Hassan Mohamed Said, Hossain Md Moyazzem
Department of Public Health Amoud University Borama Awdal Region Somalia.
Departemnt of Public Health Horn International University Borama Somalia.
Health Sci Rep. 2023 Nov 5;6(11):e1693. doi: 10.1002/hsr2.1693. eCollection 2023 Nov.
Exclusive breastfeeding (EBF) has been demonstrated to have positive effects on a child's survival, growth, and development, as well as a mother's health and well-being. The authors aim to examine the barriers to EBF among lactating mothers in Borama town, Somaliland, with infants aged <6 months.
The authors collected primary data on a sample of 153 lactating mothers in Borama town, Somaliland, for this study. This study used descriptive statistics with frequencies and percentages. Moreover, the multivariable logistic regression model is applied to analyze the data.
Findings revealed that about 28.1% of mothers pointed out that breastfeeding should be the baby's first meal. Surprisingly, 69.3% of the women were unaware that 6 months of EBF may keep a baby healthy. Results depict that EBF was influenced by lack of education (AOR: 0.013; 95% Cl: 0.001, 0.124), marital status (AOR: 0.40; 95% Cl: 0.004, 0.427), employed mothers (AOR: 0.070; 95% Cl: 0.043, 0.94), mothers perception of milk quantity (AOR: 0.033; 95% Cl: 0.001, 0.124), and perceived rejection to breastfeeding by the baby (AOR: 0.043; 95% Cl: 0.021, 0.134). Mothers who had no formal education or a primary level of education have less chance of practicing EBF than higher-educated mothers.
It is observed that the educational level of mothers, marital status (widow), employed mother, perceived insufficient milk, and the perceived rejection of breastfeeding by the baby are the major challenges for enhancing the EBF practice. The authors suggested that the Ministry of Health examine how effectively breastfeeding counseling is implemented in medical facilities. Moreover, the authors suggest that the government, nongovernmental organizations (NGOs), and community associations collaboratively plan and carry out suitable programs focusing on vulnerable groups.
纯母乳喂养已被证明对儿童的生存、生长和发育以及母亲的健康和幸福有积极影响。作者旨在研究索马里兰博拉马镇6个月以下婴儿的哺乳期母亲纯母乳喂养的障碍。
作者收集了索马里兰博拉马镇153名哺乳期母亲样本的原始数据用于本研究。本研究使用频率和百分比的描述性统计方法。此外，应用多变量逻辑回归模型分析数据。
研究结果显示，约28.1%的母亲指出母乳喂养应该是婴儿的第一餐。令人惊讶的是，69.3%的女性不知道纯母乳喂养6个月可使婴儿保持健康。结果表明，纯母乳喂养受到以下因素影响：缺乏教育（比值比：0.013；95%置信区间：0.001，0.124）、婚姻状况（比值比：0.40；95%置信区间：0.004，0.427）、职业母亲（比值比：0.070；95%置信区间：0.043，0.94）、母亲对乳汁量的认知（比值比：0.033；95%置信区间：0.001，0.124）以及婴儿对母乳喂养的抗拒（比值比：0.043；95%置信区间：0.021，0.134）。未接受过正规教育或小学教育水平的母亲比受过高等教育的母亲进行纯母乳喂养的机会更少。
据观察，母亲的教育水平、婚姻状况（寡妇）、职业母亲、乳汁不足的认知以及婴儿对母乳喂养的抗拒是加强纯母乳喂养实践的主要挑战。作者建议卫生部检查医疗设施中母乳喂养咨询的实施效果。此外，作者建议政府、非政府组织和社区协会共同规划并开展针对弱势群体的合适项目。
