Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review
Abstract Background Exclusive breastfeeding (EBF) is recommended for the first six months of age by the World Health Organization. Mothers’ good knowledge and positive attitude play key roles in the process of exclusive breastfeeding practices. In this study, we report on a systematic review of the...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-08-01
|
Series: | International Breastfeeding Journal |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s13006-020-00313-9 |
id |
doaj-3d8120e90ef146dea01e58d7f90fc681 |
---|---|
record_format |
Article |
spelling |
doaj-3d8120e90ef146dea01e58d7f90fc6812020-11-25T03:20:03ZengBMCInternational Breastfeeding Journal1746-43582020-08-0115111710.1186/s13006-020-00313-9Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic reviewJean Prince Claude Dukuzumuremyi0Kwabena Acheampong1Julius Abesig2Jiayou Luo3Department of Maternal and Child Health, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Maternal and Child Health, Xiangya School of Public Health, Central South UniversityAbstract Background Exclusive breastfeeding (EBF) is recommended for the first six months of age by the World Health Organization. Mothers’ good knowledge and positive attitude play key roles in the process of exclusive breastfeeding practices. In this study, we report on a systematic review of the literature that aimed to examine the status of mothers’ knowledge, attitude, and practices related to exclusive breastfeeding in East Africa, so as to provide clues on what can be done to improve exclusive breastfeeding. Methods A systematic review of peer-reviewed literature was performed. The search for literature was conducted utilizing six electronic databases, Pub med, Web of Science, Google Scholar, Embase, Science Direct, and Cochrane library, for studies published in English from January 2000 to June 2019 and conducted in East Africa. Studies focused on mothers’ knowledge, attitudes, or practices related to exclusive breastfeeding. All papers were reviewed using a predesigned data extraction form. Results Sixteen studies were included in the review. This review indicates that almost 96.2% of mothers had ever heard about EBF, 84.4% were aware of EBF, and 49.2% knew that the duration of EBF was the first six months only. In addition, 42.1% of mothers disagreed and 24.0% strongly disagreed that giving breast milk for a newborn immediately and within an hour is important, and 47.9% disagreed that discarding the colostrum is important. However, 42.0% of mothers preferred to feed their babies for the first six months breast milk alone. In contrast, 55.9% of them had practiced exclusive breastfeeding for at least six months. Conclusions Exclusively breastfeeding among our sample is suboptimal, compared to the current WHO recommendations. Thus, it is important to provide antenatal and early postpartum education and periodical breastfeeding counseling, to improve maternal attitudes and knowledge toward breastfeeding practices.http://link.springer.com/article/10.1186/s13006-020-00313-9Exclusive breastfeedingKnowledgeAttitudePracticeEast Africa |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jean Prince Claude Dukuzumuremyi Kwabena Acheampong Julius Abesig Jiayou Luo |
spellingShingle |
Jean Prince Claude Dukuzumuremyi Kwabena Acheampong Julius Abesig Jiayou Luo Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review International Breastfeeding Journal Exclusive breastfeeding Knowledge Attitude Practice East Africa |
author_facet |
Jean Prince Claude Dukuzumuremyi Kwabena Acheampong Julius Abesig Jiayou Luo |
author_sort |
Jean Prince Claude Dukuzumuremyi |
title |
Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review |
title_short |
Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review |
title_full |
Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review |
title_fullStr |
Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review |
title_full_unstemmed |
Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review |
title_sort |
knowledge, attitude, and practice of exclusive breastfeeding among mothers in east africa: a systematic review |
publisher |
BMC |
series |
International Breastfeeding Journal |
issn |
1746-4358 |
publishDate |
2020-08-01 |
description |
Abstract Background Exclusive breastfeeding (EBF) is recommended for the first six months of age by the World Health Organization. Mothers’ good knowledge and positive attitude play key roles in the process of exclusive breastfeeding practices. In this study, we report on a systematic review of the literature that aimed to examine the status of mothers’ knowledge, attitude, and practices related to exclusive breastfeeding in East Africa, so as to provide clues on what can be done to improve exclusive breastfeeding. Methods A systematic review of peer-reviewed literature was performed. The search for literature was conducted utilizing six electronic databases, Pub med, Web of Science, Google Scholar, Embase, Science Direct, and Cochrane library, for studies published in English from January 2000 to June 2019 and conducted in East Africa. Studies focused on mothers’ knowledge, attitudes, or practices related to exclusive breastfeeding. All papers were reviewed using a predesigned data extraction form. Results Sixteen studies were included in the review. This review indicates that almost 96.2% of mothers had ever heard about EBF, 84.4% were aware of EBF, and 49.2% knew that the duration of EBF was the first six months only. In addition, 42.1% of mothers disagreed and 24.0% strongly disagreed that giving breast milk for a newborn immediately and within an hour is important, and 47.9% disagreed that discarding the colostrum is important. However, 42.0% of mothers preferred to feed their babies for the first six months breast milk alone. In contrast, 55.9% of them had practiced exclusive breastfeeding for at least six months. Conclusions Exclusively breastfeeding among our sample is suboptimal, compared to the current WHO recommendations. Thus, it is important to provide antenatal and early postpartum education and periodical breastfeeding counseling, to improve maternal attitudes and knowledge toward breastfeeding practices. |
topic |
Exclusive breastfeeding Knowledge Attitude Practice East Africa |
url |
http://link.springer.com/article/10.1186/s13006-020-00313-9 |
work_keys_str_mv |
AT jeanprinceclaudedukuzumuremyi knowledgeattitudeandpracticeofexclusivebreastfeedingamongmothersineastafricaasystematicreview AT kwabenaacheampong knowledgeattitudeandpracticeofexclusivebreastfeedingamongmothersineastafricaasystematicreview AT juliusabesig knowledgeattitudeandpracticeofexclusivebreastfeedingamongmothersineastafricaasystematicreview AT jiayouluo knowledgeattitudeandpracticeofexclusivebreastfeedingamongmothersineastafricaasystematicreview |
_version_ |
1724619568028057600 |