Sub-Saharan Africa faces growing risks to maternal and child health from heatwaves,
exacerbated by climate change. In places like North-Eastern Nigeria, with high temperatures
and inadequate health services, environmental and socio-cultural factors can influence optimal
infant feeding by nursing mothers. This research explores the sociological effects of heatwaves
on exclusive breastfeeding (EBF) for nursing mothers in North-Eastern Nigeria. The study used
a descriptive cross-sectional survey design with nursing mothers who visited primary health
care clinics. The study used structured questionnaires to elicit information on knowledge,
attitudes and practices of breastfeeding during periods of high heat. Data were analysed using
descriptive and inferential statistics. Results suggest that breastfeeding practices are strongly
affected by heatwaves through behavioural and socio-cultural pathways. Many mothers
reported supplementing with water or other feedings during hot weather due to infant
dehydration. Research indicates that exposure to heat decreases the frequency of breastfeeding
due to discomfort, fatigue and increased physical demands. Parents' cultural beliefs and family
pressure were found to play an important role in feeding choices. The study's results are
consistent with other research in sub-Saharan Africa that shows elevated ambient temperature
affects infant feeding and maternal care. This research calls for climate-responsive maternal
health strategies, including educational interventions to counter myths on infant dehydration
and increased support for breastfeeding mothers during heatwaves. Enhancing community
health education and incorporating climate change considerations into maternal health
interventions are essential to promote exclusive breastfeeding in North-Eastern Nigeria.