Background: Exclusive breastfeeding (EBF) is recommended the first six months after birth as one of cost effective interventions in saving children's lives. Objective: To determine the prevalence of exclusive breastfeeding and describe the common foods introduced to infants before 6months. Design: A prospective cohort study. Setting: Poor community of Moshi urban, Kilimanjaro region, Tanzania. Subjects: Women in their third trimester and were followed to 18 months after delivery. A questionnaire was used to collect information on maternal socio-demographics, delivery status and infant feeding practices at each visit. Maternal HIV status was checked at enrolment. Results: Out of 2231 women, with a live birth, 70% (1535) came back at least once after delivery and information on infant feeding were collected. 94% of the women were living below the poverty line. The prevalence of EBF at 1, 3 and up to 6 months was 48.8%, 22.0% and 0.2% respectively. Two percent of the infants were given semi-solids at 1 month, 35% at 3 months and 95% at 5 months. Water and cow’s milk were the most common liquids introduced to infants by one month, while porridge, cow’s milk and mtori were commonly introduced at 3 months. Conclusions: EBF up to 6 month is very rare in Kilimanjaro. There is an urgent need to strengthen community and health facility based EBF interventions so as to reach the 90% recommended coverage by the WHO. This will help in improving child survival and in attaining the Millennium Development Goal 4.
Published in | Science Journal of Public Health (Volume 3, Issue 2) |
DOI | 10.11648/j.sjph.20150302.24 |
Page(s) | 251-258 |
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), 2015. Published by Science Publishing Group |
Exclusive Breastfeeding, Breastfeeding, Poverty, Prevalence, Tanzania
[1] | WHO (2003) United Nations Children’s Funds: Global Strategy for Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization. |
[2] | Cai X, Wardlaw T, & Brown DW (2012). Global trends in exclusive breastfeeding. International Breastfeeding Journal, 7: 12. |
[3] | Black RE, Victora CG, Walker SP, et al (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 382: 427 -451. |
[4] | Edmond KM, Zandoh C, Quigley MA, et al(2006). Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics, 117: e380 - e386. |
[5] | Edmond KM, Kirkwood BR, Amenga-Etego S, et al (2007). Effect of early infant feeding practices on infection-specific neonatal mortality: an investigation of the causal links with observational data from rural Ghana. Am J Clin Nutr, 86: 1126-1131. |
[6] | Mullany LC, Katz J, Li YM, et al (2008). Breast-feeding patterns, time to initiation, and mortality risk among newborns in Southern Nepal. J Nutr, 138: 599 - 603. |
[7] | Bhutta ZA, Das JK, Rizvi A, , et al (2013). Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet, 382: 452 -477. |
[8] | WHO (2009) United Nations Children’s Fund: Baby-Friendly Hospital Initiative. Geneva, Switzerland: World Health Organization |
[9] | Arifeen S, Black RE, Antelman G, et al (2001). Exclusive Breastfeeding Reduces Acute Respiratory Infection and Diarrhoea Deaths Among Infants in Dhaka Slums. Pediatrics, 108: 67 |
[10] | Barchrach VR, Schwarz E, Barchrach LR (2003). Breastfeeding and the risk of hospitalization for respiratory disease in infancy: a meta analysis. Arch Pediatr Adolesc Med, 88 (3): 224-228. |
[11] | Jones G, Steketee RW, Black RE,et al (2003). Child survival II How many child deaths can we prevent this year ? The Lancet, 362: 65–71. |
[12] | Kramer MS, Kakuma R (2012). Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev, August 15: 8 doi: 10.1002/14651858. |
[13] | Lewycka S, Mwansambo C, Kazembe P, et al (2010). A cluster randomised controlled trial of the community effectiveness of two interventions in rural Malawi to improve health care and to reduce maternal, newborn and infant mortality. Trials 11:88. |
[14] | Iliff PJ, Piwoz EG, Tavengwa NV, , et al (2005). Early exclusive breastfeeding reduces the risk of postnatl HIV-1 transmission and increases HIV-free survival, AIDS, 19 (7): 699-708. |
[15] | Measure DHS: DHS Overview. Accessed at http://www.measuredhs.com/ |
[16] | National Bureau of Statistics (NBS) [Tanzania] and ICF Macro (2011). Tanzania Demographic and Health Survey 2010. Dar es Salaam, Tanzania: NBS and ICF Macro. |
[17] | Shirima R, Greiner T, Kylberg E, et al M (2000). Exclusive breast-feeding is rarely practised in rural and urban Morogoro, Tanzania. Public Health Nutrition, 4(2): 147-154. |
[18] | Leshabari SC, Koniz-Booher P, ÅstrØm AN, et al (2006). Translating global recommendations on HIV and infant feeding to the local context: the development of culturally sensitive counselling tools in Kilimanjaro Region Tanzania. Implementation Science 1:22. |
[19] | Nkala TE, Msuya SE (2011). Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross- sectional study. International Breastfeeding Journal, 6: 17. |
[20] | National Bureau of Statistics (NBS) and ICF Macro (2005). Tanzania Demographic and Health Survey 2004/05. Dar es Salaam, Tanzania: NBS and ICF Macro. |
[21] | WHO (2008) Indicators for assessing infant and young child feeding practices: part 1 definitions. Geneva, Switzerland: World Health Organization. |
[22] | Agampondi SB, Agampondi TC, de Silva A, (2009). Exclusive breastfeeding in Sri Lanka: problems of interpretation of reported rates. International Breastfeeding Journal, 4: 14 doi:10.1186/1746-4358-4-14 |
[23] | Aarts C, Kylberg E, Hornell A, et al (2000). How exclusive is exclusive breastfeeding? A comparison of data since birth with current status data. International J Epidemiol, 29: 1041–1046. |
[24] | Engebretsen IM, Wamani H, Karamagi C, et al (2007). Low adherence to exclusive breastfeeding in Eastern Uganda : a community-based cross-sectional study comparing dietary recall since birth with 24-hour recall. BMC Pediatrics, 7: 10. |
[25] | Agampodi SB, Fernando S, Dharmaratne SD, et al, (2011). Duration of exclusive breastfeeding ; validity of retrospective assessment at nine months of age. BMC Pediatrics, 11: 80. |
[26] | Perera P, Ranathunga N, Fernando MP, et al (2012). Actual exclusive breastfeeding rates and determinants among a cohort of children living in Gampaha district Sri Lanka: a prospective observational study. International Breastfeeding Journal, 7: 21. |
[27] | Msuya SE (2008). Women and infants at risk: The epidemiology of HIV and sexually transmitted infections among pregnant women and challenges facing preventive programs in Northern Tanzania. PhD Dissertation, Faculty of Medicine, University of Oslo, Norway. |
[28] | Msuya SE, Hussein TH, Uriyo J, et al (2011). Anemia among pregnant women in northern Tanzania: prevalence, risk factors and effect on perinatal outcomes. Tanzania J of Health Research, 13(1): 1-7. |
[29] | District Health Report (2013). Moshi Municipal Council District Health Report, 2013. HMIS-CHMT, Moshi Municipal, 2013 |
[30] | Leshabari SC, Blystad A, Moland KM (2007). Difficult choices: infant feeding experiences of HIV-positive mothers in northern Tanzania. SAHARA J, 4: 544-555. |
[31] | Doherty T, Sanders D, Jackson D, et al, (2012). Early cessation of breastfeeding among women in South Africa: an area needing urgent attention to improve child health. BMC Pediatr, 12: 105 |
[32] | Falnes EF, Moland KM, Tylleskär T, et al (2011). The potential role of mother-in-law in prevention of mother-to-child transmission of HIV: a mixed methods study from the Kilimanjaro region, northern Tanzania. BMC Public Health, 11: 551. |
[33] | Labbok MH, Coffin CJ (1997). A call for consistency in definition of breastfeeding behaviours. Soc Sci Med, 44: 1931 - 1932. |
[34] | Agampondi SB, Agampondi TC, de Silva A, (2009). Exclusive breastfeeding in Sri Lanka: problems of interpretation of reported rates. International Breastfeeding Journal, 4: 14 doi:10.1186/1746-4358-4-14 |
[35] | WHO & UNICEF (2012) Countdown to 2015 Maternal, Newborn and Child survival: Building a future for women and children: The 2012 Report. Geneva, Switzerland: World Health Organization. |
[36] | Tylleskar T, Jackson D, Meda N, , et al, (2011). Exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa (PROMISE-EBF): a cluster-randomised trial. Lancet, 378(9789): 420-7. doi: 10.1016/S0140-6736(11)60738-1. |
[37] | Lewycka S, Mwansambo C, Rosato M, et al (2013). Effect of women's groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster-randomised controlled trial. Lancet, 381(9879): 1721-1735 |
[38] | Fadnes LT, Engebretsen IM, Wamani H, et al(2009). Infant feeding among HIV-positive mothers and the general population mothers : comparison of two cross-sectional surveys in Eastern Uganda. BMC Public Health, 9: 124. doi: 10.1186/1471-2458-9-124. |
APA Style
Tamara H. Hussein, Melina Mgongo, Jacqueline G. Uriyo, Damian J. Damian, Babill Stray-Pedersen, et al. (2015). Exclusive Breastfeeding up to Six Months is Very Rare in Tanzania: A Cohort Study of Infant Feeding Practices in Kilimanjaro Area. Science Journal of Public Health, 3(2), 251-258. https://doi.org/10.11648/j.sjph.20150302.24
ACS Style
Tamara H. Hussein; Melina Mgongo; Jacqueline G. Uriyo; Damian J. Damian; Babill Stray-Pedersen, et al. Exclusive Breastfeeding up to Six Months is Very Rare in Tanzania: A Cohort Study of Infant Feeding Practices in Kilimanjaro Area. Sci. J. Public Health 2015, 3(2), 251-258. doi: 10.11648/j.sjph.20150302.24
AMA Style
Tamara H. Hussein, Melina Mgongo, Jacqueline G. Uriyo, Damian J. Damian, Babill Stray-Pedersen, et al. Exclusive Breastfeeding up to Six Months is Very Rare in Tanzania: A Cohort Study of Infant Feeding Practices in Kilimanjaro Area. Sci J Public Health. 2015;3(2):251-258. doi: 10.11648/j.sjph.20150302.24
@article{10.11648/j.sjph.20150302.24, author = {Tamara H. Hussein and Melina Mgongo and Jacqueline G. Uriyo and Damian J. Damian and Babill Stray-Pedersen and Sia E. Msuya}, title = {Exclusive Breastfeeding up to Six Months is Very Rare in Tanzania: A Cohort Study of Infant Feeding Practices in Kilimanjaro Area}, journal = {Science Journal of Public Health}, volume = {3}, number = {2}, pages = {251-258}, doi = {10.11648/j.sjph.20150302.24}, url = {https://doi.org/10.11648/j.sjph.20150302.24}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150302.24}, abstract = {Background: Exclusive breastfeeding (EBF) is recommended the first six months after birth as one of cost effective interventions in saving children's lives. Objective: To determine the prevalence of exclusive breastfeeding and describe the common foods introduced to infants before 6months. Design: A prospective cohort study. Setting: Poor community of Moshi urban, Kilimanjaro region, Tanzania. Subjects: Women in their third trimester and were followed to 18 months after delivery. A questionnaire was used to collect information on maternal socio-demographics, delivery status and infant feeding practices at each visit. Maternal HIV status was checked at enrolment. Results: Out of 2231 women, with a live birth, 70% (1535) came back at least once after delivery and information on infant feeding were collected. 94% of the women were living below the poverty line. The prevalence of EBF at 1, 3 and up to 6 months was 48.8%, 22.0% and 0.2% respectively. Two percent of the infants were given semi-solids at 1 month, 35% at 3 months and 95% at 5 months. Water and cow’s milk were the most common liquids introduced to infants by one month, while porridge, cow’s milk and mtori were commonly introduced at 3 months. Conclusions: EBF up to 6 month is very rare in Kilimanjaro. There is an urgent need to strengthen community and health facility based EBF interventions so as to reach the 90% recommended coverage by the WHO. This will help in improving child survival and in attaining the Millennium Development Goal 4.}, year = {2015} }
TY - JOUR T1 - Exclusive Breastfeeding up to Six Months is Very Rare in Tanzania: A Cohort Study of Infant Feeding Practices in Kilimanjaro Area AU - Tamara H. Hussein AU - Melina Mgongo AU - Jacqueline G. Uriyo AU - Damian J. Damian AU - Babill Stray-Pedersen AU - Sia E. Msuya Y1 - 2015/03/10 PY - 2015 N1 - https://doi.org/10.11648/j.sjph.20150302.24 DO - 10.11648/j.sjph.20150302.24 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 251 EP - 258 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20150302.24 AB - Background: Exclusive breastfeeding (EBF) is recommended the first six months after birth as one of cost effective interventions in saving children's lives. Objective: To determine the prevalence of exclusive breastfeeding and describe the common foods introduced to infants before 6months. Design: A prospective cohort study. Setting: Poor community of Moshi urban, Kilimanjaro region, Tanzania. Subjects: Women in their third trimester and were followed to 18 months after delivery. A questionnaire was used to collect information on maternal socio-demographics, delivery status and infant feeding practices at each visit. Maternal HIV status was checked at enrolment. Results: Out of 2231 women, with a live birth, 70% (1535) came back at least once after delivery and information on infant feeding were collected. 94% of the women were living below the poverty line. The prevalence of EBF at 1, 3 and up to 6 months was 48.8%, 22.0% and 0.2% respectively. Two percent of the infants were given semi-solids at 1 month, 35% at 3 months and 95% at 5 months. Water and cow’s milk were the most common liquids introduced to infants by one month, while porridge, cow’s milk and mtori were commonly introduced at 3 months. Conclusions: EBF up to 6 month is very rare in Kilimanjaro. There is an urgent need to strengthen community and health facility based EBF interventions so as to reach the 90% recommended coverage by the WHO. This will help in improving child survival and in attaining the Millennium Development Goal 4. VL - 3 IS - 2 ER -