Table 1.
Summary of the characteristics of studies
| Author(s) and country | Aim | Sample size | Design | Methods/instrument | QA |
|---|---|---|---|---|---|
|
Wolde et al. [26] 2014 Ethiopia |
To determine the KAP related to EBF among lactating women in Bedelle town, Southwestern Ethiopia | 220 | Descriptive Cross-Sectional Study | The questionnaire that was used to assess the KAP with structure interviewer | 7/10 |
|
Jino et al. [27] 2013 Rwanda |
To assess the KAP of urban refugee women regarding the EBF in order to promote its practice among this group of population and increase the number of women who adhere to it for improving the development of their children. | 90 | Descriptive cross-sectional study | The questionnaire that was used to determine the KAP | 6/10 |
|
Girard et al. [28] 2012 Kenya |
To investigate associations between indicators of food insecurity and attitudes and beliefs about EBF. | 148 | Cross-sectional quantitative and qualitative | Mixed methods’ to collect a combination of qualitative and quantitative data through focus group discussion and interviews with structured and open-ended r responses. | 7/10 |
|
Mohamed et al. [29] 2018 Kenya |
To compare the KAP on EBF between primiparous and multiparous mothers attending Wajir County Hospital, Kenya, and investigated the association between maternal KA and EBF. | 281 | Cross-sectional comparative study |
The researcher and research assistants administered the questionnaire to the sampled women in a one-time face to face interview with each mother at the MCH clinic at the hospital, |
8/10 |
|
Alamirew et al. [30] 2017 Ethiopia |
To assess KA towards EBF among mothers attending antenatal care and immunization clinic in Dabat Health Center, Northwest Ethiopia, 2016. | 384 | Descriptive cross-sectional | A questionnaire was collected by using pretested, structured interview to assess knowledge and attitude towards EBF among mothers | 6/10 |
|
Adrawa et al. [31] 2018 Uganda |
To assess information on the level of KA of EBF among breastfeeding mothers in the Adjumani District in the West Nile Region of Uganda. | 385 | Descriptive cross-sectional | Interviewer administered survey questionnaires were used to collect quantitative data. | 5/10 |
|
Petit et al. [32] 2010 Uganda |
To assess the perception and knowledge on EBF practice among mothers attending antenatal and infant follow up clinics in Mbarara hospital, Uganda in August 2008 | 203 | Descriptive Cross-sectional study. | The use of a self-administered structured questionnaire. | 3/10 |
|
Asfaw et al. [33] 2015 Ethiopia |
To investigate the KAP towards EBF among mothers who have children aged below 12 months and to determine factors influencing EBF practice. | 634 | Cross-sectional community- based survey | The data were collected using an interview method by pretested questionnaires to investigate the KAP | 7/10 |
|
Nkala et al. [34] 2011 Tanzania |
To assess the prevalence of EBF and its predictors in the Kigoma Municipality, Western Tanzania. | 402 | Cross-sectional study | A questionnaire was used to gather information on demographic characteristics, knowledge of EBF, infant feeding practices, and HIV status. | 6/10 |
|
Gewa et al. [35] 2016 Kenya |
To determine the relationships among mothers’ knowledge, outcome expectancies, normative beliefs, and cessation of EBF in rural Kenya. | 400 | Cross-sectional study | A questionnaire consisting of both closed and open-ended questions to assess breastfeeding KP of EBF, outcome expectancies, social norms, and household socio-economic status and demographics as detailed below. | 5/10 |
|
Bayissa et al. [36] 2015 Ethiopia |
To examine the KP of women and identify associated factors towards EBF | 403 | Cross-sectional study | The interviewer-administered the questionnaire to examine KP. | 6/10 |
|
Wana et al. [37] 2017 Ethiopia |
To examine the KAP on EBF of childbearing women in Boditi town, Southern Ethiopia | 351 | Cross-sectional study | The data was collected using an interview administered questionnaire with close-ended types of the question by face to face interviews with participants. | 6/10 |
|
Ballo et al. [38] 2016 Ethiopia |
To investigate the KAP and determinant factors of EBF on point in time data collection from women attended their last delivery in the health facility. | 375 | Cross-sectional study | Interviewed through the phone through structured questioner to assess KAP | 5/10 |
|
Tadele et al. [39] 2016 Ethiopia |
To examine KAP towards EBF among breastfeeding women in Mizan Aman town, South West Ethiopia | 350 |
Descriptive cross-sectional Study |
Structured interviewer-administered questionnaire using ‘recall since birth’ method was conducted in April 2015to assess KAP | 5/10 |
|
Warillea et al. [40] 2017 South Sudan |
To determine the KP and identify factors affecting the success of EBF during their babies first 6 months among women with infants now aged between 9 and 12 months attending the immunization and the outpatient clinics at Al-Sabah Hospital, Juba | 384 | Cross-sectional descriptive | A questionnaire was used to obtain information on socio-demographic status, birth-related events, KP to EBF, sources of breastfeeding education, and family support. | 5/10 |
| Shirima et al. [41] 2001, Tanzania | To identify factors related to early infant feeding practices | 640 | Cross-sectional study |
Data were collected using structured and interviewer administered questionnaire |
5/10 |
KAP: Knowledge, Attitude, and Practice; KP: Knowledge and Practice KA: Knowledge and Attitude; EBF: Exclusive Breastfeeding, QA: Quality Assessment