Consent form

PROJECT TITTLE: FACTORS INFLUENCING THE PRACTICE OF EXCLUSIVE

BREASTFEEDING AMONG NURSING-MOTHERS ATTENDING MODEL
PRIMARY HEALTH CENTRE, OZUOBA, RIVERS STATE, NIGERIA.

I. ................................................................. , hereby voluntarily consent to participate in

the following research project: FACTORS INFLUENCING THE PRACTICE OF

EXCLUSIVE BREASTFEEDING AMONG NURSING-MOTHERS ATTENDING
MODEL PRIMARY HEALTH CENTRE, OZUOBA, RIVERS STATE, NIGERIA.

I understand that information will only be used for research purposes.

I realized that the research objectives are:

1. To identify demographic factors that influence the practice of exclusive breastfeeding

among nursing mothers.
2. To determine socio-cultural factors influencing the practice of exclusive breastfeeding
among nursing mothers.
3. To ascertain the impact of mothers’ attendance to clinic on their practice of exclusive
breastfeeding.

That, Any questions that I may have regarding the research or related matters

will be answered by the researcher.

That, If I have any questions about, or problems regarding the study, or the

experience undesirable effects, I may contact the researcher.

That, Participation in the study is voluntary and I can withdraw my participation at any stage.

SIGNATURE OF RESEARCH PERSON............................................................

SIGNATURE OF WITNESS.............................................................................

SIGNATURE OF THE RESEARCHER..............................................................

Signed at ...............................on this...............day of. ...............2023