PMID- 38053098 OWN - NLM STAT- MEDLINE DCOM- 20231207 LR - 20231208 IS - 1746-4358 (Electronic) IS - 1746-4358 (Linking) VI - 18 IP - 1 DP - 2023 Dec 5 TI - Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda. PG - 66 LID - 10.1186/s13006-023-00604-x [doi] LID - 66 AB - BACKGROUND: Uganda surpasses many African nations and the global average in exclusive breastfeeding (EBF) rates. Yet, malnutrition is a critical issue, with stunting impacting roughly 29% of children under 5 years. Enhancing EBF could mitigate such nutritional challenges. This study focused on determining the current EBF prevalence and identifying associated factors across 77 surveyed districts. METHODS: Pooled data from the Lot Quality Assurance Sampling (LQAS) surveys conducted in 77 districts in Uganda during 2021 and 2022 were analyzed. The analysis involved 7,210 mothers of children under 6 months, EBF was considered as the proportion of infants who received breast milk only in the 24 hours before the survey. A mother practicing EBF was (1) currently breastfeeding (2) had not started giving foods other than breastmilk (3) had not given any other probed liquids or (4) semi-solid foods the previous day or night. Multivariable logistic regression was used to identify factors associated with EBF, presenting adjusted odds ratios (aOR) with corresponding 95% confidence intervals at a 5% significance level. RESULTS: The prevalence of EBF was 62.3%. In the adjusted analysis, EBF was more common among older mothers 20-24 years, 25-29 years and 30 + years (aOR 1.4; 95% CI 1.2,1.6), (aOR 1.4; 95% CI 1.1, 1.6) and (aOR 1.3; 95% CI 1.1, 1.5) respectively compared to teenage mothers. Also, EBF was more likely among mothers who lived in rural areas compared to urban areas (aOR 1.1; 95% CI 1.0, 1.3) and those who attended antenatal care (ANC) (aOR 2.2; 95% CI 1.5, 3.1). On the contrary, EBF was less common for children aged 3-5 months compared to younger (aOR 0.5; 95% CI 0.5, 0.6) and children who had received Vitamin A supplementation (aOR 0.7; 95% 0.6, 0.8). CONCLUSION: The study suggests that most districts in Uganda might not have made significant strides in improving EBF rates over the last twenty years, pointing to possible ongoing hurdles that need urgent attention. Particularly, there's a pressing need to focus on teenage mothers. Maintaining and strengthening programs that advocate EBF, such as ANC, is crucial to bridge the gaps and bring about more equitable rates among different groups. CI - (c) 2023. The Author(s). FAU - Kimuli, Derrick AU - Kimuli D AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. derrick.kimuli@dlhcorp.com. FAU - Nakaggwa, Florence AU - Nakaggwa F AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Namuwenge, Norah AU - Namuwenge N AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Nsubuga, Rebecca N AU - Nsubuga RN AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Isabirye, Paul AU - Isabirye P AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Kasule, Kenneth AU - Kasule K AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Katwesige, Justine Fay AU - Katwesige JF AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Nyakwezi, Sheila AU - Nyakwezi S AD - The United States Agency for International Development Uganda, US Mission Compound - South Wing, Kampala, Uganda. FAU - Sevume, Solome AU - Sevume S AD - The United States Agency for International Development Uganda, US Mission Compound - South Wing, Kampala, Uganda. FAU - Mubiru, Norbert AU - Mubiru N AD - The United States Agency for International Development Uganda, US Mission Compound - South Wing, Kampala, Uganda. FAU - Amuron, Barbara AU - Amuron B AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. FAU - Bukenya, Daraus AU - Bukenya D AD - Social & Scientific Systems, Inc., a DLH Holdings company / United States Agency for International Development Strategic Information Technical Support Activity, Kampala, Uganda. LA - eng PT - Journal Article DEP - 20231205 PL - England TA - Int Breastfeed J JT - International breastfeeding journal JID - 101251562 SB - IM MH - Infant MH - Adolescent MH - Child MH - Female MH - Humans MH - Pregnancy MH - Child, Preschool MH - *Breast Feeding MH - *Lot Quality Assurance Sampling MH - Uganda/epidemiology MH - Mothers MH - Surveys and Questionnaires PMC - PMC10698875 OTO - NOTNLM OT - Community surveys OT - Discrepancy OT - Exclusive breastfeeding COIS- The authors declare that they have no competing interests. EDAT- 2023/12/06 03:43 MHDA- 2023/12/07 12:42 PMCR- 2023/12/05 CRDT- 2023/12/05 23:47 PHST- 2023/09/22 00:00 [received] PHST- 2023/11/27 00:00 [accepted] PHST- 2023/12/07 12:42 [medline] PHST- 2023/12/06 03:43 [pubmed] PHST- 2023/12/05 23:47 [entrez] PHST- 2023/12/05 00:00 [pmc-release] AID - 10.1186/s13006-023-00604-x [pii] AID - 604 [pii] AID - 10.1186/s13006-023-00604-x [doi] PST - epublish SO - Int Breastfeed J. 2023 Dec 5;18(1):66. doi: 10.1186/s13006-023-00604-x.