Universal Journal of Food and Nutrition Science 2(4): 45-49, 2014 http://www.hrpub.org
DOI: 10.13189/ujfns.2014.020401
Demographic and Personal Characteristics Associated
with Exclusive Breastfeeding among Lactating Mother in
Siaya County of Nyanza Province in Kenya
Samuel Jerry Odindo
1,*
, Dan O. Odindo
2
, John Alwar
3
, Rose Olayo
4
, Aaron Mwayi
4
, Henry Oyugi
5
1
Department of Health System Management, Great Lakes University of Kisumu, 40100, Kenya
2
Department of Health System Management, Great Lakes University of Kisumu, Kisumu, 40100 2224, Kenya
3
Department of combating ill health, Great Lakes University of Kisumu, 40100 2224, Kenya
4
Department of Health Promotion, Great Lakes University of Kisumu, 40100 2224, Kenya
5
Department of Measurement, Great Lakes University of Kisumu, 40100, 2224, Kenya
*Corresponding Author: kabokasam@gmail.com
Copyright © 2014 Horizon Research Publishing All rights reserved.
Abstract Introduction: This was a nested study in which
2011 data from a baseline study conducted by Great Lakes
University of Kisumu, supported with funds from UNICEF
Kenya, findings was analyzed and used to assess the role of
demographic and personal characteristic associated with
exclusive breast feeding as a way of checking the high
mortality of under-5 children in Nyanza province. Methods:
A multi-stage cluster sampling technique was used to select
3,200 households. Descriptive statistics were used to
determine the coverage of exclusive breastfeeding practice.
Frequencies were run using SPSS and Chi –square test was
used to determine the association. Findings: The practice of
exclusive breastfeeding in Siaya County is found at 29.9%;
with unemployed mothers presenting at 36.1%, while
working class mothers performed poorly at 21.4%. On
demographic factors, marital status reported that
polygamous had 33.0%. Single mothers reported 36.0%.On
personal characteristics, the time taken to initiate breast milk
to a baby had an association with exclusive breast feeding.
Conclusion: Marital status, putting the child on breast milk
has an association with exclusive breastfeeding.
Keywords Exclusive Breast Feeding, Maternal Health,
Under Five, Demographic and Personal Characteristics
1. Introduction
More than 10 million children under the age of five die
each year
4
, 41% of the deaths occur in the Sub - Saharan
Africa and 34% in South Asia. A major cause of death is
inappropriate breastfeeding practices that complicate
frequent infections
3
. According to WHO, 1.5 million deaths
are caused by lack of immediate or exclusive breastfeeding
in infancy
13
.The widely accepted “universal coverage” target
for exclusive breast feeding is 90%
[5]
. The 32% prevalence
of exclusive breast feeding in Kenya falls below the widely
accepted “universal coverage” target for exclusive breast
feeding at 90%
[6]
.
In African families, fathers play a strong role in the
decision of whether or not; to breastfeed. Fathers may be
opposed to breastfeeding because of concerns about what
their role would be in feeding, whether they would be able to
bond with their infant if they were personally unable to feed
the baby, and how the mother would be able to accomplish
household responsibilities if she breastfed
[9]
.
Studies of African American families in which education
on breastfeeding was directed at the father, found a 20
percent increase in breastfeeding rates, indicating that
paternal influences on maternal feeding practices are
critically important in early decision making about
breastfeeding
[14]
.
In Africa, as noted, clinics and health centres advise
mothers to breastfeed exclusively for at least the first six
months of their babies’ lives. However, when mothers arrive
home, several other factors come into play. First, in the
African context, mothers are usually not the sole decision
makers when it comes to their children. Grandmothers play
an important role in the mothers’ and infants’ lives and are
said to have a strong influence over what mothers feed their
babies.
Low levels of involvement by fathers and other
community members in infant care is another reason for not
taking the advice from health centres easily. The absence of
men and youth groups from infants breastfeeding promotion
activities has been identified as a contributing factor to the
low numbers of women who breastfeed
[14].
1.1. Objective
1. To examine demographic factors associated with
exclusive breast feeding practices among lactating
mothers in Siaya County.