Abstract of Dissertation

Keyword : KAP Study; Exclusive Breastfeeding; Complimentary Feeding; Urban

Objective : To assess the Knowledge attitude and practices (KAP) of mothers with children less than twenty-four months regarding exclusive breastfeeding and complementary feeding in the Urban population of Sabarkantha District, Gujarat

Background : A number of studies have been done globally to determine the mother’s knowledge of exclusive breastfeeding. Some of the studies have shown that 96% of the mothers had good knowledge that exclusive breastfeeding should be practiced for six months and 90.6% knew that colostrum was good for the baby. But despite having the correct knowledge only 68.6% practiced it. Whereas in Sabarkantha district Exclusive breastfeeding of the rural area practicing 63.3 percent and 47.8 percent of rural mothers of under three initiate breastfeeding within one hour, (source NFHS4). According to the NFHS4 fact sheet of Sabrakantha District, 47.4% of children under five years of age are Underweight (weight-for-age) and 53 % are stunted(height-for-age). Wasting is also quite evident in Gujarat, affecting 16 percent of Children under three years of age This study’s aim was to determine the breastfeeding knowledge, attitude and practices (initiating breastfeeding within one hour of childbirth, exclusive breastfeeding for six months and breastfeeding until or beyond two years and on-demand breastfeeding) of mothers in sabarkantha district of Gujarat. Knowledge-Mothers understanding the basic nutrition and health measures strongly influence the care they provide. Attitude-There are different beliefs regarding breastfeeding. “The cultural factors and taboos have a powerful influence on feeding practices and eating patterns.

Methodology : Cross-Sectional Descriptive Study was conducted in among urban population of Sabarkantha district in Gujarat. A total of 100 participants were surveyed. Participants were Mothers with children’s less than twenty-four month. The sample was collected using purposive sampling.Semi-structured questioner was maid which contains information on Demographic Performa which included variables such as age, educational status and occupation, and questioner on knowledge, attitude, practice regarding exclusive and complementary breastfeeding. Ms excel was used to analyze the data.

Findings : Respondent knowledge, attitude, and practice regarding exclusive and complementary breastfeeding were analyzed based on the semi-structured questioner. The result was 50 percent of mothers out of 100 mothers have appropriate knowledge that breastfeeding should initiate after one hour of birth and 39 percent have knowledge about the correct duration of exclusive breastfeeding. In terms of practice, only 41 percent out of 86 mother’s breasts feed their baby for more than 6 months. And the measure reason for stopping breastfeeding is due to work and not having enough milk. Further, it is concluding that 90 percent believe that nutritious foods are expensive.

Recommendations : The study has shown that there are some gaps in terms of knowledge and Practice about exclusive and complementary breastfeeding feeding. This study underscores need to improve knowledge regarding exclusive and complementary breastfeeding by conducting comprehensive IEC activities among the urban population.