Abstract
THE EFFECT OF INTEGRATED HEALTH AND SOME SOCIO-ECONOMIC FACTORS ON EXCLUSIVE BREASTFEEDING

*Dr. Ahmed Oraibi Salman and Dr. Saad Tawfeeq Najm

ABSTRACT

Breastfeeding provides amazing benefits for the health of the child and the mother. WHO and UNICEF suggest a mother should be able to practice and maintain exclusive breastfeeding during the first six months of her baby's life. This study aimed to analyze the effect of integrated health and some socio-economic factors on exclusive breastfeeding. The current cross sectional study was conducted in Fallujah Teaching Hospital in Anbar province/Iraq during the period from August to September 2019 on 100 nursing lactating mothers who had children aged (7-12) months and selected by stratified random sampling. The dependent variable was exclusive breastfeeding, while the independent variables were maternal age, education, occupation, type of birth delivery, knowledge, attitude, family support, and social level. The data were collected by a questionnaire form and analysis by logistic regression. Results showed that mothers aged (20-34) years (79%) gave more exclusive breastfeeding than mothers aged <20 or ≥ 35 years, mothers with education level ≥ high school (89.6%) gave more exclusive breastfeeding results than those with education level < high school, women who work outside the house (34.8%) provided less exclusive breastfeeding than those who work at home, women who delivered by caesarean section (52.2%) gave less exclusive breastfeeding than mothers who gave birth normally, women with good knowledge (87.7%) gave more exclusive breastfeeding than those with poor knowledge, women with positive attitudes in relation to exclusive breastfeeding (87.8%) gave more exclusive breastfeeding than mothers with negative attitudes, women with strong family support (89.7%) gave more exclusive breastfeeding than mothers with weak family support and finally, women with strong social state (91.7%) gave more exclusive breastfeeding than mothers with weak social state. It can be concluded that exclusive breastfeeding increases with maternal age (20-34) years, high maternal education, good knowledge, positive attitude, strong family support, and strong social state. Exclusive breastfeeding decreases with mother working outside the house and caesarean section, and integrated health post has a strong contextual effect on exclusive breastfeeding.

Keywords: Exclusive breastfeeding, socioeconomic state, integrated health.


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