Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
DASCOH Foundation, Rajshahi, Bangladesh.
PLoS One. 2020 May 8;15(5):e0232027. doi: 10.1371/journal.pone.0232027. eCollection 2020.
World Health Organization (WHO) suggests that exclusive breastfeeding (EBF) is the best nutrition for the neonate. Still, it remains a big challenge to establish EBF not only in Bangladesh but also in any developing countries.
The aim of this study was to determine the level of knowledge and practices on EBF and its relationship between different socioeconomic and demographic factors among mothers having at least one child of aged 6-12 months in the rural area of Rajshahi District, Bangladesh.
A community clinic (CC) based study has been conducted by using semi-structured questionnaire. A total of 513 mothers having at least one child aged 6-12 months from 32 different CC in the rural area of Rajshahi District, Bangladesh during September to December 2015. A composite index, chi-square test, and logistic regression model were utilized in this study.
The prevalence of knowledge and practices on EBF were 34.5% and 27.9% among mothers having at least one child aged 6-12 months. From the analyses, mothers age of ≥21 years were (adjusted odds ratio (AOR) = 13.840, 95% CI: 7.394-25.904; p<0.001) times more likely to have knowledge on EBF and (AOR = 0.084, 95% CI: 0.050-0.143; p<0.05) times less likely to have practices of EBF compared to mother's age ≤20 years. Service holders mothers were (AOR = 9.992, 95% CI: 4.485-22.260, p<0.05) times more likely to have practices than that of house wife. Home delivery mothers was (AOR = 0.208, 95% CI: 0.111-0.389; p<0.05) times less likely to have practices of EBF than that of the hospital delivery mothers. Those mothers monthly family income ≥10,000 Bangladeshi taka (BDT) currency was (AOR = 0.092, 95% CI: 0.050-0.168, p<0.05) times less likely to have practices of EBF compared to their counterparts.
This study was found poor knowledge and practices on EBF. This study suggested that education and EBF related intervention could play an important role to increase good knowledge and practices on EBF among mothers. Malnutrition will be decreased if EBF was widely established in Bangladesh.
世界卫生组织（WHO）建议，纯母乳喂养（EBF）是新生儿的最佳营养来源。然而，不仅在孟加拉国，在任何发展中国家，建立 EBF 都是一项巨大的挑战。
本研究旨在确定在孟加拉国拉杰沙希区农村地区，至少有一个 6-12 个月大的孩子的母亲中，EBF 的知识和实践水平及其与不同社会经济和人口统计学因素之间的关系。
本研究采用社区诊所（CC）为基础的研究方法，使用半结构式问卷进行。2015 年 9 月至 12 月期间，从拉杰沙希区农村地区的 32 个不同 CC 中抽取了至少有一个 6-12 个月大的孩子的 513 名母亲。本研究使用了综合指数、卡方检验和逻辑回归模型。
在至少有一个 6-12 个月大的孩子的母亲中，EBF 的知识和实践的流行率分别为 34.5%和 27.9%。分析表明，年龄≥21 岁的母亲（调整后的优势比（AOR）= 13.840，95%CI：7.394-25.904；p<0.001）更有可能了解 EBF，而（AOR = 0.084，95%CI：0.050-0.143；p<0.05）更不可能进行 EBF 实践，而年龄≤20 岁的母亲则相反。服务人员的母亲（AOR = 9.992，95%CI：4.485-22.260，p<0.05）更有可能进行 EBF 实践，而家庭主妇的母亲则相反。在家分娩的母亲（AOR = 0.208，95%CI：0.111-0.389；p<0.05）更不可能进行 EBF 实践，而医院分娩的母亲则相反。那些每月家庭收入≥10000 孟加拉塔卡（BDT）的母亲（AOR = 0.092，95%CI：0.050-0.168，p<0.05）更不可能进行 EBF 实践，而收入较低的母亲则相反。
本研究发现 EBF 的知识和实践水平较低。本研究表明，教育和 EBF 相关干预措施可以在提高母亲对 EBF 的良好知识和实践方面发挥重要作用。如果 EBF 在孟加拉国得到广泛推广，营养不良的情况将会减少。
