Knowledge, Attitude and Practice of Exclusive Breastfeeding Among Mothers in Ife East Local Government Area, Ile Ife, Osun State. Nigeria

Background: Exclusive breastfeeding (EBF) is a critical public health intervention for improving maternal and child health outcomes. This study evaluated the knowledge, practices, and challenges regarding EBF among mothers in the Ife East Local Government Area (LGA), Osun State. Methodology: A cross-sectional survey was conducted among 200 respondents. Data were collected via structured questionnaires administered across various residential areas, including Ita Osa (10.5%) and Ifelodun (9.5%). Statistical analysis was performed to determine the relationship between geographic area and access to healthcare. Results: The majority of participants were aged 20–24 years (33.5%), married (79.5%), and of Yoruba ethnicity (80.5%). Approximately 49.0% held tertiary education qualifications. Access to medical facilities varied significantly by area (x2=32.971, p=0.002), with Ita Osa reporting the highest easy access (10.5%). Regarding knowledge, 48.5% of mothers believed EBF should last 3–6 months, while 40.5% correctly identified the 6-month standard. Healthcare providers were the primary source of EBF information (46.0%). The most recognized benefits included boosting the child's immune system (62.5%) and reducing the mother's risk of breast cancer (74.5%). However, significant barriers persist, notably inadequate nutrition supply (37.0%), pain/discomfort (28.0%), and the return to work (27.5%). Respondents identified emotional support (38.5%) and education (35.5%) as the most desired forms of assistance from family and providers. Conclusion: While there is a high level of awareness regarding the benefits of EBF in Ife East LGA, there remains a gap in precise knowledge regarding its recommended duration. Addressing physiological challenges like nutrition and structural barriers, such as workplace re-entry, is essential to improving EBF rates.