Mothers’ Knowledge and Practices of Steps to Successful Breastfeeding at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kenya
Abstract
The ten steps to successful breastfeeding have been reported to be effective in enhancing mothers’ knowledge and practices of breastfeeding in various contexts. However, within the Kenyan context, there is limited literature on mothers’ knowledge and practices regarding these steps despite high breastfeeding-related child morbidity and mortality rates. This study aimed to evaluate mothers’ knowledge, confirm practices of the steps to successful breastfeeding, and establish the relationship between mothers’ knowledge and corresponding practices of these steps. The study site was Jaramogi Oginga Odinga Teaching and Referral Hospital, Kenya. A cross-sectional study design was used, and 79 breastfeeding mothers were systematically sampled. Data were collected through a researcher-administered questionnaire and an observation checklist. Data analysis was performed using descriptive statistics; frequencies and percentages to show mothers’ knowledge and practice distribution. Binary logistic regression was performed to establish a relationship between the two variables. Results were presented in tables. Mothers’ knowledge of steps 3, 6, 7, 8, and 9 met the global criteria for successful breastfeeding; however, only practices of steps 6, 7, 8, and 9 met these criteria. There was no significant relationship between mothers’ knowledge and corresponding practices of all the steps (P>0.05). Skill-based training may be necessary to improve successful breastfeeding practices.
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References
Agbozo, F., Ocansey, D., Atitto, P., & Jahn, A. (2020). Compliance of a Baby-Friendly Designated Hospital in Ghana With the WHO/UNICEF Baby and Mother-Friendly Care Practices. Journal of Human Lactation, 36(1). https://doi.org/10.1177/0890334419848728
Connolly, E., Reinkowsky, M., Giglia, R., Sexton, B., Lyons-Wall, P., Lo, J., & O’Sullivan, T. A. (2019). Education on antenatal colostrum expression and the Baby Friendly Health Initiative in an Australian hospital: An audit of birth and breastfeeding outcomes. Breastfeeding Review, 27(1).
Das, N. L., Khan, M. F. K., Azam, M. S., Rouf, M., Sultana, M., Afroz, S. S., Islam, K. T., & Alam, M. S. (2023). Study on Impact of Tertiary Care Baby Friendly Hospital on Exclusive Breast Feeding and Child Health. Journal of Shaheed Suhrawardy Medical College, 13(2). https://doi.org/10.3329/jssmc.v13i2.65180
Dukuzumuremyi, J. P. C., Acheampong, K., Abesig, J., & Luo, J. (2020). Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. International breastfeeding journal, 15, 1-17. https://doi.org/10.1186/s13006-020-00313-9.
Gianni, M. L., Bettinelli, M. E., Manfra, P., Sorrentino, G., Bezze, E., Plevani, L., Cavallaro, G., Raffaeli, G., Crippa, B. L., Colombo, L., Morniroli, D., Liotto, N., Roggero, P., Villamor, E., Marchisio, P., & Mosca, F. (2019). Breastfeeding difficulties and risk for early breastfeeding cessation. Nutrients, 11(10). https://doi.org/10.3390/nu11102266
Gupta, S., Pajai, S., & Pawade, A. A. (2023). Benefits of Breastfeeding on Child and Postpartum Psychological Health of the Mother. In Journal of SAFOG (Vol. 15, Issue 2). https://doi.org/10.5005/jp-journals-10006-2217
Honey, A., Boydell, K. M., Coniglio, F., Do, T. T., Dunn, L., Gill, K., Glover, H., Hines, M., Scanlan, J. N., & Tooth, B. (2020). Lived experience research as a resource for recovery: A mixed methods study. BMC Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-02861-0
Kavle, J. A., Ahoya, B., Kiige, L., Mwando, R., Olwenyi, F., Straubinger, S., & Gathi, C. M. (2019). Baby-Friendly Community Initiative—From national guidelines to implementation: A multisectoral platform for improving infant and young child feeding practices and integrated health services. Maternal and Child Nutrition, 15. https://doi.org/10.1111/mcn.12747
Kehinde, J., O’Donnell, C., & Grealish, A. (2023). The effectiveness of prenatal breastfeeding education on breastfeeding uptake postpartum: A systematic review. In Midwifery (Vol. 118). https://doi.org/10.1016/j.midw.2022.103579
Kimani-Murage, E. W., Kimiywe, J., Mutoro, A. N., Wilunda, C., Wekesah, F. M., Muriuki, P., Mwangi, B. M., Samburu, B. M., Madise, N. J., McGarvey, S. T., & Griffiths, P. L. (2021). Effectiveness of the baby-friendly community initiative on exclusive breastfeeding in Kenya. Maternal and Child Nutrition, 17(3). https://doi.org/10.1111/mcn.13142
Kivlighan, K. T., Murray-Krezan, C., Schwartz, T., Shuster, G., & Cox, K. (2020). Improved breastfeeding duration with Baby Friendly Hospital Initiative implementation in a diverse and underserved population. Birth, 47(1). https://doi.org/10.1111/birt.12468
Lestari, P. P. (2020). Review: Implementasi Baby Friendly Hospital Initiative (Inisiasi Rumah Sakit Sayang Ibu) Dan Keberhasilan Menyusui Eksklusif. Jurnal Ilmiah Umum Dan Kesehatan Aisyiyah, 5(1).
Liberty, A. L., Wouk, K., Chetwynd, E., & Ringel-Kulka, T. (2019). A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina. Journal of Human Lactation, 35(1). https://doi.org/10.1177/0890334418776645
Lisna, A., Arifin, R. Y. A., & Anjasmara, R. A. (2019). Early Breastfeeding Initiation in Indonesia. Journal of Ultimate Public Health, 3(1). https://doi.org/10.22236/jump-health.v3.i1.p163-168
Lokeesan, L., Martin, E., & Miller, Y. (2022). Scoping Review of Baby-Friendly Hospital Initiative Compliance and Breastfeeding Initiation in Sri Lanka. In JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing (Vol. 51, Issue 2). https://doi.org/10.1016/j.jogn.2021.12.005
Maastrup, R., Haiek, L. N., Lubbe, W., Meerkin, D. Y., Wolff, L., Hatasaki, K., Alsumaie, M. A., De Leon-Mendoza, S., Ng, Y. P. M., Shorey, S., Conti, R., Leme, T., Rossetto, E. G., Acosta, A. A., Nuñez, A. E. O., Toala, E., Gonzalez, M. E. O., Berger, A., Hennequin, Y., O’Donoghue, D. (2019). Compliance with the “Baby-friendly Hospital Initiative for Neonatal Wards” in 36 countries. Maternal and Child Nutrition, 15(2). https://doi.org/10.1111/mcn.12690
McNally, J., Hugh-Jones, S., & Hetherington, M. M. (2020). “An invisible map” - maternal perceptions of hunger, satiation and ‘enough’ in the context of baby-led and traditional complementary feeding practices. Appetite, 148. https://doi.org/10.1016/j.appet.2020.104608
Mohamud, A. M., Nzioki, J. M., & Muhamud, C. (2021). Prevalence of Optimal Breastfeeding and Maternal and Child Health Care Service-Related Factors Associated with Optimal Breastfeeding in Dollow District, Somalia. African Journal of Health Sciences, 34(2). https://www.ajol.info/index.php/ajhs/article/view/210079
Moraa, D. (2019). Predictors of exclusive breast-feeding among women in formal employment attending child welfare clinic at Jaramogi Oginga Odinga Teaching and Referral Hospital.
Mothukuri, R., Kumar, S., & Sowndarya, R. (2021). A study to Assess the Knowledge and Practice of Staff Nurses and Postnatal Mothers on Implementation of Baby Friendly Hospital Initiative in a Tertiary Care Hospital in Chennai. Journal of Pharmaceutical Research International. https://doi.org/10.9734/jpri/2021/v33i1531288
Oueidat, H., Charafeddine, L., Nimer, H., Hussein, H., & Nabulsi, M. (2020). Knowledge and attitudes of Lebanese women towards Baby Friendly Hospital Initiative practices. PLoS ONE, 15(9 September). https://doi.org/10.1371/journal.pone.0238730
Radomsky, A. S., Ouellet-Courtois, C., Golden, E., Senn, J. M., & Parrish, C. L. (2024). Putting things right: An experimental investigation of memory biases related to symmetry, ordering and arranging behaviour. Journal of Behavior Therapy and Experimental Psychiatry, 82. https://doi.org/10.1016/j.jbtep.2023.101914
Salerno, J., Coughlin, S. S., Goodman, K. W., & Hlaing, W. W. M. (2023). Current ethical and social issues in epidemiology. Annals of Epidemiology, 80. https://doi.org/10.1016/j.annepidem.2023.02.001
Tarkwen, P. (2020). Breastfeeding Mothers’ Knowledge on Ten Steps to Successful Breastfeeding in Kapsabet County Hospital, Nandi County, Kenya. International Journal of Scientific and Research Publications (IJSRP), 10(8), 70–81. https://doi.org/10.29322/ijsrp.10.08.2020.p10412
UNICEF. (2023). Global breastfeeding scorecard 2023 rates of breastfeeding increase around the world through improved protection and support. https://www.unicef.org/media/150586/file/Global%20breastfeeding%20scorecard%202023.pdf
UNICEF. (2024). Infant mortality. https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/infant-mortality
von Seehausen, M. P., de Oliveira, M. I. C., do Carmo Leal, M., Domingues, R. M. S. M., & Boccolini, C. S. (2023). Baby-Friendly Hospital Initiative and exclusive breastfeeding during hospital stay. Revista de Saude Publica, 57(1). https://doi.org/10.11606/S1518-8787.2023057004283
Woldeamanuel, B. T. (2020). Trends and factors associated to early initiation of breastfeeding, exclusive breastfeeding and duration of breastfeeding in Ethiopia: Evidence from the Ethiopia Demographic and Health Survey 2016. International Breastfeeding Journal, 15(1). https://doi.org/10.1186/s13006-019-0248-3
World Health Organization (2022). Child mortality (under 5 years). Fact Sheets, January.
World Health Organization. (2024). Implementation Guidance 2018, Protecting, promoting and supporting Breastfeeding in facilities providing maternity and newborn services: the revised Baby-Friendly Hospital Initiative. http://apps.who.int/bookorders
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