An Investigation of Patterns and Factors Associated with Exclusive Breast Feeding in Northern Ghana

Authors

  • Mahama Saaka University for Development Studies, School of Medicine and Health Sciences, P.O. Box 1883, Tamale-Ghana
  • Solomon Addae Takyi University for Development Studies, School of Medicine and Health Sciences, P.O. Box 1883, Tamale-Ghana
  • Tetteh Maxwell University for Development Studies, School of Medicine and Health Sciences, P.O. Box 1883, Tamale-Ghana

DOI:

https://doi.org/10.6000/1929-4247.2012.01.02.2

Keywords:

Exclusive breastfeeding, breastfeeding patterns, determinants, Northern Ghana, household wealth index, institutional delivery.

Abstract

Introduction: The main aim of this study was to assess the practice of exclusive breastfeeding (EBF) and explore its determinants in Tamale Metropolis, Northern Ghana.

Methods: In this analytical cross-sectional study, systematic random sampling was used to select 355 mother- infant pairs between 0-6 months from among consenting mothers attending post natal care at the Tamale Teaching and West Hospitals in the Tamale Metropolis.

Results: The prevalence of EBF among infants < 6 months in the Tamale Metropolis for the past 24 hours was 92.1 % but it was 75.5 % in the one month prior to the study.

In logistic regression analyses, factors that had significant positive association with EBR were institutional delivery, current mother’s employment, maternal motivation and household wealth index. Compared to home delivery, women who delivered at a health institution were five times more likely to practice EBF (Adjusted odds ratio [AOR] = 5.17, CI: 2.45 – 10.90). Petty traders were four times more likely to exclusively breastfeed, compared to women who were unemployed (A OR = 4.05, CI: 1.93 – 8.51).

EBF provided 80 % (Adjusted OR = 0.2, CI: 0.08-0.37) protection against chronic malnutrition whilst high household index reflecting socio-economic status provided only 10 % protection against chronic malnutrition in the study sample (Adjusted OR = 0.9, CI: 0.81- 0.98).

Conclusion and Recommendation: Strategies that target improving knowledge and skills on lactation management among women, as well as strategies to improve health facility delivery especially among non-working mothers, may help to improve EBF in Northern Ghana.

References

WHO. World Health Organization Global strategy for infant and young child feeding Geneva: World Health Organization 2003; 41.

Ghana Statistical Service (GSS), Ghana Health Service (GHS), ICF Macro. Ghana Demographic and Health Survey (GDHS) 2008. Accra, Ghana: GSS, GHS, and ICF Macro 2009.

UNICEF. Multiple Indicator Cluster Survey (MICS) Accra: UNICEF 2011.

Bhutta ZA, Ahmed T, Black RE, et al. What works? Interventions for maternal and child undernutrition and survival. Lancet 2008; 371: 417-40. http://dx.doi.org/10.1016/S0140-6736(07)61693-6

Dadhich JP, Agarwal RK. Mainstreaming early and exclusive breastfeeding for improving child survival. Indian Pediatr 2009; 46: 11-7.

Ssenyonga R, Muwonge R, Nankya I. Towards a Better Understanding of Exclusive Breastfeeding in the Era of HIV/AIDS: A Study of Prevalence and Factors Associated with Exclusive Breastfeeding from Birth, in Rakai, Uganda. J Trop Pediatr 2004; 50(6) 348-53. http://dx.doi.org/10.1093/tropej/50.6.348

Haider J, Kloos H, Haile Mariam D, et al. Food and Nutrition. In: Berhane Y, Haile Mariam D, Kloos H, Eds. The Epidemiology and Ecology of Health and Diseases in Ethiopia Addis Ababa, Ethiopia: Shama Books 2006.

Shirima R, Greiner T, Kylberg E, et al. Exclusive breast-feeding is rarely practised in rural and urban Morogoro. Tanzania Public Health Nutrition 2000; 4(2): 147-54.

WHO. Indicators for Accessing Breastfeeding Practices. WHO/CDD/ SER/911. Geneva: World Health Organization 1991.

Garenne M, Hohmann S. A wealth index to screen high risk families: application to Morocco Journal of Health, Population and Nutrition 2003; 21(3) 235-42.

World Health Organization. WHO child growth standards length/height-for-age, weight-forage, weight-for-length, weight-for-height and body mass index-for-age: Methods and development, Geneva: WHO 2006.

Piwoz EG, Creed de Kanashiro H, Lopez de Romana G, et al. Potential for misclassification of infants' usual feeding practice using 24-hour dietary assessment methods. J Biosoc Sci 1993; 25: 127-38.

Aarts C, Kylberg E, Hornell A, et al. How exclusive is exclusive breastfeeding? A comparison of data since birth with current status data. Int J Epid 2000; 29: 1041-6.

WHO. Exclusive Breastfeeding for six months, best for babies everywhere. Geneva: World Health Organization 2012.

Davies MC, Arinolan G, Sanusin R, et al. Immunoglobulin classes and nutritional factors in plasma and breast milk of lactating mothers in Nigeria. Iran J Immunol 2006; 3: 181-6.

Central Bureau of Statistics (CBS), Ministry of Health (MoH), ORC Macro. Liberia Demographic and Health Survey 2003: Key Findings. Calverton, Maryland, USA: CBS, MOH, ORC Macro 2004.

Institut National de la Statistique et de l’Analyse Économique (INSAE), Macro International Inc.International Inc. Enquête Démographique et de Santé (EDSB-III) - Bénin 2006. Calverton, Maryland, USA: Institut National de la Statistique et de l’Analyse Économique, Macro International Inc 2007.

Victora CG, Morris SS, Barros FC, et al. Breastfeeding and growth in Brazilian infants. Am J Clin Nutr 1998; 67: 452-8.

Oddy WH. Breastfeeding protects against illness and infection in infants and children: a review of the evidence. Breastfeed Rev 2001; 9: 11-8.

Okeh UM. Breastfeeding and the mother-child relationship: A case study of Ebonyi State University Teaching Hospital, Abakaliki. Afr J Prm Health Care Fam Med 2010; 2(1): Art. #97, 3.

Nkala and Msuya. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. Int Breastfeeding J 2011; 6: 17. http://dx.doi.org/10.1186/1746-4358-6-17

Fein SB, Roe B. The effect of work status on initiation and duration of breast-feeding. Am J Public Health 1998; 88(7): 1042-6. http://dx.doi.org/10.2105/AJPH.88.7.1042

Earland J, Ibrahim SO, Harpin VA. Maternal employment: Does it influence feeding practices during infancy? . J Hum Nutr Diet 1997; 10(5): 305-11. http://dx.doi.org/10.1046/j.1365-277X.1997.00064.x

Ong G, Yap M, Foo LL, et al. Impact of working status on breastfeeding in Singapore: Evidence from the National Breastfeeding Survey 2001 Eur J Public Health 2005; 5(4): 424-30. http://dx.doi.org/10.1093/eurpub/cki030

Senarath U, Dibley MJ, Agho KE. Breastfeeding practices and associated factors among children under 24 months of age in Timor-Leste. Eur J Clin Nutr 2007; 61: 387-97. http://dx.doi.org/10.1038/sj.ejcn.1602536

Chen AJ. Breastfeeding practices among postnatal mothers in Singapore Sing Comm Health Bull 1981; 22: 32-8

Shirima R, Gebre-Medhin M, Greiner T. Information and socioeconomic factors associated with early breastfeeding practices in rural and urban Morogoro, Tanzania Acta Pædiatr 2001; 90: 936-42. http://dx.doi.org/10.1080/08035250152509708

Baker J. Promotion of exclusive breastfeeding: a review of experience from the eld. Washington DC Nurture/Center to Prevent Childhood Malnutrition 1996.

Lutter C, Perez-Escamilla R, Segal A, et al. The effectiveness of a hospital-based program to promote exclusive breastfeeding among low-income women in Brazil. Am J Public Health 1996; 87: 659-63. http://dx.doi.org/10.2105/AJPH.87.4.659

Davis-Adetugbo A. Promotion of breastfeeding in the community: impact of health education programme in rural communities in Nigeria. J Diarrhoeal Dis Res 1996; 1: 5-11.

Pugin E, Valdes V, Labbok M, et al. Does prenatal breastfeeding skills group education increase the effectiveness of a comprehensive breastfeeding promotion programme? J Hum Lactation 1996; 12: 15-9. http://dx.doi.org/10.1177/089033449601200105

Ahmed S, Parveen SD, Islam A. Infant feeding practices in rural Bangladesh: policy implications. J Trop Pediatr 1999; 45: 37-41. http://dx.doi.org/10.1093/tropej/45.1.37

Mudambi SR. Breastfeeding practices of mothers from Midwestern Nigeria. J Trop Paediat 1981; 31: 66-9.

Perez-Escamilla R. Effectiveness of MADLAC at improving breastfeeding promotion and counseling indicators in maternity wards in El Salvador Basic Support for Institutionalizing Child Survival Project (BASICS II). Arlington VA: United States Agency for International Development 2004.

Nkala TE, Msuya SE. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study Int Breastfeeding J 2011; 6: 17. http://dx.doi.org/10.1186/1746-4358-6-17

Merten S, Ackermann-Liebrich U. Exclusive breastfeeding rates and associated factors in Swiss baby-friendly hospitals. J Human Lactation 2004; 20(1): 9-17. http://dx.doi.org/10.1177/0890334403261017

Riva E, Banderali G, Agostoni C, et al. Factors associated with initiation and duration of breastfeeding in Italy. Acta Paediatrica 1999; 88: 411-5. http://dx.doi.org/10.1111/j.1651-2227.1999.tb01132.x

Lutter CK, Perez-Escamilla R, Segall A, et al. The effectiveness of a hospital-based program to promote exclusive breastfeeding among low-income women in Brazil. Am J Public Health 1997; 87(4): 659-63. http://dx.doi.org/10.2105/AJPH.87.4.659

Al-Sahab B, Andrea Lanes A, Feldman M, et al. Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey. BMC Pediatrics 2010; 10: 20. http://dx.doi.org/10.1186/1471-2431-10-20

Sheehan D, Krueger P, Watt S, et al. The Ontario mother and infant survey: Breastfeeding outcomes. J Hum Lact 2001; 17: 211-9. http://dx.doi.org/10.1177/089033440101700304

Rea MF, Venancio SI, Batista LE, et al. Determinants of the breastfeeding pattern among working women in Sao Paulo. J Hum Lactation 1999; 15: 233-9. http://dx.doi.org/10.1177/089033449901500314

Cohen RJ, Brown KH, Rivera LL, et al. Promoting exclusive breastfeeding for 4-6 months in Honduras: attitudes of mothers and barriers to compliance. J Hum Lactation 1999; 15: 9-18. http://dx.doi.org/10.1177/089033449901500107

Davis-Adetugbo A. Promotion of breastfeeding in the community: impact of health education programme in rural communities in Nigeria. J Diarrhoeal Dis Res 1996; 1: 5-11.

Ingram J, Johnson D, Greenwood R. Breastfeeding in Bristol: teaching good positioning, and support from fathers and families. Midwifery 2002; 18(2): 87-101. http://dx.doi.org/10.1054/midw.2002.0308

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Published

2013-01-01

How to Cite

Saaka, M., Takyi, S. A., & Maxwell, T. (2013). An Investigation of Patterns and Factors Associated with Exclusive Breast Feeding in Northern Ghana. International Journal of Child Health and Nutrition, 1(2), 92–103. https://doi.org/10.6000/1929-4247.2012.01.02.2

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General Articles