Exclusive Breastfeeding and Its Determinants in Yaounde, Cameroon: A Retrospective Survival Analysis

被引:4
作者
Okwen, Gloria Akah [1 ,2 ]
Karimuribo, Esron Daniel [1 ,2 ,3 ]
Ngowi, Helena Aminiel [1 ,2 ]
Fombang, Edith Nig [4 ,5 ]
机构
[1] Coll Vet Med & Biomed Sci, POB 3015, Morogoro, Tanzania
[2] Sokoine Univ Agr, Dept Vet Med & Publ Hlth, Morogoro, Tanzania
[3] Sokoine Univ Agr, SACIDS Fdn One Hlth, POB 3297, Morogoro, Tanzania
[4] Natl Sch Agroind Sci, POB 455, Ngaoundere, Cameroon
[5] Univ Ngaoundere, Dept Food Sci & Nutr, Ngaoundere, Cameroon
关键词
CHILD UNDERNUTRITION; INFANT;
D O I
10.1155/2022/8396586
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Exclusive breastfeeding (EBF) of infants for the first six months of life is a global public health goal that is linked to the reduction of morbidity and mortality in infants, especially in low middle-income countries. In low middle-income countries like Cameroon, it is realistic that compliance with EBF can significantly reduce the burden of under five mortality rate. The purpose of this study was to assess adherence and determinants influencing the duration of exclusive breastfeeding in Yaounde, Cameroon. Data was collected through a mixed method and systematically through a retrospective survival analysis approach where a total number of 503 randomly selected individuals in Yaounde, Cameroon, participated in the study. Data was collected between November 2019 and May 2020. A Cox proportional hazard modelling and Kaplan-Meier analysis were employed to identify prognostic factors affecting survival time defined as the duration, in months, from birth until the time of stopping EBF. The average time for nursing mothers to practice EBF was 3.61 +/- 0.010 months. This study found that more than 90% of mothers were aware of the importance of compliance with EBF but only 38% practiced EBF and 62% of mothers could not adhere to EBF recommendations. Factors that influence compliance with EBF included a mother being married (HR: 0.70; 95% CI = [0.55-0.89], P =0.003) which was a protective factor while mother's tertiary education (HR: 1.43; 95% CI = [1.11-1.84], P =0.005) was a risk factor with non-compliance with EBF when compared to those with basic or no formal education. The Kaplan-Meier curve indicated that as time goes on, babies are less likely to be exclusively breastfed after a specific time period within two and three months. This implies that the chance for a baby to remain exclusively breastfed after five months is 74.3% (0.74). Continuous sensitization and enforcement measures are recommended to promote EBF.
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页数:8
相关论文
共 36 条
[1]  
Adda L., 2020, GHANA QUALITATIVE ST, V5, P9, DOI [10.21203/rs.2.22560/v1, DOI 10.21203/RS.2.22560/V1]
[2]   Exclusive Breastfeeding Rates and Associated Factors in 13 "Economic Community of West African States" (ECOWAS) Countries [J].
Agho, Kingsley Emwinyore ;
Ezeh, Osita Kingsley ;
Ghimire, Pramesh Raj ;
Uchechukwu, Osuagwu Levi ;
Stevens, Garry John ;
Tannous, Wadad Kathy ;
Fleming, Catharine ;
Ogbo, Felix Akpojene ;
Agho, Kingsley E. ;
Ogbo, Felix A. ;
Diallo, Thierno ;
Ezeh, Osita K. ;
Uchechukwu, Osuagwu L. ;
Ghimire, Pramesh R. ;
Akombi, Blessing ;
Ogeleka, Paschal ;
Abir, Tanvir ;
Issaka, Abukari I. ;
Ahmed, Kedir Yimam ;
Victor, Rose ;
Charwe, Deborah ;
Rwabilimbo, Abdon Gregory ;
Subramanee, Daarwin ;
Mehak, Mehak ;
Nagdev, Nilu ;
Dhami, Mansi .
NUTRIENTS, 2019, 11 (12)
[3]  
Alamirew MW, 2017, NURS RES PRACT, V2017, DOI 10.1155/2017/6561028
[4]  
[Anonymous], 2019, PROM PROP FEED INF Y
[5]  
[Anonymous], WHO | Exclusive breastfeeding
[6]  
[Anonymous], PROM PROP FEED INF Y
[7]  
Arage G, 2016, Advances in Public Health, V1, DOI [10.1155/2016/3426249, DOI 10.1155/2016/3426249]
[8]  
Ayuk T.B., 2018, TRENDS GEN PRACTICE, V1, P2, DOI [10.15761/TGP.1000113, DOI 10.15761/TGP.1000113]
[9]  
Black RE, 2008, LANCET, V371, P243, DOI [10.1016/S0140-6736(07)61690-0, 10.1016/S0140-6736(13)60937-X]
[10]   Maternal and child undernutrition and overweight in low-income and middle-income countries [J].
Black, Robert E. ;
Victora, Cesar G. ;
Walker, Susan P. ;
Bhutta, Zulfiqar A. ;
Christian, Parul ;
de Onis, Mercedes ;
Ezzati, Majid ;
Grantham-McGregor, Sally ;
Katz, Joanne ;
Martorell, Reynaldo ;
Uauy, Ricardo .
LANCET, 2013, 382 (9890) :427-451