Knowledge, Attitude, And Practice Towards Exclusive Breastfeeding Among Postpartum Women at Gatunda District Hospital, Rwanda
DOI:
https://doi.org/10.53819/81018102t2559Abstract
Background: Inadequate infant nutrition is a leading contributor to childhood stunting and mortality, particularly in the first six months of life. The World Health Assembly aims to achieve at least 90% exclusive breastfeeding (EBF) among infants aged 0–6 months by 2025, recognizing EBF as crucial for child survival. Despite this, EBF rates remain suboptimal in low- and middle-income countries. In Rwanda, the 2019–20 Demographic and Health Survey reported a 16.2% stunting rate among infants under six months, highlighting ongoing nutritional challenges. Limited evidence exists on knowledge, attitudes, and practices (KAP) regarding EBF among rural mothers.
Methods: An institution-based cross-sectional study was conducted among 223 postpartum women attending maternal and child health services at Gatunda District Hospital, Nyagatare District. Participants were selected using systematic sampling. Data were collected via a pretested structured questionnaire and analyzed using SPSS version 26. Descriptive statistics summarized participant characteristics and KAP levels, while bivariate and multivariable logistic regression identified factors associated with EBF practice (p < 0.05).
Results: Among participants, 63.7% had high knowledge of EBF, 62.3% demonstrated positive attitudes, and 58.7% practiced exclusive breastfeeding. Good EBF practice was significantly associated with higher maternal education (AOR = 2.34; 95% CI: 1.10–4.95), positive attitudes (AOR = 3.12; 95% CI: 1.52–6.39), and high knowledge levels (AOR = 2.87; 95% CI: 1.39–5.93).
Conclusion: While knowledge and attitudes were generally adequate, EBF practice remains below national targets. Strengthened health education, counseling, and community awareness initiatives are essential to improve adherence in rural Rwanda.
Keywords: Knowledge, Attitude, Practice, Exclusive breastfeeding
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