Science Journal of Public Health

| Peer-Reviewed |

Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania

Received: 12 December 2014    Accepted: 17 December 2014    Published: 04 January 2015
Views:       Downloads:

Share This Article

Abstract

Background: Exclusive breastfeeding (EBF) practice is safe and simple intervention in improving child health and growth. However the practice of EBF is still low especially in developing countries. Objective: The objective of this paper is to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Methods: This was a population based cross sectional study conducted between June 2010 and March 2011 in Kilimanjaro region to investigate local factors for adverse child development. A structured questionnaire was used to collect socio demographic data, breastfeeding history and reproductive information from mothers. Recall since birth was used to estimate EBF prevalence. Multivariable logistic regression was used to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Results: Out of 462 women, 95% (n=437) were still breastfeeding their infants during the study period. About 29% of mothers with infants aged 0-5 months reported to practice EBF during the study period. In multivariable logistic regression, advise on breastfeeding after delivery (adjusted odds ratio, AOR (2.1; 95% CI: 1.2, 3.6), mothers with infants aged 2-3 months [AOR=0.5; 95%CI: 0.3, 0.8] and mothers with infants aged 4-5 months [AOR=0.1; 95%CI: 0.1, 0.2] remained associated with EBF of 0-5 months. Conclusion: Intervention using women who have succeeded to practice exclusive breastfeeding to educate other women who are lactating may be one of the strategies that may help to increase the practice of EBF in Kilimanjaro region.

DOI 10.11648/j.sjph.20140206.31
Published in Science Journal of Public Health (Volume 2, Issue 6, November 2014)
Page(s) 631-635
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Exclusive Breastfeeding, Health Care Advice, Kilimanjaro, Tanzania

References
[1] UNICEF and WHO. Indicators for assessing infant and young child feeding practices. Part 1 Definitions: Geneva, WHO.2008.
[2] Black RE, Victora CG, Walker SP, Butta ZA, Christian P, de Onis M, Ezzat M, Grantham-McGregor S, Katz J, Martorell R, Uauy R. Maternal and Child nutrition I: Maternal and child undernutrition and overweight in low-income and middle income countries. The Lancet 2013, 382:427-51.
[3] Arifeen S, Black RE, Antelman G, Baqui A, Caulfield L, Becker S. Exclusive Breastfeeding Reduces Acute Respiratory Infection and Diarrhea Deaths Among Infants in Dhaka Slums.Pediatrics 2001, 108: 67
[4] Lamberti LM, Walker CLF, Noiman A, Victora C, Black RE. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health 2011, 11(Suppl 3):S15.
[5] Bhandari N, Bahl R, Mazumdar S, Martines J, Black RE, Bhan MK. Effect of community-based promotion of exclusive breastfeeding on diarrhoeal illness and growth : a cluster randomised controlled trial. The Lancet 2003, 361:1418-1423
[6] Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. Child survival II: How many child deaths can we prevent this year? The Lancet 2003, 362:65–71.
[7] Black RE, Morris SS, Bryce J. Child survival I: where and why are 10 million children dying every year? The Lancet 2003, 361:2226-2234.
[8] National Bureau of Statistics (NBS) [Tanzania] and ICF Macro. 2011. Tanzania Demographic and Health Survey 2010. Dar es Salaam, Tanzania: NBS and ICF Macro.
[9] Mgongo M, Mosha MV, Uriyo JG, Msuya SE, Stray-Pedersen B. Prevalence and predictors of exclusive breastfeeding in Kilimanjaro region, northern Tanzania a population based cross sectional study. BMC international breastfeeding journal 2013, 8:12.
[10] Nkala TE, Msuya SE. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross- sectional study. International Breastfeeding Journal 2011, 6:17.
[11] Tan KL. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. BMC International Breastfeeding Journal, 2011; 6:2
[12] Lande B, Andersen LF, Baerug a, Trygg KU, Lund-Larsen K, Veierød MB, et al. Infant feeding practices and associated factors in the first six months of life: the Norwegian infant nutrition survey. Acta paediatrica 2003, 92(2):152–61.
[13] Alemayehu T, Haidar J, Habte D. Determinants of exclusive breastfeeding practices in Ethiopia. Ethiopian Journal Health Devevelopment 2005, 23(1)12-18.
[14] Uriyo JG, Abubakar A, Swai M, Msuya SE, Stray-Pedersen B. Prevalence and correlates of common mental disorders among mothers of young children in Kilimanjaro region of Tanzania. PLOS ONE 2013, 8(7):e69088
[15] Kilimanjaro regional office (2002). www.kilimanjaro.go.tz.
[16] The national road map strategic plan to accelerate the reduction of maternal and child deaths in Tanzania 2008-2015.
[17] National Bureau of Statistics (NBS) [NBS] and ORC Macro: Tanzania Demographic and Health Survey 2004-05. Dar es Salam, Tanzania 2005.
[18] Edmond KM. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006, 117(3):380-386.
[19] Countdown to 2013 Maternal, Newborn and Child survival, The 2013 update: Accountability for maternal, newborn and child survival.
[20] Setegn T, Belachew T, Mulusew G, Deribe K, Deribew A, Biadgilign S. Factors associated with exclusive breastfeeding practices among mothers in Goba district, south east Ethiopia: a cross sectional study. BMC International Breastfeeding Journal 2012, 7:17
[21] Duong DV, Binns CW, Lee AH. Breast-feeding initiation and exclusive breast-feeding in rural Vietnam. Public Health Nutrition. 2007; 7(06):795–9
[22] Shirima R, Greiner T, Kylberg E, Gebre-Medhin M. Exclusive breast-feeding is rarely practised in rural and urban Morogoro, Tanzania. Public Health Nutrition, 2000; 4(02): 147-154
[23] Mo O, Umar AS, Ahmed H. Knowledge and practice of exclusive breastfeeding in Kware, Nigeria. African Health Sciences 2011, 11(3):518-523
[24] Lee HMH, Durban J, Booth J, Sychareun V. A qualitative study on the breastfeeding experience of first-time mothers in Vientiane Lao PDR. BMC Pregnancy and child birth 2013, 13:223.
Author Information
  • Better Health for African Mother and Child, Box 8418, Moshi, Tanzania

  • Better Health for African Mother and Child, Box 8418, Moshi, Tanzania

  • Better Health for African Mother and Child, Box 8418, Moshi, Tanzania; Department of Community Health, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania; Division of Women and Children, Oslo University Hospital Rikshospitalet and University of Oslo, Oslo, Norway

  • Department of Community Health, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania

  • Division of Women and Children, Oslo University Hospital Rikshospitalet and University of Oslo, Oslo, Norway

  • Better Health for African Mother and Child, Box 8418, Moshi, Tanzania; Department of Community Health, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania

Cite This Article
  • APA Style

    Melina Mgongo, Tamara Hussein Hashim, Jacqueline Gilbert Uriyo, Damian Jeremia Damian, Babill Stray-Pedersen, et al. (2015). Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania. Science Journal of Public Health, 2(6), 631-635. https://doi.org/10.11648/j.sjph.20140206.31

    Copy | Download

    ACS Style

    Melina Mgongo; Tamara Hussein Hashim; Jacqueline Gilbert Uriyo; Damian Jeremia Damian; Babill Stray-Pedersen, et al. Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania. Sci. J. Public Health 2015, 2(6), 631-635. doi: 10.11648/j.sjph.20140206.31

    Copy | Download

    AMA Style

    Melina Mgongo, Tamara Hussein Hashim, Jacqueline Gilbert Uriyo, Damian Jeremia Damian, Babill Stray-Pedersen, et al. Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania. Sci J Public Health. 2015;2(6):631-635. doi: 10.11648/j.sjph.20140206.31

    Copy | Download

  • @article{10.11648/j.sjph.20140206.31,
      author = {Melina Mgongo and Tamara Hussein Hashim and Jacqueline Gilbert Uriyo and Damian Jeremia Damian and Babill Stray-Pedersen and Sia Emmanuel Msuya},
      title = {Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania},
      journal = {Science Journal of Public Health},
      volume = {2},
      number = {6},
      pages = {631-635},
      doi = {10.11648/j.sjph.20140206.31},
      url = {https://doi.org/10.11648/j.sjph.20140206.31},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.sjph.20140206.31},
      abstract = {Background: Exclusive breastfeeding (EBF) practice is safe and simple intervention in improving child health and growth. However the practice of EBF is still low especially in developing countries. Objective: The objective of this paper is to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Methods: This was a population based cross sectional study conducted between June 2010 and March 2011 in Kilimanjaro region to investigate local factors for adverse child development. A structured questionnaire was used to collect socio demographic data, breastfeeding history and reproductive information from mothers. Recall since birth was used to estimate EBF prevalence. Multivariable logistic regression was used to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Results: Out of 462 women, 95% (n=437) were still breastfeeding their infants during the study period.  About 29% of mothers with infants aged 0-5 months reported to practice EBF during the study period. In multivariable logistic regression, advise on breastfeeding after delivery (adjusted odds ratio, AOR (2.1; 95% CI: 1.2, 3.6), mothers with infants aged 2-3 months [AOR=0.5; 95%CI: 0.3, 0.8] and mothers with infants aged 4-5 months [AOR=0.1; 95%CI: 0.1, 0.2] remained associated with EBF of 0-5 months. Conclusion: Intervention using women who have succeeded to practice exclusive breastfeeding to educate other women who are lactating may be one of the strategies that may help to increase the practice of EBF in Kilimanjaro region.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania
    AU  - Melina Mgongo
    AU  - Tamara Hussein Hashim
    AU  - Jacqueline Gilbert Uriyo
    AU  - Damian Jeremia Damian
    AU  - Babill Stray-Pedersen
    AU  - Sia Emmanuel Msuya
    Y1  - 2015/01/04
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjph.20140206.31
    DO  - 10.11648/j.sjph.20140206.31
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 631
    EP  - 635
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20140206.31
    AB  - Background: Exclusive breastfeeding (EBF) practice is safe and simple intervention in improving child health and growth. However the practice of EBF is still low especially in developing countries. Objective: The objective of this paper is to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Methods: This was a population based cross sectional study conducted between June 2010 and March 2011 in Kilimanjaro region to investigate local factors for adverse child development. A structured questionnaire was used to collect socio demographic data, breastfeeding history and reproductive information from mothers. Recall since birth was used to estimate EBF prevalence. Multivariable logistic regression was used to assess the factors associated with EBF among women with infants’ aged 0-5 months in Kilimanjaro region. Results: Out of 462 women, 95% (n=437) were still breastfeeding their infants during the study period.  About 29% of mothers with infants aged 0-5 months reported to practice EBF during the study period. In multivariable logistic regression, advise on breastfeeding after delivery (adjusted odds ratio, AOR (2.1; 95% CI: 1.2, 3.6), mothers with infants aged 2-3 months [AOR=0.5; 95%CI: 0.3, 0.8] and mothers with infants aged 4-5 months [AOR=0.1; 95%CI: 0.1, 0.2] remained associated with EBF of 0-5 months. Conclusion: Intervention using women who have succeeded to practice exclusive breastfeeding to educate other women who are lactating may be one of the strategies that may help to increase the practice of EBF in Kilimanjaro region.
    VL  - 2
    IS  - 6
    ER  - 

    Copy | Download

  • Sections