Knowledge, attitudes and practices of mothers and caregivers on infant and young child feeding in peri-urban zones of Bobo-dioulasso in Burkina Faso

Abstract

Knowledge, attitudes and practices(KAP) of mothers/caregivers on infant and young child feeding are key factors for optimal nutritional status, health and growth of the children. A community-based, cross-sectional descriptive study was conducted during January 2017 to assess the knowledge, attitudes and practices on infant and young child feeding (IYCF) of mothers/ caregivers who lived in peri-urban areas of Bobo-Dioulasso, Burkina-Faso.This study was carried out before a nutrition education-based intervention and included 245 mothers/ caregivers that were randomly selected in the peri-urban communities of Bobo-Dioulasso. A semi-structured interviewer-administered questionnaire developed based on Food and Agriculture Organization knowledge, attitudes and practices assessment method was used to collect KAP and socio-economic data. Analyses were performed using SPSS version 20. For this study, authorization was obtained from the regional directorate of health of the Hauts-Bassins region. Verbal consent was obtained after the participants had been informed about the study objectives. Among the 245 study participants, 55.1% were aged less than 30 years. More than 3 out of 4 mothers/caregivers (76.3%) were Muslim and 59.2% of them were illiterate. Almost all mothers/caregivers (98.8%) had adequate knowledge for breastfeeding and 87.9% of them knew about exclusive breast feeding up to 6 months. In addition, 91.8% of mothers/caregivers reported that they gave colostrum at birth. Furthermore, 67.5% of the mothers started breastfeeding within one hour after delivery. Based on mothers/caregivers’ report on complementary foods consumed by 6-59 months children in the previous 24h before the interview, cereals were the most reported consumed food group (89.8%) followed by meat and fish products (28.6%). This study found that mothers/caregivers had adequate knowledge about IYCF in general. However, mothers/caregivers’ practice of complementary feeding was inappropriate. Cereals were the food group consumed by most of children aged 6-59 months raising the needs for interventions, such as cooking demonstrations during postnatal visits in health facilities,to improve complementary feeding in this population.

Knowledge, attitudes and practices of mothers of children aged 6 to 12 months on breastfeeding in the province of Sissili in Burkina Faso

“…At enrolment, the average age of mothers was 27.2 years. This average age of mothers is lower than those observed by [24] and [25] who found average ages of 29.2 years and 28.4 years in the peri-urban area of Bobo-Dioulasso and in the bourg of Lomé, respectively. This indicates that the age of mothers differs depending on the zones.…”

“…The proportion of mothers (98.2%) who reported to have given colostrum is slightly higher than those found in the national nutritional survey of 2019 (94.3%) and 2020 (95.9%) in the West Central region of Burkina Faso [10,11]. Similarly, this proportion is higher than those found by [28] in the health district of Ouargaye at 73.2%, by [35] in the province of Gnagna at 77%, and by [24] in the peri-urban area of Bobo Dioulasso at 91.2%. However, this proportion is close to 97.3% of that observed by [36] in Togo.…”

“…Mothers who breastfed their children within the rst hour after delivery (75.5%) are higher than those observed in the Central-West region of Burkina Faso in 2019 (54.7%) and in 2020 (70.8%), [10,11]. Likewise, this percentage is higher than those found in Bobo Dioulasso by [24] with 67.5% and [35] in the province of Gnagna with 20%. These differences observed could be explained by the high proportion of farming mothers, to their positive opinion of the bene ts of colostrum on the health of the child, to their level of knowledge on the bene ts of colostrum and to their level of knowledge on the bene ts early breastfeeding.…”

Effect of a Nutrition Education Intervention on Mothers’ Infant and Young Child Feeding Knowledge and Practices in the Peri-Urban Areas of Bobo-Dioulasso: Before and after Study

“…For the theoretical phase, the modules of the nutrition education were designed based on the IYCF practice gaps identified in the community during the baseline survey of the study [11]. using the same semi structured questionnaire.…”

“…Baseline findings highlighted suboptimal infant and young child feeding (IYCF) practices by mothers of children under 5 years of age [11]. Data collected during the endline survey among the same mothers are analyzed in this present study for comparison with the baseline survey data to assess the effect of the nutrition education intervention on mothers' knowledge and practices related to infant and young child feeding.…”