Assessment of Maternal Knowledge on Exclusive Breastfeeding Practices at Primary Health Care Centres in Kano Municipal

Background: Exclusive breastfeeding for the first six months of life remains the most effective intervention for reducing infant morbidity and mortality. However, uptake in urban settings of North West Nigeria remains below national targets. Aim: This study assessed the level of maternal knowledge regarding exclusive breastfeeding at selected primary health care centres in Kano Municipal Local Government Area. Methods: A descriptive cross-sectional design was adopted. One hundred and twenty mothers attending postnatal and child welfare clinics were recruited through systematic random sampling. A structured interviewer-administered questionnaire served as the data collection tool. Data were analysed using SPSS version 25 with frequency distributions and chi-square tests. Results: Fifty-eight percent of respondents demonstrated adequate knowledge of exclusive breastfeeding benefits and recommended duration. However, 47% reported early introduction of complementary feeds due to perceived breast milk insufficiency and cultural practices. Educational attainment and receipt of antenatal counselling were significantly associated with knowledge levels. Conclusion: Targeted breastfeeding education, incorporating cultural sensitivity and male partner engagement, is essential to improve exclusive breastfeeding uptake in Kano. Keywords: exclusive breastfeeding, maternal knowledge, Kano, infant nutrition, primary health care.