Improving the practice and patterns of exclusive breastfeeding in Lagos state, Nigeria: an evidence synthesis, quantitative survey, and theory-informed qualitative study

Olufunlayo, Tolulope Florence (2023). Improving the practice and patterns of exclusive breastfeeding in Lagos state, Nigeria: an evidence synthesis, quantitative survey, and theory-informed qualitative study. University of Birmingham. Ph.D.

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Abstract

Exclusive breastfeeding is critical to support adequate growth and development and reduce infant mortality. Despite interventions to promote exclusive breastfeeding and other recommended infant feeding practices in Nigeria, rates remain suboptimal. This thesis aimed to explore interventions, barriers, and facilitators to exclusive breastfeeding up until 6 months in Lagos state, Nigeria, through three interlinked studies.

The systematic review found that a wide range of interventions to support exclusive breastfeeding in a range of settings in low- and middle-income countries (LMICs) increased rates approximately twofold. Findings from the survey of Health Care Professionals in public health facilities showed critical gaps in knowledge and attitudes, especially managing breastfeeding problems and attitude towards addition of water or formula feeds during the first six months. The qualitative study employed the Capability-Opportunity-Motivation Behaviour (COM-B) model for behaviour change as its underpinning theoretical framework. Facilitators of exclusive breastfeeding identified included knowledge of its benefits, personal determination to exclusively breastfeed, and availability of a strong family/HCP support system: barriers included perceived need to give water, perception of breastmilk insufficiency, need to return to work, and lack of support for exclusive breastfeeding from significant others. These findings indicate the need for commitment from all stakeholders towards the implementation and upscaling of breastfeeding programs in a coordinated manner to increase exclusive breastfeeding in Nigeria.

Type of Work:

Thesis (Doctorates > Ph.D.)

Award Type:

Doctorates > Ph.D.

Supervisor(s):