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Scholars Journal of Medical Case Reports | Volume-14 | Issue-04
Study of the Determinants of Exclusive Breastfeeding: Cultural Specificities and Field Reality in Laayoune
FADIL. A, LABHAIRI. S, REGUIG.A
Published: April 8, 2026 |
41
27
Pages: 640-646
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Abstract
Background: Exclusive breastfeeding (EBF) remains one of the most effective interventions for reducing infant morbidity and mortality. However, EBF rates remain insufficient in several regions of Morocco, particularly in the southern provinces where the determinants of this practice are still poorly documented. The Laâyoune region presents a unique socio-cultural context, shaped by Saharan traditions, which could influence maternal breastfeeding practices. Objective: The objective of this study is to assess the prevalence of exclusive breastfeeding among mothers consulting in health centers in Laâyoune and to identify the main constraints reported by mothers that hinder its practice. Methods: A cross-sectional study was conducted among mothers of infants aged 6 to 18 months. Information was collected via a standardized questionnaire and then analyzed using multivariate logistic regression to identify factors independently associated with anorexia nervosa. Results: The prevalence of early breastfeeding is 42%, a rate higher than the national average reported in 2018 (35%), but still below the global target (70% by 2030). Factors positively associated with early breastfeeding include skin-to-skin contact, early initiation of breastfeeding, prenatal counseling on breastfeeding, and knowledge of its recommended duration. Cesarean section and early return to labor appear to be unfavorable factors. Conclusion: These results underscore the need to strengthen the continuum of mother-infant care and breastfeeding support strategies tailored to the cultural realities of Morocco's southern provinces. The systematic integration of breastfeeding-friendly practices in healthcare facilities, along with the adoption of social policies that facilitate work-maternity balance, are key levers for improving the health of future generations.


