Assessment of Bottle-Feeding Practices in Kassala, Eastern Sudan: A Community-Based Study


  • Ahmed A. Hassan Faculty of Medicine, University of Khartoum, Khartoum, Sudan
  • Zainab Taha College of Natural and Health Sciences, Zayed University, Dubai, UAE
  • Mohamed A. Abdulla Faculty of Medicine, Gadarif University, Al Qadarif, Sudan
  • AbdelAziem A. Ali Faculty of Medicine, Kassala University, Kassala, Sudan
  • Ishag Adam Unaizah College of Medicine, Qassim University, Unaizah, Kingdom of Saudi Arabia



Bottle-feeding, Urban residence, Breastfeeding education, Child hospitalisation, Sudan


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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How to Cite

Hassan AA, Taha Z, Abdulla MA, Ali AA, Adam I. Assessment of Bottle-Feeding Practices in Kassala, Eastern Sudan: A Community-Based Study. Open Access Maced J Med Sci [Internet]. 2019 Feb. 25 [cited 2021 Sep. 22];7(4):651-6. Available from:



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