Rwanda Medical Journal
Rwanda Health Communication Center - Rwanda Biomedical Center (RHCC - RBC)
Vol. 78, No. 1, 2021, pp. 38-46
Bioline Code: rw21006
Full paper language: English
Document type: Research Article
Document available free of charge
Rwanda Medical Journal, Vol. 78, No. 1, 2021, pp. 38-46
© Copyright 2021 - The Author(s)
Predictors of Exclusive Breastfeeding Practice in Urban Kigali, Rwanda – A Cross-Sectional Study|
Rutagumba, D.; Hitayezu, J. & Kalimba, E.
BACKGROUND: Children face many health challenges during the early period of life and are
prone to nutritional deficiency disorders and infectious diseases such as diarrhea and respiratory
infections. Exclusive breastfeeding for the first six months-of-life is one way of fighting against
them, but the factors influencing the duration of exclusive breastfeeding are not well known in
Our study aimed at evaluating predictors of exclusive breastfeeding in urban mothers.
METHODS: A cross-sectional study was undertaken in five health facilities (two tertiary and two
district hospitals and one health center) located in Kigali, the capital city of Rwanda. Participants
were mothers of infants aged 6-12 months recruited over two months between December
2018 and January 2019. Multivariate logistic regression was undertaken to determine factors
associated with exclusive breastfeeding.
RESULTS: A total of 221 mothers were included and 56% of them reported exclusively breastfeeding
their babies for the first six-months-of-life. Breastfeeding initiation within the first hour of life
was at 80%. Employment, breast milk expression, single gestation, exclusive breastfeeding plan
and breast milk supplementation were factors found to be significantly associated with exclusive
CONCLUSION: Exclusive breastfeeding for the first six months-of-life is suboptimal in Kigali.
Support and education about breastfeeding of expectant parents and after delivery are essential.
Further studies to determine suitable interventions for different environments like workplaces
Predictor; Exclusive; Breastfeeding; Infant; Urban; Rwanda; Infant.
Alternative site location: http://www.rwandamedicaljournal.org