Knowledge, attitude, practice and determinants of exclusive breastfeeding among women in Ethiopia: Systematic review and meta-analysis

Gebeyehu, Natnael Atnafu; Tegegne, Kirubel Dagnaw; Shewangashaw, Nathan Estifanos; Biset, Gebyaw; Abebaw, Nigussie; Tilahun, Lehulu

doi:10.1016/j.puhip.2023.100373

Cited by 6 publications

(5 citation statements)

References 55 publications

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“…Previous studies also reported similar results considering that they are a determining factor for the successful continuation of exclusive breastfeeding 18, [20][21][22] . According to Becerra, breastfeeding will be in uenced by the mother's motivation to breastfeed her child, which is related to her attitudes and beliefs transmitted through generations in her family environment 23 .…”

Section: Discussionsupporting

confidence: 62%

Nurturing the Future: Examining Breastfeeding Practices and Nutritional Health Among Amazonian Kichwa Mothers and Infants

Orellana-Manzano,

Maldonado-Lino,

Valencia

et al. 2023

Preprint

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This study examines the knowledge, attitudes, and practices of Amazonian Kichwa (AK) breastfeeding mothers and infants, focusing on cultural influences on early nutrition patterns. Using a descriptive, observational, and cross-sectional approach, thirty women self-identified as AK women and their infants from two rural and one urban area in Ecuador were studied. The study found that 89% of mothers practiced exclusive breastfeeding and showed promising signs of attachment and breastfeeding techniques. However, 81% were unaware of the "exclusive" breastfeeding practice scope and its benefits. Nutritional status was determined using Z scores, with the median BMI for age within the normal range. This study highlights the need to consolidate knowledge and promote breastfeeding practices to later generations, despite increased exposure to urbanization and modernization in the Amazonia region of Ecuador.

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Section: Discussionsupporting

confidence: 62%

Nurturing the Future: Examining Breastfeeding Practices and Nutritional Health Among Amazonian Kichwa Mothers and Infants

Orellana-Manzano,

Maldonado-Lino,

Valencia

et al. 2023

Preprint

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“…In contrary to this study, a study was carried out in Ethiopia, 90.8% of the respondents had good knowledge. 19 Also finding in worked Gebeyehu, 74.2% had good knowledge. 20 Looking at the knowledge of exclusive breastfeeding among informal sector workers and formal sector workers, formal sector had more knowledge about exclusive breastfeeding than the informal sector workers.…”

Section: Discussionmentioning

confidence: 89%

A comparative study of exclusive breastfeeding between mothers of formal and informal sector workers in Ede north local government area, Osun State Nigeria

Comfort,

Obukohwo,

Oladapo

et al. 2023

Int J Community Med Public Health

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Background: Exclusive breastfeeding (EBF) is helpful in reducing infant morbidity and mortality throughout the first six months of life. However, despite aggressive marketing, just 13-36% of Nigeria infants under 6 months old are exclusively breastfed. Hence, this study was aimed to assess the knowledge, practice and factors affecting exclusive breastfeeding (EBF) among informal and formal sector workers in Ede north local government, Osun State. Methods: A descriptive study was conducted with 285 respondents from formal and informal sector workers with child(ren) aged 0-24 months. Results: Results showed a significant difference in knowledge and practice of exclusive breastfeeding between formal and informal sector workers. Factors affecting exclusive breastfeeding include lactation, job hindrances, and crèche availability. The practice of EBF was low among mothers in the formal sector, and the factors impacting its practice reported in this study may have substantial implications for breastfeeding intervention programs. Conclusions: As a result, attempts to promote EBF should target specific populations of informal sector women and areas where it is underutilized. Moreover, mothers must be supported. Furthermore, mothers should be encouraged to attend antenatal care where they will learn about the benefits of exclusive nursing to children under the age of six months, allowing them to make informed decisions on exclusive breastfeeding. The Nigerian government should ensure that the employment act’s maternity leave benefits are implemented in the informal sector, allowing women to practice EBF.

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“…This, however, contradicts the findings of other studies in Kenya, which discovered that even though mothers were taught and have knowledge about EBF, it is not practiced [ 53 , 54 ]. Additionally, a recent systematic and meta-analysis review study revealed that, despite these women’s good level of knowledge and positive attitude towards EBF, there is a substantial gap regarding EBF practice; thus, maternal and child health services must be strengthened [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers to Exclusive Breastfeeding for Mothers in Tswelopele Municipality, Free State Province, South Africa: A Qualitative Study

Quebu,

Murray,

Okafor

2023

Children

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Despite the numerous advantages of exclusive breastfeeding (EBF), the practice remains infrequently adopted in certain countries and is also associated with context-specific obstacles. Consequently, this study explores the experiences and opinions of mothers about the barriers and support systems of exclusive breastfeeding (EBF), in a bid to promote this practice in the Tswelopele Municipality of the Free State Province of South Africa. In-depth individual, semi-structured interviews were conducted with 16 mothers, using an audio recorder after receiving their permission to record the interviews. The analysis of the collected data revealed that opinions clustered around four topics: mother-related barriers to EBF, baby-related barriers to EBF, support systems to enhance EBF, and complications caused by barriers to EBF. The findings from these themes and sub-themes imply that the maternal factor is strongly influenced by other factors regarding the success or failure of this practice. These include extreme breast discomfort, maternal illness, the fear that the mother’s milk supply is insufficient, a lack of understanding about EBF, and the influence of different cultural factors. When mothers encounter difficulties with breastfeeding, these challenges may impede their ability to practice EBF. In addition, while some participants were eager to breastfeed their babies and continued EBF for a period of six months, their infant’s health and behavioral issues prevented them from doing so. Some of these problems included infant sickness and crying. From the prenatal to the postnatal period, mothers and their families should have access to breastfeeding education and counseling, along with sufficient time to make informed infant nutrition decisions. During counseling sessions, conversations with these stakeholders should focus on fostering a realistic understanding regarding what to expect when breastfeeding for the very first time, debunking breastfeeding-related misconceptions, and addressing inaccurate information and concerns. In addition, health professionals must be empathic and respectful of the mother’s traditions and cultures and must also educate mothers and their families on the importance of EBF. Our list of themes and sub-themes could be utilized to enlighten exclusive breastfeeding challenges and potential mitigation efforts, not only in Tswelopele Municipality, South Africa but also in a number of other geographical contexts.

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Knowledge, attitude, practice and determinants of exclusive breastfeeding among women in Ethiopia: Systematic review and meta-analysis

Cited by 6 publications

References 55 publications

Nurturing the Future: Examining Breastfeeding Practices and Nutritional Health Among Amazonian Kichwa Mothers and Infants

Nurturing the Future: Examining Breastfeeding Practices and Nutritional Health Among Amazonian Kichwa Mothers and Infants

A comparative study of exclusive breastfeeding between mothers of formal and informal sector workers in Ede north local government area, Osun State Nigeria

Barriers to Exclusive Breastfeeding for Mothers in Tswelopele Municipality, Free State Province, South Africa: A Qualitative Study

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