, infant being wanted, delivery by non CS mode and presence of ANC follow up during pregnancy were found to be significantly associated with exclusive breastfeeding practice. Conclusion the prevalence of exclusive breast feeding practice among employed mothers was significantly lower than that of unemployed mothers. Thus, Having in consideration the impact of appropriate infant and young children feeding practice on children’s nutritional status and mortality rate, policy makers still need to give more emphasis on promotion of exclusive breastfeeding through creating an enabling environment targeting the extension of postnatal maternity leave up to the first six month.


2019 ◽  
pp. 22-29 ◽  
Author(s):  
Julio Cesar Mateus Solarte ◽  
Gustavo Alonso Cabrera Arana

Breastfeeding promotion is one of the most effective strategies to prevent child malnutrition; it reduces costs to families, health services and society. In Colombia, exclusive breastfeeding is practiced only by 10% of women. Objective: To identify factors associated with the duration of exclusive breastfeeding. Methods: A cohort of 438 primiparous women was followed during 6 months by means of 8 home interviews, in order to determine the duration of exclusive breastfeeding. Individual, family and health service factors were studied; and survival analysis was carried out. Results: At 8 days, only a few more than half of the participants maintained exclusive breastfeeding; at month 6 of follow-up, this proportion was reduced to 1.4%. The duration of exclusive breastfeeding was determined by: initiation of breastfeeding in the first 4 hours after delivery (HR= 4.07, 95% CI: 0.96-16.67), self-perceived sureness for breastfeeding (HR= 1.28, 95% CI: 1.04 -1.58), positive opinion of the baby's father regarding breastfeeding (HR= 1.26, 95% CI: 1.01-1.57), and newborn weight (HR= 1.23, 95% CI: 1.00-1.53). Conclusion: There are factors before delivery and in the immediate puerperium that determine, partially, the duration of exclusive breastfeeding.


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