[Factors associated to the cessation of exclusive breastfeeding in rural and urban areas in Mali] / Facteurs associés à la cessation de l'allaitement maternel exclusif en milieux rural et urbain au Mali.

INTRODUCTION: The study had for object to identify factors associated to the cessation of the exclusive breast-feeding at the mothers of children from 0 to 6 months in the urban and rural circles in Mali. METHOD: The study was longitudinal forward-looking, realized in Bamako (urban area) and in Dialakoroba (rural area) from April till November, 2016. in total, 218 mothers were enlisted (114 by area) in a voluntary way in health centers. A monthly follow-up of six months was realized in the place of residence. The SPSS 20 software was used for the seizure and the data analysis. The expected event was to give to the child another food than maternal milk. Test statistics such as Chi2 of Log Rank and Hazard Ratio (HR) were used with threshold of meaning p ≤ 0,05. RESULTS: In urban zones and rural respectively 68,5 % and 71,5% of the mothers had stopped the Exclusive Breast-feeding (EBF) before six months. Factors associated to this cessation of the EBF were: the use of the feeding-bottle (HR=2,61; IC 95%: [1,46-4,48]), the care of the child during less than three months as main occupation (HR=3,18; IC 95%: [1,95-5,20]), the support for the mother during less than three months (HR=3,79; IC 95%: [2,31-6,22]), the advice(council) on the EBF (HR=0,64; IC 95%: [0,46-0,98]) and the experience (experiment) of breastfeeding (HR=0,34; IC 95%: [0,15-0,84]). CONCLUSION: The consideration of the identified factors(mailmen) will allow to improve the practice of the EBF in six months in the sites of the study.

[Factors associated with exclusive breastfeeding among mothers of children 24 months in Bamako]. / Facteurs associés à l'allaitement maternel exclusif chez les mères d'enfants de 24 mois à Bamako.

OBJECTIVE: The aim of our study was to examine the factors associated with exclusive breastfeeding in the city of Bamako. METHODS: It was a cross sectional and quantitative study. It was held from March 03 to April 14, 2013 in Bamako. Mothers of children 24 months not having reached their third birthday constituted the study population. Two-stage random sampling was used to interview them using a questionnaire. The data analysis using logistic regression was performed with Epi 2000 version 3.5.1. RESULTS: The study interviewed 362 mothers. The average age of mothers and of the duration of breastfeeding were 26.86 +/- 6.44 years and 19.22 +/- 3.28 months, respectively. Approximately 92% of mothers were married, 30.7% had practiced exclusive breastfeeding, 22.9% breastfed in the 30 minutes following birth and 29% of mothers breastfed to at least 24 months. However, we observed an association between exclusive breastfeeding and the practice of breastfeeding in the 30 minutes following birth, and education. CONCLUSION: We have identified modifiable factors for improving the practice of exclusive breastfeeding in Bamako.