Introduction: Child malnutrition remains a major public health threat in sub-Saharan Africa and is reported to be associated with half of child deaths in Burkina Faso. The World Health Organization recommends exclusive breastfeeding (EBF) as a major intervention to improve overall child nutritional status and survival for the first 6 months of life. The study objectives were to assess the prevalence rates of EBF and to identify factors associated with improved EBF rates. Methods: As part of the evaluation of the Alive and Thrive interventional project in a Western area of Burkina Faso, we conducted a prospective cross-sectional survey in twelve villages randomly selected in the “Boucle du Mouhoun” region. The EBF-prevalence was calculated as the proportion of children who were exclusively breastfed. The factors associated with increased EBF-prevalence were identified using multivariable logistic regression models. The results were expressed as odds ratios (OR) and the corresponding 95% confidence intervals (95% CI) were constructed. Results: Overall, 157 mother-infant pairs were enrolled in the study. with an average of 13 pairs per village. The average age (±SD) of the babies at inclusion was 2.6 months (± 1.2), and 51.6% were girls. The average age (±SD) of the mothers was 27.7 years (± 7). Overall, 96.2% of mothers were married and 61% had no formal education. The EBF-prevalence rate was 66.2% (95% CI: 46.8-81.4) using the 24-hours recall period. The factors associated with improved EBF-rates were the intervention study arm (adjusted OR: 3.38, P =0.003) and the early initiation of EBF within 72 hours of delivery (adjusted OR: 10.95, P <0.001). Conclusion: This study clearly highlights the relevance of EBF promotion around the time of birth and the importance of early initiation of EBF within 72 hours of birth. A policy focused on these two practices should be implemented in rural areas of Burkina Faso.
| Published in | Central African Journal of Public Health (Volume 11, Issue 6) |
| DOI | 10.11648/j.cajph.20251106.14 |
| Page(s) | 364-371 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Exclusive Breastfeeding, Prevalence Rates, Risk Factors, Rural, Burkina Faso
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APA Style
Diallo, A. H., Bamouni, R. M., Ouattara, S., Diendere, J., Gare, J. V., et al. (2025). Prevalence and Associated Factors of Exclusive Breastfeeding in Rural Areas of Burkina Faso. Central African Journal of Public Health, 11(6), 364-371. https://doi.org/10.11648/j.cajph.20251106.14
ACS Style
Diallo, A. H.; Bamouni, R. M.; Ouattara, S.; Diendere, J.; Gare, J. V., et al. Prevalence and Associated Factors of Exclusive Breastfeeding in Rural Areas of Burkina Faso. Cent. Afr. J. Public Health 2025, 11(6), 364-371. doi: 10.11648/j.cajph.20251106.14
@article{10.11648/j.cajph.20251106.14,
author = {Abdoulaye Hama Diallo and Roseline Maimouna Bamouni and Seydou Ouattara and Jeoffray Diendere and Jocelyne Valerie Gare and Blaise Gnoumou and Souleymane Ouedraogo},
title = {Prevalence and Associated Factors of Exclusive Breastfeeding in Rural Areas of Burkina Faso
},
journal = {Central African Journal of Public Health},
volume = {11},
number = {6},
pages = {364-371},
doi = {10.11648/j.cajph.20251106.14},
url = {https://doi.org/10.11648/j.cajph.20251106.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20251106.14},
abstract = {Introduction: Child malnutrition remains a major public health threat in sub-Saharan Africa and is reported to be associated with half of child deaths in Burkina Faso. The World Health Organization recommends exclusive breastfeeding (EBF) as a major intervention to improve overall child nutritional status and survival for the first 6 months of life. The study objectives were to assess the prevalence rates of EBF and to identify factors associated with improved EBF rates. Methods: As part of the evaluation of the Alive and Thrive interventional project in a Western area of Burkina Faso, we conducted a prospective cross-sectional survey in twelve villages randomly selected in the “Boucle du Mouhoun” region. The EBF-prevalence was calculated as the proportion of children who were exclusively breastfed. The factors associated with increased EBF-prevalence were identified using multivariable logistic regression models. The results were expressed as odds ratios (OR) and the corresponding 95% confidence intervals (95% CI) were constructed. Results: Overall, 157 mother-infant pairs were enrolled in the study. with an average of 13 pairs per village. The average age (±SD) of the babies at inclusion was 2.6 months (± 1.2), and 51.6% were girls. The average age (±SD) of the mothers was 27.7 years (± 7). Overall, 96.2% of mothers were married and 61% had no formal education. The EBF-prevalence rate was 66.2% (95% CI: 46.8-81.4) using the 24-hours recall period. The factors associated with improved EBF-rates were the intervention study arm (adjusted OR: 3.38, P =0.003) and the early initiation of EBF within 72 hours of delivery (adjusted OR: 10.95, P <0.001). Conclusion: This study clearly highlights the relevance of EBF promotion around the time of birth and the importance of early initiation of EBF within 72 hours of birth. A policy focused on these two practices should be implemented in rural areas of Burkina Faso.
},
year = {2025}
}
TY - JOUR T1 - Prevalence and Associated Factors of Exclusive Breastfeeding in Rural Areas of Burkina Faso AU - Abdoulaye Hama Diallo AU - Roseline Maimouna Bamouni AU - Seydou Ouattara AU - Jeoffray Diendere AU - Jocelyne Valerie Gare AU - Blaise Gnoumou AU - Souleymane Ouedraogo Y1 - 2025/11/12 PY - 2025 N1 - https://doi.org/10.11648/j.cajph.20251106.14 DO - 10.11648/j.cajph.20251106.14 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 364 EP - 371 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20251106.14 AB - Introduction: Child malnutrition remains a major public health threat in sub-Saharan Africa and is reported to be associated with half of child deaths in Burkina Faso. The World Health Organization recommends exclusive breastfeeding (EBF) as a major intervention to improve overall child nutritional status and survival for the first 6 months of life. The study objectives were to assess the prevalence rates of EBF and to identify factors associated with improved EBF rates. Methods: As part of the evaluation of the Alive and Thrive interventional project in a Western area of Burkina Faso, we conducted a prospective cross-sectional survey in twelve villages randomly selected in the “Boucle du Mouhoun” region. The EBF-prevalence was calculated as the proportion of children who were exclusively breastfed. The factors associated with increased EBF-prevalence were identified using multivariable logistic regression models. The results were expressed as odds ratios (OR) and the corresponding 95% confidence intervals (95% CI) were constructed. Results: Overall, 157 mother-infant pairs were enrolled in the study. with an average of 13 pairs per village. The average age (±SD) of the babies at inclusion was 2.6 months (± 1.2), and 51.6% were girls. The average age (±SD) of the mothers was 27.7 years (± 7). Overall, 96.2% of mothers were married and 61% had no formal education. The EBF-prevalence rate was 66.2% (95% CI: 46.8-81.4) using the 24-hours recall period. The factors associated with improved EBF-rates were the intervention study arm (adjusted OR: 3.38, P =0.003) and the early initiation of EBF within 72 hours of delivery (adjusted OR: 10.95, P <0.001). Conclusion: This study clearly highlights the relevance of EBF promotion around the time of birth and the importance of early initiation of EBF within 72 hours of birth. A policy focused on these two practices should be implemented in rural areas of Burkina Faso. VL - 11 IS - 6 ER -