Abstract

This research aimed to rigorously evaluate the knowledge, attitude, and practice concerning
exclusive breastfeeding among lactating mothers attending Hoima Regional Referral Hospital
(HRRH). Employing a quantitative descriptive research design, the study meticulously
selected mothers seeking medical attention for their infants at HRRH, adhering to rigorous
selection criteria. A sample size of 208 subjects participated, comprising lactating mothers
with infants aged between 0-6 months, utilizing a self-administered structured questionnaire
to gather comprehensive data on exclusive breastfeeding behaviors. The data collected
underwent meticulous analysis utilizing Statistical Analysis Software (STATA) version 10.
Results revealed that a majority of the participants were aged between 25-29 years (30.8%)
and had attained secondary education (38.5%), with an employment status predominantly as
employed individuals or peasants (38.5%). The study cohort primarily resided in urban areas.
Among the 208 lactating mothers, a significant proportion (61.5%) initiated breastfeeding
within the first hour after birth, with the mode of delivery significantly influencing this
initiation, favoring normal deliveries. However, the practice of exclusive breastfeeding
exhibited a decline over subsequent months. Assessment of knowledge demonstrated that
over 80% of mothers possessed substantial knowledge regarding exclusive breastfeeding,
with a small percentage (5%) exhibiting poor knowledge. In terms of attitude, 74.4% expressed
comfort and acknowledged exclusive breastfeeding as superior to artificial feeding, yet 40.9%
reported feelings of shyness while breastfeeding. Interestingly, a positive correlation
between higher education levels and a favorable attitude toward exclusive breastfeeding was
observed. Overall, the study revealed a generally commendable level of knowledge, attitude,
and practice concerning exclusive breastfeeding among lactating mothers attending Hoima
Regional Referral Hospital. However, a notable finding was the significant decline in
exclusive breastfeeding prevalence observed from the first month following initiation.
Keywords: Exclusive breastfeeding, Breast milk, Infants, Lactating mothers.