scholarly journals Attitude and Practice Towards Exclusive Breast Feeding and Its Associated Factors Among HIV Positive Mothers in Southern Ethiopia

2015 ◽  
Vol 3 (2) ◽  
pp. 105 ◽  
Author(s):  
Kassa Eshetu Modjo
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Southern Ethiopia ◽  
Hiv Positive ◽  
Exclusive Breast Feeding ◽  
Attitude And Practice ◽  
Hiv Positive Mothers

scholarly journals Exclusive Breast-Feeding Practice and Associated Factors among HIV-Positive Mothers in Governmental Health Facilities, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Lewam Mebratu ◽  
Selamawit Mengesha ◽  
Yadessa Tegene ◽  
Abraham Alano ◽  
Alemayehu Toma
Keyword(s):  
Infant Feeding ◽  
Exclusive Breastfeeding ◽  
Associated Factors ◽  
Infant Feeding Practice ◽  
Southern Ethiopia ◽  
Hiv Positive ◽  
Feeding Practice ◽  
Mixed Feeding ◽  
Hiv Positive Mothers ◽  
Mother To Child

Introduction. Globally, over 90% of HIV infections among children are due to mother-to-child transmission and breastfeeding accounts for 5–20% of the burden. Avoidance of inappropriate feeding practices and practicing exclusive breastfeeding is recommended to reduce mother-to-child HIV transmission, but it is hardly practiced. The aim of this study was to determine the prevalence of exclusive breastfeeding practice and associated factors among HIV-positive mothers attending governmental PMTCT clinics in Southern Ethiopia. Methods. An institution-based cross-sectional study was conducted from April to May 2019. The participants of the study were 209 HIV-positive mothers at the selected PMTCT sites. The study subjects were drawn from 10 health institutions located at 6 towns in Southern Ethiopia which constituted six hospitals and four health centers. Quantitative data were collected using the pretested structured questionnaire. Logistic regression analysis was used to determine the association between the predictors and outcome variable. Results. Among the 209 participants, 81.6% (95% CI: 75.8–86.5) practiced exclusive breastfeeding and 18.4% (95% CI: 13.5–23.7) practiced mixed feeding. Mothers who had attended the recommended four antenatal visits [AOR: 3.01, 95% CI (1.1–8.28)], who had disclosed their serostatus [AOR: 3.17, 95% CI (1.12–8.99)], who had sufficient knowledge about infant feeding practice [AOR: 3.32, 95% CI (1.15–9.55)], and favorable attitude towards infant feeding practice [AOR: 5.39, 95% CI (1.65–17.6)] were more likely to practice exclusive breastfeeding. Conclusion. Exclusive breastfeeding was predominantly practiced. But mixed feeding was also being practice considerably. Improving maternal knowledge and attitude towards appropriate infant feeding practice through appropriate counseling on ANC visits could significantly improve EBF practice. It was also evident that promoting disclose of serostatus could empower the mothers to make an informed decision on how to appropriately feed their newborn.

scholarly journals Effect of an integrated community-based package for maternal and newborn care on feeding patterns during the first 12 weeks of life: a cluster-randomized trial in a South African township

2015 ◽  
Vol 18 (14) ◽  
pp. 2660-2668 ◽  
Author(s):  
Petrida Ijumba ◽  
Tanya Doherty ◽  
Debra Jackson ◽  
Mark Tomlinson ◽  
David Sanders ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Health Workers ◽  
Cluster Randomized Trial ◽  
Household Wealth ◽  
Formula Feeding ◽  
Hiv Positive ◽  
Community Based ◽  
Exclusive Breast Feeding ◽  
Hiv Positive Mothers ◽  
Cluster Randomized

AbstractObjectiveTo analyse the effect of community-based counselling on feeding patterns during the first 12 weeks after birth, and to study whether the effect differs by maternal HIV status, educational level or household wealth.DesignCluster-randomized trial with fifteen clusters in each arm to evaluate an integrated package providing two pregnancy and five postnatal home visits delivered by community health workers. Infant feeding data were collected using 24 h recall of nineteen food and fluid items.SettingA township near Durban, South Africa.SubjectsPregnant women (1894 intervention and 2243 control) aged 17 years or more.ResultsTwelve weeks after birth, 1629 (intervention) and 1865 (control) mother–infant pairs were available for analysis. Socio-economic conditions differed slightly across intervention groups, which were considered in the analyses. There was no effect on early initiation of breast-feeding. At 12 weeks of age the intervention doubled exclusive breast-feeding (OR=2·29; 95 % CI 1·80, 2·92), increased exclusive formula-feeding (OR=1·70; 95 % CI 1·28, 2·27), increased predominant breast-feeding (OR=1·71; 95 % CI 1·34, 2·19), decreased mixed formula-feeding (OR=0·68; 95 % CI 0·55, 0·83) and decreased mixed breast-feeding (OR=0·54; 95 % CI 0·44, 0·67). The effect on exclusive breast-feeding at 12 weeks was stronger among HIV-negative mothers than HIV-positive mothers (P=0·01), while the effect on mixed formula-feeding was significant only among HIV-positive mothers (P=0·03). The effect on exclusive feeding was not different by household wealth or maternal education levels.ConclusionsA perinatal intervention package delivered by community health workers was effective in increasing exclusive breast-feeding, exclusive formula-feeding and decreasing mixed feeding.

Determinants of Exclusive Breast Feeding Practice among HIV Positive Mothers in North East Ethiopia: A mixed method study

2020 ◽  
Author(s):  
Yonas Bizuwork Girma ◽  
Abebe Minda ◽  
Awraris Hailu ◽  
Betregiorgis Hailu Zegeye
Keyword(s):  
Public Health ◽  
Logistic Regression ◽  
Breast Feeding ◽  
Hiv Positive ◽  
Feeding Practice ◽  
Hiv Status ◽  
Multivariate Logistic Regression ◽  
Exclusive Breast Feeding ◽  
Hiv Positive Mothers ◽  
Debre Birhan

Abstract Background: Exclusive breast feeding (EBF) of Human Immune Virus (HIV) exposed infants for the first six months is strongly recommended and vital for protecting them against common childhood illnesses including diarrhea and pneumonia. Despite its benefit, EBF practice is low in developing countries including Ethiopia. There is a paucity of evidence for factors associated with EBF among HIV positive mothers. Objectives: To assess exclusive breast feeding practice and its associated factors among HIV positive mothers attending Prevention of mother to child transmission and Anti-retroviral therapy clinics in public Health facilities of Debre Birhan town Amhara National Regional State, Ethiopia from February 01, 2020 to Apr 30, 2020Methods: Facility based convergent mixed methods design was used to conduct the study in public Health facilities of Debre Birhan town. Structured interviewer-administered questionnaires were used to collect data from 432 participants selected by systematic random sampling technique. Epi info version 7 and SPSS version 20 were used for data entry and analysis respectively. Descriptive and inferential statistics were computed during the analysis. Two focus group discussions and 25 in-depth interviews and observational checklist were held to collect data on barriers for exclusive breast feeding practice and thematic analysis was used to identify important insights on the study topic. Bivariate and multivariate logistic regression were conducted to select candidate variable and determine adjusted effect of independent variables respectively using p-value less than 0.05. The output from multivariate logistic regression were reported with 95% confidence interval.Results: The prevalence of exclusive breast feeding, mixed feeding and exclusive formula feeding practice were 89.8%, 6.9% and 3.2% respectively. Having information about EBF (No=0.02, 95% CI; 0.01, 0.12), time taking from home to workplace (less than 30 min=4.96, 95% CI; 1.17, 20.95), disclosing HIV status (No= 0.09, 95% CI; 0.02, 0.37), place of residence (urban=5.37, 95% CI; 1.12, 25.77), living with mother/mother in-law (No=6.03, 95% CI; 1.26, 28.86), knowledge about EBF (poor knowledge=0.06, 95% CI; 0.01, 0.34) were main factors for exclusive breast feeding practice. Poor counseling, non-disclosure of HIV status and pressure from mother/mother in-law were the commonly raised reasons by FGD and IDI participants for non-exclusive breast feeding practice. Conclusions: Majority of HIV positive mothers were practicing exclusive breast feeding for the first six month. Strengthening information dissemination, providing quality health services and empowering mothers through integrated interventions help to promote exclusive breast feeding practice among mothers living with HIV.

Stunting and Associated Factors Among 6-23 Month Old Children in Drought Vulnerable Kebeles of Demba Gofa District, Southern Ethiopia

2021 ◽  
Author(s):  
Tadele Tuba Tringo ◽  
Gebremedhin Chameno Chalite ◽  
Markos Makiso Urugo ◽  
Fitsum Endale Liben
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Maternal Nutrition ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Total Study Population ◽  
Exclusive Breast Feeding

Abstract Background Stunting is impaired linear growth of children that they experience it in the first 1000 days after conception and indication of chronic malnutrition. It is caused by poor maternal nutrition and other interrelated factors. Objective This study conducted to assess the magnitude and associated factors of stunting among 6–23 month old children in drought vulnerable kebeles of Demba Gofa district. Methodology: A cross-sectional study with stratified multistage sampling was conducted. Semi-structured questionnaire and anthropometric measurements were used to collect the data. Bivariate and multivariable logistic regression models were fitted using SPSS 20.0 for Windows. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used to measure the strength of the association between dependent and associated variables at a p value < 0.05. Result From the total study population (362), 79 (21.82%) of the children were stunted. Household dietary diversity [AOR = 0.45, 95% CI, 0.78, 0.966], exclusive breast feeding [AOR = 3.54, 95% CI, 1.33, 9.41], early initiation of complementary feeding [AOR = 0.08, 95% CI, 0.044–0.174] and not feeding animal source food during complementary feeding [AOR = 0.061, 95% CI, 0.016–0.226] were significantly associated with child stunting. Conclusions The extent of stunting in the study area is relatively lower than national and regional average. However, based on the findings awareness creation on exclusive breast feeding, complementary feeding and dietary diversification strategies suggested to lessening the problem.

Status of Exclusive Breast Feeding Among Children Born to Human Immunodeficiency Virus (HIV) Positive Mothers Attending Public Health Facilities in Western Ethiopia. Cross-Sectional Study.

2021 ◽  
Author(s):  
Ejigayehu Tolessa Bultum ◽  
Elias Merdassa Roro ◽  
Ilili Feyesa Regassa
Keyword(s):  
Public Health ◽  
Human Immunodeficiency Virus ◽  
Breast Feeding ◽  
Health Facilities ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Public Health Facilities ◽  
Hiv Positive Mothers ◽  
Immunodeficiency Virus

Abstract Background: Only about 39% of infants in the developing countries are exclusively breast-fed for the first six months. Human immunodeficiency virus (HIV) positive women were confused about feeding methods. Exclusive Breastfeeding (EBF) practice of Human immunodeficiency virus (HIV) positive mothers is sub-optimal in Ethiopia. Hence, we want to identify the main factors influencing exclusive breast-feeding among HIV positive breast-feeding mothers. Main aims of the study were to assess the level and factors influencing Exclusive Breastfeeding (EBF) among children born to Human Immunodeficiency Virus (HIV) positive mothers attending public health facilities in western Ethiopia.Methods: A facility based cross sectional study was carried out from September 2017 to June 30, 2018 among Human Immunodeficiency virus (HIV) positive mothers with infants aged 6-23 months. Among public health facilities found in three districts from of West, East and Kellem Wollega Zones; thirteen facilities (i.e. 7 health centers and 6 hospitals) were randomly selected from among proving ART and PMTCT Services. Respondents were recruited by systematic random sampling techniques from these facilities using clients registers as sampling frame. Data were collected using face to face interviewer administered pre-tested questionnaire. The data were entered into computers using EPI info Version 3.5.1 and analyzed with SPSS Version 20 for windows. Candidate variables for the final multi-variable model were selected considering P< 0.05 at bivariable analysis. Associations were declared at P< 0.05 by assuming Confidence Intervals did not crossed number ‘1’with corresponding 95%. Results were presented using standard data presentation tools. Results: A total of 218 Human Immune Virus positive mothers were included in this study. Of these, only 122 (56.0%) practiced Exclusive Breast Feeding. The proportion of respondents who initiated Exclusive Breast Feeding within the first hours of delivery were 134 (61.8%). Mean age of the study participants were 28.68 with SD + 4.2. Mothers’ advices on child exclusive breast-feeding [AOR 3, 95% CI (1.2-6.7)], disclosure of HIV status to close friends [AOR 6, 95% CI (1.18-29.64)] and believing HIV can be transmitted during delivery [AOR 5.2, 95% CI (1.10-24.00)] were found to increase the change of exclusive breast-feeding practices among the study participants (P-value < 0.05).Conclusion Slightly more than half of the mothers practiced exclusive breast feeding for the first six months. Care providers should encourage mothers to practice exclusive breast feeding in the first six months and to disclose their test results to their husbands. Efforts should be in place to curb the risk of HIV/AIDS transmission during delivery.

scholarly journals Knowledge, attitude and practice of infant feeding in the first 6 months among HIV-positive mothers at the Queen Mamohato Memorial hospital clinics, Maseru, Lesotho

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Stephen O. Olorunfemi ◽  
Lilian Dudley
Keyword(s):  
Infant Feeding ◽  
Hiv Positive ◽  
Child Transmission ◽  
Pmtct Programme ◽  
Attitudes And Practices ◽  
Attitude And Practice ◽  
Hiv Positive Mothers ◽  
Mother To Child ◽  
Knowledge Attitude And Practice ◽  
Knowledge Attitudes And Practices

Background: The balance between the risks of transmission of human immunodeficiency virus (HIV) through breastfeeding and its life-saving benefits complicates decisions about infant feeding among HIV-positive mothers in the first 6 months.Objective: The aim of this study was to assess the knowledge, attitude and practice of infant feeding among HIV-positive mothers attending the prevention of mother-to-child transmission services in Maseru, Lesotho.Method and setting: This observational cross-sectional study was done by collecting data from HIV-positive mothers attending the filter clinics of Queen Mamohato Memorial hospital in Maseru, Lesotho. HIV-positive mothers with infants below the age of 6 months attending the clinics at the time of the study were interviewed using a standardised questionnaire. We described the sociodemographic profile of the mothers, the information and education received on prevention of mother-to-child transmission (PMTCT) infant feeding options, the mothers’ knowledge, attitudes and practices of infant feeding, and assessed risk factors for improved knowledge, attitudes and practices. Results: The majority (96%) of the 191 HIV-positive mothers who participated in the survey knew about the PMTCT programme and related breastfeeding services. Most of the participants chose to breastfeed (89%), while only 8% formula-fed their infants. Knowledge received during the PMTCT programme was significantly associated with the decision to exclusively breastfeed their infants. Earlier infant feeding counselling and education was associated with more exclusively breastfeeding as compared to late infant feeding counselling (p < 0.001). Conclusion: The study found that HIV-positive mothers attending health clinics in Maseru, Lesotho, had high knowledge, and appropriate attitudes and practices with respect to infant feeding; and that early counselling and education improved infant feeding methods among these mothers.

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