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Abstract
ABSTRACT
Objective. To determine the knowledge, attitudes and breast feeding practices amidst COVID-19 in Tiko Health District. Methodology. A descriptive cross-sectional study was conducted among breast feeding mothers of infants 0-24 months identified during child welfare clinic visits. Systematic random sampling was used to 384 breast feeding mothers. Self-administered questionnaires were used to assess BF knowledge attitudes and practices. Results. 385 women were included. A total of 73.8% [95% CI: 69.3 – 78.2] participants had correct knowledge on breast feeding. Most participants 92.6% believed that Exclusive breast feeding (EBF) should be practiced for six months irrespective of COVID-19. Over three-quarter of them (73.4%) supported breast feeding for up to 2 years with over 93%)[95% CI90.9 – 95.8] emphasizing that prolong breast feeding for two years promotes bonding for the mother and child. Being married and co-habiting were associated with correct knowledge on BF while being a Christian, having a low income level and hospital visits were statistically significantly associated with correct knowledge on breastfeeding. The high knowledge positively influenced breast feeding attitudes and correct breast feeding practices. The positive attitudes were statistically associated with age, education, occupation and marital status. Conclusion. Breast Feeding (BF) mothers had correct knowledge, positive attitudes and correct practices towards breast feeding. Efforts should be invested on improving maternal level of education, income and access to maternal health services in order to significantly increase breastfeeding practices and attitudes. Further studies are required quantitatively and qualitatively during peak incidence of COVID-19 pandemic.
RÉSUMÉ
Objectif. Déterminer les connaissances, les attitudes et les pratiques d'allaitement durant la COVID-19 dans le district de santé de Tiko. Méthodologie. Étude transversale descriptive menée auprès de mères allaitantes de nourrissons de 0 à 24 mois identifiés lors de visites à la clinique de protection de l'enfance. Un échantillonnage aléatoire systématique a été utilisé pour 384 mères allaitantes. Des questionnaires auto-administrés ont été utilisés pour évaluer les attitudes et les pratiques en matière de connaissance de l'AB. Résultats. Au total, 385 femmes ont été recrutées. Parmi elles, 73,8 % [IC à 95 % : 69,3 – 78,2] participantes avaient des connaissances correctes sur l'allaitement. La plupart des participants (92,6 %) pensaient que l'allaitement maternel exclusif (EBF) devrait être pratiqué pendant six mois, quel que soit le COVID-19. Plus des trois quarts d'entre eux (73,4 %) ont soutenu l'allaitement jusqu'à 2 ans avec plus de 93 % [95 % IC 90,9 – 95,8] soulignant que prolonger l'allaitement pendant deux ans favorise le lien entre la mère et l'enfant. Être marié et cohabiter étaient associés à une connaissance correcte de l'allaitement maternel tout en étant chrétien, avoir un faible niveau de revenu et les visites à l'hôpital étaient statistiquement significativement associés à une connaissance correcte de l'allaitement. Les connaissances élevées ont influencé positivement les attitudes en matière d'allaitement et les bonnes pratiques d'allaitement. Les attitudes positives étaient statistiquement associées à l'âge, à l'éducation, à la profession et à l'état matrimonial. Conclusion. Les mères allaitantes avaient des connaissances correctes, des attitudes positives et des pratiques correctes vis-à-vis de l'allaitement. Des efforts doivent être investis sur l'amélioration du niveau d'éducation, des revenus et de l'accès aux services de santé maternelle afin d'augmenter de manière significative les pratiques et les attitudes en matière d'allaitement. D'autres études sont requises quantitativement et qualitativement pendant le pic d'incidence de la pandémie de COVID-19.
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References
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References
Bita. A. I, Tiotsia A.T., Metchehe Djommo D.L, Tala Nintidem V A., Zachee Ndombol6 G.I. , Sonkeng Momo, Z.P., Edjimbi Nnanga R Y., Zeufack Dombou G.A., Agbornkwai A N., Gianluca R., Sanou Sobze M. S.S(2021)Coronavirus-19 (Covid-19) Knowledge, and the Influence on Infants and Young Children Feeding Behaviors and Practices in the Mifi Health District, West Cameroon: Qualitative Study Journal of Nutritional Health & Food Science.
Ngwewondo, A.; Nkengazong, L.; Ambe, L.A.; Ebogo, J.T.; Mba, F.M.; Goni, H.O.; Nyunaï, N.; Ngonde, M.C.; Oyono, J.-L.E.(2020) Knowledge, attitudes, practices of/towards COVID 19 preventive measures and symptoms: A cross-sectional study during the exponential rise of the outbreak in Cameroon. PLOS Neglected Tropical. Diseases. 14(9): e0008700. https://doi.org/10.1371/journal.pntd.0008700.
Makemjio EZ, Tsapi AT., Tamgno ED, Dongho GB, Nguefack-Tsague G., Montesano C., Colizzi V., Russo G., Sobze MS.,(2020) Knowledge and Attitudes of Population Living in Rural and Semi-Rural Areas towards Covid-19 :Case of the Menoua Division, Cameroon. https://pubmed.ncbi.nlm.nih.gov/33142308/.
Fouogue JT., Noubom M., Kenfack B., Dongmo, NT., Tabeu M., Megozeu L., Alima JM., Fogang, YF., Rim A Nyam LC., Fouelifack FY., Fouedjio JH., Nzogning Manebou P., Bibou Ze C., Kouam BF., Fomete LN., Tebeu PM., Kemfang JD., Foumane PM., Sando Z., and Orock G E(2020) Poor knowledge of COVID-19 and unfavourable perception of the response to the pandemic by healthcare workers at the Bafoussam Regional Hospital (West Region-Cameroon) Pan Africa Medical Journal Published online; 37(Suppl 1): 19
Tambe B., Mimboe C., Nchung J. , Bakwo C., Nyobe E., Nanfack P., Dapi Nzefa L., (2018) The determinants of exclusive breastfeeding in Cameroon, Sub-Saharan Africa Trends General Practice, Volume 1(3): 1-6 https://www.oatext.com/the-determinants-of-exclusive-breastfeeding-in-cameroon-sub-saharan-africa.php
Shahrani A(2022)Does COVID-19 Policy Affect Initiation and Duration of Exclusive Breastfeeding? A Single-center Retrospective Study Journal of Risk Management and Healthcare Policy 2022:15 27–36, January.
Nguefack F., Ngwanou D., Moyo G., Ejake L., Mah E., Wafeu G., Wamba D, Chiabi A.,(2020)Reasons for Delayed Breastfeeding Initiation among Newly Delivered Women in Two First-Category Hospitals in Yaoundé, Cameroon Open Journal of Pediatrics Vol.10 No.3, September 2020.
UNICEF (2020) Infant and Young Child Feeding in the Context of COVID-19.Brief No. 2 (v1).
Kim, M., Shim, K., Yong Yi D., Lim I., Chae S., Yun S., Mi Lee N., Yeong Kim S., and Seung Kim S., (2019)Macronutrient Analysis of Human Milk according to Storage and Processing in Korean Mother: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC65064
Gonçalves-Ferri A. and Pereira-Cellini S(2021) The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study. International Breastfeeding Journal vol 16, No 30.
Al Ketbi M , Al Noman S , Al Ali A, Darwish E , Al Fahim M and J Rajah J (2018)Knowledge, attitudes, and practices of breastfeeding among women visiting primary healthcare clinics on the island of Abu Dhabi, United Arab Emirates. International Breastfeeding Journal 13:26 https://doi.org/10.1186/s13006-018-0165-x.
www.symbiosisonlinepublishing.com.
Peng S., Zhu H , Yang L., Cao L , Huang X. , Dynes M , Narayan A., Xia J., Chen Y, Zhang P. , Liu H., Li H , Xia S(2020) A study of breastfeeding practices, SARS-CoV-2 and its antibodies in the breast milk of mothers confirmed with COVID-19. The Lancet Regional Health - Western Pacific 4 (2020) 10 0 045.
Galindo-Sevilla N., Contreras-Carreto N., Rojas-Bernabé A., Mancilla-Ramirez J. Breastfeeding and COVID-19(2020) Gaceta Medica de Mexico 2021;157(2):194-200.https://pubmed.ncbi.nlm.nih.gov/34270527
Vilar-Compte M., Gaitán-Rossi P., Rhodes E., Cruz-Villalba V., & Pérez-Escamilla R., (2021)Breastfeeding media coverage and beliefs during the COVID-19 pandemic in Mexico: implications for breastfeeding equity International Journal for Equity in Health volume 20.
Molla KA, AbegazID SB (2019)Community knowledge, attitude and practices to SARS-CoV-2 disease 2019 (COVID-19): A cross-sectional study in Woldia town,Northeast Ethiopia PLOS ONE https://doi.org/10.1371/journal
Kebede A., Taye B., Wondie K., Tiguh A., Eriku G., Mihret M.,(2021)Health care providers’ awareness of breastfeeding practice recommendations during COVID-19 pandemic and associated factors in Northwest Ethiopia, 2021: A multicenter study. https://doi.org/10.1371/journal.pone.0260762.
Chelo D., Nguefack F., Enyama D., Nansseu R., Feudjo Tefoueyet G., Mbassi Awa H.D., Mekone Nkwelle I., Nguefack-Tsague G., Ndenbe P.,Koki Ndombo P.O(2021) Impact and projections of the COVID-19 epidemic on attendance and routine vaccinations at a pediatric referral hospital in Cameroon Archives de Pédiatrie Volume 28, Issue 6, August 2021, Pages 441-450.
Piankusol, C.; Sirikul, W.;Ongprasert, K.; Siviroj, P. Factors Affecting Breastfeeding Practices under Lockdown during the COVID-19 Pandemic in Thailand: A Cross-Sectional Survey. Int. J. Environ. Res. Public Health 2021, 18, 8729. https://doi.org/10.3390/ijerph18168729