Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda
Abstract Background Uganda surpasses many African nations and the global average in exclusive breastfeeding (EBF) rates. Yet, malnutrition is a critical issue, with stunting impacting roughly 29% of children under 5 years. Enhancing EBF could mitigate such nutritional challenges. This study focused...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13006-023-00604-x |
| _version_ | 1797397731436658688 |
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| author | Derrick Kimuli Florence Nakaggwa Norah Namuwenge Rebecca N. Nsubuga Paul Isabirye Kenneth Kasule Justine Fay Katwesige Sheila Nyakwezi Solome Sevume Norbert Mubiru Barbara Amuron Daraus Bukenya |
| author_facet | Derrick Kimuli Florence Nakaggwa Norah Namuwenge Rebecca N. Nsubuga Paul Isabirye Kenneth Kasule Justine Fay Katwesige Sheila Nyakwezi Solome Sevume Norbert Mubiru Barbara Amuron Daraus Bukenya |
| author_sort | Derrick Kimuli |
| collection | DOAJ |
| description | Abstract Background Uganda surpasses many African nations and the global average in exclusive breastfeeding (EBF) rates. Yet, malnutrition is a critical issue, with stunting impacting roughly 29% of children under 5 years. Enhancing EBF could mitigate such nutritional challenges. This study focused on determining the current EBF prevalence and identifying associated factors across 77 surveyed districts. Methods Pooled data from the Lot Quality Assurance Sampling (LQAS) surveys conducted in 77 districts in Uganda during 2021 and 2022 were analyzed. The analysis involved 7,210 mothers of children under 6 months, EBF was considered as the proportion of infants who received breast milk only in the 24 hours before the survey. A mother practicing EBF was (1) currently breastfeeding (2) had not started giving foods other than breastmilk (3) had not given any other probed liquids or (4) semi-solid foods the previous day or night. Multivariable logistic regression was used to identify factors associated with EBF, presenting adjusted odds ratios (aOR) with corresponding 95% confidence intervals at a 5% significance level. Results The prevalence of EBF was 62.3%. In the adjusted analysis, EBF was more common among older mothers 20–24 years, 25–29 years and 30 + years (aOR 1.4; 95% CI 1.2,1.6), (aOR 1.4; 95% CI 1.1, 1.6) and (aOR 1.3; 95% CI 1.1, 1.5) respectively compared to teenage mothers. Also, EBF was more likely among mothers who lived in rural areas compared to urban areas (aOR 1.1; 95% CI 1.0, 1.3) and those who attended antenatal care (ANC) (aOR 2.2; 95% CI 1.5, 3.1). On the contrary, EBF was less common for children aged 3–5 months compared to younger (aOR 0.5; 95% CI 0.5, 0.6) and children who had received Vitamin A supplementation (aOR 0.7; 95% 0.6, 0.8). Conclusion The study suggests that most districts in Uganda might not have made significant strides in improving EBF rates over the last twenty years, pointing to possible ongoing hurdles that need urgent attention. Particularly, there’s a pressing need to focus on teenage mothers. Maintaining and strengthening programs that advocate EBF, such as ANC, is crucial to bridge the gaps and bring about more equitable rates among different groups. |
| first_indexed | 2024-03-09T01:14:25Z |
| format | Article |
| id | doaj.art-32c78ea215434028abdbbb66e6b0e65a |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-03-09T01:14:25Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-32c78ea215434028abdbbb66e6b0e65a2023-12-10T12:33:07ZengBMCInternational Breastfeeding Journal1746-43582023-12-011811810.1186/s13006-023-00604-xSociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of UgandaDerrick Kimuli0Florence Nakaggwa1Norah Namuwenge2Rebecca N. Nsubuga3Paul Isabirye4Kenneth Kasule5Justine Fay Katwesige6Sheila Nyakwezi7Solome Sevume8Norbert Mubiru9Barbara Amuron10Daraus Bukenya11Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivityThe United States Agency for International Development Uganda, US Mission Compound - South WingThe United States Agency for International Development Uganda, US Mission Compound - South WingThe United States Agency for International Development Uganda, US Mission Compound - South WingSocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivitySocial & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support ActivityAbstract Background Uganda surpasses many African nations and the global average in exclusive breastfeeding (EBF) rates. Yet, malnutrition is a critical issue, with stunting impacting roughly 29% of children under 5 years. Enhancing EBF could mitigate such nutritional challenges. This study focused on determining the current EBF prevalence and identifying associated factors across 77 surveyed districts. Methods Pooled data from the Lot Quality Assurance Sampling (LQAS) surveys conducted in 77 districts in Uganda during 2021 and 2022 were analyzed. The analysis involved 7,210 mothers of children under 6 months, EBF was considered as the proportion of infants who received breast milk only in the 24 hours before the survey. A mother practicing EBF was (1) currently breastfeeding (2) had not started giving foods other than breastmilk (3) had not given any other probed liquids or (4) semi-solid foods the previous day or night. Multivariable logistic regression was used to identify factors associated with EBF, presenting adjusted odds ratios (aOR) with corresponding 95% confidence intervals at a 5% significance level. Results The prevalence of EBF was 62.3%. In the adjusted analysis, EBF was more common among older mothers 20–24 years, 25–29 years and 30 + years (aOR 1.4; 95% CI 1.2,1.6), (aOR 1.4; 95% CI 1.1, 1.6) and (aOR 1.3; 95% CI 1.1, 1.5) respectively compared to teenage mothers. Also, EBF was more likely among mothers who lived in rural areas compared to urban areas (aOR 1.1; 95% CI 1.0, 1.3) and those who attended antenatal care (ANC) (aOR 2.2; 95% CI 1.5, 3.1). On the contrary, EBF was less common for children aged 3–5 months compared to younger (aOR 0.5; 95% CI 0.5, 0.6) and children who had received Vitamin A supplementation (aOR 0.7; 95% 0.6, 0.8). Conclusion The study suggests that most districts in Uganda might not have made significant strides in improving EBF rates over the last twenty years, pointing to possible ongoing hurdles that need urgent attention. Particularly, there’s a pressing need to focus on teenage mothers. Maintaining and strengthening programs that advocate EBF, such as ANC, is crucial to bridge the gaps and bring about more equitable rates among different groups.https://doi.org/10.1186/s13006-023-00604-xExclusive breastfeedingDiscrepancyCommunity surveys |
| spellingShingle | Derrick Kimuli Florence Nakaggwa Norah Namuwenge Rebecca N. Nsubuga Paul Isabirye Kenneth Kasule Justine Fay Katwesige Sheila Nyakwezi Solome Sevume Norbert Mubiru Barbara Amuron Daraus Bukenya Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda International Breastfeeding Journal Exclusive breastfeeding Discrepancy Community surveys |
| title | Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda |
| title_full | Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda |
| title_fullStr | Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda |
| title_full_unstemmed | Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda |
| title_short | Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda |
| title_sort | sociodemographic and health related factors associated with exclusive breastfeeding in 77 districts of uganda |
| topic | Exclusive breastfeeding Discrepancy Community surveys |
| url | https://doi.org/10.1186/s13006-023-00604-x |
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