Greener Journal of Epidemiology and Public Health

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Greener Journal of Epidemiology and Public Health

Vol. 9(1), pp. 1-9, 2021

ISSN: 2354-2381

Copyright ©2021, the copyright of this article is retained by the author(s)

https://gjournals.org/GJEPH

 

 

 

 

 

 

 

Parental Knowledge and Compliance Practices to Breastfeeding Guidelines and Nutritional Status of Infants

 

 

Enedy Zyakaka1; Namo Gwisai1; Reginald Dennis Gwisai2*

 

 

1Department of Food and Nutrition, Solusi University.

2Department of Academics, Unicaf University.

 

 

 

ARTICLE INFO

ABSTRACT

 

Article No.: 100520126

Type: Research

 

 

This study assesses parental knowledge and compliance with recommended breastfeeding guidelines and nutritional status of infants aged 1-23 months. A quantitative orientation and purposive sampling was used to collect data using convenience from 80 parents (40 males and 40 females located from the health centre) and their children (40 infants) aged 1 – 23 months. Data on nutrition knowledge of parents and breastfeeding practices of infants by their mothers were collected with the help of structured questionnaires. Anthropometric measurements of infants were measured to estimate their nutrition status. The weight of each infant was measured using the weight scale while the height was measured using a height board. The measurements were used to calculate underweight, stunting and wasting of infants using z-scores. Participants demonstrated moderate levels of knowledge and practices of breastfeeding. Most (79%) parents reported that they took a forward decision to breastfeed their children before the children were born. Most (58%) of the parents acquired this information from family members while 33% from health personnel.  On the other hand observations revealed that most (60%) of the parents also took a decision to stop breastfeeding through the advice of family members while 32.5% reported that the advice came from health personnel. This study revealed that most (80%) of the infants were stunted, underweight (52.5%) while 22.5% were wasted. It is recommended that nutrition education programmes on infant breastfeeding practices should involve all members of the family.

 

Accepted:  08/10/2020

Published: 04/03/2021

 

*Corresponding Author

Reginald Dennis Gwisai

E-mail: reginalddgwisai@ yahoo.co.uk; r.gwisai@ zimbabwe.unicaf.org

 

Keywords:

Breastfeeding practices; compliance; Infants; extended family

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REFERENCES

 

Akombi, B.J., Agho, K.E., Hall, J.J., Merom, D., Astell – Burt, T. Renzhao, A.M.N. (2017). Stuntiing and Severe Stunting among Children under 5 years in Nigeria: A Multilevel Analysis. BMC Pediatrics, 17(15). https://doi.org/10.1186/s12887-016-0770-z.

 

Bhanderi, D., and Choudhary, S. K. (2011). A study of feeding practices of under- five children in semi-urban community of Gujarat. Journal of Preventive Social Medicine, 42(1), 60 – 66.

 

Bunik, M. (2013). Overcoming clinical barriers to exclusive breastfeeding.  Journal of Paediatric Clinic of North America, 60, (1), 115 – 148.

 

Bwalya, M. K., Mukonka. V, Kankasa, C., Masaninga F., Babaniyi, O. and Siziya,  S (20015). Infants and young children feeding practices and nutritional status in two districts of Zambia. Lusaka: Bio Mixed Central of Zambia. International Breastfeeding Journal, 10 (5), Retrieved from https://doi.org/10.1186/s13006-015-0033-x.

 

Central Board of Health. (2003). Ministry of Health Report. Lusaka: CSO.

 

CSO and ZDHS. (2010). Demographic Survey. Lusaka: CSO.

 

Central Statistics Office. (2012). Health Report. Lusaka: CSO.

 

Dashti M., Scott J. A., Edwards C. A., Al-Sughayer, M. (2010). Determinants of breastfeeding initiation among mothers in KuwaitInternational Breastfeeding Journal5(7),1–9.Retrieved from http://www.internationalbreastfeedingjournal.com.

 

Davis, P., Darko, E. T. and Mukuria. A. (2003). Water, Koko and Complementary Feeding Practices. Kumasi, Ghana. ORC Macno Calverton Maryland.

 

Fjeld, E., Siziya, S., Bwalya, M.K., Kankasa Moland K. M, Tylleska, T. (2008). ‘No Sister, the breast alone is not Enough for my baby’: a qualitative assessment of potentials and barriers in   The promotion of exclusive breastfeeding in Southern Zambia. International Breastfeeding Journal, 3, 26.    Retrieved fromhttps://doi.org/10.1186/1746-4358-3-26.

 

Hall, J., Walton, M., Ogtrop, F.V., Guest, D., Black, K., Beardsley, J. (2020). Factors Influencing Undernutrition among Children under 5 years from Cocoa –growing communities in Bougainville. BMJ Global Health, 5, e002478.

 

Humbwavali, J.B., Giugliani, C., Nunes, L.N., dalcastagne,S.V., Duncan, B.B. (2019). Malnutrition and its Associated Factors: A Cross – sectional study with children under 2 years in a Suburban area in Angola.  BMC Public Health, 19,220. https://doi.org/10.1186/s12889-019-6543-5.

 

Inayati, D., A., Scherbaum, V., Purwestri, R., C., Hormann, E., Wirawan, N., N., Suryantan, J., Hartono, S., Bloem, M., A., Pangaribuan, M., A., Biesalski, H.K., Hoffman, V., Bellows, A.C. (2012). Infant feeding practices among mildly wasted children: a retrospective study on Nias Island, Indonesia. International Breastfeeding Journal (11). https://doi.org/10.1186/1746-4358-7-3.

 

Ismail, T., A., T., Sulaiman, Z., Jalil, R., Muda, W., M., W., & Man, N., K., N. (2012). Breast milk expression among formally employed women in urban and rural Malaysia:  A qualitative study. International Breastfeeding Journal, 7(11).

 

Jama, A., Gebreyesus, H., Wubayehu, T., Gebregyorgis, T., Teweldemedhin, M., Berhe, T., Berhe, N. (2020). Exclusive Breastfeeding for the First Six Months of Life and its Associated Factors among Children Aged 6 – 24 Months in Burao District, Somaliland. International Breastfeeding Journal, 15(5), https://doi.org/10.1186/s13006-020-0252-7.

 

Kazembe, L., Clarke, A., and Kandala, N.B. (2012). Childhood mortality in Sub – Saharan Africa: Cross – Sectional Insight into Small – Scale Geographical Inequalities from Census Data. BMJ Open, 2. E001421. doi:10.1136/bmjopen-2012-001421.  

 

Kuzma, J. (2013). Knowledge, attitudes and practices related to infant feeding among women in rural Papua: A descriptive mixed method study. New Guinea. International Breastfeeding Journal, 8(16).

 

Monde, M. D. (2011). KAP Survey Model (knowledge, attitudes and Practices) London: Spring.

 

Moore, E., R., Anderson, G.C., and Bergman, N.  (2009). Early skin-to-skin contact for mothers and their healthy new-born infants. Geneva: Cochrane Collaboration.

 

Mzumara, B., Bwembya,P., Halwiindi,H., Mugode, R., and Banda, J. (2018). Factors Associated with Stunting among Children below Five Years of Age in Zambia: Evidence from the 2014 Zambia Demographic and Health Survey. BMC Nutrition, 4(51). https://doi.org/10.1186/s40795-018-0260-9.

 

Nandagire, W.H., Atuhaire, C., Egeineh, A.T., Nkfusai, C.N., Tsoka – Gwegweni, J. M., and Cumber, S.N. (2019). Exploring Cultural Beliefs and Practices Associated with Weaning of Children Aged 0 – 12 Months by Mothers attending Services at Maternal Child Health Clinic Kalisizo Hospital, Uganda. Pan African Medical Journal, 34(47). 10.11604/pamj.2019.34.47.16940.

 

Nshimyiryo, A., Hedt – Gauthier, B., Mutaganzwa, C., Kirk, C.M., Beck, K., Ndayisaba, A., Mubiligi, J., Kateera, F., and El – Khatib, Z. (2019). Risk Factors for Stunting among Children Under Five Years. A Cross – Sectional Population – based Study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health, 19(175). https://doi.org/10.1186/s12889-019-6504-z.

 

Nwankwo, B.O, and Brieger, W.R. (2002). Exclusive Breastfeeding is undermined by use of other liquids. Journal for Tropical Paediatrics, 48, 1009 – 112.

 

Okonya, J.N. Nabimba, R., Richard, M., and Ombeva, E.A. (2017). Perceptions of Breast Milk Expression Practices among Working Mothers. African Journal of Midwifery and Women’s Health, 11(4). https://doi.org/10.12968/ajmw.2017.11.4.169.

 

Phukan, D., Ranjan, M., and Dwivedi, L.K. (2018). Impact of Timing of Breastfeeding Initiation on Neonatal Mortality in India. International Breastfeeding Journal, 13(27), https://doi.org/10.1186/s13006-018-0162-0.

 

Pritchard, C., and Keen, S. (2016). Child Mortality and Poverty in Three World Regions (The West, Asia and Sub – Saharan Africa) 1988 – 2010: Evidence of Relative Intra – Regional Neglect? Scandinavian Journal of Public Health, 44(8), 734 – 741. doi:10.1177/1403494816675550.

 

Sanyang, Y. (2019). Prevalence of Under –five years of age mortality by Infectious Diseases in West African Region. International Journal of Africa Nursing Sciences, 11. https://doi.org/10.1016/j.ijans.2019.100175.

 

Taşpınar, A, Çoban, A, Küçük, M, Şirin, A. (2013).  Fathers' knowledge about and attitudes towards breast feeding in Manisa, Turkey. Midwifery, 29(6), 653 – 660.

 

Tlou, B., Sartorius, B., Tanser, F. (2018). Investigating Risk Factors for Under – Five Mortality in an HIV Hyper – endemic area of Rural South Africa, from 2000 – 2014. PloS One, 13(11), e0207294. doi:10.1371/journal.pone.0207294.

 

UNICEF (2007). The state of the world’s children. New York: UNICEF

 

UNICEF (2000). State of the world’s children table .New York: UNICEF

 

UNICEF (2007) Zambia-Resources –Nutrition. UNICEF/Children’s      http:wwww.unicef.org/sowc01/tables/table1.

 

UNICEF (2011). The state of the world’s children. New York: UNICEF.

 

UNICEF (2012). Causes and Consequences of Stunting: An opportunity to improve Health and Economic Development.

 

UNICEF/WHO/The World Bank Group (2020). Joint Child malnutrition Estimates: Levels and Trends in Child Malnutrition: Key Findings of the 2020 Edition.

 

WHO (2010). Antiretroviral drugs for treating pregnant women and preventing HIV infection in infants: Recommendations for a public health approach. Geneva: WHO.

 

Yaya, S., Bishwajit, G., Okonofua,F., Uthman, O.A. (2018). Under-five Mortality Patterns and Associated Maternal Risk Factors in Sub – Saharan Africa: A Multi – Country Analysis. PloS ONE 13(10):e0205977. https://doi.org/10.1371/journal.pone.0205977.

 

ZDHS, (2010). Report. Lusaka: MOH.

 

ZDHS (2012) Report. Lusaka: MOH.


 

 

 

Cite this Article: Zyakaka E; Gwisai N; Gwisai RD (2021). Parental Knowledge and Compliance Practices to Breastfeeding Guidelines and Nutritional Status of Infants. Greener Journal of Epidemiology and Public Health, 9(1): 1-9.

 

 


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