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Influence of Community Based Counsellors and Factors Associated with Exclusive Breastfeeding Practices in Ile – Ife, Nigeria

Received: 17 March 2016    Accepted: 28 March 2016    Published: 21 April 2016
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Abstract

In spite of breastfeeding being almost universal in Nigeria, exclusive breastfeeding rate is low. Poor practices remain a major cause of neonatal and infant mortality. Community Integrated Management of Childhood illness (CIMCI) is a programme that employs the use of community based counsellors to address these challenges. The study assessed the effect of community based counsellor on breastfeeding practices of mothers and factors associated with exclusive breastfeeding in Ile-Ife, South-west, Nigeria. A comparative cross sectional study was conducted in two Local Government Areas (LGA) of Osun State, Nigeria. The study enrolled 722 mothers of index under five children through a multi stage cluster sampling techniques. Data was collected using structured questionnaire and analyzed using SPSS version 16.0. Approximately 94% of children in the CIMCI implementing LGA were exclusively breastfed compared to 76.1% in the non-implementing LGA (p<0.001). Maternal age, maternal education level, family size, Initiation of breastfeeding within an hour of birth and residence in CIMCI-implementing LGA were significantly associated with exclusive breastfeeding. It was concluded that community based counselling has a positive effect on breastfeeding practices. Community based ‘baby friendly’ breastfeeding initiative is suggested.

Published in European Journal of Preventive Medicine (Volume 4, Issue 3)
DOI 10.11648/j.ejpm.20160403.14
Page(s) 73-78
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Community, Counsellors, Exclusive Breastfeeding, Mothers

References
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[2] Kramer M S, Kakuma R. Optimal duration of exclusive breastfeeding Cochrane Database Syst Rev. 2012 (1): CD003517.
[3] World health Organisation/ Child health Development. Improving family and community practices; A component of the IMCI strategy. Bull of WHO. 2006 (2)18.
[4] Nigeria Demographic Health Survey (NDHS). Key Findings. 2008.
[5] Federal Ministry of Health (FMOH). Newborn Health in the context of the Integrated Maternal, Newborn and Child Health Strategy Executive Summary Revised 2nd edition. 2011.
[6] Sika-Bright, S. Socio-cultural factors influencing infants feeding practices of mothers attending welfare clinic in Cape Coast. Small grants programme in the humanities and Social Sciences, Accra. 2010.
[7] Salami L. (2006). Factors influencing breastfeeding practices in Edo state, Nigeria. Afr J of Food Agric Nutr and Devel, 2006; 6(2): 1-12.
[8] National Bureau of Statistics Census 2006 report. (2011). Nigeria directory www.nigerianstat.gov.ng, acessed 15/11/2014.
[9] Lwanga S K C. World Health Organisation. Planning a health survey, teaching health statistics Yvok Teds 1986: 149-60.
[10] United Nations Children's Fund/Federal Ministry of health. IMCI in the Hands of Families: Nigeria Country Report of Baseline Studies on Key Family and Community Practices in IMCI-implemented LGAs. Abuja, Nigeria. Federal Ministry of Health. 2005.
[11] World Health Organisation. Part 1. Definitions. Indicators for assessing infants and young child feeding practices: conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA. http//whqlibdoc.who.int/publication/2008 Last accessed 16/02/2016
[12] Haider R, Ashworth A, Kabir I, Huttly S. A. R. Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: A randomized controlled trial. Lancet. 2000: 356: 1643-1647.
[13] Iliyasu Z, Kabir M, Abuabakar I. S, Galadanci N. A. (2005). Current knowledge and practice of exclusive breastfeeding among mothers in Gwale Local Government Area of Kano State Nig Med Pract, 2005: 48: 50-55.
[14] Sholeye O.O, Abosede O.A, Salako A.A Exclusive Breastfeeding and Its Associated Factors among Mothers in Sagamu, Southwest Nigeria. J of Health Science 2015, 5(2): 25-31.
[15] Uchendu U. O, Ikefuna A. N, Emodi I. J. Factors associated with exclusive breastfeeding among mothers seen at the University of Nigeria Teaching Hospital. SA J of Child Hlth, 2009: (3); 1-8.
[16] Awogbenja M. Factors influencing breastfeeding practices among mothers in Lafia Local government area of Nasarawa State, Nigeria. PAT.2010: 6(2): 126-38.
[17] Lawson K, Tulloch MI. Breastfeeding duration: prenatal intentions and postnatal practices. J Adv Nurs 1995; 22: 841-849.
[18] Jones J. R, Kogan M. D, Singh G. K, Dee L. D, Grummer-Strawn. L M. Factors Associated With Exclusive Breastfeeding in the United States. Pediatrics, 2011: 128; 1117.
[19] Li R, Scanlon K. S, Serdula M. K. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev. 2005: 63(4): 103–110.
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  • APA Style

    Olorunfemi Akinbode Ogundele, Tolulope Ogundele. (2016). Influence of Community Based Counsellors and Factors Associated with Exclusive Breastfeeding Practices in Ile – Ife, Nigeria. European Journal of Preventive Medicine, 4(3), 73-78. https://doi.org/10.11648/j.ejpm.20160403.14

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    ACS Style

    Olorunfemi Akinbode Ogundele; Tolulope Ogundele. Influence of Community Based Counsellors and Factors Associated with Exclusive Breastfeeding Practices in Ile – Ife, Nigeria. Eur. J. Prev. Med. 2016, 4(3), 73-78. doi: 10.11648/j.ejpm.20160403.14

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    AMA Style

    Olorunfemi Akinbode Ogundele, Tolulope Ogundele. Influence of Community Based Counsellors and Factors Associated with Exclusive Breastfeeding Practices in Ile – Ife, Nigeria. Eur J Prev Med. 2016;4(3):73-78. doi: 10.11648/j.ejpm.20160403.14

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  • @article{10.11648/j.ejpm.20160403.14,
      author = {Olorunfemi Akinbode Ogundele and Tolulope Ogundele},
      title = {Influence of Community Based Counsellors and Factors Associated with Exclusive Breastfeeding Practices in Ile – Ife, Nigeria},
      journal = {European Journal of Preventive Medicine},
      volume = {4},
      number = {3},
      pages = {73-78},
      doi = {10.11648/j.ejpm.20160403.14},
      url = {https://doi.org/10.11648/j.ejpm.20160403.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20160403.14},
      abstract = {In spite of breastfeeding being almost universal in Nigeria, exclusive breastfeeding rate is low. Poor practices remain a major cause of neonatal and infant mortality. Community Integrated Management of Childhood illness (CIMCI) is a programme that employs the use of community based counsellors to address these challenges. The study assessed the effect of community based counsellor on breastfeeding practices of mothers and factors associated with exclusive breastfeeding in Ile-Ife, South-west, Nigeria. A comparative cross sectional study was conducted in two Local Government Areas (LGA) of Osun State, Nigeria. The study enrolled 722 mothers of index under five children through a multi stage cluster sampling techniques. Data was collected using structured questionnaire and analyzed using SPSS version 16.0. Approximately 94% of children in the CIMCI implementing LGA were exclusively breastfed compared to 76.1% in the non-implementing LGA (p<0.001). Maternal age, maternal education level, family size, Initiation of breastfeeding within an hour of birth and residence in CIMCI-implementing LGA were significantly associated with exclusive breastfeeding. It was concluded that community based counselling has a positive effect on breastfeeding practices. Community based ‘baby friendly’ breastfeeding initiative is suggested.},
     year = {2016}
    }
    

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    AU  - Olorunfemi Akinbode Ogundele
    AU  - Tolulope Ogundele
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    JF  - European Journal of Preventive Medicine
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    AB  - In spite of breastfeeding being almost universal in Nigeria, exclusive breastfeeding rate is low. Poor practices remain a major cause of neonatal and infant mortality. Community Integrated Management of Childhood illness (CIMCI) is a programme that employs the use of community based counsellors to address these challenges. The study assessed the effect of community based counsellor on breastfeeding practices of mothers and factors associated with exclusive breastfeeding in Ile-Ife, South-west, Nigeria. A comparative cross sectional study was conducted in two Local Government Areas (LGA) of Osun State, Nigeria. The study enrolled 722 mothers of index under five children through a multi stage cluster sampling techniques. Data was collected using structured questionnaire and analyzed using SPSS version 16.0. Approximately 94% of children in the CIMCI implementing LGA were exclusively breastfed compared to 76.1% in the non-implementing LGA (p<0.001). Maternal age, maternal education level, family size, Initiation of breastfeeding within an hour of birth and residence in CIMCI-implementing LGA were significantly associated with exclusive breastfeeding. It was concluded that community based counselling has a positive effect on breastfeeding practices. Community based ‘baby friendly’ breastfeeding initiative is suggested.
    VL  - 4
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    ER  - 

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Author Information
  • Department of Community Medicine and Primary Care, State Specialist Hospital, Ondo State, Nigeria

  • Department of Paediatrics, Obafemi Awolowo University Teaching Hospital Complex Ile-Ife, Osun State, Nigeria

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