DETERMINANTS OF ADHERENCE TO GUIDELINES TO EXCLUSIVE BREAST FEEDING AMONG MOTHERS OF INFANTS AGED 0 – 6 MONTHS ATTENDING MCH CLINIC AT KISUMU COUNTY HOSPITAL
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Background: Exclusive Breast Feeding of a child remains the best and safest source of nutrition for the vast majority of infants worldwide. However, this recommended practice is hardly adopted by many mothers as no more than 30% of infants are exclusively breastfed globally.
Objective: To determine the factors influencing adherence to EBF among mothers of infants aged 0-6 months attending Maternal Child Health Clinic (MCH) in Kisumu County Hospital
Design: A descriptive cross sectional study
Study Setting: Maternal Child Health Clinic (MCH) at Kisumu County Hospital.
Study Subjects: All mothers of infants aged 0-6 months and receiving health care services in the MCH clinic at Kisumu County Hospital.
Results: Sixty four per cent (64%) of the respondents agreed that pre-lacteal feeds should be commenced as soon a baby is born, 69% of the respondents stated that the number of children a mother has could influence adherence to exclusive breast feeding and 73% stated that infants should be given mixture of feeds during the course of breastfeeding.
Conclusion: Demographic factors such as age of the mother, marital status, level of education and number of children a mother has influences the adherence to exclusive breast feeding.
- Adejuyigbe, E, Oriji E, Onyande, A. Makinde, N and Anyabolu, H. (2014) Infant Feeding Intentions and Practices of HIV-Positive Mothers, Southwestern Nigeria.
- Journal of Human Lactational; 24 (303): 305,307 -308
- Bahl, R. Frost C. Kirkwood, R.B, Edmond, K.Martines, J., Bhandari, N. and Arthur, P (2015). Infant Feeding Patterns and risks of death hospitalization in the first half of infancy: multicenter cohort study. Bulletin of the World Health Organization, 83(6): 418 – 426
- Bland, R. M., Little, K.E, Coovadia, H.M., Coutsoudis, A., Rollins, N.C and Newell, M.L (2013). Intervention to promote exclusive breast-feeding for the first six months of life in a high HIV prevalence are. AIDS. 22:883 – 891. Doi: 10.1097/QAD.0N013E328F768DE.
- Bryce, J., Terreri, N., Victoria, C.G Mason, E., Daelmans, B.Z. A Bustreo F, Songane, F. Salama P and Wardlaw. T. (2013). Tracking Interventional Coverage for Child Survival, Lancet 14 (19): 234 – 256
- Burkel. Y (2014) Infant HIV Infection: Acceptability of Preventive Strategies in Central Tanzania. Aids Education and Prevention, 16(5 ), 415 – 425.
- Coutsoudis, A. (2015). Breastfeeding and HIV. Best Practice and Research Clinical Obstetrics and Gynecology 19 (2): 185-196. Elsevier
- DeCock, K.M., Fowler, M.G., Mercier, E., de Vincenzi, I., Saba, J. Hoff, E., (2012) Prevention of mother to child HIV transmission in resource poor countries. Journal of the American Medical Association, 283: 1175 – 1185. Dop, M.C
- Engebretsen, M.S, I., Moland, M.K., Nankunda, J., Karamagi, A. C., Tylleskar, T and Tumwine, K.J. (2010). Gendered perceptions on infant feeding in Eastern Uganda: continued need for exclusive breastfeeding support.
- International Breastfeeding Journal 2010. 5:13 doi: 10.11
- Engebretsen, M.S.I., Wamani, H., Karamagi, C., Semiyaga, N., Tumwine, J and Tyelleskar, T and (2013). Low adherence to exclusive breastfeeding in Eastern Uganda: A community based cross-sectional study comparing dietary recall since birth with 24-hour recall.
- Engebretsen, M.S.I., Wamani, H., Karamagi, C., Semiyaga, N., Tumwine, J and Tyelleskar, T and (2013). Infant feeding among HIV positive mothers and the general population mothers: comparison of two cross-sectional survey in Eastern Uganda. BMC Public Health 2013
- Goga, E. A, Doherty, T., Jackson D.J., Sanders, D., Colvin, M., Chopra, M and Kuhn L. (2012). Infant Feeding Practices at routine PMTCT sites, South Africa: results of a prospective observational study amongst HIV exposed and unexposed infants – birth to 9 months. International Breastfeeding Journal, 7.4
- Hofmanna, J. De Allegri, M., Sarker, M., Sanonc, M. And Bohlerd, T (2014), Breast Milk as the “water that supports and preserves life”. Socio cultural constructions of breastfeeding and their implications for the prevention of mother to child transmission of HIV in Sub Saharan Africa. Health Policy 89 (2009) 322 – 328 Elsevier
- Hiff P, J., Piwoz, E.G., Tavengwa, N.V., Zunguza, C.D., Marinda, E.T., Nathoo, K.J Moulton, Kannan, S. Carruth (2014) Cultural influences on infant feeding beliefs of mothers. Journal of the American Dietetic Association, 99(I), 88-90
- Kengne , N.A., Ngondi, J.I and Oben, J.E. (2014) Factor Associated with Breast Feeding as well as the Nutritional Status of Infants (0-12) months: An Epidemiological Study in Yaoundé, Cameroon, Pakistan Journal of Nutritional 16(3): 259-263
- Kourtis, P.A Butera, S., Ibegbu, C., Belec, L and Duerr, A. 2013 Breast Milk and HIV-1: Vector of transmission or vehicle protection? The Lancet Infectious Diseases, (3)
- Kumar, D., Goel, N.K., Mittal, P.C., and Mistra, P. (2014) Influence of Infant Feeding Practices on Nutritional Status of Under Five Children, Indian Journal Pediatric :73; 417-21
- Lau, Y., Htun, T.P., Lim, P.I., Ho-Lim, S & Klainin- Yobas, P (2015) Maternal, Infant Characteristics, Breastfeeding Techniques and Initiation: Structural Equation Modeling Approaches
- UNICEF (2012). HIV and infant feeding update, Geneva WHO Win, N.N, C., Zhao, Y., Scott, A.J & Oddy, H.W (2006) Breastfeeding duration in mothers who express breast milk: a cohort study, International Breastfeeding Journal, 1:28
- WHO (2010). Guidelines on HIV and infant feeding, 2010: Principal and recommendations for infant feeding in the context of HIV and a summary of evidence. Geneva: WHO, 6(4): 23-45.