Exclusive breastfeeding knowledge, attitudes, practices and factors influencing its adoption among caregivers in common market places in Morogoro, Tanzania
Paper Details
Exclusive breastfeeding knowledge, attitudes, practices and factors influencing its adoption among caregivers in common market places in Morogoro, Tanzania
Abstract
This study aimed to evaluate the exclusive breastfeeding practices among women working in common market places in Morogoro Municipality. A sample of 90 women was selected through random and convenience sampling methods and interviewed using a structured questionnaire. Data analysis was conducted using the Statistical Package for Social Sciences (SPSS). The results revealed that only 51.1% of the interviewed women adhered to exclusive breastfeeding (EBF) guidelines during the first six months of their infants’ lives. Subjective norms were found to be a significant factor for adoption of exclusive breastfeeding. Additionally, nearly two-thirds of the respondents (62.2%) demonstrated good knowledge of exclusive breastfeeding practices. Guided by the Theory of Planned Behavior (TPB), the analysis indicated that approximately 70% of the respondents expressed an intention to exclusively breastfeed their babies. Based on these findings, the study recommends the implementation of targeted nutrition education programs by the government and development partners to support this vulnerable group, which is often overlooked in standard interventions. Furthermore, special initiatives should be established to provide baby care facilities within market places, facilitating better breastfeeding practices among working mothers. These measures could enhance exclusive breastfeeding rates and improve infant health outcomes in the community. By addressing the specific challenges women face in market environments, we can promote healthier practices and provide essential support for mothers and their children.
Ajzen I. 1991. The theory of planned behavior. Organ Behav Hum Decis Process 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T.
Ajzen I. 2011. The theory of planned behaviour: Reactions and reflections. Psychol Health 26(9), 1113–1127. https://doi.org/10.1080/08870446.2011.613995.
Asare BYA, Preko JV, Baafi D, Dwumfour-Asare B. 2018. Breastfeeding practices and determinants of exclusive breastfeeding in a cross-sectional study at a child welfare clinic in Tema Manhean, Ghana. Int Breastfeed J 13, 1–9. https://doi.org/10.1186/s13006-018-0156-y.
Bartle NC, Harvey K. 2017. Explaining infant feeding: The role of previous personal and vicarious experience on attitudes, subjective norms, self-efficacy, and breastfeeding outcomes. Br J Health Psychol 22(4), 763–785. https://doi.org/10.1111/bjhp.12254.
Furahisha EH. 2013. Farmers’ adoption of selected recommended rice production practices: A case of Kilombero district of Morogoro Region, Tanzania. Master’s dissertation, Sokoine University of Agriculture.
Gandhi SJ, Godara N, Modi A, Kantharia S. 2014. Impact of feeding practices on nutritional status of children in rural area of Navsari district. Int J Med Sci Public Health 3(11), 1338–1342.
Girard AW, Self JL, McAuliffe C, Olude O. 2012. The effects of household food production strategies on the health and nutrition outcomes of women and young children: A systematic review. Paediatr Perinat Epidemiol 26, 205–222. https://doi.org/10.1111/j.1365-3016.2012.01282.x.
Hashim TH, Mgongo M, Katanga J, Uriyo JG, Damian DJ, Stray-Pedersen B, Msuya SE. 2016. Predictors of appropriate breastfeeding knowledge among pregnant women in Moshi Urban, Tanzania: A cross-sectional study. Int Breastfeed J 12, 1–8. https://doi.org/10.1186/s13006-017-0102-4.
Hussein TH, Mgongo M, Katanga J, Uriyo JG, Damian DJ, Stray-Pedersen B, Msuya SE, Wandel M. 2019. Exclusive breastfeeding rates and factors associated with exclusive breastfeeding practices in Northern Tanzania: Measurement using two different methodologies—24 hours recall and recall since birth. Int J Matern Child Health AIDS 8(1), 32–43. https://doi.org/10.21106/ijma.258.
Kandeel WA, Rabah TM, Zeid DA, El-Din EMS, Metwally AM, Shaalan A, Shaaban SY. 2018. Determinants of exclusive breastfeeding in a sample of Egyptian infants. Open Access Maced J Med Sci 6(10), 1818. https://doi.org/10.3889/oamjms.2018.359.
Matare CR, Craig HC, Martin SL, Kayanda RA, Chapleau GM, Kerr RB, Dickin KL. 2019. Barriers and opportunities for improved exclusive breastfeeding practices in Tanzania: Household trials with mothers and fathers. Food Nutr Bull 40(3), 308–325. https://doi.org/10.1177/0379572119841961
McClenahan C, Shevlin M, Adamson G, Bennett C, O’Neill B. 2007. Testicular self-examination: A test of the health belief model and the theory of planned behaviour. Health Educ Res 22(2), 272–284. https://doi.org/10.1093/her/cyl076.
McMillan B, Conner M, Woolridge M, Dyson L, Green J, Renfrew M, Clarke G. 2008. Predicting breastfeeding in women living in areas of economic hardship: Explanatory role of the theory of planned behaviour. Psychol Health 23(7), 767–788. https://doi.org/10.1080/08870440701615260.
Mkono N, Chirande L, Moshiro R, Noorani M. 2024. Factors associated with exclusive breastfeeding among mothers in formal employment in Dar es Salaam, Tanzania: A cross-sectional study. BMJ Open 14(11), e091993. https://doi.org/10.1136/bmjopen-2024-091993.
Muhimbula H, Kinabo J, O’Sullivan A. 2019. Determinants of infant nutrition status in rural farming households before and after harvest. Matern Child Nutr 15(3), e12811. https://doi.org/10.1111/mcn.12811.
Nkala TE, Msuya SE. 2011. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: A community-based cross-sectional study. Int Breastfeed J 6, 1–7. https://doi.org/10.1186/1746-4358-6-17.
Rodríguez L, Cervantes E, Ortiz R. 2011. Malnutrition and gastrointestinal and respiratory infections in children: A public health problem. Int J Environ Res Public Health 8(4), 1174–1205. https://doi.org/10.3390/ijerph8041174.
Safari JG, Kimambo SC, Lwelamira JE. 2013. Feeding practices and nutritional status of infants in Morogoro Municipality, Tanzania. Tanzan J Health Res 15(3). https://doi.org/10.4314/thrb.v15i3.5.
Shirima R, Greiner T, Kylberg E, Gebre-Medhin M. 2001. Exclusive breast-feeding is rarely practised in rural and urban Morogoro, Tanzania. Public Health Nutr 4(2), 147–154. https://doi.org/10.1079/PHN200057.
United Republic of Tanzania (URT) and United Nations Industrial Development Organization (UNIDO). 2012. Tanzania Industrial Competitive Report 2012. UNIDO, Vienna, Austria, p. 108.
United Republic of Tanzania. 2016. National Multisectoral Nutrition Action Plan for the Period July 2016–June 2021. Prime Minister Office, Dar es Salaam, Tanzania Publishers, p. 118.
World Health Organization. 2001. The optimal duration of exclusive breastfeeding: A systematic review. Geneva: World Health Organization.
World Health Organization. 2014. Stunting policy brief. Geneva: World Health Organization, 1–2.
World Health Organization. 2018. Global breastfeeding scorecard, 2019: Increasing commitment to breastfeeding through funding and improved policies and programmes (No. WHO/NMH/NHD/19.22). Geneva: World Health Organization.
Mary Muze, John Msuya, Kelvin E. Vulla, Clara Mollay (2025), Exclusive breastfeeding knowledge, attitudes, practices and factors influencing its adoption among caregivers in common market places in Morogoro, Tanzania; JBES, V26, N2, February, P42-51
https://innspub.net/exclusive-breastfeeding-knowledge-attitudes-practices-and-factors-influencing-its-adoption-among-caregivers-in-common-market-places-in-morogoro-tanzania/
Copyright © 2025
By Authors and International
Network for Natural Sciences
(INNSPUB) https://innspub.net
This article is published under the terms of the
Creative Commons Attribution License 4.0