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Comparison of knowledge and practice of current infant feeding options among HIV-positive mothers in urban and rural communities in Anambra State, Nigeria

Lawson Nwokedi Igbokwe, Elias Chikee Aniwada, Nwachinemere Uleanya, Benjamin Uzochukwu.

Abstract
Objectives
This was to compare the knowledge and practice of current infant feeding options among HIV-positive mothers in urban and rural communities in Anambra State, Nigeria
Methods
It was a comparative cross-sectional study involving HIV-positive mothers from rural and urban communities, whose babies were HIV- negative, and < 2 years. Data was collected using questionnaires and Focused Group Discussion (FGD) guide. Respondents were selected by systematic sampling method. Level of significance at ≤ 0.05
Results
Knowledge on currently recommended infant feeding options for HIV-positive mothers was generally poor as only 60(26.7%) and 82(36.4%) of the rural and urban respondents respectively had good knowledge (p = 0.081). Infant feeding practice was significantly different between the two communities (P= 0.001). Exclusive breast feeding was practiced by 88(39.1%) urban and 122(54.2%) of the rural dwellers (p = 0.001). There were significant associations between education and knowledge on current infant feeding practice in both urban (χ2 = 16.5, p < 0.001) and rural (χ2 = 21.4, p < 0.001) communities.
The FGD collaborated the disparity in infant feeding practice. For urban dwellers, the reason for their inability to carry out 6 months of exclusive formula feeding was poverty while duty calls was main reason for those that breastfed.
Conclusions
There is poor knowledge on current infant feeding options for HIV-positive mothers, and it is yet not being practiced which is not good for Prevention of mother-to-child transmission (PMTCT). Education is a predictor of good knowledge on current infant feeding practice in both communities.

Key words: infant feeding options, HIV positive mothers, urban, rural


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