Title : Exploring exclusive breastfeeding practices among infants: A comprehensive analysis at gambool maternal and child health facility in Garowe, Puntland, Somalia
Abstract:
Background: In Garowe, Somalia, exclusive breastfeeding practices among mothers at the Gambool Maternal and Child Health Facility significantly impact infant health. This study aims to uncover the varied factors influencing these practices. Understanding these dynamics is essential for tailoring effective interventions and policies promoting optimal infant well-being in this region.
Methods: This cross-sectional study was conducted at Gambool Maternal and Child Health Facility in Garowe, Somalia, from August to November 2023. The study focused on mothers with infants under six months, with a sample size of 145 participants. Data on socio-demographics, infant feeding practices, and support systems were collected through face-to-face interviews using a structured questionnaire.
Results: In this study, the majority of mothers were aged 24 or older, married, and unemployed. Notably, 39.3% of children were exclusively breastfed, while 53.8% faced health issues. Exclusive breastfeeding correlated significantly (p<0.05) with Antenatal care ANC attendance, counseling, Postnatal care PNC services, colostrum feeding, delivery mode, and child health status. Maternal education [COR (95%CI) =1.690 (1.068-2.670*); AOR (95%CI) =9.220 (2.124-40.014*)] and family income [COR (95%CI) =1.700 (1.150-2.510*); AOR (95%CI) =0.127 (0.025-0.630*)] significantly influenced exclusive breastfeeding. ANC attendance notably impacted exclusive breastfeeding practices [COR (95%CI) =5.833 (3.162- 10.761*); AOR (95%CI) =0.013 (0.002-0.074*)]. However, factors like counseling during ANC [COR (95%CI) =2.290 (1.502-3.493*); AOR (95%CI) =0.647 (0.165-2.543)] and PNC services [COR (95%CI) =2.636 (1.614-4.307*); AOR (95%CI) =0.668 (0.161-2.760)] showed varied significance after adjustments.
Conclusion: In conclusion, this study highlights key factors affecting exclusive breastfeeding in Garowe, Somalia: maternal education, family income, and ANC attendance. To boost exclusive breastfeeding, enhancing ANC counseling, investing in education, improving incomes, and strengthening postnatal care are crucial. Further research on counseling impacts is recommended. Implementing these strategies in policies and community initiatives can elevate exclusive breastfeeding rates, benefiting infant health in Garowe, Somalia.
Keywords: Exclusive Breastfeeding, Maternal Healthcare, Somalia, Infant Health, Antenatal Care
