Context:
Exclusive breastfeeding (EBF) in first the 6 months of life is the most effective way to satisfy nutritional and psychological needs of a baby. However, EBF rate for India remained low at 54.9% during 2015-2016. It is therefore essential to understand the reasons for such a low EBF rate in the country so that appropriate interventions can be developed and implemented.
Objectives:
(1) To estimate the prevalence of EBF in rural community of central Gujarat and (2) to identify barriers to EBF in this community.
Materials And Methods:
A community-based cross sectional study was conducted among mothers of 330 infants of age 6 months to 1 year using pretested questionnaire. Two-stage cluster sampling technique was used to select the sample. χ test, -test, and logistic regression were applied to assess the significance of associations.
Results:
EBF rate in the studied population was detected to be 49.7%. Early marriage of parents, less educated parents, male child, Christian religion, working mother, less number of antenatal visits, operative delivery, late initiation of breastfeeding, not feeding colostrum, lack of knowledge about EBF, and poor counseling of mother regarding EBF were identified as barriers to EBF.
Conclusion:
Prevalence of EBF was found to be lower than the national average in the rural community of central Gujarat. Effective strategies at local, state, and national levels should aim at addressing the barriers to EBF that are identified in this study.
Citing Articles
Breastfeeding knowledge, practices, and their determinants among recently delivered mothers: A cross-sectional study.
Srivastava A, Mahmood S, Srivastava P, Shati A, Riaz F
J Family Med Prim Care. 2024; 13(10):4181-4187.
PMID: 39629368
PMC: 11610873.
DOI: 10.4103/jfmpc.jfmpc_1359_23.
Beyond Public Health and Private Choice: Breastfeeding, Embodiment and Public Health Ethics.
Subramani S
Asian Bioeth Rev. 2024; 16(2):249-266.
PMID: 38586574
PMC: 10994897.
DOI: 10.1007/s41649-023-00259-0.
Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review.
Singh S, Rajak R
BMC Pregnancy Childbirth. 2024; 24(1):16.
PMID: 38166775
PMC: 10759396.
DOI: 10.1186/s12884-023-06189-x.
Intersectional inequalities in exclusive breastfeeding practices in India: analysis of national family health survey-4.
Valappil H, Jayalakshmi R, Sewor C
Int Breastfeed J. 2023; 18(1):44.
PMID: 37612598
PMC: 10464041.
DOI: 10.1186/s13006-023-00577-x.
Determinants of early cessation of exclusive breastfeeding practices among rural mothers from Jaffna District of Sri Lanka.
Karthigesu K, Balakumar S, Arasaratnam V
Int Breastfeed J. 2023; 18(1):42.
PMID: 37580743
PMC: 10426130.
DOI: 10.1186/s13006-023-00575-z.
A Cross-Sectional Study of Determinants of Exclusive Breastfeeding among Working Mothers in Enugu.
Onwuka C
J West Afr Coll Surg. 2022; 12(2):75-80.
PMID: 36213806
PMC: 9536408.
DOI: 10.4103/jwas.jwas_102_22.
Design, Development, and Testing of BEST4Baby, an mHealth Technology to Support Exclusive Breastfeeding in India: Pilot Study.
Ma T, Chang K, Alyusuf A, Bajracharya E, Washio Y, Kelly P
JMIR Form Res. 2022; 6(9):e32795.
PMID: 36074546
PMC: 9501669.
DOI: 10.2196/32795.
Factors associated with the knowledge about breastfeeding among antenatal and postnatal women in selected rural villages of Chengalpattu, Tamil Nadu: A community-based cross-sectional study.
Rushender R, Krishnamoorthy Y, Hussain Siraja A
J Educ Health Promot. 2022; 11:72.
PMID: 35372624
PMC: 8974921.
DOI: 10.4103/jehp.jehp_425_21.
Infant and young child feeding (IYCF) practices and their determinants in two Urban districts of India.
Bansal S, Odedra R, Talati K, Morgaonkar V, Shinde M, Nimbalkar S
J Family Med Prim Care. 2021; 10(8):3137-3143.
PMID: 34660459
PMC: 8483104.
DOI: 10.4103/jfmpc.jfmpc_184_21.
Understanding the Enablers and Barriers to Appropriate Infants and Young Child Feeding Practices in India: A Systematic Review.
Dhami M, Ogbo F, Akombi-Inyang B, Torome R, Agho K, The Global Maternal And Child Health Research Collaboration GloMACH
Nutrients. 2021; 13(3).
PMID: 33801545
PMC: 7998710.
DOI: 10.3390/nu13030825.
Knowledge, attitude, and breast-feeding practices of postnatal mothers in Jammu: A community hospital based cross sectional study.
Bala K, Sahni B, Bavoria S, Narangyal A
J Family Med Prim Care. 2020; 9(7):3433-3437.
PMID: 33102309
PMC: 7567223.
DOI: 10.4103/jfmpc.jfmpc_333_20.
Mothers' and Grandmothers' misconceptions and socio-cultural factors as barriers to exclusive breastfeeding: A qualitative study involving Health Workers in two rural districts of Ghana.
Nsiah-Asamoah C, Doku D, Agblorti S
PLoS One. 2020; 15(9):e0239278.
PMID: 32941500
PMC: 7498105.
DOI: 10.1371/journal.pone.0239278.
A population-based cross-sectional study to determine the practices of breastfeeding among the lactating mothers of Patiala city.
Randhawa A, Chaudhary N, Gill B, Singh A, Garg V, Balgir R
J Family Med Prim Care. 2019; 8(10):3207-3213.
PMID: 31742143
PMC: 6857412.
DOI: 10.4103/jfmpc.jfmpc_549_19.