scholarly journals Non-exclusive breast feeding and its factors in the first 6-month life of infants among mother-infant pairs of 6–12 months in Debre Tabor town, Northwest Ethiopia, 2019: community-based cross-sectional study

Heliyon ◽  
2021 ◽  
Vol 7 (4) ◽  
pp. e06922
Author(s):  
Dejen Getaneh Feleke ◽  
Chanyalew Worku Kassahun ◽  
Tesfamichael G/Mariam W/mariam ◽  
Sheganew Fetene Tassaw ◽  
Ermias Sisay Chanie
2020 ◽  
Author(s):  
Dejen Getaneh Feleke ◽  
Chanyalew Worku Kassahun ◽  
Tesfamichael G/Mariam W/mariam ◽  
Sheganew Fetene Tassaw ◽  
Ermiase Sisay Chanie

Abstract BackgroundNon-exclusive breastfeeding is becoming major cause of infants and children morbidity and mortality in developing countries including Ethiopia. The magnitude of non-exclusive breast feeding and its factors is not addressed in the study area.ObjectiveTo assess the prevalence of non-exclusive breast feeding and its factors in the first 6 months life of infants among mother-infant pairs of 6 to 12 months in Debre Tabor Town, Northwest Ethiopia, 2019.MethodsA Community based cross sectional study was conducted among 860 mother-infant pairs of 6 to 12 months in Debre Tabor Town, from March 1-30/2019. To select study participants cluster sampling technique was employed. Data was entered into Epi info version 7.2.0.1, and exported to SPSS window version 20 for analysis. Binary and Multivariable logistic regression was used to see the association between dependent and independent variables. Odds ratio with 95% confidence interval was computed. P-value < 0.05 was used to declare association.ResultsThe prevalence of non-exclusive breastfeeding of mothers to their infants within the first 6 months was found to be 39.8% (95% CI: 36.6-43.0). Mothers whose husbands had no formal education (AOR=6.60 [95%CI: 4.14, 10.41), primary education (AOR=4.30 [95% CI: 2.62, 7.20]), Mothers governmental employed ((AOR=8.20 [(95% CI: 5.191, 12.940]), daily laborer (AOR=1.70 [95% CI: 1.01, 2.90], merchant mothers (AOR=0.44 [95% CI: 0.35, 0.90]),and Mothers who had no post-natal care follow up for current baby in health service (AOR=2.40 [(95% CI: 1.56, 3.76]) were significantly associated with Non-exclusive breastfeeding within the first 6 months.Conclusion and RecommendationsHigh proportion of mothers practiced non-exclusive breast feeding within the first 6 months. Husband’s had no formal education, primary education maternal governmental employed, daily laborer, merchant and mothers who had no post-natal follow up were predictors with outcomes in the study area. Hence; it is better to increase annual leave for delivered mothers, improve awareness of husbands towards benefits of introducing complementary feeding timely, and advice mothers to improve post-natal period follow up.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Zegeye Abebe ◽  
Degefaye Zelalem Anlay ◽  
Belete Biadgo ◽  
Asemarie Kebede ◽  
Tsedalu Melku ◽  
...  

Objective. To assess undernutrition and associated factors among children aged 6–59 months in Gondar Town, northwest Ethiopia. Methods. A community-based cross-sectional study was conducted in 2014. Multistage sampling method was used to select study participants. Structured interviewer administered questionnaire and anthropometric measurements were used. Binary logistic regression was fitted to identify associated factors. Results. The prevalences of wasting and stunting were 6.8% and 45.7%, respectively. Higher odds of wasting were observed among children whose fathers were daily laborers (AOR = 2.63), children who had eating problem (AOR = 2.96), and those who were not exclusively breast-fed for the first six months (AOR = 5.63). Similarly, higher odds of stunting were found among female children (AOR = 1.65), children who lived in households having four to six families (AOR = 2.14), and children who did not start breast-feeding within one hour of birth (AOR = 0.67). Conclusion. Childhood undernutrition was a significant problem. Child eating problem, paternal occupation, and exclusive breast-feeding were associated with wasting, whereas family size, child sex, and breast-feeding initiation time were associated with stunting. Therefore, strengthening of early initiation and exclusive breast-feeding, promoting healthcare seeking behavior, and designing social support programme for poor family are recommended to reduce undernutrition.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Maezu G/slassie ◽  
Zelalem Nigussie Azene ◽  
Abuhay Mulunesh ◽  
Tesfa Sewunet Alamneh

Abstract Background Colostrum is a yellowish and sticky breast milk produced in late pregnancy. Annually, 60% of 10.9 million under-five deaths globally are due to malnutrition. Of these, over two-thirds of the deaths are accounted by sub-optimal feeding practices in the first year of life, including colostrum discarding. However, evidence on the magnitude of colostrum avoidance and its associated factors at the community level is very limited in Ethiopia, particularly in the study area. Thus, this study aimed to assess the magnitude of colostrum avoidance and associated factors among mothers who gave birth in the last six months in Gozamen district, northwest Ethiopia, 2019. Methods A community-based cross-sectional study was conducted among 741 (741) mothers who gave birth in the last six months in Gozamen district from August 1 to September 12, 2019. A stratified cluster sampling technique was used to select the study participants. Data were collected by face-to-face interviewer-administered, pretested, and semi-structured questionnaire. Binary logistic regressions (bi-variable and multivariable) were fitted to identify statistically significant variables. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used to declare statistically significant variables on the basis of p-value < 0.05 in the multivariable binary logistic regression. Results This study indicated that the magnitude of colostrum avoidance was 22.1% (95% CI, 19.0, 25.2%). Mothers who did not get counseling on timely initiation of breast feeding (AOR = 3.91[95% CI, 1.98, 7.72]), not participate in pregnant woman forum (AOR = 2.59[95% CI, 1.30, 5.14]), initiate breast-feeding lately (more than 1 h) (AOR 2.27[95% CI, 1.18, 4.34]), and those having unfavorable attitude towards colostrum feeding (AOR = 7.35[95% CI, 3.89, 13.91]) were factors associated with the increased likelihood of colostrum avoidance. However, institutional delivery (AOR; 0.06[95% CI, 0.02, 0.19]) and prelacteal feeding (AOR; 0.10[95% CI, 0.05, 0.21]) were predictors associated with reduced likelihood of colostrum avoidance. Conclusion Colostrum avoidance is a common practice in the study area. Therefore, in order to reduce this practice, strengthening infant feeding counseling, promoting institutional delivery, timely initiation of breastfeeding, health education, and community advocating are recommended interventions. In addition, creating awareness on the benefits of colostrum feeding is very instrumental to tackle the practice of colostrum avoidance.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


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