scholarly journals Determinants of early initiation of breastfeeding in Ghana: a population-based cross-sectional study using the 2014 Demographic and Health Survey data

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Edward Kwabena Ameyaw ◽  
Bright Opoku Ahinkorah ◽  
Freda Bonsu
Keyword(s):  
Birth Order ◽  
Health Survey ◽  
Statistical Significance ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
World Health ◽  
Binary Logistic Regression Analysis ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background The World Health Organisation (WHO) recommends that breastfeeding should be initiated within the first hour of delivery followed by exclusive breastfeeding up to 6 months. This study examined the determinants of early initiation of breastfeeding in Ghana using data from the 2014 Ghana Demographic and Health Survey. Methods A sample size of 4219 was used for the study. Descriptive statistics was conducted to ascertain the proportion of children who had early initiation of breastfeeding after which binary logistic regression analysis was carried out. Results were presented using frequencies, percentages, unadjusted and adjusted odds ratios. Statistical significance was pegged at p<0.05. Results Children of first birth order [AOR = 0.71, CI = 0.61–0.84], those who were delivered by non-professionals [AOR = 0.51, CI = 0.30–0.88] and those whose mothers were Traditionalists [AOR = 0.65, CI = 0.46–0.92] and Mole-Dagbanis [AOR = 0.69, CI = 0.54–0.89] were less likely to go through early initiation of breastfeeding compared to those of 2–4 birth order, those who were delivered by health professionals, those whose mothers were Christians and Akan, respectively. Conversely, children born to mothers who read newspaper/magazine at least once a week were more likely to go through early initiation of breastfeeding, compared to those who never read newspaper/magazine [AOR = 1.40, CI = 1.01–1.95]. Children born to mothers who watched television less than once a week were more likely to go through early initiation of breastfeeding compared to those who watched television at least once a week [AOR = 1.40, CI = 1.01–1.95]. Finally, women from the Northern [AOR = 2.40, CI = [1.77–3.26] and Upper East regions [AOR = 2.57, CI = [1.86–3.56] practiced early initiation of breastfeeding compared to those from the Ashanti region. Conclusions Empowering healthcare providers to be consistent in early breastfeeding initiation advocacy and effective community engagement on the need to embrace and practice early initiation of breastfeeding can improve the situation.

scholarly journals Prevalence and Determinants of Pre-lacteal Feeding: Insights from the 2017 Indonesia Demographic and Health Survey

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Siti Nurokhmah ◽  
Siti Masitoh ◽  
Kusuma Estu Werdani
Keyword(s):  
Health Survey ◽  
Wealth Index ◽  
Household Wealth ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Birth Size ◽  
Feeding Practice ◽  
Gender Role Attitude ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Pre-lacteal feeding is a challenge to optimal breastfeeding practices in developing countries, and it directly or indirectly affects the health of infants. Furthermore, it is widely known as a distraction to exclusive breastfeeding, and the malpractice continues to be prevalent in Indonesia. Therefore, this study aimed to explore the potential determinants of pre-lacteal feeding among mothers of infants below aged 24 months. A sample of 6,455 mother-infant pairs from the 2017 Indonesia Demographic and Health Survey (IDHS) was used. Also, multivariate logistic regression was employed to identify factors associated with pre-lacteal feeding practice. In Indonesia, 44.0% of infants were introduced to solid/liquid feeds in their first three days of life. Infant formula was the most common pre-lacteal feed given, followed by any other milk, plain and sugar water, and honey. Early initiation of breastfeeding and living in an urban area were protective method against pre-lacteal feeding (AOR: 0.24; 95% CI: 0.21-0.28; AOR: 0.76; 95% CI: 0.65-0.90, respectively), while cesarean delivery acted as a risk factor (AOR: 1.36; 95% CI: 1.14-1.63). Meanwhile, gender role attitude, parity, perceived birth size, and household wealth index was also associated with pre-lacteal feeding. Overall, the percentage of mothers introducing pre-lacteal feeds was still high. The modifiable covariates associated with pre-lacteal feedings, such as early initiation of breastfeeding, parity, and birth size were the major factors discouraging this practice.

scholarly journals Socioeconomic inequalities in early initiation and exclusive breastfeeding practices in Bangladesh: findings from the 2018 demographic and health survey

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Sabuj Kanti Mistry ◽  
Ritesh Chimoriya ◽  
Simone Nash ◽  
Ashish M. Doyizode ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Formal Education ◽  
Socioeconomic Inequalities ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Initiation Of Breastfeeding

Abstract Background Optimal breastfeeding practices including early initiation of breastfeeding and exclusive breastfeeding (EBF) are associated with positive health outcomes. Socioeconomic inequalities in key breastfeeding indicators may play a role in the prevalence of breastfeeding practices. The objective of this study was to examine the socioeconomic inequalities in early initiation of breastfeeding and EBF practices in Bangladesh based on the 2018 Bangladesh Demographic and Health Survey (BDHS). Methods This was a secondary data analysis of the nationally representative 2018 BDHS. Data on 4950 women of reproductive age who had ever given birth and 924 children aged 0–5 months were extracted, for early initiation of breastfeeding and EBF. Early initiation of breastfeeding was determined from children who were put to the breast within the first hour of birth. Exclusive breastfeeding was estimated from children aged 0–5 months who were exclusively breastfed. Results The weighted prevalence of early initiation of breastfeeding and EBF were 60.8% (95% CI; 59.0, 62.6%) and 66.8% (95% CI; 63.1, 70.3%), respectively. The estimated prevalence of early initiation among the poorest, poorer, middle, richer and richest households were 67.8, 66.3, 58.4, 56.3 and 54.4%, respectively. Similarly, early initiation prevalence of 64.4, 65.0, 61.1 and 52.3% were estimated among women with no formal education, primary, secondary and higher education, respectively. The estimated prevalence of EBF among the poorest, poorer, middle, richer and richest households were 63.0, 65.2, 67.7, 66.7 and 69.9%, respectively. Similarly, the estimated EBF prevalence were 62.5, 66.0, 66.3 and 68.9% among women with no formal education, primary, secondary and higher education, respectively. Early initiation of breastfeeding was higher among lower household wealth (Conc. Index = − 0.049; SE = 0.006) and lower educational attainment groups (Conc. Index = − 0.035; SE = 0.006). Conclusions Improving optimal breastfeeding practices in Bangladesh should be given utmost priority. A need to address the socioeconomic inequalities in breastfeeding practices was also identified.

scholarly journals Factors Associated with Delayed Initiation of Breastfeeding Among Hospital Deliveries: Secondary Analysis of Bangladesh Demographic and Health Survey 2014 (P18-107-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shahreen Raihana ◽  
Tanvir Huda ◽  
Ashraful Alam ◽  
Michael Dibley
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Maternal And Newborn Health ◽  
Breastfeeding Initiation ◽  
Maternal Characteristics ◽  
Factors Associated ◽  
Delayed Initiation ◽  
Initiation Of Breastfeeding

Abstract Objectives This study investigates the factors associated with delayed initiation of breastfeeding among hospital deliveries in Bangladesh, where only 50% women initiate breastfeeding within the 1st hour of birth and the rate is lower among deliveries at a health facility (38%). Early initiation of breastfeeding is crucial in improving maternal and newborn health outcomes. Methods We used data from the 2014 Bangladesh demographic and health survey. A total of 1277 last-born children born at a health facility in the 2 years preceding the survey were included in this analysis. ‘Early’ breastfeeding was defined using WHO recommendations as initiating within 1st hour of birth. Univariate and multivariable logistic regression were performed to determine factors associated with delayed initiation. Results About three-fifth (n = 785, 62%) of the children born at a health facility delayed initiation of breastfeeding beyond the first hour. After adjusting for potential confounders, delayed initiation was found to be more common among caesarean deliveries (aOR 3.31; 95%CI 2.38–4.61), delivery by medically un-trained personnel (aOR 1.57; 95%CI 1.02–2.42), delay in first postnatal check-up after birth (aOR 1.61; 95%CI 1.17–2.21), and women exposed to media less than once a week (aOR 1.57; 95%CI 1.09–2.26). Women with higher body mass index had an increased likelihood of delaying initiation (aOR 1.05; 95%CI 1.01–1.10). Multiparous women were less likely to delay initiation (aOR 0.72; 95%CI 0.53–0.98). Conclusions Delayed initiation following caesarean deliveries continues to be a challenge but several other health facility factors and maternal characteristics also contributed to delayed initiation of BF. Interventions to promote early breastfeeding initiation should include strengthening the capacity of healthcare providers to encourage early initiation especially for caesarean deliveries. Funding Sources Endeavour Postgraduate Scholarship. Supporting Tables, Images and/or Graphs

scholarly journals Prevalence and factors affecting early initiation of breastfeeding in rural areas of Dibrugarh district, Assam

2019 ◽  
Vol 6 (5) ◽  
pp. 2176
Author(s):  
Monmohan Borah ◽  
Jenita Baruah ◽  
Rupali Baruah ◽  
Manjit Boruah
Keyword(s):  
Rural Areas ◽  
Multivariate Regression Analysis ◽  
Early Initiation ◽  
World Health ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Factors Affecting ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Early or timely initiation of breastfeeding, specifically within 1 hour of birth has benefits for survival and beyond and it is recommended by the World Health Organization. Breastfeeding initiation after the first hour of birth doubles the risk of neonatal mortality. The present study has been conducted to estimate the prevalence and determine the factors affecting early initiation of breastfeeding in rural areas of Dibrugarh, district, Assam.Methods: Community based cross sectional study from May 2017 to April 2018 among mothers having children in the age group 0 to 23 months in the rural areas of Dibrugarh district. The sample size calculated for the study was 360 children.Results: The results were analyzed for 334 children. Prevalence of early initiation of breastfeeding was found to be 54.8%. On multivariate regression analysis the occupation and education of mothers, number of antenatal checkup visits, type of delivery and religion were found to be independently associated with early initiation of breastfeeding.Conclusions: This study reveals that the early initiation of breast feeding is lower in rural areas of Dibrugarh district. The findings clearly highlight the importance of imparting health education to family members and mothers right from antenatal period on infant and child feeding practices.

scholarly journals Determinants of Early Initiation of Breastfeeding Practices of Newborns in Bangladesh: Evidence From Bangladesh Demographic and Health Survey

2021 ◽  
Vol 14 ◽  
pp. 117863882110546
Author(s):  
Md. Saifullah Sakib ◽  
Abu Sayed Md. Ripon Rouf ◽  
Tahmina Ferdous Tanny
Keyword(s):  
Health Survey ◽  
Multinomial Logistic Regression ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Bivariate Analysis ◽  
Data Set ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Initiation Of Breastfeeding

Purpose: Early initiation of breastfeeding is essential for newborns after birth to reduce mortality and morbidity. Early initiation of breastfeeding awareness/activities may be a vital role in Bangladesh to minimize the infant deaths. The aim of this study is to identify factors associated with the early initiation of breastfeeding practices. Methods: In this study, Bangladesh Demographic and Health Survey (BDHS) 2017 to 2018 data was used that will be the first analysis for early initiation of breastfeeding practices in this data set in Bangladesh. Considering the importance of early breastfeeding practices, the dependent variable was divided into 3 categories (immediately: breastfeeding for less than 20 minutes, within an hour, and after 1 hour) to find a significant association with early breastfeeding practices in Bangladesh. Bivariate analysis is used to examine the differentials to early initiation of breastfeeding according to the selected number of background variables. Multinomial logistic regression is used to determine predictive independent factors associated with the dependent variable. Results: Using BDHS 2017 to 2018 data on 4950 observations, this study revealed that 24.6% of mothers breastfed their babies immediately after birth and 36.2% of mothers breastfed their babies within an hour. The rate of mothers who breastfeed their babies immediately after birth is lowest at the age of 20 to 25, mothers with a higher level of education, richer class, Khulna division, the first child born, Islam, and private/NGO. With a multivariate analysis of breastfeeding within an hour compared to immediate breastfeeding: richest (OR = 0.71), Barisal division (OR = 0.72), and Buddhism[Formula: see text]are less likely to breastfeed newborns compared to the reference category. On the other hand, primary, secondary, and higher educated mothers are more likely to breastfeed newborns compared to no educated mothers. Besides, breastfeeding newborns after 1 hour compared to immediate after birth: mothers aged 20 to 25 (OR = 1.40), richer (OR = 1.46), higher secondary (OR = 2.06), Khulna division (OR = 1.81), and private/NGO (OR = 2.51) are more likely breastfeed newborn. Conclusion: Mother’s education, wealth index, region, birth order, religion, and place of delivery have a significant impact on the early initiation of breastfeeding practices, but the rate of immediate breastfeeding is relatively lower than others. Ultimately, this information will help planners and other professionals plan strategies and interventions to provide good quality health services.

scholarly journals Factors Affecting Midwives Knowledge About Early Initiation of Breastfeeding at Lut Tawar District Health Center of Central Aceh Regency in 2020

2021 ◽  
Vol 5 (11) ◽  
pp. 1236-1243
Author(s):  
Barirah Madeni ◽  
Hasritawati
Keyword(s):  
Health Center ◽  
Early Initiation ◽  
World Health ◽  
Good Knowledge ◽  
Survey Method ◽  
Breastfeeding Initiation ◽  
District Health ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Data from the World Health Organization (WHO) shows that there are 170 million children worldwide experiencing malnutrition, 3 million of whom leave each year due to malnutrition. Therefore, WHO recommends, all infants need to receive colostrum (first and second day milk) to fight infection and exclusively breastfed for 6 months to ensure adequate nutrition for infants. This study aims to determine the factors that influence the knowledge of midwives about early initiation of breastfeeding in the working area of the Lut Tawar City Health Center, Central Aceh Regency in 2020. Methods: The research method used is an analytical survey method with a cross sectional approach. The population in this study were all midwives in the area. The city health center serves as many as 59 people. The sampling method uses a total sampling technique that uses all members of the population as a sample. Data collection was carried out on November 15-19, 2020. Results: The results showed that respondents aged > 40 years had good knowledge, namely 64.3%, respondents with DIII education had less knowledge, namely 56.8%, respondents who had never attended breastfeeding initiation training 69.6% respondents who did not often do early initiation of breastfeeding have good knowledge that is 63.9%, respondents who do not get information about early initiation of breastfeeding mostly lack of knowledge that is 58.1%. Conclusion: Factors that influence the knowledge of midwives on early initiation of breastfeeding are education and experience participating in training related to early initiation of breastfeeding.

scholarly journals Association Between Early Initiation of Breastfeeding and Reduced Risk of Respiratory Infection: Implications for Non-separation of Infant and Mother in the COVID-19 Context

2021 ◽  
Author(s):  
Bindi Borg ◽  
Karleen Gribble ◽  
Karan Courtney Haag ◽  
Kedar Raj Parajuli ◽  
Seema Mihrshahi
Keyword(s):  
Respiratory Infection ◽  
Health Survey ◽  
Acute Respiratory Infection ◽  
Secondary Analysis ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Ministry Of Health ◽  
Early Initiation Of Breastfeeding ◽  
Reduced Risk ◽  
Initiation Of Breastfeeding

Abstract Early initiation of breastfeeding, within one hour of birth, is vital for the health of newborns, and reduces morbidity and mortality. Secondary analysis of the 2016 Nepal Demographic and Health Survey (DHS) showed that early initiation of breastfeeding significantly reduced the risk of acute respiratory infection (ARI) in children under two years. Early initiation of breastfeeding requires maternal proximity. However, during the COVID-19 pandemic, guidance varied, with some recommending that infants and mothers with SARS-CoV-2 be isolated from one another. Nepal’s Ministry of Health and Population recommended non-separation, but the adherence to this guidance was inconsistent. Separation of infant and mother inhibits early initiation of breastfeeding and increases the risk that infants will suffer from ARIs. Maternal proximity, non-separation and early initiation of breastfeeding should be promoted in all birthing facilities.

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