Exclusive breastfeeding provides nutritional, and developmental psychological advantages with regard to general wellbeing of an infant and has dramatically reduced infant deaths in developing countries. This study assessed the Knowledge, Attitude and Practice of Exclusive Breastfeeding among women attending antenatal clinic in four communities within Gwagwalada Area Council of FCT, Abuja. The questionnaire sought socio-demographic information, Religion and cultural influence as well as knowledge and awareness level of EBF practice. The data collected was analyzed using Odd ratio, frequencies and simple percentages. The result of the study showed that 70.0% had the knowledge of exclusive breastfeeding, 54.4% exclusively breastfed their newborns for the first six months of life. There was positive attitude among the participants towards exclusive breastfeeding as 70.0% of them agreed that breast milk alone is sufficient for the baby during the first six months of life. There was high level of knowledge on exclusive breastfeeding among therespondents, almost half of the participants practiced exclusive breastfeeding and relatively all the respondents had positive attitude toward exclusive breastfeeding. However, Illiteracy (60.0%; OR = 1.5) and Culture (66.7%; OR = 2.0) negatively influenced exclusive breastfeeding in the area council. Although, majority of the women in this study had good knowledge and attitude towards Exclusive Breastfeeding (EBF), the practice is not high. There is still need for improvement. More awareness on the benefits of exclusive breastfeeding must be emphasized in order to increase the knowledge and compliance of the women as only 54.4% actually practiced it. Promotion of EBF should involve programmes that will capture not only nursing mothers and health workers, but other members in the communities, most especially husbands and older women who are involved in child care.

Background: Helicobacter pylori, which is a causative agent of chronic gastritis, duodenal ulcer and gastric cancer, presently affects approximately one half of the world population. This study was conducted to assess the epidemiology and risk factors for acquisition of H. pylori among individuals with and without peptic ulcer symptoms in Owerri, Nigeria, in order to provide baseline data and create awareness for effective management and  prevention of infection caused by this pathogen. Methodology: A total of 384 participants, symptomatic and asymptomatic for peptic ulcer, were recruited from the three Local Government Areas (LGAs) of Owerri, Imo State, Nigeria. The symptomatic participants were randomly recruited among patients attending outpatient clinics with  symptoms of peptic ulcer disease at the Federal Medical Center Owerri, general hospitals and primary healthcare centers across Owerri LGAs, while  asymptomatic patients were recruited from the community. Information on socio-demographic characteristics of each participant and potential risk factors were collected with a pre-tested structured questionnaire. Blood samples were collected for detection of antibodies (IgG) using a one-step H.  pylori test device while faecal samples were collected for detection of occult blood (from peptic ulceration) using faecal occult blood (FOB) test.  Data were analyzed using SPSS version 25.0 and association of risk factors with H. pylori sero-prevalence was determined by the Chi-square or  Fisher Exact test (with Odds ratio). P value < 0.05 was considered statistically significant. Results: The sero-prevalence of H. pylori infection among the study participants was 72.4% (285/384) while the prevalence of ulcer by FOB test was  71.1% (273/384). A total of 78.4% (214/273) of those with ulcers were seropositive for H. pylori while 64.0% (71/111) of those without ulcers were  sero-positive for H. pylori (p=0.0045). Factors significantly associated with high sero-prevalence of H. pylori were age groups 41-50 (100%), 21-30  (78.4%) and 31-40 (67.6%) years (X2=66.964, p<0.0001), illiteracy (OR=6.888, p<0.0001), unemployment (OR=2.427, p<0.0001), low social class status  (X2=28.423, p=0.0003), drinking of unclean water (OR=5.702, p<0.0001), living in crowded rooms (OR=2.720, p<0.0001), eating food bought from  food vendors (OR=3.563, p<0.0001), family history of ulcer (OR=12.623, p<0.0001), habits of eating raw vegetables and unwashed fruits (OR=6.272,  p<0.0001), non-regular hand washing practices before meal (OR=2.666, p<0.0001) and presence of ulcer (OR=2.043, p=0.0045). However, smoking  (OR=0.7581, p=0.2449) and gender (OR=0.6538, p=0.0796) were not significantly associated with sero-prevalence of H. pylori. Conclusion: There is  need for comprehensive strategy including public health education campaign to create awareness on H. pylori, improve personal hygiene and environmental sanitation, provision of safe drinking water by the government to the populace, and discourage indiscriminate and open defecation.