scholarly journals Cessation of Exclusive Breastfeeding and Determining Factors at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Bayew Kelkay ◽  
Eshetie Kindalem ◽  
Animut Tagele ◽  
Yohannes Moges

Background. Exclusive breastfeeding (EBF) is the gold standard of infant feeding practice which lasts up to 6 months postpartum. Not all infants are exclusively breastfed in developing countries, including Ethiopia. This study, therefore, assessed the magnitude and determining factors of EBF cessation practice among mothers at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Method. Institutional-based cross-sectional study design using a systematic random sampling technique was applied to select 344 mothers of infants aged 9 months came for measles vaccination. Pretested structured questionnaire was used to collect the data. Data were entered, cleaned, and analyzed by using SPSS version 21. Independent variables with a P value of <0.05 indicated association. Result. The magnitude of cessation of EBF was 21.5% with 95% CI (17.24-25.76). Maternal age ≤ 19 years [AOR=5.53; 95% CI (1.07-28.57)], civil servants [AOR=4.73; 95% CI (2.20-10.19)], illiterate husbands [AOR=3.76; 95% CI (1.13-12.49)], primi-para [AOR=2.42; 95% CI (1.22-4.79)], no postnatal follow up [AOR=2.62; 95% CI (1.44-4.80)], and having poor knowledge on breastfeeding benefits and composition of breastmilk [AOR=3.15; 95% CI (1.56-6.35)] were independent factors significantly associated with cessation of EBF. Conclusion and recommendation. The magnitude of cessation of EBF was high. Maternal age, parity, employment status, postnatal follow-up, and breastfeeding knowledge as well as spouse literacy level were independent factors significantly associated with cessation of EBF. Our study provides further impetus for empowering young and primi-para with breastfeeding knowledge, an extension of maternity leave time, and support for breastfeeding at the workplace.

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


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.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Getachew Arage ◽  
Haileyesus Gedamu

Background. Exclusive breastfeeding for the first six months of life is recommended by the World Health Organization and United Nations Children’s Fund. However, the prevalence of exclusive breastfeeding is very low in many developing countries including Ethiopia.Objectives. The study was aimed at assessing the prevalence of exclusive breastfeeding practice and its associated factors among infants aged six months in Debre Tabor town.Methods. Community based cross-sectional study was conducted. Simple random sampling technique was employed in the selection of participants. Data were collected using pretested and structured questionnaire through face-to-face interview. Odds ratios with their 95% CI were computed and variables havingpvalue less than 0.05 in the multivariable logistic regression were considered as significantly associated with the dependent variable.Result. Of 470 mother-infant pair’s samples, 453 were included in the final analysis. The overall age appropriate rate of EBF practice was found to be 70.8%. Having an infant aged 2-3 months [AOR = 2.3 (95% CI: 1.12, 6.42)], giving birth in the health facility [AOR = 3.8 (95% CI: 2.18, 7.32)], being a house wife in occupation [AOR = 2.4 (95% CI (1.22, 6.92)], receiving counseling/advice on infant feeding [AOR = 2.1 (95% CI: 1.61, 5.41)], and colostrums feeding [AOR = 1.5 (95% CI: 1.28, 7.98)] were found to be significantly associated with EBF practice.Conclusion and Recommendations. A small proportion of infants are exclusively breastfed during the first 6 months. Promoting institutional delivery, revising the leave after birth, advice and counseling pregnant mothers about EBF, and enabling every mother to encourage colostrum feeding were recommended in order to increase the proportion of women practicing exclusive breastfeeding.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Amare Lisanu Mazengia ◽  
Hibru Demissie

Background. Exclusive breastfeeding is an important strategy for improving child health. However, the practice of exclusive breastfeeding among employees is very low in developing countries including Ethiopia. Objective. The objective of this study was to assess the knowledge and practice of employed mothers towards exclusive breastfeeding and its associated factors in Mecha district, Amhara Region, Northwest Ethiopia, 2019. Methods. A cross-sectional study was conducted from April 05 to June 30, 2019. A stratified random sampling technique was applied. Data were analyzed using statistical package for social sciences (SPSS) version 23 software. Multivariate logistic regression was used to determine predictors of knowledge and practice. Result. A total of 449 participants were enrolled with a response rate of 95.54%. The study revealed that 92.1% (95% CI: (89.5–94.6)) of participants had good knowledge. However, only 38.5% (95% CI: (33.8–42.9)) employed mothers breastfeed their babies exclusively. Certain predictors such as maternity leave (AOR = 0.31, 95% CI:(0.10–0.91), p value = 0.03), mothers’ level of education (AOR = 2.97, 95% CI: (1.66–5.34), p value <0.001), support from husbands(AOR = 0.26, 95% CI (0.14–0.47), p value <0.001), and actual time to return back to their work(AOR = 0.21; 95% CI: (0.08–0.51), p value = 0.01) were statistically associated with exclusive breastfeeding. Conclusions and Recommendations. The knowledge and practice of employed mothers towards exclusive breastfeeding were affected by the number of predictors. Exclusive breastfeeding practice among employed mothers was low. It is advisable to give some flexible working hours for breastfeeding mothers.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Kassa Mamo ◽  
Tizita Dengia ◽  
Abuzumeran Abubeker ◽  
Eden Girmaye

Background. The World Health Organization (WHO) recommends mothers worldwide to exclusively breastfeed infants for the child’s first six months to achieve optimal growth, development, and health. Even though appropriate feeding practice is the most cost-effective intervention to reduce child morbidity and mortality, exclusive breastfeeding practices in developing countries are still low. Objective. The objective of the study was to assess exclusive breastfeeding practice and associated factors among mothers in West Shoa zone. Methods. Community-based cross-sectional study design was conducted from May to December 2018 in the West Shoa zone, Ethiopia, among 710 mothers with 6–9-month-old infants. The multistage stage sampling technique was employed. A pretested structured interviewer-administered questionnaire was used to collect the data. Epi Info version 7.1.2.0 was used to enter the data, and we transferred to SPSS version 25 for analysis. The association between factors and the exclusive breastfeeding were analyzed with bivariate and multivariate logistic regression. Result. A total of 710 women were included with a response rate of 97.9%. The prevalence of unintended pregnancy was 38.7%, and only 65.35% of the respondents reported that they have exclusively breastfed for the first six months of their infant’s life. Marital status (AOR 2.467 (1.333–4.564)), ANC visit (AOR 2.562 (1.250–5.252)), pregnancy intentionality (AOR 4.727 (3.217–6.945)), postnatal care clinic attendance (AOR 3.373 (2.293–4.963)), and counseling on exclusive breastfeeding AOR 2.544 (1.239–5.225) were the factors associated with exclusive breastfeeding. Exclusive breastfeeding practice is still low and actions need to be taken like educating the community about the importance of exclusive breastfeeding using every accessible media. Maternal health service centers should provide counseling and education for women about breastfeeding.


2021 ◽  
Vol 7 (2) ◽  
pp. 69-75
Author(s):  
Fitriana Ritonga

Mother's Milk (ASI) is the only type of food that meets all the elements of a baby's physical, psychological, social and spiritual needs. Breast milk contains nutrients, hormones, insecurity, anti-allergy, and anti-inflammatory. Nutrients in breast milk include nearly 200 nutrients (Puspitasari, 2016). Exclusive breast milk is a baby who is only given breast milk, without the addition of other fluids such as formula milk, oranges, honey, tea water, water, and without the addition of solid foods such as bananas, papaya, milk porridge, biscuits, rice porridge, and team (Roesli, 2005). This research is a quantitative research using Correlative Descriptive design with an intermittent cross sectional approach. With a sample of respondents are mothers who have children aged 6 - 24 months, the sampling technique of this study is Accidental Sampling. Bivariate analysis used is Chi-square statistic. From the bivariate results there is no relationship between maternal age and the effectiveness of breastfeeding, there is no relationship between maternal age and the effectiveness of breastfeeding, there is a relationship between education and the effectiveness of breastfeeding, there is no relationship between education and the effectiveness of breastfeeding, there is a relationship between knowledge and the effectiveness of breastfeeding, there is no the relationship between parity with the effectiveness of breastfeeding. Suggestions from researchers For health workers to improve the quality of related health services continue to be improved, for mothers and families it is hoped that they can add information to families and the importance of researchers increasing the effectiveness of exclusive breastfeeding to increase infant life expectancy through exclusive breastfeeding, to increase knowledge about health, especially in health.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alex Yeshaneh ◽  
Meron Zebene ◽  
Molla Gashu ◽  
Haimanot Abebe ◽  
Habtemariam Abate

Abstract Background Internally displaced populations are susceptible to food deprivation. Specifically, children aged 6–23 are commonly vulnerable to poor complementary feeding. Proper complementary feeding is of paramount importance to the healthy growth and survival of a children. Therefore, this study aimed to assess the level of appropriate complementary feeding practices and associated factors among internally displaced children aged 6–23 months in northwest Ethiopia, 2020. Methods A community-based cross-sectional study was conducted from June to July 2020 among 264 internally displaced mothers of children 6–23 months in northwest Ethiopia. A systematic random sampling technique was used to reach the study subjects and data were collected using a structured and pre-tested interviewer-administered questionnaire. Data were entered into the Epi Data version 4.1 and analyzed using SPSS version 23. Binary and multivariable analyses with a 95% confidence level were performed. In the final model, variables with P < 0.05 were considered statistically significant. Results The overall level of appropriate complementary feeding practice was 26.8%. Only 14% of the mothers provided a diversified diet for their 6–23 months children. Child aged 6–11 months (AOR = 0.11, 95%; CI: 0.04–0.27), 12–17 months (AOR = 0.35, 95%; 95% CI: 0.17–0.70) and not having harmful culture on complementary feeding (AOR = 2.04; 95% CI: 1.06–3.96) were independent predictors of appropriate complementary feeding practices. Conclusion The level of appropriate complementary feeding practice was found to be low, which would have negative implications on the health and nutritional status of infants and young children. Additional rations for breastfeeding mothers and children aged 6–23 months at refugee camps and nutritional counseling on child feeding practices are recommended.


2020 ◽  
Vol 10 (1) ◽  
pp. 36-45
Author(s):  
Erna Julianti ◽  
Elni Elni

Background: Stunting is one of the priority nutritional issues in Indonesia. It is one of the chronic malnutrition effects in children which will have a long-term impact on the growth and cross-generation of mothers through the cycle of stunting syndrome.Purpose: This study aimed to identify the determinant factors of stunting in children aged 12-59 months.Methods: Quantitative research with a cross-sectional approach was employed in this study, involving 205 respondents recruited using a consecutive sampling technique. Data were collected using the z scores and questionnaires for children aged 12-59 months, food trust questionnaire, feeding practice questionnaire and child eating habits questionnaire. The Chi Square test and multivariable logistic regression were performed for the data analysis.Results: Children who were not exclusively breastfed and had major infectious disease had a higher risk of stunting for 53.8% and 40.9%, respectively. There was a significant relationship between the history of exclusive breastfeeding (p=0.001, OR=2.28), the history of infection (p=0.013, OR= 2.27), and eating habits (p=0.04, OR=1.55) with stunting in children.Conclusion: There is a relationship between the history of exclusive breastfeeding, the history of infection and eating habits of children with stunting. The formation of a peer group community of children aged 12-59 months is expected to prevent and overcome stunting and improve nutritional status and optimal development of the children.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Mengstu Melkamu Asaye ◽  
Tewodros Syoum Nigussie ◽  
Worku Mequannt Ambaw

Background. Implanon discontinuation closely related to higher rates of overall fertility rate, unwanted pregnancies, and induced abortion. This might have social and economic consequences. In Ethiopia the magnitude of early Implanon discontinuation and contributing factors is not well studied. Objective. To assess early Implanon discontinuation and associated factors among Implanon user women in Debre Tabor town, 2016. Methods. A facility based cross-sectional study was conducted from May 1 to August 2016 through face-to-face interview. A total of 449 Implanon user women were selected by systematic random sampling technique. Epi Info version 7 and SPSS version 20 were used for data entry and analysis, respectively. Factors associated with early Implanon discontinuation were analyzed using binary and multivariable logistic regression model. Variables with p value of <0.05 and 95% confidence interval were considered as statistically significant. Results. The overall proportion of early Implanon discontinuation among mothers was 65 % (95%, CI: 60.4%–69.5%). Having no children (AOR = 2.0, 95% CI = [1.3–4.5]), being not counseled for possible side effects (AOR = 1.50, 95% CI = [1.1–3.4]), having no appointment for follow-up (AOR = 2.6, 95% CI = [1.2–4.3]), and having developing side effects (AOR = 1.7, 95% CI = [1.5–4.4]) were found to be statistically significant factors associated with early Implanon discontinuation. Conclusion and Recommendation. Early Implanon discontinuation among mothers was found to be high. Hence, counseling about Implanon side effects and appointment for follow-up of Implanon users should be made to increase Implanon retention.


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