Evaluating the Knowledge, Attitudes, and Practices Regarding Exclusive Breastfeeding among Mothers at Maternal and Child Health Clinic, Moroto Regional Referral Hospital, Moroto District

Abstract

This descriptive cross-sectional study aimed to assess the knowledge, attitudes, and practices regarding exclusive breastfeeding (EBF) among mothers attending the Maternal and Child Health Clinic at Moroto Regional Referral Hospital. The study was conducted between November 2020 and April 2021, utilizing systematic random sampling and employing both qualitative (focused group discussions) and quantitative (closed questionnaires) methods for data collection. Data collected from 150 participants was analyzed using Microsoft Excel. Results were summarized using frequency tables, charts, and narrative descriptions. The majority (90%) of the mothers had prior awareness of EBF, with fellow breastfeeding mothers (48%) and health workers (31%) being the primary sources of information. A small proportion (4%) relied on the internet, primarily those educated to a tertiary level. Furthermore, 84% correctly defined EBF, although 32% did not consider it sufficient for the first six months, preferring to supplement with other foods. While 65% favored EBF over artificial feeding, only 32% believed breast milk alone was adequate for the first six months. Mothers expressed positive attitudes toward EBF, advocating for immediate breastfeeding initiation, on-demand feeding, and continuation for about two years. However, due to perceived poor maternal nutrition, some introduced supplementary feeds earlier, compromising the recommended EBF duration. The study revealed a high level of awareness and positive attitudes toward EBF among mothers in Moroto. However, despite knowledge about the benefits, some mothers introduced supplementary feeds earlier than recommended due to concerns about insufficient breast milk. Continuous outreach programs emphasizing the importance and proper practices of EBF could help dispel misconceptions and ensure adherence to the recommended breastfeeding practices. Keywords: Exclusive breastfeeding, Infants, Mother, Milk, Family planning.