Breastfeeding Practices and Experiences Among Working Mothers: A Case Study of Teachers and Nurses in Uganda
References
- Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, Barros AJ, Bégin F et al. Breastfeeding: crucially important, but increasingly challenged in a market-driven world. Lancet. 2023;401(10375):472-85. https://doi.org/10.1016/S0140-6736(22)01932-8
- Aggarwal R, Garg P, Verma M, Bindal P, Aditi A, Kaur I, et al. Decadal trends in the exclusive breastfeeding practices among working Indian mothers: a multi-level analysis. Int Breastfeed J 2024;19:83 https://doi.org/10.1186/s13006-024-00695-0
- World Health Organisation. Geneva. Breastfeeding [Internet]. 2023 [cited: 2024 Oct 2] [updated 2025]. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_1
- WHO. Infant and young child feeding. Key facts. 2023 [Cited 25 June 2025] Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
- UNICEF. Convention on the rights of the child. For every child, every right [Internet]. [cited 2025 Mar 20] Available from: https://www.unicef.org/child-rights-convention
- World Health Organisation, Geneva. Infant and young child feeding [Internet]. Key facts. 2023 Dec 20 [cited 2023 Dec 20] [updated 2025] Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
- Olapeju B, Bride M, Wamala M, Atobrah D, Lee EH, Hendrickson ZM. Antenatal care and breastfeeding practices in Sub-Saharan Africa: an analysis of demographic and health surveys. BMC Pregnancy and Childbirth. 2025;25(1):77. https://doi.org/10.1186/s12884-025-07188-w
- Otim ME, Omagino EK, Almarzouqi A, Rahman SA, Asante AD. Exclusive breastfeeding in the first six months: findings from a cross-sectional survey in Mulago hospital, Uganda. African Health Sci, 2022:22(2), 535-44. https://doi.org/10.4314/ahs.v22i2.62
- Mohammed S, Yakubu I, Fuseini AG, Abdulai AM, Yakubu YH. Systematic review and meta-analysis of the prevalence and determinants of exclusive breastfeeding in the first six months of life in Ghana. BMC Public Health. 2023;23(1):
92023, 920 . https://doi.org/10.1186/s12889-023-15758-w - Gyamfi A, Jefferson UT, O’Neill B, Lucas R, Spatz DL, Henderson WA. Disparities in 6 Month exclusive breastfeeding in Ghana, Africa: a scoping review. J Human Lactation. 2023;39(3):456-67. https://doi.org/10.1177/08903344221130988
- Asiimire A, Katushabe E. Prevalence of exclusive breastfeeding and associated factors among young women attending Mbarara Municipal Council Health Centre IV. Student’s J Health Res Africa. 2021:2(6);11. https://doi.org/10.51168/sjhrafrica.v2i6.49
- Uganda Bureau of Statistics Uganda demographic and health survey. 2022 [Internet]. 2023 [
cited 2025 Aug 25 ] Kampala, Uganda: UBOS. Available from: https://www.unicef.org/uganda/media/16731/file/UDHS-2022-Report.pdf.pdf - Kimuli D, Nakaggwa F, Namuwenge N, Nsubuga RN, Isabirye P, Kasule K, et al. Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda. Int Breast J. 2023:18(1):66. https://doi.org/10.1186/s13006-023-00604-x
- Global nutritional report, Uganda. 2025 [
cited 2025 July 20 ]. The burden of malnutrition at a glance [Internet]. Available from: https://globalnutritionreport.org/resources/nutrition-profiles/africa/eastern-africa/uganda/ - WHO,2025. Global nutrition targets 2025: policy brief series,2014 [Internet]. Available from: https://www.who.int/publications/i/item/WHO-NMH-NHD-14.2
- Maniragaba VN, Atuhaire LK, Rutayisire PC. Undernutrition among the children below five years of age in Uganda: a spatial analysis approach. BMC Public Health. 2023;23:390 https://doi.org/10.1186/s12889-023-15214-9
- UNICEF, Uganda. 2025. Nutrition. Scaling up high impact nutrition interventions [Internet]. Available from: https://www.unicef.org/uganda/what-we-do/nutrition
- Herman B, Pongpanich S, Viwattanakulvanid P. National health insurance impact on malnutrition in under-five years old children in Indonesia. Europ J Public Health. 2020 Sep;30(
Supplement_5 ):ckaa166-1392 . https://doi.org/10.1093/eurpub/ckaa166.1392 - Abekah-Nkrumah G, Antwi MY, Nkrumah J, Gbagbo FY. Examining working mothers’ experience of exclusive breastfeeding in Ghana. Int Breast J. 2020;15:1-0. https://doi.org/10.1186/s13006-020-00300-0
- Bernard JY, Cohen E, Kramer MS. Breast feeding initiation rate across Western countries: does religion matter? An ecological study. BMJ Global Health. 2016;1(4):
e000151 . https://doi.org/10.1136/bmjgh-2016-000151 - Chaabna N, Mahfoud ZR, Letourneau N, Forgrave D, White D. Muslim women’s attitudes toward infant feeding in Qatar: an exploration using the Iowa infant feeding attitude scale. Midwifery. 2022;114:
103470 . https://doi.org/10.1136/bmjgh-2016-000151 - Nabunya P, Mubeezi R, Awor P. Prevalence of exclusive breastfeeding among mothers in the informal sector, Kampala Uganda. PLoS ONE, 2020;15(9):
e0239062 . https://doi.org/10.1371/journal.pone.0239062 - World Bank, 2025. Pupil-teacher ratio. Primary. Available from: https://data.worldbank.org/indicator/SE.PRM.ENRL.TC.ZS
- Teachers and Teaching in Uganda. The Uganda school project. 2025. The challenges facing teaching in Uganda. Available from: https://www.theugandaschoolproject.com/blog/teachers-and-teaching-in-uganda
- UNESCO & International Task Force on Teachers for Education 2030. 2024. Global report on teachers: addressing teacher shortages and transforming the profession [Internet]. Paris: UNESCO.
- Kubuga CK, Tindana J. Breastfeeding environment and experiences at the workplace among health workers in the upper east region of Ghana. Int Breast J. 2023;18(31). https://doi.org/10.1186/s13006-023-00565-1
- Parliamentary Committee on Gender, Labour and Social Development. [Internet] Parliament of Uganda, Kampala. Bill Progress. The Employment (Amendment) Bill. Object of the bill. 2022 [
cited 17 July 2025 ]. - Robertson L, Nyamurungi KN, Gravely S, et al. Implementation of 100% smoke-free law in Uganda: a qualitative study exploring civil society’s perspective. BMC Public Health. 2018;18(927). https://doi.org/10.1186/s12889-018-5869-8
- McNabb K; Barugahara TK, Kavuma SN The dynamics of formal employment during and after the COVID-19 pandemic in Uganda, WIDER Working Paper, No. 2023/150, ISBN
978-92-9267-458-8 , The United Nations University World Institute for Development Economics Research (UNU-WIDER), Helsinki, https://doi.org/10.35188/UNU-WIDER/2023/458-8 - Wallenborn JT, Perera RA, Wheeler DC, Lu J, Masho SW. Workplace support and breastfeeding duration: the mediating effect of breastfeeding intention and self-efficacy. Birth. 2019;46(1),121-8. https://doi.org/10.1111/birt.12377
- Tangsuksan P, Ratinthorn A, Sindhu S, Spatz DL, Viwatwongkasem C. Factors influencing exclusive breastfeeding among urban employed mothers: a case-control st. Pacific Rim Int J Nurs Res. 2020;24(1):54-72. Available from: https://he02.tcithaijo.org/index.php/PRIJNR/article/view/169846
- Al-Katufi BA, Al-Shikh MH, Al-Hamad RF, Al-Hajri A, Al-Hejji A. Barriers in continuing exclusive breastfeeding among working mothers in primary health care in the ministry of health in Al-Ahsa region, Saudi Arabia. J Family Med Prim Care 2020;9:957-72 https://doi.org/10.4103/jfmpc.jfmpc_844_19
- Litwan K, Tran V, Nyhan K, Pérez-Escamilla R. How do breastfeeding workplace interventions work?: a realist review. Int J Equity Health, 2021;20(1):1-25. https://doi.org/10.1186/s12939-021-01490-7
- Mgongo M, Hussein TH, Stray-Pedersen B, Vangen S, Msuya SE, Wandel M. Facilitators and barriers to breastfeeding and exclusive breastfeeding in Kilimanjaro region, Tanzania: a qualitative study. Int J Peds. 2019(1):
8651010 . https://doi.org/10.1155/2019/8651010 - Maponya N, van Rensburg ZJ, Du Plessis-Faurie A. Understanding South African mothers’ challenges to adhere to exclusive breastfeeding at the workplace: a qualitative study. Int J Nurs Sci. 2021;8(3):339-46. https://doi.org/10.1016/j.ijnss.2021.05.010
- Olkaba BF, Alemayahu AA, Dukale YH, Yote NY, Wolde AI, Tura MR, et al. Understanding perceptions and practices of mothers toward infant and young child feeding in Toke Kutaye districts: community-based qualitative study. Nutrition. 2024;126:
112508 . https://doi.org/10.1016/j.nut.2024.112508 - Mgongo M, Ickes SB, Leyaro BJ, Mboya IB, Grounds S, Seiger ER, et al. Early infant feeding practices among women engaged in paid work in Africa: a systematic scoping review. Advances in Nutrition. 2024;15(3):
100179 . https://doi.org/10.1016/j.advnut.2024.100179 - Mkono N, Chirande L, Moshiro R, Noorani M. Factors associated with exclusive breast feeding among mothers in formal employment in Dar es Salaam, Tanzania: a cross-sectional study. BMJ Open. 2024;14(11):
e091993 . https://doi.org/10.1136/bmjopen-2024-091993
DOI: https://doi.org/10.15566/cjgh.v12i3.441 | Journal eISSN: 2167-2415
Language: English
Page range: 21 - 33
Submitted on: Mar 20, 2025
Accepted on: Jul 23, 2025
Published on: Nov 4, 2025
Published by: Global Health Institute at William Carey International University
In partnership with: Paradigm Publishing Services
Keywords:
© 2025 Emmanuel Otieno, Stella Asayo, Teopista Agutu, Josephine Namyalo, published by Global Health Institute at William Carey International University
This work is licensed under the Creative Commons Attribution 4.0 License.