📖 ABSTRACT/OVERVIEW
Exclusive breastfeeding for the first six months of life is globally endorsed as the optimal infant feeding strategy, yet uptake remains below target levels in many parts of Northern Nigeria. This study assessed knowledge, attitude, and practice of exclusive breastfeeding among nursing mothers in Gusau, Zamfara State, North West Nigeria. A descriptive cross-sectional design was used, with 220 nursing mothers with infants aged zero to six months recruited from four primary healthcare centres. Structured questionnaires with validated subscales for knowledge, attitude, and practice were administered. Data were analysed using descriptive statistics, chi-square tests, and logistic regression. Results showed that while the majority of respondents had heard of exclusive breastfeeding, knowledge of its correct definition and recommended duration was poor. Attitudes toward exclusive breastfeeding were moderately positive, though traditional beliefs favouring early introduction of water and herbal supplements were common. Actual practice of exclusive breastfeeding was low, with less than 25 percent of respondents adhering to the six-month recommendation. Maternal education, healthcare worker counselling, and spouse support were significant predictors of exclusive breastfeeding practice. The study recommends strengthened lactation counselling at antenatal and postnatal care contacts, as well as community sensitisation of family members and spouses in Zamfara State. Keywords: exclusive breastfeeding, knowledge, attitude, practice, Zamfara State
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