Perceptions and Intent to Promote Exclusive Breastfeeding by Significant Others in Umuokanne Community Imo State, Nigeria

Main Article Content

O. I. Douglas
S. N. O. Ibe
C. R. Nwufo

Abstract

Perception and intent of significant others to promote exclusive breastfeeding is important in understanding their perceived behaviour and their state of mind toward exclusive breastfeeding practice.  It also helps to identify what intentions this significant other had toward the promotion of exclusive breastfeeding practice (EBF). This study aimed to determine the perceptions and intentions of significant others to promote exclusive breastfeeding in Umuokanne Community, Imo State, Nigeria. The descriptive study design was employed to elicit information from 245 significant others (mothers of the nursing mother, mothers-in-law and husbands) within the six villages in Umuokanne Community. Instruments for data collection were structured on the questionnaire and focus group discussions (FGDs). And finally, the reliability test was established (r = 0.68) between them. 20 significant others participated in the FGDs. Results of the study revealed that significant others had positive perceptions and indicate readiness towards the promotion of exclusive breastfeeding. 120(80%) of grandmothers and 69(73%) of husbands had positive perceptions on the elements of EBF, 100(100%) of grandmothers and 74(78%) of husbands had positive perceptions of the essential roles to play in the promotion EBF, 75(50%) of grandmothers and 57(60%) of husbands had negatively perceived not giving of colostrum to an infant, early introduction of any feed in less than six months of an infant life,  early introduction of fluid to an infant, giving off water and water mixed with medicinal herbs/roots, were not believed to be a barriers to EBF promotion. The description could be based on three key concepts namely, perceived insufficiency of breast milk, low income and cultural practices. Age, education, income and parity were also statistically significant (P = 0.05). However, 136(91%) of grandmothers and 78(82%) of husbands showed a positive intention towards the promotion of EBF practice. Hence, this study concluded that a positive perception shows the willingness to take action and a positive intention indicate readiness toward the promotion of EBF. Therefore, there is need to expand the current strategies employed in the promotion of EBF to include significant others and their cultural perspectives.

Keywords:
Perceptions, intent, promote, willingness, exclusive breastfeeding, significant others, husband, grandmother

Article Details

How to Cite
Douglas, O. I., Ibe, S. N. O., & Nwufo, C. R. (2020). Perceptions and Intent to Promote Exclusive Breastfeeding by Significant Others in Umuokanne Community Imo State, Nigeria. Journal of Advances in Medicine and Medical Research, 31(10), 1-18. https://doi.org/10.9734/jammr/2019/v31i1030325
Section
Original Research Article

References

Bhattacharjee NV, Schaeffer LE, Marczak LB, et al. Mapping exclusive breastfeeding in Africa between 2000 and 2017. Nat Med. 2019;25:1205–1212.
DOI:10.1038/s41591-019-0525-0

UNICEF. The Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding; 2011.
Available:http://www.unicef.org/nutrition/index_24807.html.
[Accessed: 1/12/2011]

Alsulaimani NA. Exclusive breastfeeding among Saudi mothers: Exposing the substantial gap between knowledge and practice. Journal of Family Medicine and Primary Care. 2019;8(9):2803.

World Health Organization WHO. The optimal duration of exclusive breastfeeding: A systematic review. WHO/NHD/01.08; WHO/FCH/01.23, Geneva: World Health Organization; 2011.

WHO/UNICEF. Breastfeeding counselling: A training course. WHO/CDR/93.3, UNICEF/NUT/93.1, Geneva: World Health Organization; 2013.

Sokol E, Aguayo V, Clark D. Protecting Breastfeeding in West and Central Africa: 25 years in implementing the international code of marketing breast milk substitutes. UNICEF Publication; 2007.

Ibe SNO, Obasi O, Nwoke EA, Nwufo CR, Osuala EO, Ezenwuba CO, Amadi CO, Ebirim CIC. Role of Significant Others and Practice of Exclusive Breastfeeding by Nursing Mothers in Imo State, Nigeria. The Journal of Middle East and North Africa Sciences. 2017a;3(11):4-11.
(P-ISSN 2412- 9763) -(e-ISSN 2412-8937).
Available:www.jomenas.org.

Ibe SNO, Obasi O, Nwoke EA, Nwufo CR, Osuala EO, Ezenwuba CO, Amadi CO, Ebirim CIC. Socio-Economic factors influencing adoption of exclusive breastfeeding practice by nursing mothers in selected communities in Imo State, Nigeria. British Journal of Medicine and Medical Research. 2016;17(3):1-12.

Agunbiade OM, Ogunleye OV. Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: Implications for scaling up. International Breastfeeding Journal. 2012; 7(1):5-2.

Bezner Kerr R, Dakishoni L, Shumba L, Msachi R, Chirwa M. We grandmothers know plenty: Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi. Soc Sci Med. 2008;66(5):1095-105.

Senghore T, Omotosho TA, Ceesay O, Williams DCH. Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: A cross-sectional study. International Breastfeeding Journal. 2018;13(1):9.

Swanson V, Power KG. Initiation and continuation of breastfeeding: Theory of planned behaviour. Journal of Advanced Nursing. 2009;50(3):272.

Tsegaye M, Ajema D, Shiferaw S, Yirgu R. Level of exclusive breastfeeding practice in remote and pastoralist community, Aysaita woreda, Afar, Ethiopia. International Breastfeeding Journal. 2019;14(1):6.

Ibe SNO, Obasi O, Nwoke EA, Nwufo CR, Osuala EO, Ezenwuba CO, Amadi CO, Ebirim CIC. Cultural Practices on Infant Feeding and Nursing Mother’s Adoption of Exclusive Breastfeeding Practice in Imo State, Nigeria. International Journal of Medical and Health Science Research. 2017c;5(5):1-8.