Abstract

This descriptive cross-sectional study aimed to assess the knowledge, attitudes, and
practices regarding exclusive breastfeeding (EBF) among mothers attending the Maternal and
Child Health Clinic at Moroto Regional Referral Hospital. The study was conducted between
November 2020 and April 2021, utilizing systematic random sampling and employing both
qualitative (focused group discussions) and quantitative (closed questionnaires) methods for
data collection. Data collected from 150 participants was analyzed using Microsoft Excel.
Results were summarized using frequency tables, charts, and narrative descriptions. The
majority (90%) of the mothers had prior awareness of EBF, with fellow breastfeeding mothers
(48%) and health workers (31%) being the primary sources of information. A small proportion
(4%) relied on the internet, primarily those educated to a tertiary level. Furthermore, 84%
correctly defined EBF, although 32% did not consider it sufficient for the first six months,
preferring to supplement with other foods. While 65% favored EBF over artificial feeding,
only 32% believed breast milk alone was adequate for the first six months. Mothers expressed
positive attitudes toward EBF, advocating for immediate breastfeeding initiation, on-demand
feeding, and continuation for about two years. However, due to perceived poor maternal
nutrition, some introduced supplementary feeds earlier, compromising the recommended
EBF duration. The study revealed a high level of awareness and positive attitudes toward EBF
among mothers in Moroto. However, despite knowledge about the benefits, some mothers
introduced supplementary feeds earlier than recommended due to concerns about
insufficient breast milk. Continuous outreach programs emphasizing the importance and
proper practices of EBF could help dispel misconceptions and ensure adherence to the
recommended breastfeeding practices.
Keywords: Exclusive breastfeeding, Infants, Mother, Milk, Family planning