Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia.
<h4>Background</h4>Breastfeeding has several benefits for both mothers and their children. Despite strong evidence in support of the practice, its prevalence has remained low worldwide, particularly in Ethiopia. Therefore, this study is aimed to assess breastfeeding knowledge, attitude,...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0279941 |
| _version_ | 1797944014220034048 |
|---|---|
| author | Abraham Tamirat Gizaw Pradeep Sopory Sudhakar Morankar |
| author_facet | Abraham Tamirat Gizaw Pradeep Sopory Sudhakar Morankar |
| author_sort | Abraham Tamirat Gizaw |
| collection | DOAJ |
| description | <h4>Background</h4>Breastfeeding has several benefits for both mothers and their children. Despite strong evidence in support of the practice, its prevalence has remained low worldwide, particularly in Ethiopia. Therefore, this study is aimed to assess breastfeeding knowledge, attitude, and self-efficacy among mothers with index infants and young children in the rural community of Southwest Ethiopia.<h4>Methods</h4>A community-based cross-sectional study was conducted between March and April 2022 as baseline data for a cluster of randomized control trials. Multistage sample techniques followed by systematic random sampling techniques were employed. The Chi-square and Fisher's exact probability tests were used to assess the baseline differences in the socio-demographic characteristics of the two groups. An independent sample t-test was used to determine the mean differences. Multivariate logistic regression analysis was used to evaluate the association. All tests were two-tailed, and a statistically significant association was declared at a p-value ≤ 0.05.<h4>Results</h4>A total of 516 mothers (258 from the intervention and 258 from the control group) were interviewed. A total of 516 mothers (258 from the intervention group and 258 from the control group) were interviewed. Except for the child's sex and age, no significant difference was observed between the intervention and control groups in terms of socio-demographic variables (p > 0.05). Independent t-tests found no significant difference between the two groups (p > 0.05) in terms of the mean score of maternal breastfeeding knowledge, attitude and self-efficacy at baseline. After adjusting for other covariates, maternal age (AOR = 1.44, 95% CI: 0.69, 3.07), educational status (AOR = 1.87, 95% CI: 0.56,2.33), occupation (AOR = 1.79, 95% CI, 1.04, 3.69), ANC (antenatal care) (AOR = 1.88, 95% CI, 1.11, 4.09), received breastfeeding information (AOR = 1.69, 95% CI, 1.33, 5.04), postnatal care (PNC) (AOR = 3.85, 95% CI, 2.01, 5.77) and parity (AOR = 2.49, 95% CI, 1.08, 4.19) were significantly associated high level breastfeeding knowledge. The positive attitude was associated with maternal age (AOR = 2.41, 95% CI, 1.18, 5.67), education status (AOR = 1.79, 95% CI, 0.99,4.03), ANC (AOR = 2.07, 95% CI, 1.44,5.13), last child breastfeeding history (AOR = 1.77, 95% CI, 1.21,4.88) and high level of breastfeeding knowledge (AOR = 2.02, 95% CI, 1.56,4.04). Finally, high breastfeeding self-efficacy was associated with ANC (AOR = 1.88, 95% CI 1.04,3.83), parity (AOR = 4.05, 95% CI, 1.49, 5.03) and high knowledge level (AOR = 1.69, 95% CI, 0.89,2.85).<h4>Conclusions</h4>The study concluded that mothers in both the intervention and control groups have a low level of breastfeeding knowledge, a neutral attitude, and medium self-efficacy. Therefore, nutrition education interventions using tailored messages appropriate to the sociocultural context in the rural setting should be developed and evaluated continuously. |
| first_indexed | 2024-04-10T20:33:03Z |
| format | Article |
| id | doaj.art-94246c13db68425794bc339d4f902b29 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-10T20:33:03Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-94246c13db68425794bc339d4f902b292023-01-25T05:32:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027994110.1371/journal.pone.0279941Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia.Abraham Tamirat GizawPradeep SoporySudhakar Morankar<h4>Background</h4>Breastfeeding has several benefits for both mothers and their children. Despite strong evidence in support of the practice, its prevalence has remained low worldwide, particularly in Ethiopia. Therefore, this study is aimed to assess breastfeeding knowledge, attitude, and self-efficacy among mothers with index infants and young children in the rural community of Southwest Ethiopia.<h4>Methods</h4>A community-based cross-sectional study was conducted between March and April 2022 as baseline data for a cluster of randomized control trials. Multistage sample techniques followed by systematic random sampling techniques were employed. The Chi-square and Fisher's exact probability tests were used to assess the baseline differences in the socio-demographic characteristics of the two groups. An independent sample t-test was used to determine the mean differences. Multivariate logistic regression analysis was used to evaluate the association. All tests were two-tailed, and a statistically significant association was declared at a p-value ≤ 0.05.<h4>Results</h4>A total of 516 mothers (258 from the intervention and 258 from the control group) were interviewed. A total of 516 mothers (258 from the intervention group and 258 from the control group) were interviewed. Except for the child's sex and age, no significant difference was observed between the intervention and control groups in terms of socio-demographic variables (p > 0.05). Independent t-tests found no significant difference between the two groups (p > 0.05) in terms of the mean score of maternal breastfeeding knowledge, attitude and self-efficacy at baseline. After adjusting for other covariates, maternal age (AOR = 1.44, 95% CI: 0.69, 3.07), educational status (AOR = 1.87, 95% CI: 0.56,2.33), occupation (AOR = 1.79, 95% CI, 1.04, 3.69), ANC (antenatal care) (AOR = 1.88, 95% CI, 1.11, 4.09), received breastfeeding information (AOR = 1.69, 95% CI, 1.33, 5.04), postnatal care (PNC) (AOR = 3.85, 95% CI, 2.01, 5.77) and parity (AOR = 2.49, 95% CI, 1.08, 4.19) were significantly associated high level breastfeeding knowledge. The positive attitude was associated with maternal age (AOR = 2.41, 95% CI, 1.18, 5.67), education status (AOR = 1.79, 95% CI, 0.99,4.03), ANC (AOR = 2.07, 95% CI, 1.44,5.13), last child breastfeeding history (AOR = 1.77, 95% CI, 1.21,4.88) and high level of breastfeeding knowledge (AOR = 2.02, 95% CI, 1.56,4.04). Finally, high breastfeeding self-efficacy was associated with ANC (AOR = 1.88, 95% CI 1.04,3.83), parity (AOR = 4.05, 95% CI, 1.49, 5.03) and high knowledge level (AOR = 1.69, 95% CI, 0.89,2.85).<h4>Conclusions</h4>The study concluded that mothers in both the intervention and control groups have a low level of breastfeeding knowledge, a neutral attitude, and medium self-efficacy. Therefore, nutrition education interventions using tailored messages appropriate to the sociocultural context in the rural setting should be developed and evaluated continuously.https://doi.org/10.1371/journal.pone.0279941 |
| spellingShingle | Abraham Tamirat Gizaw Pradeep Sopory Sudhakar Morankar Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. PLoS ONE |
| title | Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. |
| title_full | Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. |
| title_fullStr | Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. |
| title_full_unstemmed | Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. |
| title_short | Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia. |
| title_sort | breastfeeding knowledge attitude and self efficacy among mothers with infant and young child in rural ethiopia |
| url | https://doi.org/10.1371/journal.pone.0279941 |
| work_keys_str_mv | AT abrahamtamiratgizaw breastfeedingknowledgeattitudeandselfefficacyamongmotherswithinfantandyoungchildinruralethiopia AT pradeepsopory breastfeedingknowledgeattitudeandselfefficacyamongmotherswithinfantandyoungchildinruralethiopia AT sudhakarmorankar breastfeedingknowledgeattitudeandselfefficacyamongmotherswithinfantandyoungchildinruralethiopia |