Knowledge, Attitude and Practices Regarding Exclusive Breastfeeding Among Mothers Attending Maternal Child Health Clinic at Kitagata Hospital, Sheema District, Uganda

TABLE OFCONTENTS

ABSTRACT............................................................................................................................ii

COPYRIGHT........................................................................................................................iii

DECLARATION...................................................................................................................iv

SUPERVISOR’S APPROVAL..............................................................................................v

DEDICATION.......................................................................................................................vi

ACKNOWLEDGEMENT....................................................................................................vii

LIST OF FIGURES AND TABLES...................................................................................xiii

LIST OF ACRONYMS.......................................................................................................xiv

DEFINATION OF TERMS.................................................................................................xv

CHAPTER ONE....................................................................................................................1

1.0 Introduction........................................................................................................................1

1.1 Background Information....................................................................................................1

1.2 Problem Statement.............................................................................................................4

1.3 Purpose of the study...........................................................................................................4

1.4 Specific Objectives.............................................................................................................4

1.5 Research questions.............................................................................................................5

1.6 Justification for the study...................................................................................................5

1.6.1 Nursing practice..............................................................................................................5

1.6.2 Nursing education...........................................................................................................5

1.6.3 Nursing research..............................................................................................................6

CHAPTER TWO: LITERATURE REVIEW......................................................................7

2.0 Introduction........................................................................................................................7

2.1 Knowledge of mothers about exclusive breastfeeding........................................................7

2.1.1 Knowledge about benefits to Infants...............................................................................7

2.1.2 Knowledge about benefits to the mothers........................................................................8

2.2 Attitudes on exclusive breast feeding...............................................................................10

2.2.1 Psychosocial attitudes....................................................................................................10

2.3 Practices on exclusive breastfeeding................................................................................11

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2.3.1 Exclusive breastfeeding rates........................................................................................11

2.3.2 Hospital support practices.............................................................................................11

2.3.3 Commercial feeding use................................................................................................13

2.3.4 Mothers returning to work outside the home after delivery...........................................13

2.3.4 Practices under biomedical factors................................................................................13

CHAPTER THREE: STUDY METHODOLOGY............................................................15

3.0 Introduction......................................................................................................................15

3.1 Study design and rationale................................................................................................15

3.2 Study setting and rationale...............................................................................................15

3.3 Study population..............................................................................................................15

3.3.1 Sample size determination.............................................................................................16

3.3.2 Sampling procedure.......................................................................................................16

3.3.3 Inclusion criteria............................................................................................................17

3.3.4 Exclusion criteria...........................................................................................................17

3.4.1 Dependent variables......................................................................................................17

3.4.2 Independent variables....................................................................................................17

3.5 Research instruments........................................................................................................17

3.5.1 Pre- testing of the research instrument..........................................................................18

3.6 Data collection procedure.................................................................................................18

3.6.1 Data management and quality control...........................................................................18

3.6.2 Data processing and analysis.........................................................................................19

3.7 Ethical considerations.......................................................................................................19

3.8 Anticipated limitations of the study..................................................................................19

3.9 Dissemination of results...................................................................................................20

CHAPTER FOUR................................................................................................................21

RESEARCH FINDINGS AND INTERPRETATIONS.....................................................21

4.0 Introduction......................................................................................................................21

4.1 Socio-cultural predictors..................................................................................................21

4.2 Knowledge on exclusive breastfeeding............................................................................25

CHAPTER FIVE..................................................................................................................32

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DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS....................................32

5.0 Introduction......................................................................................................................32

5.1 Knowledge on exclusive breastfeeding............................................................................32

5.2 Attitudes about EBF.........................................................................................................33

5.3 Practices on EBF..............................................................................................................34

5.4 Conclusions......................................................................................................................35

5.5 Recommendations............................................................................................................37

To the government and community........................................................................................37

To the health Facility.............................................................................................................37

Recommendation for further research....................................................................................38

5.6 Implications to the nursing practice..................................................................................38

REFERENCES.....................................................................................................................40

APPENDICES......................................................................................................................46

APPENDIX I: INFORMED CONSENT FORM...............................................................46

APPENDIX II: QUESTIONNAIRE...................................................................................49

APPENDIX III: LETTER OF APPROVAL