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Knowledge, attitude and practice of breastfeeding and weaning among mothers of children aged two years and below in a low socio-economic area in Khartoum locality, Sudan, 2020-2021
Background:
Breastfeeding is the gold standard of infant and young child
feeding and an essential factor for their health and overall wellbeing.
Objectives:
This study aims to assess the knowledge, attitude and practice of
breastfeeding and weaning among mothers of children aged two
years and below in a low socio-economic area in Khartoum locality
to explore the effect of socio-demographic.
Methods and patients:
A community-based cross-sectional study was conducted on 196
mothers of children of 2years of age and below. Mothers were
selected from Soba station area using systematic random sampling.
Results:
Around 53% of participants had good knowledge on breastfeeding
and weaning, and 60% of respondent had positive attitude
towards breastfeeding and weaning. With regards to practice;
breastfeeding initiation during the first hour was practiced by 94%,
approximately 8% of participants had given pre-lacteal feed,
colostrum feeding was done by 86.7%, around 22% of women fed
their child from one side until the whole breast is emptied out, 41%
of mothers practicing breastfeeding on demand, 45% mothers had
practiced or were currently practicing exclusive breastfeeding,
almost 29% started introducing complementary food after the age
of 6 month, and the most common types of complementary food
introduced were boiled vegetables (94%). Socio-economic status
significantly associated with poor knowledge were age below 25
years (p= 0.007), primary education and below (p= 0.000) and
mothers working in marginal business (p=0.008). While negative
attitude was significantly associated with primary school education
and below (p =0.04) and income of < or =10 000 Sudanese
pounds per months (p =0.05). Mothers on marginal business jobs
were more likely to have poor knowledge when compared to
employed women (OR= 7.3, p 0.034). Those of primary education
and below were likely to have poor knowledge than those with
education level of secondary school and above (OR= 4.8, p=
0.000). Whereas, those younger than 25years were more likely
to have poor knowledge than older mothers (OR=2, p 0.026).
Mothers who delivered at home had lower knowledge levels as to
those who gave birth in a health institute (OR=2, p=0.019).
Conclusion and recommendation:
There is a need for mass education campaigns to promote optimal
breastfeeding and weaning practices coupled with counseling
during antenatal period to timely tackle all misconceptions
regarding breastfeeding and weaning. Especially among younger
mothers, less educated and mothers working in marginal businesses
Biography
Rahma Abdelseed, 6th year medical student in University of Khartoum. She has attended many Interntional Conferences and also writes various articles.
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