Prevalence of Exclusive Breastfeeding and Associated Factors among Mothers in Karongi District, Rwanda

Rwanda Journal of Medicine and Health Sciences Pub Date : 2023-07-31 DOI:10.4314/rjmhs.v6i2.3

Francine Nyirahirwa, G. Tuyisenge, J. Nyiligira, Michael Habtu

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Abstract

BackgroundExclusive breastfeeding is crucial for an infant’s growth and development. In Rwanda, 47% of rural children and 27% of urban children are stunted which could be linked to poor exclusive breastfeeding. Thus, this study was carried out to assess prevalence of exclusive breastfeeding and associated factors in Karongi district of Rwanda.MethodA cross-sectional design was used involving 261 mothers with infants of 6 to 9 months selected systematically with an interval two as they came to the health facilities. The data were collected using structured questionnaire. The factors independently associated with exclusive breastfeeding were determined using multivariable logistic regression analysis.ResultsThe prevalence of exclusive breastfeeding was 87.1%. Married mothers (AOR= 3.15; 95%CI = 1.07 – 9.28), protestant mothers (AOR= 0.15; 95%CI = 0.03 – 0.69), attending prenatal care (AOR= 19.87; 95%CI = 3.00 – 131.68), receiving postnatal care (AOR = 3.07; 95%CI = 1.31 – 7.21) and receiving breastfeeding counseling (AOR= 3.16; 95%CI = 1.03 – 9.69) were identified as independent factors associated with exclusively breastfeeding.ConclusionThe prevalence of exclusive breastfeeding was high but with various healthcare service associated factors. Therefore awareness and appropriate behavior change communication strategies on exclusive breastfeeding should be encouraged during prenatal and postpartum care for optimum practice.Rwanda J Med Health Sci 2023;6(2):123-134

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卢旺达卡隆吉区的母亲中纯母乳喂养的流行率及其相关因素

纯母乳喂养对婴儿的生长发育至关重要。在卢旺达，47%的农村儿童和27%的城市儿童发育迟缓，这可能与不良的纯母乳喂养有关。因此，本研究旨在评估卢旺达Karongi地区纯母乳喂养的流行程度及其相关因素。方法采用横断面设计，对261名6 ~ 9个月婴儿的母亲进行系统选择，间隔时间为2次。采用结构化问卷法收集数据。采用多变量logistic回归分析确定与纯母乳喂养独立相关的因素。结果纯母乳喂养率为87.1%。已婚母亲(AOR= 3.15;95%CI = 1.07 - 9.28)，新教母亲(AOR= 0.15;95%CI = 0.03 - 0.69)，参加产前护理(AOR= 19.87;95%CI = 3.00 - 131.68)，接受产后护理(AOR = 3.07;95%CI = 1.31 ~ 7.21)和接受母乳喂养咨询(AOR= 3.16;95%CI = 1.03 - 9.69)被确定为与纯母乳喂养相关的独立因素。结论纯母乳喂养的患病率较高，但存在多种保健服务相关因素。因此，应在产前和产后护理期间鼓励对纯母乳喂养的认识和适当的行为改变沟通策略，以获得最佳实践。卢旺达医学与健康科学杂志，2023;6(2):123-134

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Rwanda Journal of Medicine and Health Sciences

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