Show simple item record

dc.contributor.authorMuzoora, Abel Kajangu
dc.date.accessioned2019-12-05T10:41:19Z
dc.date.available2019-12-05T10:41:19Z
dc.date.issued2019-08-18
dc.identifier.citationMuzoora, A. K. (2019). Maternal Health Care Utilization and Early Initiation of Breastfeeding in South Western and East Central Uganda. Unpublished masters thesis. Makerere University, Kampala, Ugandaen_US
dc.identifier.urihttp://hdl.handle.net/10570/7734
dc.descriptionA dissertation submitted to the Directorate of Research and Graduate Training in partial fulfillment of the requirements for the award of the Degree of Master of Science in Population and Reproductive Health of Makerere Universityen_US
dc.description.abstractThe objective of this study was to investigate the interrelationship between maternal health care utilization and early initiation breastfeeding among mothers (15-49 years) in East-Central and South Western Uganda. Maternal health care utilization was assessed based on health facility delivery and ANC 4th attendance. In addition to early initiation of breastfeeding, these three factors were the endogenous variables. The exogenous variables were socio-demographic characteristic of women namely marital status, education level, age, wealth status, and region as well as knowledge and exposure to media on breast feeding. The study utilized secondary data based on the 2014 baseline for Strengthening Partnerships Results and Innovations in Nutrition Globally (SPRING) in Uganda. However, only 1,144 records of mothers of children aged 0-23 months were adopted in the analysis. The analysis was undertaken using frequency distributions, differentials in endogenous by explanatory variables and a Structural Equation Modeling approach based on a logistic link function. In the findings, the majority of the women confirmed having health facility deliveries (71%) and breastfeeding their babies within the first one hour after birth (77%). Almost four out of ten (41.6%) never attended ANC at least four times during the pregnancy of the index child. The factors that were directly associated with early initiation of breastfeeding are health facility delivery (OR = 1.41, 95% CI 1.02-1.94), knowledge of the timing of breastfeeding after birth (OR = 6.21, CI 95% 4.320-8.932) and age group 25-29 (OR = 0.51, 95% 0.274-0.968). The factors that were directly associated with health facility delivery are post-primary level of education (OR = 1.96, 95% CI 1.195-3.242), ANC 4th attendance (OR = 1.45, 95% CI 1.101-1.923) and residence in East Central region (OR = 1.60, 95% CI 1.140-2.257). On the other hand, ANC 4th attendance was directly associated with post-primary education level (OR = 1.81, 95% CI 1.073-3.058). All the factors were significant. The study recommends that efforts towards enhancing early initiation of breastfeeding after birth. A behavior change strategy based on the Essential Nutrition Actions framework, which targets health workers, community members, families, and women with practical skills-based training to promote optimal infant feeding practices, is likely to hold much potential for improving the adoption of the initiation of breastfeeding within 1 hour after birth and, by extension, the adoption of exclusive breastfeeding during the first 6 months of life.en_US
dc.language.isoenen_US
dc.publisherMakerere Universityen_US
dc.subjectANCen_US
dc.subjectBreastfeedingen_US
dc.subjectMaternal health careen_US
dc.subjectAntenatal careen_US
dc.subjectHealth care deliveryen_US
dc.subjectSouth-Western Ugandaen_US
dc.subjectUgandaen_US
dc.subjectCentral Ugandaen_US
dc.subjectMaternal health care utilizationen_US
dc.titleMaternal Health Care Utilization and Early Initiation of Breastfeeding in South Western and East Central Ugandaen_US
dc.typeThesisen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record