Breastfeeding Practices Among Mothers in Uganda: An Exploratory Study of Challenges and Support Systems
DOI:
https://doi.org/10.52783/jns.v14.3021Keywords:
Breastfeeding practices, maternal health, infant nutrition, socio-cultural factors, workplace accommodationsAbstract
Breastfeeding is essential for baby nutrition, growth, and development, but it is affected by several socio-cultural, economic, and healthcare-related variables. It is a critical component of infant nutrition and maternal health, particularly in low-resource settings such as Uganda. This practices in Uganda, particularly exclusive breastfeeding (EBF), are critical for infant health and nutrition. The World Health Organization (WHO) recommends that infants be exclusively breastfed for the first six months of life to ensure optimal growth and development. Despite this recommendation, the prevalence of EBF in Uganda shows significant variation based on several factors.
This exploratory research investigates breastfeeding patterns among women in Uganda, emphasising the problems encountered and the support networks accessible to them. Cross-sectional design and observational research in urban and rural settings reveal significant problems, including insufficient understanding of effective breastfeeding practices, social pressure and stigma, lack of employment accommodations, and inadequate healthcare assistance. Notwithstanding these challenges, many women depend on a combination of family assistance, community organisations, and maternal health services, but the availability and efficacy of these resources often differ. The article highlights the need for improved public health measures, legislation modifications for workplace breastfeeding provisions, and extensive training programs to address deficiencies in breastfeeding assistance.
The findings underscore the need for targeted interventions that address both individual and systemic barriers to breastfeeding. It recommended an enhancing community-based education programs, improved healthcare infrastructure, implementing supportive workplace policies for nursing mothers, and fostering an environment that normalizes breastfeeding through public awareness campaigns. By strengthening these support systems, it is possible to improve breastfeeding rates and outcomes for both mothers and infants in Uganda.
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References
Atuyambe, L., et al. (2020). Barriers to exclusive breastfeeding in Uganda: A cross-sectional study. BMC Public Health.
Babughirana, G., Gerards, S., Mokori, A., Nangosha, E., Kremers, S., & Gubbels, J. (2020). Maternal and newborn healthcare practices: assessment of the uptake of lifesaving services in Hoima District, Uganda. ncbi.nlm.nih.gov
Bbaale, E. (2014). Determinants of early initiation, exclusiveness, and duration of breastfeeding in Uganda. PubMed, 32(2), 249–260. https://pubmed.ncbi.nlm.nih.gov/25076662
Daniels, L. C., Mbhenyane, X. G., & Du Plessis, L. M. (2024). Development of a workplace breastfeeding support practice model in South Africa. International Breastfeeding Journal, 19(1). https://doi.org/10.1186/s13006-024-00638-9
Dushimirimana, T., Wanjiru, J. N., Kerkula, J. S., Koray, M. H., Mieh, S. E., Curry, T., ... & Kanu, L. K. (2024). Factors influencing Exclusive Breastfeeding in Sub-Saharan Africa: A Multilevel Analysis of Demographic and Health Survey.
Gladys Mudau, A., Tsakani Mabunda, J., & Fhumudzani Mushaphi, L. (2023). Challenges and strategies to implement exclusive breastfeeding in the selected Districts of Limpopo Province, South Africa: professional nurses´ perspectives. ncbi.nlm.nih.gov
Hossain, S., & Mihrshahi, S. (2024). Effect of exclusive breastfeeding and other infant and young child feeding practices on childhood morbidity outcomes: associations for infants 0–6 months in 5 South Asian countries using Demographic and Health Survey data. International Breastfeeding Journal, 19(1). https://doi.org/10.1186/s13006-024-00644-x
ICF, & UBOS. (2016). Uganda Demographic and Health Survey (UDHS) I. a. UBOS.
Kavle, J. A., et al. (2015). Barriers to exclusive breastfeeding and health education impacts.
Kiguli, J., et al. (2020). Community-based interventions to support breastfeeding in Uganda. Health Promotion International.
Mangasaryan N., et al. “Interpersonal Communication: A Key Component in Promoting Breastfeeding.” International Journal of Public Health, vol. 62, no. 3, 2017, pp. 345-356. (Print)
Mangasaryan, N., Martin, L., Brownlee, A., Ogunlade, A., Rudert, C., & Cai, X. (2012). Breastfeeding Promotion, Support and Protection: Review of Six Country Programmes. ncbi.nlm.nih.gov
Mundagowa, P. T., Chadambuka, E. M., Chimberengwa, P. T., & Mukora-Mutseyekwa, F. (2019). Determinants of exclusive breastfeeding among mothers of infants aged 6 to 12 months in Gwanda District, Zimbabwe. International Breastfeeding Journal, 14(1). https://doi.org/10.1186/s13006-019-0225-x
Nabunya, P., Mubeezi, R., & Awor, P. (2020a). Prevalence of exclusive breastfeeding among mothers in the informal sector, Kampala Uganda. PLoS ONE, 15(9), e0239062. https://doi.org/10.1371/journal.pone.0239062
Nabunya, P., Mubeezi, R., & Awor, P. (2020b). Prevalence of exclusive breastfeeding among mothers in the informal sector, Kampala Uganda. PLoS ONE, 15(9), e0239062. https://doi.org/10.1371/journal.pone.0239062
Nalwanga, D., Musiime, V., Kiguli, S., Olupot-Olupot, P., Alaroker, F., Opoka, R., Tagoola, A., Mnjalla, H., Mogaka, C., Nabawanuka, E., Giallongo, E., Karamagi, C., Briend, A., & Maitland, K. (2024). Is fat mass a better predictor of 6-month survival than muscle mass among African children aged 6–59 months with severe pneumonia? BMC Nutrition, 10(1). https://doi.org/10.1186/s40795-024-00939-6
Nankunda, J., et al. (2010). Cultural influences on infant feeding practices in Uganda.
Nankunda, J., et al. (2019). The impact of breastfeeding on infant mortality in Uganda. Journal of Public Health.
Oggero, M. K., Rozmus, C. L., & LoBiondo-Wood, G. (2024). Effects of prenatal Breastfeeding Education on Breastfeeding Duration Beyond 12 weeks: a systematic review. Health Education & Behavior, 10901981231220668.
Okello, E. S., et al. (2018). Maternal health complications and their effect on breastfeeding outcomes.
Peven, K., Purssell, E., Taylor, C., Bick, D., & Lopez, V. K. (2019). Breastfeeding support in low and middle-income countries: Secondary analysis of national survey data. Midwifery, 82, 102601. https://doi.org/10.1016/j.midw.2019.102601
Ricci, C., Otterman, V., Bennett, T., Metcalfe, S., Darling, E., Semenic, S., & Dzakpasu, S. (2023). Rates of and factors associated with exclusive and any breastfeeding at six months in Canada: an analysis of population-based cross-sectional data. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-05382-2
Rujumba, J., Ndeezi, G., Nankabirwa, V., Kwagala, M., Mukochi, M., Hama Diallo, A., Meda, N., M. S. Engebretsen, I., Tylleskär, T., & Tumwine, J. (2020). “If I have money, I cannot allow my baby to breastfeed only …” barriers and facilitators to scale-up of peer counselling for exclusive breastfeeding in Uganda. ncbi.nlm.nih.gov
Tirivayi, N., et al. (2011). Economic constraints and breastfeeding practices.
Tiruneh, G., et al. (2021). Long-term benefits of breastfeeding: A focus on cognitive and physical health. African Journal of Health Sciences.
Tugume, P., Mustafa, A. S., Walusansa, A., Ojelel, S., Nyachwo, E. B., Muhumuza, E., Nampeera, M., Kabbale, F., & Ssenku, J. (2024). Unravelling taboos and cultural beliefs associated with hidden hunger among pregnant and breast-feeding women in Buyende district Eastern Uganda. Journal of Ethnobiology and Ethnomedicine, 20(1). https://doi.org/10.1186/s13002-024-00682-z
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