Assessment of Bottle-Feeding Practices in Kassala, Eastern Sudan: A Community-Based Study
DOI:
https://doi.org/10.3889/oamjms.2019.132Keywords:
Bottle-feeding, Urban residence, Breastfeeding education, Child hospitalisation, SudanAbstract
BACKGROUND: The World Health Organization encourages exclusive breastfeeding up to six months and avoidance of bottle-feeding. There are few published research articles on the practice of bottle-feeding and associated factors in Sudan.
AIM: The study aimed to assess the usage and factors associated with bottle-feeding practices during the first six months of life among mothers with children aged between 6 and 24 months in Kassala, Eastern Sudan.
METHODS: A community-based cross-sectional study was conducted from July to September 2017. A structured questionnaire was used to collect relevant data from interviewed mothers.
RESULTS: A total of 242 mother-child pairs participated in the study. The mean (standard deviation) of maternal age and children’s age was 27.13 (5.73) years and 12.2 (6.7) months, respectively. From the total, 96/242 (39.7%) used bottle-feeding for their children in the first six months of life. In multivariable analysis, urban residence (Adjusted Odds Ratio [AOR] 1.96, 95% Confidence Interval [CI] (1.06, 3.63), not receiving breastfeeding education (AOR 1.92, 95% CI 1.07, 3.45) and child hospitalization (AOR 1.83, 95% CI 1.02, 3.28) were significantly associated with bottle-feeding.
CONCLUSION: There was a high usage of bottle-feeding and it was found to be associated with child hospitalisation. To avoid bottle-feeding, urgent actions are required to support and educate mothers regarding breastfeeding with special attention to urban-residence ones.
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References
UNICEF. Nutrition's lifelong impact. 2016.
Mahgoub HM, Adam I. Morbidity and mortality of severe malnutrition among Sudanese children in New Halfa Hospital, Eastern Sudan. Trans R Soc Trop Med Hyg. 2012; 106(1):66–8. https://doi.org/10.1016/j.trstmh.2011.09.003 PMid:22023885
Onsa ZO, Ahmed NMK. Impact of exclusive breast feeding on the growth of Sudanese children (0-24 Months). Pakistan J Nutr. 2014; 13(2):99–106. https://doi.org/10.3923/pjn.2014.99.106
Kanan SOH, Swar MO. Prevalence and outcome of severe malnutrition in children less than five-year-old in Omdurman Paediatric Hospital, Sudan. Sudan J Paediatr. 2016; 16(1):23–30. PMid:27651550 PMCid:PMC5025929
WHO. Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. WHO. Geneva, Switzerland, 2017.
Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr. 1999; 70(4):525–35. https://doi.org/10.1093/ajcn/70.4.525 PMid:10500022
Hussain Z, Khan N. Assessment of the nutritional status of bottle-fed Infants and the prevalence of infections, allergy and diarrhea among bottle fed infants and its comparison with exclusively breast fed infants aged 0-6 months. J Pediatr Neonatal Care. 2017; 6(4): 00249. https://doi.org/10.15406/jpnc.2017.06.00249
Hsu NY, Wu PC, Bornehag CG, Sundell J, Su HJ. Feeding bottles usage and the prevalence of childhood allergy and asthma. Clin Dev Immunol. 2012; 2012:158248. https://doi.org/10.1155/2012/158248 PMid:22291844 PMCid:PMC3265220
Salih KMA. Prevalence, associated profile of severe malnutrition among Sudanese children in Gafar Children Hospital, Khartoum, Sudan. J Sci. 2017; 7(1):7–11.
Hengstermann S, Mantaring JB V., Sobel HL, Borja VE, Basilio J, Iellamo AD, et al. Formula feeding is associated with increased hospital admissions due to infections among infants younger than 6 months in Manila, Philippines. J Hum Lact. 2010; 26(1):19–25. https://doi.org/10.1177/0890334409344078 PMid:19759351
Ogbo FA, Agho KE, Page A. Determinants of suboptimal breastfeeding practices in Nigeria: evidence from the 2008 demographic and health survey. BMC Public Health. 2015; 15:259. https://doi.org/10.1186/s12889-015-1595-7 PMid:25849731 PMCid:PMC4367831
International Baby Food Action Network (IBFAN). Report on the situation of infant and young child feeding in Iraq. Geneva, Switzerland, 2014:1–10. Available from: http://tbinternet.ohchr.org/Treaties/CRC/Shared Documents/IRQ/INT_CRC_NGO_IRQ_19081_E.pdf. Accessed 29 Oct 2018
Lokare L, Hippargi A. Qualitative exploration of bottle feeding practices among mothers of Dharwad district, Karnataka: a focus group discussion study. Int J Community Med Public Heal. 2016; 3(1):90–3. https://doi.org/10.18203/2394-6040.ijcmph20151477
Zhang K, Tang L, Wang H, Qiu L, Binns CW, Lee AH. Why do mothers of young infants choose to formula feed in China? perceptions of mothers and hospital staff. Int J Environ Res Public Health. 2015; 12(5):4520–32. https://doi.org/10.3390/ijerph120504520 PMid:25918908 PMCid:PMC4454923
Doherty T, Sanders D, Goga A, Jackson D. Implications of the new WHO guidelines on HIV and infant feeding for child survival in South Africa. Bull World Health Organ. 2011; 89(1):62–7. https://doi.org/10.2471/BLT.10.079798 PMid:21346892 PMCid:PMC3040019
Forsyth S. Non-compliance with the international code of marketing of breast milk substitutes is not confined to the infant formula industry. J Public Health (Bangkok). 2013; 35(2):185–90. https://doi.org/10.1093/pubmed/fds084 PMid:23658390
Soldavini J, Taillie LS. Recommendations for adopting the international code of marketing of breast-milk substitutes into U.S. policy. J Hum Lact. 2017; 33(3):582–587. https://doi.org/10.1177/0890334417703063 PMid:28418755 PMCid:PMC5515674
Barennes H, Slesak G, Goyet S, Aaron P, Srour LM. Enforcing the international code of marketing of breast-milk substitutes for better promotion of exclusive breastfeeding: can lessons be learned ? J Hum Lact. 2016; 32(1):20–7. https://doi.org/10.1177/0890334415607816 PMid:26416439
Kebebe T, Assaye H. Intention, magnitude and factors associated with bottle feeding among mothers of 0–23 months old children in Holeta town, Central Ethiopia: a cross sectional study. BMC Nutr. 2017; 3:53. https://doi.org/10.1186/s40795-017-0174-y
Baghianimoghadam MH, Nadrian H, Rahaei Z. The effects of education on formula and bottle feeding behaviors of nursing bothers based on PRECEDE model. Iran J Pediatr. 2009; 19(4):359–66.
Khanal V, Scott JA, Lee AH, Karkee R, Binns CW. The supplemental use of infant formula in the context of universal breastfeeding practices in Western Nepal. BMC Pediatr. 2016; 16.
https://doi.org/10.1186/s12887-016-0602-1
Boparai MK. Social marketing and breastfeeding. Glob J Manag Bus Stud. 2013; 3:303–8.
Mohammed SGS. Infants feeding and weaning practices among mothers in Northern Kordofan State, Sudan. Eur Sci J. 2014; 10(24):165–81.
Idris SM, Tafeng AGO, Elgorashi A. Factors influencing exclusive breastfeeding among mother with infant age 0-6 Months. Int J Sci Res. 2015; 4(8):28–33.
ELyas TB. The Knowledge, attitude and practices of mothers regarding the breast-feeding in Sinkat locality, Red Sea State, Sudan. Int J Sci Res. 2016; 5(9):2013–6.
Haroun HM, Mahafouz MS, Ibrahim BY. Breast feeding indicators in Sudan breast feeding indicators in Sudan: a case study of Wad Medani town. Sudan J Public Heal. 2008; 3(2):81–90.
Eljack IA, Niel ARAH. Child health indicators in Shareq Elneel locality, Khartoum State, Sudan: a cross-sectional study. Int J Child Heal Nutr. 2015; 4:67–77. https://doi.org/10.6000/1929-4247.2015.04.02.1
World Food Programme. A comprehensive food security assessment in Kassala State, Sudan. 2012; Available from: http://documents.wfp.org/stellent/groups/public/documents/ena/wfp258759.pdf?iframe. Accessed 29 Oct 2018
Ottaway M, El-Sadany M. Sudan: From conflict to conflict. Carnegie Endowment for International Peace; 2012.
Central Bureau of Statistics (Sudan). 2018; Available from: http://ghdx.healthdata.org/organizations/central-bureau-statistics-sudan. Accessed 5 Nov 2018.
WHO. Infant and young child feeding indicators. 2018. Available from: http://www.who.int/nutrition/databases/infantfeeding/key_datatables/en/index1.html. Accessed 10 Oct 2018.
Wang H, Peng J, Wang B, Lu X, Zheng JZ, Wang K, et al. Inconsistency between univariate and multiple logistic regressions. Shanghai Arch Psychiatry. 2017; 29(2):124–8. PMid:28765686 PMCid:PMC5518262
Lo SK, Li IT, Tsou TS, See L. Non-significant in univariate but significant in multivariate analysis: a discussion with examples. Chang Yi Xue Za Zhi. 1995; 18(2):95–101.
Berde AS. Factors associated with bottle feeding in Namibia: findings from Namibia 2013 demographic and health survey. J Trop Pediatr. 2017; 64(6):460-467. https://doi.org/10.1093/tropej/fmx091 PMid:29206941
Asare BY, Preko JV, Baafi D, Dwumfour-asare B. Breastfeeding practices and determinants of exclusive breastfeeding in a cross- sectional study at a child welfare clinic in Tema Manhean, Ghana. Int Breastfeed J. 2018; 13:12. https://doi.org/10.1186/s13006-018-0156-y PMid:29541153 PMCid:PMC5840768
Masood MSA. Patterns of feeding indicators of children in Sana'a City, capital of Yemen. J Diet Res Nutr. 2016; 3(1):001.
Gribble KD. Media messages and the needs of infants and young children after Cyclone Nargis and the WenChuan Earthquake. Disasters. 2013; 37(1):80–100. https://doi.org/10.1111/j.1467-7717.2012.01289.x PMid:23050775
Karnawat D, Karnawat BS, Joshi A, Kalsi Kohli G. Knowledge, attitude & practices about infant feeding among mothers of urban & rural areas of Ajmer district. J Med Res Res Artic JMR. 2015; 1(3):90–4.
Salih MA, El Bushra H, Satti S, Ahmed ME-F, Kamil IA. Attitudes and practices of breast-feeding in Sudanese urban and rural communities. Trop Geogr Med. 1993; 45(4):171–4. PMid:8236468
Abdelrahman A, Alkhatim HS. The effect of health care providers training on exclusive breastfeeding trend at a Maternity Hospital in Sudan, 2014. Ann Clin Lab Res. 2016; 4;3.
Berhe AK, Tinsae F, Gebreegziabher G. Knowledge and practice of immediate newborn care among health care providers in eastern zone public health facilities, Tigray, Ethiopia, 2016. BMC pediatrics. 2017; 17(1):157. https://doi.org/10.1186/s12887-017-0915-8 PMid:28693501 PMCid:PMC5504861
Samuel FO, Olamlorun FM, Adeniye JD. A training intervention on child feeding among primary healthcare workers in Ibadan Municipality. African J Prim Heal Care Fam Med. 2016; 8:e1–e6. https://doi.org/10.4102/phcfm.v8i1.884 PMid:27796119 PMCid:PMC5062025
Sehnem GD, Tamara L de B, Lipinski JM, Tier CG, Vasquez MED. Support received by adolescent mothers in the maternal breastfeeding progress. J Nurs. 2017; 11:1667–1676.
Burgio MA, Laganà AS, Sicilia A, Porta P, Porpora MG, Frangež HBAN, et al. Breastfeeding education: where are we going? a systematic review article. Iran J Public Health. 2016; 45(8):970–7. PMid:27928522 PMCid:PMC5139977
Musa HA, Holi MA, Hussein ME, Shikeiri AB. Faecal contamination of feeding bottles contents, among artificially fed children. Sudan J Med Sci. 2009; 4(2):133–135. https://doi.org/10.4314/sjms.v4i2.44901
Zimmerman I, Thompson K. Clarifying nipple confusion. J Perinatol. 2015; 35(11):895-9. https://doi.org/10.1038/jp.2015.83 PMid:26181720
Rhie YJ, Nam HK, Oh YJ, Kim HS, Lee KH. Influence of bottle-feeding on serum bisphenol a levels in infants. J Korean Med Sci. 2014; 29(2):261-4. https://doi.org/10.3346/jkms.2014.29.2.261 PMid:24550655 PMCid:PMC3924007
Pouokam GB, Ajaezi GC, Mantovani A, Orisakwe OE, Frazzoli C. Use of bisphenol A-containing baby bottles in Cameroon and Nigeria and possible risk management and mitigation measures: Community as milestone for prevention. Sci Total Environ. 2014; 481:296–302. https://doi.org/10.1016/j.scitotenv.2014.02.026 PMid:24602914
Manjula L, Hegde J. Issues related to breastfeeding in the first six months of life in an urban tertiary care hospital. Int J Contemp Pediatr. 2018; 5(1):144–50.
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Copyright (c) 2019 Ahmed A. Hassan, Zainab Taha, Mohamed A. Abdulla, AbdelAziem A. Ali, Ishag Adam
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