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Sociodemographic Factors Affecting the Practices of Exclusive Breastfeeding Among Mothers Attending Brikama District Hospital, West Coast Region, The Gambia

Received: 8 June 2023    Accepted: 20 July 2023    Published: 25 September 2023
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Abstract

World Health Assembly resolution emphasized on countries to ensure that maternal and child nutrition especially the six global targets are met by 2025, and it was all clamored for more efforts to be put on increasing the rate of exclusive breastfeeding by 50%. To support a child's best growth and development, exclusive breastfeeding should be observed for the first six months after birth followed by supplemental feeding for two years or longer. This study investigates the sociodemographic factors influencing the practice of exclusive breastfeeding among mothers with children who are two years or less attending antenatal care in Brikama Health Center, The Gambia. Structured and pretested interviews and questionnaires were used to obtain data from study participants respectively. Face-to-face interviews with mothers on their clinic days were used to collect data during the one-month study period and descriptive statistics were carried out using SPSS for Windows version 20.0. A total of 384 women participated in this study, out of which, the majority, 240 (62.5%) of participants had exclusively breastfed their babies. Above half 168 (44%) of the mothers had breastfed their babies on demand, majority of them 49 (21%) reported that they had given their babies lactating milk or bformulaulae food before the sixth month. The results show a significant relationship between Type of family (p=0.002), Religion (p=0.035), Ethnicity (p=0.005), Type of deliveries (p=0.023), and Place of birth (p=0.001) and practice of exclusive breastfeeding (EBF). Concerning the frequency of EBF, Educational status and Occupation showed a significant relationship (p=0.032 and 0.051) respectively. Type of family, religion, ethnicity, type of delivery, place of birth, educational status, mother's occupation, and child's sex were the socio-demographic characteristics that influenced exclusive breastfeeding in this study. In planning exclusive breastfeeding intervention programs, these factors need to be considered.

Published in Journal of Family Medicine and Health Care (Volume 9, Issue 3)
DOI 10.11648/j.jfmhc.20230903.11
Page(s) 41-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Exclusive Breastfeeding, Brikama, Practice, Socio-Demographic, Mothers

References
[1] WHO. Global database on the implementation of nutrition action (GINA). (2012). Available from: https://extranet.who.int/nutrition/gina/sites/default/files/MAR%202011%20Strategie%20N722ationale%20de%20Nutrition.pdf
[2] WHO. Global breastfeeding scorecard, enabling women to breastfeed through better policies and programs. (2018). Available from: https://www.who.int/nutrition/publications/infantfeeding/global-bf-scorecard-2018.pdf?ua=1#:~:text Accessed 22/07/2020
[3] Wana, A. D. Assessment of Knowledge, Attitude and Practice on Exclusive Breastfeeding of Child Bearing Mothers in Boditi town, Southern Ethiopia: A Cross-sectional Study. Journal of Biology, Agriculture and Healthcare. 2017; ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol. 7, No. 1.
[4] WHO. World Health Organization, Exclusive Breastfeeding. 2014. Available at www.who.int/nutrition/topic/exclusive_breastfeeding/en/. Accessed on 09/10/2021
[5] National Guideline on Infant and Young Child Feeding. Ministry of Human resource development. Government of India. 2014.
[6] Holtzman O., Usherwood T. Australian general practitioners' knowledge, attitudes, and practices towards breastfeeding. PLoS One. 2018; 13 (2): e0191854.
[7] Ogbo, F. A., Nguyen, H., Naz, S., Agho, K. E., Page, A. The association between infant and young child feeding practices and diarrhoea in Tanzanian children. Trop Med Health. 2018; 46: 2.
[8] UNICEF. Exclusive Breastfeeding (<6 Months) Dataset. Infant and Young Child Feeding (IYCF) Data. 2018; https://data.unicef.org/resources/dataset/infant-young-child-feeding
[9] Victora, C. G., Horta, B. L., Mola, C. L., Quevedo, L., Pinheiro, R. T., Gigante, D. P. Association between breastfeeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. Lancet Glob Health. 2015; 3: e199–205.
[10] Abigail, A. H., Inalegwu, E., Okoh, E., Agba, A., Ai, Z. Barriers and facilitators to the practice of exclusive breastfeeding among working-class mothers: A study of female resident doctors in tertiary health institutions in Plateau State. 2013; 2 (1): 112-6.
[11] UNICEF. Breastfeeding: A Mother’s Gift, for Every Child (2018). UNICEF: United Nations Children’s Fund. Available from: https://www.unicef.org/publications/index_102824.html. Accessed 23 Jun 1019.
[12] The Gambia Bureau of Statistics (GBOS) and ICF International. The Gambia Demographic and Health Survey 2013. Banjul, the Gambia, and Rockville, Maryland, USA: GBOS and ICF International. 2014.
[13] The Gambia Bureau of Statistics. The Gambia Multiple Indicator Cluster Survey 2018, Survey Findings Report. Banjul, The Gambia: The Gambia Bureau of Statistics. 2019.
[14] Senghore, T., Omotosho, T. A., Ceesay, O., & Williams, D. C. H. Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: a cross-sectional study. International Breastfeeding Journal, 13 (1). 2018. Available from: https://doi.org/10.1186/s13006-018-0154-0
[15] Egwuda, L., Akpan, E. E. & Igbudu, T. J. Socio-demographic factors affecting the practice of exclusive breastfeeding in South-South, Nigeria. Asian Pac. J. Health Sci.. 2015; 2 (3): 94-101 e-ISSN: 2349-0659, p-ISSN: 2350-0964.
[16] Machila, C. M., Karonjo, J., Mogere, D. & Kariuki, P. Socio-demographic factors influencing practice and awareness of exclusive breastfeeding benefits among women of reproductive age attending maternal and child health clinic in Tudor sub-county hospital. Int J Community Med Public Health. 2021 Mar; 8 (3): 1129-1133http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040
[17] Jawo E., Kargbo A., Uyamadu E. A., Kah. M., Mendy P. A., Mendy. E., Ceesay. F., Ousman Jallow. O., Entonu M. E. Knowledge and Attitude towards Exclusive Breast Feeding among Mothers Attending Antenatal Care (ANC) in Brikama District Hospital. Pan Africa Science Journal. 2022. ISSN 2709-1473 | Open Access.
[18] Mensah, K. A., Acheampong, E., Anokye, F. O., Okyere, P., Appiah-Brempong, E., & Adjei, R. O. Factors influencing the practice of exclusive breastfeeding among nursing mothers in a peri-urban district of Ghana. BMC Research Notes, 2017. 10 (1). Available from: https://doi.org/10.1186/s13104-017-2774-7
[19] Onah S, Osuorah D. I. C., Ebenebe J., Ezechukwu C., Ekwochi U., & Ndukwu I. Infant feeding practices and maternal socio-demographic factors that influence the practice of exclusive breastfeeding among mothers in Nnewi South-East Nigeria: a cross-sectional and analytical study. International Breastfeeding Journal. 2014. volume 9, Article number: 6.
[20] Asare, B. Y.-A., 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,. 2018. 13 (1). Avaialbel from: https://doi.org/10.1186/s13006-018-0156-y
[21] Kimani-Murage, E., Madise, N., Fotso, J. C., Kyobutungi, C., Kavao, M., Gitau, T., & Yatich, N. P2-432 Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi, Kenya. Journal of Epidemiology & Community Health. 2011. 65 (1), A341–A341. https://doi.org/10.1136/jech.2011.142976l.62
[22] Shifraw, T., Worku, A., & Berhane, Y. Factors associated exclusive breastfeeding practices of urban women in Addis Ababa public health centers, Ethiopia: a cross-sectional study. International Breastfeeding Journal, 2015. 10 (1). https://doi.org/10.1186/s13006-015-0047-4
[23] Smith P. H., Hausman B., Labbok M. Beyond health beyond choice: breastfeeding constraints and realities. Rutgers University Press. 2012.
[24] The Gambia Food Act. 2005.
[25] GBoS. The Gambia 2013 Population and Housing Census Preliminary Results. Gambia Bur Stat [Internet]. 2013; 23. Available from: www.gbos.gov.gm
[26] Thrusfield, M. Veterinary epidemiology. 3rd Edition, Blackwell Science Ltd., Oxford. 2007. Available from: www.blackwellpublishing.com
[27] StataCorp. Statistical Software: Release 14. College Station, TX: StataCorp LP. 2015.
[28] Habibi, M., Laamiri, F. Z., Aguenaou, H., Doukkali, M. M., & Barkat, A. The impact of maternal socio-demographic characteristics on breastfeeding knowledge and practices: An experience from Casablanca, Morocco. Int J Pediatr Adolesc Med. 2018 Jun. 5 (2): 39–48. 1. doi: 10.1016/j.ijpam.2018.01.003, PMCID: PMC6363246.
[29] Tsedeke W., Gadisa D., Ababa W., Genet M., Girma N., et al. Knowledge, Attitude and Practice of Exclusive Breast Feeding Among Lactating Mothers in Bedelle Town, Southwestern Ethiopia: Descriptive Cross-Sectional Study. 2014. Researcher 6: 11.
[30] Tadele N., Habta F., Akmel D., Deges E. (2015). Knowledge, Attitude and Practice towards Exclusive Breastfeeding among Lactating Mothers, Mizan Aman Town, Southwestern Ethiopia: Descriptive Cross-Sectional Study. J Health Edu Res Dev 3: 149. 2015. doi: 10.4172/2380439.1000149.
[31] Maeza M., Mesele A., Zelalem K. Factors associated with exclusive breastfeeding practices in Debre Berhan District, Central Ethiopia: a cross-sectional community-based study. International Breastfeeding Journal. 2015.
[32] Qureshi, A. M., Oche, O. M., Sadiq, A. U., and Kabiru, S. “Using community volunteers to promote exclusive breastfeeding in Sokoto State, Nigeria,” Pan African Medical Journal, 2011. vol. 10, no. 8.
[33] Chekol, D. A., Biks, G. A., Gelaw, Y. A., Melsew, Y. A. Exclusive breastfeeding and mothers’ employment status in Gondar town, Northwest Ethiopia: a comparative cross-sectional study. Int Breastfeed J. 2017.; 12: 27.
[34] Osibogun O. O., Olufunlayo T. F., O. Oyibo S. Knowledge, attitude, and support for exclusive breastfeeding among bankers in Mainland Local Government in Lagos State, Nigeria. International Breastfeeding Journal, 2018. Available from: https://doi.org/10.1186/s13006-018-0182-9
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    Evelyn Anuli Uyamadu, Pierre Anthony Mendy, Edrisa Jawo, Edward Mendy, Matty Kah, et al. (2023). Sociodemographic Factors Affecting the Practices of Exclusive Breastfeeding Among Mothers Attending Brikama District Hospital, West Coast Region, The Gambia. Journal of Family Medicine and Health Care, 9(3), 41-48. https://doi.org/10.11648/j.jfmhc.20230903.11

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    Evelyn Anuli Uyamadu; Pierre Anthony Mendy; Edrisa Jawo; Edward Mendy; Matty Kah, et al. Sociodemographic Factors Affecting the Practices of Exclusive Breastfeeding Among Mothers Attending Brikama District Hospital, West Coast Region, The Gambia. J. Fam. Med. Health Care 2023, 9(3), 41-48. doi: 10.11648/j.jfmhc.20230903.11

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    AMA Style

    Evelyn Anuli Uyamadu, Pierre Anthony Mendy, Edrisa Jawo, Edward Mendy, Matty Kah, et al. Sociodemographic Factors Affecting the Practices of Exclusive Breastfeeding Among Mothers Attending Brikama District Hospital, West Coast Region, The Gambia. J Fam Med Health Care. 2023;9(3):41-48. doi: 10.11648/j.jfmhc.20230903.11

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  • @article{10.11648/j.jfmhc.20230903.11,
      author = {Evelyn Anuli Uyamadu and Pierre Anthony Mendy and Edrisa Jawo and Edward Mendy and Matty Kah and Ismaila Mbenga and Alpha Kargbo},
      title = {Sociodemographic Factors Affecting the Practices of Exclusive Breastfeeding Among Mothers Attending Brikama District Hospital, West Coast Region, The Gambia},
      journal = {Journal of Family Medicine and Health Care},
      volume = {9},
      number = {3},
      pages = {41-48},
      doi = {10.11648/j.jfmhc.20230903.11},
      url = {https://doi.org/10.11648/j.jfmhc.20230903.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20230903.11},
      abstract = {World Health Assembly resolution emphasized on countries to ensure that maternal and child nutrition especially the six global targets are met by 2025, and it was all clamored for more efforts to be put on increasing the rate of exclusive breastfeeding by 50%. To support a child's best growth and development, exclusive breastfeeding should be observed for the first six months after birth followed by supplemental feeding for two years or longer. This study investigates the sociodemographic factors influencing the practice of exclusive breastfeeding among mothers with children who are two years or less attending antenatal care in Brikama Health Center, The Gambia. Structured and pretested interviews and questionnaires were used to obtain data from study participants respectively. Face-to-face interviews with mothers on their clinic days were used to collect data during the one-month study period and descriptive statistics were carried out using SPSS for Windows version 20.0. A total of 384 women participated in this study, out of which, the majority, 240 (62.5%) of participants had exclusively breastfed their babies. Above half 168 (44%) of the mothers had breastfed their babies on demand, majority of them 49 (21%) reported that they had given their babies lactating milk or bformulaulae food before the sixth month. The results show a significant relationship between Type of family (p=0.002), Religion (p=0.035), Ethnicity (p=0.005), Type of deliveries (p=0.023), and Place of birth (p=0.001) and practice of exclusive breastfeeding (EBF). Concerning the frequency of EBF, Educational status and Occupation showed a significant relationship (p=0.032 and 0.051) respectively. Type of family, religion, ethnicity, type of delivery, place of birth, educational status, mother's occupation, and child's sex were the socio-demographic characteristics that influenced exclusive breastfeeding in this study. In planning exclusive breastfeeding intervention programs, these factors need to be considered.},
     year = {2023}
    }
    

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    T1  - Sociodemographic Factors Affecting the Practices of Exclusive Breastfeeding Among Mothers Attending Brikama District Hospital, West Coast Region, The Gambia
    AU  - Evelyn Anuli Uyamadu
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    AU  - Edward Mendy
    AU  - Matty Kah
    AU  - Ismaila Mbenga
    AU  - Alpha Kargbo
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    AB  - World Health Assembly resolution emphasized on countries to ensure that maternal and child nutrition especially the six global targets are met by 2025, and it was all clamored for more efforts to be put on increasing the rate of exclusive breastfeeding by 50%. To support a child's best growth and development, exclusive breastfeeding should be observed for the first six months after birth followed by supplemental feeding for two years or longer. This study investigates the sociodemographic factors influencing the practice of exclusive breastfeeding among mothers with children who are two years or less attending antenatal care in Brikama Health Center, The Gambia. Structured and pretested interviews and questionnaires were used to obtain data from study participants respectively. Face-to-face interviews with mothers on their clinic days were used to collect data during the one-month study period and descriptive statistics were carried out using SPSS for Windows version 20.0. A total of 384 women participated in this study, out of which, the majority, 240 (62.5%) of participants had exclusively breastfed their babies. Above half 168 (44%) of the mothers had breastfed their babies on demand, majority of them 49 (21%) reported that they had given their babies lactating milk or bformulaulae food before the sixth month. The results show a significant relationship between Type of family (p=0.002), Religion (p=0.035), Ethnicity (p=0.005), Type of deliveries (p=0.023), and Place of birth (p=0.001) and practice of exclusive breastfeeding (EBF). Concerning the frequency of EBF, Educational status and Occupation showed a significant relationship (p=0.032 and 0.051) respectively. Type of family, religion, ethnicity, type of delivery, place of birth, educational status, mother's occupation, and child's sex were the socio-demographic characteristics that influenced exclusive breastfeeding in this study. In planning exclusive breastfeeding intervention programs, these factors need to be considered.
    VL  - 9
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Author Information
  • Department of Public and Environmental Health, The University of the Gambia, Brikama, Banjul, Gambia

  • Department of Physical and Natural Sciences, School of Arts and Sciences, the University of the Gambia, Brikama, Banjul, Gambia

  • Directorate of Research and Consultancy, The University of the Gambia, Banjul, Gambia

  • WASCAL-Graduate Research Program in Climate Change and Disaster Risk Management, Universite de Lome, Lome, Togo

  • School of Agriculture and Environmental Sciences, The University of the Gambia, Brikama, Banjul, Gambia

  • Department of Physical and Natural Sciences, School of Arts and Sciences, the University of the Gambia, Brikama, Banjul, Gambia

  • Department of Physical and Natural Sciences, School of Arts and Sciences, the University of the Gambia, Brikama, Banjul, Gambia

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