Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania

Melina Mgongo; Tamara Hussein Hashim; Jacqueline Gilbert Uriyo; Damian Jeremia Damian; Babill Stray-Pedersen; Sia Emmanuel Msuya

doi:doi:10.11648/j.sjph.20140206.31

Determinants of Exclusive Breastfeeding in Kilimanjaro Region, Tanzania

Melina Mgongo, Tamara Hussein Hashim, Jacqueline Gilbert Uriyo, Damian Jeremia Damian, Babill Stray-Pedersen, Sia Emmanuel Msuya

Published in Science Journal of Public Health (Volume 2, Issue 6)

Received: 12 December 2014 Accepted: 17 December 2014 Published: 4 January 2015

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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.

Published in	Science Journal of Public Health (Volume 2, Issue 6)
DOI	10.11648/j.sjph.20140206.31
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), 2015. Published by Science Publishing Group

Keywords

Exclusive Breastfeeding, Health Care Advice, Kilimanjaro, Tanzania

References

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[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.
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[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
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[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
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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

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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

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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

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@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://article.sciencepublishinggroup.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}
}

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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  -

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Author Information

Melina Mgongo

Better Health for African Mother and Child, Box 8418, Moshi, Tanzania
Tamara Hussein Hashim

Better Health for African Mother and Child, Box 8418, Moshi, Tanzania
Jacqueline Gilbert Uriyo

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

Department of Community Health, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania
Babill Stray-Pedersen

Division of Women and Children, Oslo University Hospital Rikshospitalet and University of Oslo, Oslo, Norway
Sia Emmanuel Msuya

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

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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

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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

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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

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@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://article.sciencepublishinggroup.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}
}

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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  -

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