Subscribe Now Subscribe Today
Research Article

Impact of the Baby Friendly Hospital Initiative (BFHI) Programme on Breast-Feeding Knowledge, Attitude and Practices of Mothers

Chika I. Ndiokwelu, Odinakachukwu I.C. Nwosu, Peace Nwanneka Ani, Annastecia Ogechi Chizike and Maduforo Aloysius Nwabugo
Facebook Twitter Digg Reddit Linkedin StumbleUpon E-mail

This study investigated the impact of the baby friendly hospital initiative (BFHI) programme on the breast-feeding knowledge, attitude and practices of mothers attending Mother of Christ Specialist Hospital, Enugu. The study randomly sampled 146 breast-feeding mothers whose babies were between 0-23 months. A validated questionnaire was used to obtain useful information from the mothers. The data obtained was analyzed into frequency and percentages. The result showed that 12.3% of the mothers initiated breast-feeding within 30 min of delivery, 93.2% of them fed colostrum, 9.6% of the respondents perceived that colostrum should not be fed to infants and 31.5% exclusively breast-fed their babies for 6 months. The major factors that militated against exclusive breast-feeding were that it caused firm breast to fall (6.4%) and ties mother down (19.2%). It was obvious from the study that there was a wide gap between knowledge and practice of exclusive breast-feeding in the study area. There is urgent need to plan strategies to aggressively promote exclusive breast-feeding practice. Lactation support groups as well as opinion leaders and women group in the communities should provide complementary support to the already existing strategies.

Related Articles in ASCI
Similar Articles in this Journal
Search in Google Scholar
View Citation
Report Citation

  How to cite this article:

Chika I. Ndiokwelu, Odinakachukwu I.C. Nwosu, Peace Nwanneka Ani, Annastecia Ogechi Chizike and Maduforo Aloysius Nwabugo, 2016. Impact of the Baby Friendly Hospital Initiative (BFHI) Programme on Breast-Feeding Knowledge, Attitude and Practices of Mothers. Pakistan Journal of Nutrition, 15: 244-248.

DOI: 10.3923/pjn.2016.244.248


1:  Agunbiade, O.M. and O.V. Ogunleye, 2012. Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: Implications for scaling up. Int. Breastfeeding J., Vol. 7. 10.1186/1746-4358-7-5

2:  Amin, M., L. Matthews, T. Johnson, L. Kilty and R. Riley, 2000. The prevalence of breast-feeding in South Leicestershire. Br. J. Commun. Nur., 5: 192-196.
CrossRef  |  Direct Link  |  

3:  Ampeire, I.P., 2008. Perceptin and knowledge on exclusive breastfeeding among women attending antenatal and postnatal clinics. A Study from Mbalara Hospital Uganda, Official Publication of the Tanzania Medical Student's Association, August 2008.

4:  Anoshirike, C.O., C.P. Ejeogo, O.I.C. Nwosu, A.N. Maduforo and K.O. Nnoka, 2014. Infant feeding practices among mothers and their infants attending maternal and child health in Enugu, Nigeria. J. Biol. Agric. Healthcare, 4: 130-139.
Direct Link  |  

5:  Ashraf, R.N., F. Jalil, S.R. Khan, S. Zaman, J. Karlberg, B.S. Lindblad and L.A. Hanson, 1993. Early child health in Lahore, Pakistan: V. Feeding patterns. Acta Paediatrica, 82: 47-61.
CrossRef  |  Direct Link  |  

6:  Challacombe, D.N., I.K. Mecrow, K. Elliott, F.J. Clarke and E.E. Wheeler, 1997. Changing infant feeding practices and declining incidence of coeliac disease in West Somerset. Arch. Dis. Childhood, 77: 206-209.
CrossRef  |  Direct Link  |  

7:  Cripe, E.T., 2008. Supporting Breastfeeding: Nursing Mothers Resistance to and Accommodation of Medical and Social Discourses. In: Emerging Perspective in Health Communication: Meaning, Culture and Power, Zoller, H.M. and M.J. Dutta (Eds.). Routledge Taylor and Francis Group, New York, pp: 63-84.

8:  Davies-Adetugbo, A.A., 1997. Sociocultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun State, Nigeria. Social Sci. Med., 45: 113-125.
CrossRef  |  Direct Link  |  

9:  De Souza, S.B., S.C. Szarfarc and J.M. de Souza, 1997. [Anemia in the first year of life and its relation to breast-feeding]. Revista Saude Publica, 31: 15-20.
PubMed  |  

10:  Dewey, K.G., M.J. Heinig and L.A. Nommsen-Rivers, 1995. Differences in morbidity between breast-fed and formula-fed infants. J. Pediatr., 126: 696-702.
CrossRef  |  Direct Link  |  

11:  Edmond, K.M., C. Zandoh, M.A. Quigley, S. Amenga-Etego, S. Owusu-Agyei and B.R. Kirkwood, 2006. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics, 117: e380-e386.
CrossRef  |  Direct Link  |  

12:  FMH., 1991. Nigerian Control of Diarrhoeal Diseases (CDD) programmed 1991-1995. Federal Ministry of Health (FMH), Lagos, Nigeria.

13:  NPC and ICF Macro, 2009. Nigeria demographic and health survey 2008. ICF Macro and National Population Commission (NPC), Abuja, Nigeria, November 2009.

14:  Henry, B.A., A.I. Nicolau, C.F. Americo, L.O. Ximenes, R.G. Bernheim and M.O.B. Oria, 2010. Socio-cultural factors influencing breastfeeding practices among low-income women in Fortaleza-Ceara-Brazil: A Leininger's sunrise model perspective. Enfermeria Global.

15:  Jones, G., R.W. Steketee, R.E. Black, Z.A. Bhutta and S.S. Morris, 2003. How many child deaths can we prevent this year? Lancet, 362: 65-71.
CrossRef  |  Direct Link  |  

16:  Maduforo, A.N. and R.O. Onuoha, 2011. Relativities of exclusive breastfeeding between urban and rural lactating women in Imo State. JORIND, 9: 31-36.
Direct Link  |  

17:  Mayer-Davis, E.J., D. Dabelea, A.P. Lamichhane, R.B. D'Agostino Jr. and A.D. Liese et al., 2008. Breast-feeding and type 2 diabetes in the youth of three ethnic groups: The SEARCH for diabetes in youth case-control study. Diabetes Care, 31: 470-475.
CrossRef  |  Direct Link  |  

18:  NPC and ICF Macro, 2014. Nigeria demographic and health survey 2013. ICF Macro and National Population Commission (NPC), Abuja, Nigeria, June 2014.

19:  Newcomb, P.A. and A. Trentham-Dietz, 2000. Breast feeding practices in relation to endometrial cancer risk, USA. Cancer Causes Control, 11: 663-667.
CrossRef  |  Direct Link  |  

20:  Ogunlesi, T.A., 2010. Maternal socio-demographic factors influencing the initiation and exclusivity of breastfeeding in a Nigerian semi-urban setting. Mater. Child Health J., 14: 459-465.
CrossRef  |  Direct Link  |  

21:  Popkin, B.M., L. Adair, J.S. Akin, R. Black, J. Briscoe and W. Flieger, 1990. Breast-feeding and diarrheal morbidity. Pediatrics, 86: 874-882.
PubMed  |  Direct Link  |  

22:  Schmied, V. and L. Barclay, 1999. Connection and pleasure, disruption and distress: Women's experience of breastfeeding. J. Hum. Lactation, 15: 325-334.
CrossRef  |  Direct Link  |  

23:  Uchendu, U.O., A.N. Ikefuna and I.J. Emodi, 2009. Factors associated with exclusive breastfeeding among mothers seen at the University of Nigeria Teaching Hospital. South Afr. J. Child Health, 3: 14-19.
Direct Link  |  

24:  UNICEF., 2006. Progress for Children: A Report Card on Nutrition (NO 4). UNICEF., USA., ISBN-13: 9789280639889.

25:  WHO., 2001. Infant and young child nutrition: Global strategy for infant and young child feeding. World Health Organization, Geneva.

26:  WHO., 2010. The state of breastfeeding in 33 countries 2010. World Health Organization, Geneva.

27:  WHO., 2010. WHO Global data bank on infant and young child feeding in Nigeria. World Health Organization, Geneva.

©  2020 Science Alert. All Rights Reserved