Factors associated with exclusive breastfeeding in Accra, Ghana

Aidam, Bridget; Pérez‐Escamilla, Rafael; Lartey, Anna; Aidam, J

doi:10.1038/sj.ejcn.1602144

Cited by 95 publications

(118 citation statements)

References 21 publications

(20 reference statements)

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“…The present study demonstrated that women with no education are almost 50% less likely to start breastfeeding compared to women with higher education. Previous studies have also indicated that educational level has an important influence on breastfeeding initiation [34][35][36][37][38]. Although there were similarities regarding economic status in percentage of early initiation it was demonstrated that poorer women (but not poorest) and middle-income women were most likely to initiate breastfeeding within the first hour.…”

Section: Discussionmentioning

confidence: 98%

Influencing factors on time of breastfeeding initiation among a national representative sample of women in India

Şandor¹,

Dalal²

2013

Health

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Breastfeeding is seen as vital for mother and child and therefore is of great public health concern. Early initiation of breastfeeding within one hour of delivery is important as it reduces neonatal mortality. Increasing our understanding of barriers and reasons for not commencing early breastfeeding is important to improve strategies and conditions to overcome such barriers. Hence, the present study aimed to investigate factors influencing time of breastfeeding among women in India, focusing on health care utilisation related issues and partner behaviour. Data from the Ministry of Health and Family Welfare of the Government of India's National Family Health Survey (NFHS) from 2005-2006 (NFHS-3) have been used in this study. Breastfeeding for the latest child was considered in the study. A total of 35,795 female respondents are included in this study. Chi square test and adjusted logistic regression analysis were used. Among all 35,795 women in the study, a total of 31.1% initiated breastfeeding within one hour and 68.6% initiated breastfeeding within the first week. Educational level, economic status and women's caste or tribe, place of delivery, prenatal visits to health care facilities and assistance during delivery as well as partner's controlling and violent behavior are important factors influencing time of initiation of breastfeeding. It is evident that policy makers need to ensure that all health professionals support and promote early breastfeeding initiation. It is also important to promote deliveries in hospitals and other healthcare facilities as they may increase early initiation. Furthermore, it is fundamental that efforts are intensified for girls and women to obtain education to increase women's empowerment and improved gender equality.

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Section: Discussionmentioning

confidence: 98%

Influencing factors on time of breastfeeding initiation among a national representative sample of women in India

Şandor¹,

Dalal²

2013

Health

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“…The cited study in Ghana (15) was conducted during an ongoing EBF promotion period in Ghanaian hospitals. A previous exploratory Ghanaian study (28) showed that 98?1 % of females attending child welfare clinics had heard about EBF. In the present study, less than a quarter (22?2 %) of the mothers knew of EBF for 6 months at baseline.…”

Section: Discussionmentioning

confidence: 99%

Impact of counselling on exclusive breast-feeding practices in a poor urban setting in Kenya: a randomized controlled trial

Ochola

Labadarios

Nduati

2012

Public Health Nutr.

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Objective: To determine the impact of facility-based semi-intensive and home-based intensive counselling in improving exclusive breast-feeding (EBF) in a low-resource urban setting in Kenya. Design: A cluster randomized controlled trial in which nine villages were assigned on a 1:1:1 ratio, by computer, to two intervention groups and a control group. The home-based intensive counselling group (HBICG) received seven counselling sessions at home by trained peers, one prenatally and six postnatally. The facilitybased semi-intensive counselling group (FBSICG) received only one counselling session prenatally. The control group (CG) received no counselling from the research team. Information on infant feeding practices was collected monthly for 6 months after delivery. The data-gathering team was blinded to the intervention allocation. The outcome was EBF prevalence at 6 months. Setting: Kibera slum, Nairobi. Subjects: A total of 360 HIV-negative women, 34-36 weeks pregnant, were selected from an antenatal clinic in Kibera; 120 per study group. Results: Of the 360 women enrolled, 265 completed the study and were included in the analysis (CG n 89; FBSICG n 87; HBICG n 89). Analysis was by intention to treat. The prevalence of EBF at 6 months was 23?6 % in HBICG, 9?2 % in FBSICG and 5?6 % in CG. HBICG mothers had four times increased likelihood to practise EBF compared with those in the CG (adjusted relative risk 5 4?01; 95 % CI 2?30, 7?01; P 5 0?001). There was no significant difference between EBF rates in FBSICG and CG. Conclusions: EBF can be promoted in low socio-economic conditions using home-based intensive counselling. One session of facility-based counselling is not sufficient to sustain EBF. KeywordsExclusive breast-feeding Breast-feeding counselling Breast-feeding promotion Randomized controlled trial KenyaExclusive breast-feeding (EBF) promotion has been estimated to be the most effective intervention for saving the lives of young children, with the potential to prevent an estimated 13 % of deaths in low-resource settings (1) . WHO recommends EBF for 6 months (2) . In Africa only 32 % of infants less than 6 months of age are exclusively breast-fed. African countries making major strides in EBF for infants less than 6 months old include Rwanda (88 %), Ghana (63 %), Uganda (60 %) and Malawi (57 %) (3) . Despite an increase in EBF rate in Kenya from 13?2 % in 2003 (4) to 32?0 % in 2009 for infants less than 6 months of age, the number of children who exclusively breast-feed drops significantly with age to 13?2 % at 4-5 months (5)

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“…Findings of a study in Ghana highlighted that exclusive breastfeeding was positively associated with the delivery at a health facility, mothers having secondary school education, intention to exclusive breastfeeding before delivery, owning a home and having a positive attitude to exclusive breastfeeding (Aidam et al, 2005). Lack of antenatal education and knowledge on exclusive breastfeeding, caesarean or complicated vaginal deliveries and mother's employment away from home were shown to have a negative influence on exclusive breastfeeding in Sri Lanka (Jayathilaka and Fernando, 2002).…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding practices and associated factors among children under 24 months of age in Timor-Leste

2006

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Objective: To describe breastfeeding practices and to assess the sociodemographic factors associated with selected breastfeeding indicators. Design and setting: The 2003 Demographic and Health Survey was a multi-stage cluster sample survey of 4320 households from four different geographic areas in Timor-Leste. Subjects: A total of 2162 children aged 0-23 months. Results: A high proportion (97.6%) of infants had been ever breastfed, but only 46.1% had initiated breastfeeding within the first hour of birth. Seventy-eight percent of children o24 months were currently breastfed, 30.7% of infants o6 months were exclusively breastfed and 12.5% of infants o12 months were bottle-fed. A high proportion of infants of 6-9 months (82.0%) were receiving complementary food in addition to breast milk. Multivariate analysis revealed that exclusive breastfeeding was significantly lower in the rural west region (odds ratio (OR) ¼ 3.15) compared to the urban region, and among those from richest households (OR ¼ 1.90) compared to poorest. Mothers with primary education were significantly more likely to exclusively breastfeed than mothers with no education (OR ¼ 0.62). Increasing age of the infant was associated with significantly less current (OR ¼ 1.23) and exclusive (OR ¼ 1.35) breastfeeding. Continuation of breastfeeding at the end of the first year was significantly lower in non-working mothers (OR ¼ 1.58) compared to working mothers, and among infants born in health-care facilities (OR ¼ 2.16) than those born at home. Conclusions: Breastfeeding practices in Timor-Leste were satisfactory, except the exclusive breastfeeding at 6 months. However, more socioeconomically privileged groups demonstrated a poorer breastfeeding performance than disadvantaged groups. Further breastfeeding promotion programmes are needed across all population groups, and should include health-care providers and maternity institutions. Sponsorship: World Bank Trust Fund for East Timor.

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Factors associated with exclusive breastfeeding in Accra, Ghana

Cited by 95 publications

References 21 publications

Influencing factors on time of breastfeeding initiation among a national representative sample of women in India

Influencing factors on time of breastfeeding initiation among a national representative sample of women in India

Impact of counselling on exclusive breast-feeding practices in a poor urban setting in Kenya: a randomized controlled trial

Breastfeeding practices and associated factors among children under 24 months of age in Timor-Leste

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