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Journal of Tropical Pediatrics Advance Access published online on June 9, 2005
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmi048
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© The Author [2005]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Original Papers

Infant and Young Child Feeding in Western Uganda: Knowledge, Practices and Socio-economic Correlates

Henry Wamani 1*, Anne Nordrehaug Åstrøm 2, Stefan Peterson 3, Thorkild Tylleskär 2, and James K. Tumwine 4

1 Centre for International Health, University of Bergen, Norway; Ministry of Health, Uganda
2 Centre for International Health, University of Bergen, Norway
3 Division of International Health (IHCAR), Karolinska Institute, Stockholm, Sweden
4 Department of Paediatrics and Child Health, Makerere University, Uganda

* To whom correspondence should be addressed.
Henry Wamani, E-mail: Wamanih{at}yahoo.com


  Abstract

In a cross-sectional household survey conducted in the rural district of Hoima, western Uganda, 720 child/mother pairs were recruited using a two-stage cluster design. Infant and young child feeding knowledge and practices were assessed in relation to recommendations and household socio-economic factors. Age specific feeding patterns were described using frequencies, proportions and life-tables. Logistic regressions were done with feeding practice as dependent and socio-economic factors as independent variables. Breastfeeding was universal (99%) with a median duration of 21 months. Pre-lacteal use was high (43%), with educated mothers more prone to the practice. Using a 24-hour recall: the median duration of exclusive breastfeeding was 3.5 months; 10% of infants were bottle-fed; 92% of the 0-5 month-old infants breastfed 6 or more times; 21% of 2-3 month-olds received complementary food instead of breast milk only and 19% of 6-8 month-olds were only breastfed instead of receiving complementary food. Of children 12 months and above, 42% were complemented twice or less and 49% complemented 3 or 4 times. Only 36% of breastfeeding children between 6-23 months received dairy milk. Over 50% of mothers did not know that adding oil to complementary food could improve it. The least poor were more likely, than the poorest, to use dairy milk (OR 3.9, CI 1.6-9.6); and educated mothers were more likely to prepare special complementary foods than the un-educated (OR 2.7, CI 1.1-6.2). Emphasis should be on promotion of exclusive breastfeeding, timeliness of complementary feeding and socio-economic empowerment.


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