https://doi.org/10.4081/acbr.2021.119

The World Health Organisation’s recommendation on breastfeeding: Assessing knowledge and practice among mothers in Abuja, Northern Nigeria

Vol. 2 No. 1 (2021)
Submitted: 4 November 2020
Accepted: 22 February 2021
Published: 17 March 2021
Breast feeding, exclusive breastfeeding, knowledge, practice, Nigeria, World Health Organisation
Abstract Views: 1976
PDF: 203
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Authors

Nneoma Macphilip-Chikwendu
Department of Community Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Onyinye Hope Chime
onyinye.chime@esut.edu.ng
https://orcid.org/0000-0002-1055-9903
Department of Community Medicine, Enugu State University Teaching Hospital, Enugu; Department of Community Medicine, Enugu State University College of Medicine, Enugu, Nigeria.
Chigbo Macphilip Chikwendu
Health Strategy and delivery Foundation, Abuja, Nigeria.
Christian Osaeloka Ekwueme
Department of Community Medicine, University of Nigeria Teaching Hospital, Enugu; Department of Community Medicine, University of Nigeria College of Medicine, Enugu, Nigeria.

Despite the fact that breastfeeding remains the healthiest, simplest and least expensive means of meeting the nutritional needs of newborns and infants, the knowledge and practice as recommended by WHO remain low in most low-and middle-income countries. This study aims at exploring the gap in the knowledge of exclusive breastfeeding among mothers in Northern Nigeria as well as comparing their practises with the WHO recommendations. This was a cross-sectional facility-based study among 343 mothers in Abuja, Northern Nigeria. Data was collected over 8 weeks using a structured interviewer-administered questionnaire assessing knowledge and practise of breastfeeding based on the WHO recommendations. Data collected were analyzed using SPSS version 22. Chi square test of statistical significance was used to measure the degree of bivariate associations at a level of p < 0.05. Only 42.6% of the mothers had good general knowledge of breastfeeding. Exclusive breastfeeding for 6 months was practised by 232 (75.1%) mothers. Having more than one child was associated with good knowledge of breastfeeding (χ2 = 7.331, p = 0.007) while having poor knowledge of breastfeeding (χ2=5.722, p=0.017) was associated with exclusive breastfeeding practise. Commonest reasons for not practising exclusive breastfeeding were insufficient breast milk (38.7%) and resumption of work (19.8%). In this study, the practise of initiating breastfeeding within an hour after birth and exclusive breastfeeding are both in line with WHO recommendations. Continuous breastfeeding awareness campaigns are needed to improve knowledge and sustain the practise of exclusive breastfeeding.>

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Crossref
Scopus
Google Scholar
Europe PMC
Ballard O, Morrow AL. Human Milk Composition: Nutrients and Bioactive Factors. Pediatr Clin North Am 2013;60:49–74. DOI: https://doi.org/10.1016/j.pcl.2012.10.002
Adewuyi E, Adefemi K. Breastfeeding in Nigeria: a systematic review. Int J Community Med Public Heal 2016;3:385–96. DOI: https://doi.org/10.18203/2394-6040.ijcmph20160421
United Nations Children Fund (UNICEF). Breastfeeding. A Mother’s Gift, for Every Child. 2018. Accessed on 15/10/2020. Available from: https://www.unicef.org/publications/files/UNICEF_Breastfeeding_A_Mothers_Gift_for_Every_Child.pdf
Kramer MS, Kakuma R. The Optimal Duration of Exclusive Breastfeeding: a Systematic Review. World Heal Organ. 2002. Available from: https://www.who.int/nutrition/publications/optimal_duration_of_exc_bfeeding_review_eng.pdf DOI: https://doi.org/10.1002/14651858.CD003517
World Health Organization (WHO). Infant and young child feeding: Model Chapter for textbooks for medical students and allied health professionals. 2009. Accessed on: 15/07/20. Available from: https://apps.who.int/iris/bitstream/handle/10665/44117/9789241597494_eng.pdf?ua=1
National Policy on Infant and Young Child Feeding in Nigeria. Federal Ministry of Health, Nutrition Division ABUJA. 2005.
World Health Organization (WHO). Community-based strategies for breastfeeding promotion and support in developing countries. 2003;570:40. Accessed on 17/5/2020. Available from: http://apps.who.int/iris/bitstream/10665/42859/1/9241591218.pdf
Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. Int Breastfeed J 2012;7:12. DOI: https://doi.org/10.1186/1746-4358-7-12
Issaka AI, Agho KE, Renzaho AMN. Prevalence of key breastfeeding indicators in 29 sub-Saharan African countries: A meta-analysis of demographic and health surveys (2010-2015). BMJ Open 2017;7:e014145. DOI: https://doi.org/10.1136/bmjopen-2016-014145
National Bureau of Statistics (NBS) and United Nations Children's Fund (UNICEF). 2018 National Nutrition and Health Survey, Report. Abuja, Nigeria. NBS and UNICEF.
Agho KE, Ezeh OK, Ghimire PR, et al. Exclusive Breastfeeding Rates and Associated Factors in 13 "Economic Community of West African States" (ECOWAS) Countries. Nutrients 2019;11:3007. DOI: https://doi.org/10.3390/nu11123007
Odu S, Deji SA, Amu E, Aduayi V. Knowledge, Attitude and Practice of Exclusive Breastfeeding Among Mothers Attending an Infant Welfare Clinic in Osogbo, Osun State, Nigeria. Eur J Prev Med 2016;4:39-43. DOI: https://doi.org/10.11648/j.ejpm.20160402.13
Udoudo IOA, Ajayi PH. Working Mother Attitude and Practices of Exclusive Breastfeeding in Amac, Fct-Abuja. Int J Res Sociol Anthropol 2015;1:28–36.
Federal Ministry of Health. Nigeria Health Facility Registry. Accessed on 11/9/2020. Available from: https://hfr.health.gov.ng/facilities/hospitals-list
World Health Organization (WHO). Infant and young child feeding. A tool for assessing national practices, policies and programmes. Geneva. 2003. Accessed on 15/10/2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/42794/9241562544.pdf
Dukuzumuremyi JPC, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. Int Breastfeed J 2020;15:70. DOI: https://doi.org/10.1186/s13006-020-00313-9
Onah S, Osuorah DIC, Ebenebe J, et al. Infant feeding practices and maternal socio-demographic factors that influence practice of exclusive breastfeeding among mothers in Nnewi South-East Nigeria : a cross-sectional and analytical study. Int Breastfeed J 2014;9:6. DOI: https://doi.org/10.1186/1746-4358-9-6
Oche MO, Umar AS, Ahmed H. Knowledge and practice of exclusive breastfeeding in Kware, Nigeria. Afr Health Sci 2011;11:518-23.
Mbada CE, Olowookere AE, Faronbi JO, et al. Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC Res Notes 2013;6:552. DOI: https://doi.org/10.1186/1756-0500-6-552
Adrawa AP, Opi D, Candia E, et al. Assessment of the Knowledge and Practices of Exclusive Breastfeeding amongst the Breastfeeding Mothers in Adjumani District, West Nile. East Afr Med J 2016;93:576-81.
Takahashi K, Ganchimeg T, Ota E, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO global survey. Sci Rep 2017;7:44868. DOI: https://doi.org/10.1038/srep44868
Agunbiade OM, Ogunleye OV. Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: implications for scaling up. Int Breastfeed J 2012;7:5. DOI: https://doi.org/10.1186/1746-4358-7-5
National Bureau of Statistics (NBS) and United Nations Children’s Fund (UNICEF). Multiple indicator cluster survey 2016–17, Survey Findings Report. Abuja: National Bureau of Statistics and United Nations Children’s Fund; 2017.
Joseph FI, Earland J. A qualitative exploration of the sociocultural determinants of exclusive breastfeeding practices among rural mothers, North West Nigeria. Int Breastfeed J 2019;14:38. DOI: https://doi.org/10.1186/s13006-019-0231-z
Nukpezah RN, Nuvor SV, Ninnoni J. Knowledge and practice of exclusive breastfeeding among mothers in the tamale metropolis of Ghana. Reprod Health 2018;15:140. DOI: https://doi.org/10.1186/s12978-018-0579-3
Nkoka O, Ntenda PAM, Kanje V, et al. Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: a population-based cross-sectional study. Int Breastfeed J 2019;14:37. DOI: https://doi.org/10.1186/s13006-019-0232-y
Akodu SO, Njokanma OF, Kehinde OA. Exclusive breastfeeding practices among women attending a private health facility in Lagos, Nigeria. Niger J Paed 2014;41:345–9. DOI: https://doi.org/10.4314/njp.v41i4.11
Bisi-onyemaechi AI, Chikani UN, Ubesie AC, et al. Factors associated with low rate of exclusive breastfeeding among mothers in Enugu, Nigeria. Int J Res Med Sci 2017;5:3776. DOI: https://doi.org/10.18203/2320-6012.ijrms20173948
Liben ML, Yesuf EM. Determinants of early initiation of breastfeeding in Amibara district, Northeastern Ethiopia: a community based cross-sectional study. Int Breastfeed J 2016;11:7. DOI: https://doi.org/10.1186/s13006-016-0067-8

How to Cite

Macphilip-Chikwendu, N. ., Chime, O. H., Chikwendu, C. M., & Ekwueme, C. O. (2021). The World Health Organisation’s recommendation on breastfeeding: Assessing knowledge and practice among mothers in Abuja, Northern Nigeria. Annals of Clinical and Biomedical Research, 2(1). https://doi.org/10.4081/acbr.2021.119

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