Department of Public Health

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Department of Public Health

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Browsing Department of Public Health by Subject "Breastfeeding"

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    Assessing the Effectiveness of the Interventions to Prevent Mother to Child Transmission of HIV in Adeoyo Maternity Center, Yemetu, Ibadan, Nigeria
    (Lead City University, 2023-12) Eniola Deborah OYEKU
    Prevention of Mother-to-Child Transmission (PMTCT) programs provide a range of services to women and children that can reduce the risk of vertical transmission of HIV. Hence, this study aimed to evaluating the effectiveness of interventions to prevent mother to child transmission of HIV in Adeoyo Maternity Centre, Yemetu, Ibadan, Oyo State. A facility based cross-sectional study was conducted, involving a sample size of 300 HIV positive pregnant mothers selected in which purposeful sampling was used for qualitative data to obtained reports through focus group discussion (FGD), and random sampling was used for quantitative data case to obtained survey reports of HIV positive pregnant women where participants are selected based on their experience of providing PMTCT of HIV. Data collection was performed using an adapted questionnaire, and the Statistical Package for Social Sciences (SPSS) Windows version 25 was used for data analysis. Statistical significance was set at p < 0.05.Majority (80%) of the participants engaged in PMTCT and 46.5% practice mixed feeding. The study revealed significant associations between the effectiveness of PMTCT and age (odd ratio [OR] = 1.23; 95% CI = 0.251-0.470, p = 0.02) and education (odd ratio [OR] = 1.23; 95% CI 0.111-0.456, p = 0.03), knowledge of PMTCT (OR = 2.23; 95% CI 0.223- 0.934, p = 0.00), previous antennal care age (odd ratio [OR] = 2.150; 95% CI 0.233-1.002, p = 0.02) counselling (OR = 1.43; 95% CI 0.123-1.120, p = 0.43), infant feeding choice at first PCR age (OR = 1.45; 95% CI 0.89-3.30, p = 0.04) and previous age at first PCR (odd ratio [OR] = 1.10; 95% CI 2.70-8.70, p = 3.56). Conclusion: Reduction of MTCT of HIV is possible with effective PMTCT interventions, including improved access to ARVs for PMTCT and appropriate infant feeding practices. Keywords: PMTCT, pregnant mothers, Human Immunodeficiency Virus, Breastfeeding , Mother Child Transmission Word Count: 300
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    Knowledge, Intention and Practice of Exclusive Breastfeeding among Privately Employed Nursing Mothers in Ibadan Metropolis
    (Lead City University, 2023-12) Adeola Iyanuoluwa OLAOYE
    The low uptake of exclusive breastfeeding (EBF) has remained a major factor in high mortality and morbidity rate among under-5 children in Nigeria. Increased female participation in the labour sector has been linked to the sub-optimal rate of the practice of exclusive breastfeeding. Understanding the knowledge and intention to practice exclusive breastfeeding is important in designing policies towards achieving sustainable developmental goals two and three. This study assessed the knowledge, intention and practice of excusive breastfeeding among employed mothers in private organization in Ibadan. A cross-sectional study was done among 250 working nursing mothers selected by purposive sampling technique. Data were collected using adapted self-administered questionnaire. Frequency, proportion, chi-square and logistic regressions were used in achieving the objectives of this study, using SPSS ver. 21. A P-value≤0.05 was considered statistically significant. Majority (42.8%) of the respondents were between the ages of 30-34 years while 26.4% were >34 years. Majority (74.5%) of the respondents had good knowledge of EBF. Almost 79% had EBF intention but only 51.2% practiced exclusive breastfeeding for up to 6 months. Women aged <30 years were 2.05 times less likely to practice exclusive breastfeeding compared to those aged >34 years (AOR= 0.61 95% CI 0.26-1.41). Factors such as short maternity leave, unfriendly work environment, lack of social support for the nursing mothers and lack of lactation of the nursing mother were found to be associated with actual practice of EBF in this study. Gap exists between intention to practice EBF and actual practice due to short maternity leave, unfriendly work environment and lack of partner support. Strategies to bridge this gap are urgently needed to promote mother-child health. Keywords: Knowledge, Intention, Practice, Breastfeeding, Exclusive Breastfeeding (EBF) Word Count: 269