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Table 1 Summary of the characteristics of studies

From: Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review

Author(s) and country Aim Sample size Design Methods/instrument QA
Wolde et al. [26] 2014
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
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,
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
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
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
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
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
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
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
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
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
To examine KAP towards EBF among breastfeeding women in Mizan Aman town, South West Ethiopia 350 Descriptive cross-sectional
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
  1. KAP: Knowledge, Attitude, and Practice; KP: Knowledge and Practice KA: Knowledge and Attitude; EBF: Exclusive Breastfeeding, QA: Quality Assessment