Assessment of Prevelance and Determinants of Exclusive Breastfeeding among Mothers with Infants Aged under Six Months in Wadajir District, Banadir Region, Somalia

Madina Ali Abdirahman *

Department of Public Health, Mount Kenya University, Nairobi, Kenya.

Dominic Mogere

Department of Public Health, Mount Kenya University, Nairobi, Kenya.

Anne Aswani Musotsi

Masinde Muliro University of Science and Technology, Kakamega, Kenya.

Alloysius Luambo Omoto

Department of Public Health, Mount Kenya University, Nairobi, Kenya.

*Author to whom correspondence should be addressed.


Abstract

Introduction: The Sustainable Development Goals (SDGs) that include ending hunger and improving nutrition, preventing child mortality, and lowering the risk of non-communicable diseases, and promoting cognitive development and education are among the many that breastfeeding is essential to achieving including SDG 2, ending hunger and improving nutrition; SDG 3, preventing child mortality. By 2025, the World Health Organization's (WHO) global nutrition targets to increase at least 50% of infants under six months old to exclusively breastfeed (EBF).

Objective: To assess knowledge, determinants and measure prevalence of exclusive breastfeeding among infants aged below six months in Wadajir district, Banadir region- Somalia.

Methodology: A hospital-based cross-sectional study design was applied. Systematic sampling method was used to include mothers with infants aged less than 6 months in search of healthcare in Wadajir health center-mother and child health clinic. Study period was August to September 2023.  Close ended structured questionnaire was used to collect data. Data was entered into SPSS, multiple analysis was   used to correlate independent variables like cultural barriers, maternal barriers, policy barriers, health system barriers with dependent variable of exclusive breastfeeding.

Results: The study population comprised 353 mothers; about 65% were aged 25 to 35 years and 76% of them were housewives. The study established that 65% of mothers in Wadajir district who visited the health facility during study period were practicing exclusive breastfeeding for the first six months. On Knowledge, More than half (59%) of the mothers were not aware of the duration of EBF and there was a correlation between EBF and mother education level (P=0.213). there was no relationship between maternal determinants of EBF and low rates of EBF. There was statistically significant correlation (P=0.199) between EBF and the number of pregnancies. Because of having frequent and close pregnancy outweigh EBF and overall breastfeeding, and infant care.

Conclusion: There is poor knowledge on exclusive breastfeeding among mothers in Wadajir district, Somalia. Maternal education, the number of children, the place of delivery, and the educational attainment were all found to be related to exclusive breastfeeding.

Keywords: Exclusive breast feeding, infant nutrition, maternal health


How to Cite

Abdirahman, M. A., Mogere, D., Musotsi, A. A., & Omoto, A. L. (2024). Assessment of Prevelance and Determinants of Exclusive Breastfeeding among Mothers with Infants Aged under Six Months in Wadajir District, Banadir Region, Somalia. International Journal of TROPICAL DISEASE & Health, 45(5), 12–28. https://doi.org/10.9734/ijtdh/2024/v45i51530

Downloads

Download data is not yet available.

References

Machila CM, Karonjo J, Mogere D, Kariuki P. Level of awareness of the benefits, socio-demographic and cultural factors influencing exclusive breastfeeding among mothers attending MCH clinic in Tudor sub county hospital. International Journal of Community Medicine And Public Health. 2021;8(5):2150. Available: https://doi.org/10.18203/2394-6040.ijcmph20211731

Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, Berhe N. Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. International Breastfeeding Journal. 2020;15(1):1–8. Available:https://doi.org/10.1186/s13006-020-0252-7

Zong X, Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010–2018 and time trends since 2000 for 44 LMICs. EClinicalMedicine. 2021;37: 1–9. Available:https://doi.org/10.1016/j.eclinm.2021.100971

North K, Gao M, Allen G, Lee AC. Breastfeeding in a Global Context: Epidemiology, Impact, and Future Directions. Clinical Therapeutics. 2022;44(2):228–244. Available:https://doi.org/10.1016/j.clinthera.2021.11.017

Setegn T, Belachew T, Gerbaba M, Deribe K, Deribew A, Biadgilign S. Factors associated with exclusive breastfeeding practices among mothers in Goba district, south east Ethiopia: A cross-sectional study. International Breastfeeding Journal. 2012;7:17. Available: https://doi.org/10.1186/1746-4358-7-17

Mahdi AY, Nzioki JM, Kubende P. Prevalence, Level of Awareness and Socio-Demographic Predictors of Exclusive Breastfeeding among Women of Reproductive Age in Waberi District, Mogadishu, Somalia. African Journal of Health Sciences. 2021;33(5):110–117. Available:https://www.ajol.info/index.php/ajhs/article/view/206252

DNS Government of Somalia. The Somali Health and Demographic Survey 2020. SHD Survey 2020 Somalia; 2020. Available: www.dns.org.so

Damey MA. Knowledge and attitude on ultilazation postnatal care services in wadajir district, mogadishu -somalia submitted by. Moha adan damey; 2020. Available:https://www.academia.edu/44781949/KNOWLEDGE_AND_ATTITUDE_ON_ULTILAZATION_POSTNATAL_CARE_SERVICES_IN_WADAJIR_DISTRICT_MOGADISHU_SOMALIA_SUBMITTED_BY

Adugna B, Tadele H, Reta F, Berhan Y. Determinants of exclusive breastfeeding in infants less than six months of age in Hawassa, an urban setting, Ethiopia. International Breastfeeding Journal. 2017;12(1):1–9. Available:https://doi.org/10.1186/s13006-017-0137-6