KNOWLEDGE, ATTITUDES, AND PRACTICES REGARDING BREASTFEEDING AMONG MOTHERS OF INFANTS UNDER 6 MONTHS

Abstract

Objective: To assess the knowledge, attitudes, and practices (KAP) regarding breastfeeding among mothers of infants under six months and to identify gaps between awareness, beliefs, and actual feeding behaviors. Methods: A quantitative descriptive cross-sectional study was conducted among 400 mothers of infants aged 0–6 months attending selected maternal and child health facilities. A pretested, interviewer-administered questionnaire captured demographics and KAP.  Data were analyzed in SPSS v26 using descriptive statistics. Results: Participants were predominantly 20–29 years (53.0%), multiparous (61.0%), and housewives (74.5%); cesarean delivery occurred in 38.5%. Knowledge was generally good: 84.0% recognized colostrum as beneficial, 80.5% acknowledged immune benefits, and 74.5% knew exclusive breastfeeding (EBF) should continue for six months. Attitudes were mostly favorable, 78.5% agreed breastfeeding is superior to formula and 83.0% endorsed the importance of family support. Practices lagged knowledge, 54.5% initiated breastfeeding within one hour of birth, 61.5% practiced EBF to six months, 40.5% gave prelacteal feeds, and 34.5% introduced bottles before six months; overall, 59.5% demonstrated practices consistent with WHO guidance. The knowledge–practice gap was evident (67.0% adequate knowledge vs. 59.5% appropriate practices), highlighting attitudinal and contextual barriers. Conclusion: Mothers exhibited generally adequate knowledge and positive attitudes, yet suboptimal practices persisted particularly delayed initiation, prelacteal feeding, and early bottle use. Multifaceted strategies that combine consistent antenatal/postnatal counseling with family and workplace support, public breastfeeding normalization, and focus on high-risk contexts are warranted to close the knowledge practice gap and improve exclusive breastfeeding rates