Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya
Top Cited Papers
Open Access
- 26 May 2011
- journal article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 11 (1), 396
- https://doi.org/10.1186/1471-2458-11-396
Abstract
The World Health Organisation (WHO) recommends exclusive breastfeeding during the first six months of life for optimal growth, development and health. Breastfeeding should continue up to two years or more and nutritionally adequate, safe, and appropriately-fed complementary foods should be introduced at the age of six months to meet the evolving needs of the growing infant. Little evidence exists on breastfeeding and infant feeding practices in urban slums in sub-Saharan Africa. Our aim was to assess breastfeeding and infant feeding practices in Nairobi slums with reference to WHO recommendations. Data from a longitudinal study conducted in two Nairobi slums are used. The study used information on the first year of life of 4299 children born between September 2006 and January 2010. All women who gave birth during this period were interviewed on breastfeeding and complementary feeding practices at recruitment and this information was updated twice, at four-monthly intervals. Cox proportional hazard analysis was used to determine factors associated with cessation of breastfeeding in infancy and early introduction of complementary foods. There was universal breastfeeding with almost all children (99%) having ever been breastfed. However, more than a third (37%) were not breastfed in the first hour following delivery, and 40% were given something to drink other than the mothers' breast milk within 3 days after delivery. About 85% of infants were still breastfeeding by the end of the 11th month. Exclusive breastfeeding for the first six months was rare as only about 2% of infants were exclusively breastfed for six months. Factors associated with sub-optimal infant breastfeeding and feeding practices in these settings include child's sex; perceived size at birth; mother's marital status, ethnicity; education level; family planning (pregnancy desirability); health seeking behaviour (place of delivery) and; neighbourhood (slum of residence). The study indicates poor adherence to WHO recommendations for breastfeeding and infant feeding practices. Interventions and further research should pay attention to factors such as cultural practices, access to and utilization of health care facilities, child feeding education, and family planning.This publication has 41 references indexed in Scilit:
- Childhood vaccination in informal urban settlements in Nairobi, Kenya: Who gets vaccinated?BMC Public Health, 2011
- Barriers to Formal Emergency Obstetric Care Services’ UtilizationJournal of Urban Health, 2010
- The effect of participant nonresponse on HIV prevalence estimates in a population-based survey in two informal settlements in Nairobi cityPopulation Health Metrics, 2010
- Breastfeeding in infancy: identifying the program-relevant issues in BangladeshInternational Breastfeeding Journal, 2010
- Feeding practices of children in an urban slum of KolkataIndian Journal of Community Medicine, 2009
- What does Access to Maternal Care Mean Among the Urban Poor? Factors Associated with Use of Appropriate Maternal Health Services in the Slum Settlements of Nairobi, KenyaMaternal and Child Health Journal, 2008
- Maternal and child undernutrition: consequences for adult health and human capitalThe Lancet, 2008
- Quality of Water the Slum Dwellers Use: The Case of a Kenyan SlumJournal of Urban Health, 2007
- Low adherence to exclusive breastfeeding in Eastern Uganda: A community-based cross-sectional study comparing dietary recall since birth with 24-hour recallBMC Pediatrics, 2007
- Developmental potential in the first 5 years for children in developing countriesThe Lancet, 2007