scholarly journals Determinants of early sexual initiation among female youth in Ethiopia: a multilevel analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mastewal Arefaynie ◽  
Melaku Yalew ◽  
Yitayish Damtie ◽  
Bereket Kefale
Keyword(s):  
Health Survey ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Sexual Initiation ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Wealth Status ◽  
Mixed Effect ◽  
Female Youth ◽  
Early Sexual Initiation

Abstract Background Evidences on determinants of early sexual initiation among female youth is still limited especially; community-level factors are not investigated in Ethiopia. Therefore, the aim of this study was to assess individual and community-level factors associated with early sexual initiation among female youth in Ethiopia. Methods The 2016 Ethiopian Demographic and Health Survey (EDHS) dataset were used and a total of 6143 participants (female youth) were included. Multi-level mixed-effect logistic regression was done to identify individual and community-level factors. Adjusted odds ratio along with 95% confidence interval was used to show the strength and direction of the association. Finally, the level of statistical significance was declared at P value less than 0.05. Results Individual-level factors significantly associated with early sexual initiation among female youth were; age group from 19 to 24 years [AOR = 5.8, 95% CI = (4.6, 7.3)], not attending school [AOR = 14.1, 95% CI = (8.1, 24.7)], ever chewing Chat [AOR = 2.0, 95% CI = (1.3, 3.0)]. From community-level factors: living in Addis Ababa [AOR = 0.3, 95% CI = (0.2, 0.5)], living in Gambella [AOR = 2.7, 95% CI = (1.7, 4.3)] and live in a low proportion of poor communities [AOR = 0.7, 95% CI = (0.5, 0.9)] were significantly associated with early sexual initiation among female youth in Ethiopia. Conclusions Age, low educational status, ever chewing Chat, region and live in a high proportion of poor community had a statistical association with early sexual initiation among female youth in Ethiopia. Improving educational coverage and community-level of wealth status are important intervention areas to delay the age of early sexual initiation.

scholarly journals Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Mastewal Arefaynie ◽  
Melaku Yalew ◽  
Yitayish Damtie ◽  
Bereket Kefale
Keyword(s):  
Health Survey ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Sexual Initiation ◽  
Demographic And Health Survey ◽  
Community Level ◽  
P Value ◽  
Mixed Effect ◽  
Female Youth ◽  
Early Sexual Initiation

Abstract Background: There is limited national representative evidence on determinants of early sexual initiation among female youth especially, community level factors are not investigated in Ethiopia. Thus, this study aimed to assess individual and community level factors associated with early sexual initiation among female youth in Ethiopia.Method: A secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey dataset which were collected cross-sectional. A total of 6143 female youth irrespective of their sexual activity were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05.Result: Individual-level factors significantly associated with early sexual initiation among female youth were; age group from 19-24 years [AOR=5.77, 95% CI= (4.58, 7.27)], not attend school [AOR=14.1, 95% CI= (8.06, 24.66)], ever chew Chat [AOR= 1.98, 95%CI= (1.32, 2.97)]. From community label factors living in Addis Ababa [AOR= 0.28, 95% CI= (0.17, 0.45)], living in Gambella [AOR=2.7, 95% CI= (1.7, 4.29)] and live in low proportion of poor communities [AOR= 0.66, 95% CI= (0.49, 0.9)] were significantly associated with early sexual initiation among female youth in Ethiopia. Conclusion: Age, low educational status, ever chewing Chat, region and live in high proportion of poor community had statistical association with early sexual initiation among female youth in Ethiopia. Improving educational coverage, improving community level wealth status are important interventions to delay the age of early sexual initiation among female youth.

scholarly journals Individual and Community Level Factors Associated with Early Sexual Initiation Among Female Youth in Ethiopia: A Multilevel Analysis of 2016 Ethiopian Demographic and Health Survey.

2020 ◽  
Author(s):  
Mastewal Arefaynie ◽  
Melaku Yalew ◽  
Yitayish Damtie ◽  
Bereket Kefale
Keyword(s):  
Health Survey ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Sexual Initiation ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Mixed Effect ◽  
Female Youth ◽  
Factors Associated ◽  
Early Sexual Initiation

Abstract Background: There is limited national representative evidence on determinants of early sexual act among youth (female) especially community level factors are not investigated in Ethiopia. Thus, this study aimed to assess individual and community level factors associated with early sexual initiation among female youth in Ethiopia.Method: A secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey (EDHS) dataset was collected cross-sectional. A total of 6143 15-24 years’ old females irrespective of their sexual activity were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05.Result: individual level factors significantly associated with early sexual initiation among female youth were; age group from 19-24 years [AOR=5.77, 95% CI= (4.58, 7.27)], not attend school [AOR=14.1, 95% CI= (8.06, 24.66)], ever chew Chat [AOR= 1.98, 95%CI= (1.32, 2.97)]. From community label variables living in Addis Ababa [AOR= 0.28, 95%CI= (0.17, 0.45)], living in Gambella [AOR=2.7, 95%CI= (1.7, 4.29)] and live in low proportion of poor communities [AOR= 0.66, 95% CI= (0.49, 0.9)] were significantly associated with early initiation of sexual intercourse of female youth. Conclusion: increased age, low educational status, ever chewing Chat, region and live in high proportion of poor community had statistical association with early sexual initiation among female youth. Improving educational coverage, improving community level wealth status are important interventions to delay the age of first sexual act among female youth.

scholarly journals Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Mastewal Arefaynie ◽  
Melaku Yalew ◽  
Yitayish Damtie ◽  
Bereket Kefale
Keyword(s):  
Health Survey ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Sexual Initiation ◽  
Demographic And Health Survey ◽  
Community Level ◽  
P Value ◽  
Mixed Effect ◽  
Female Youth ◽  
Early Sexual Initiation

Abstract Background: Evidences on determinants of early sexual initiation among female youth is still limited especially; community-level factors are not investigated in Ethiopia. Therefore, the aim of this study was to assess individual and community-level factors associated with early sexual initiation among female youth in Ethiopia.Methods: The 2016 Ethiopian Demographic and Health Survey (EDHS) dataset were used and a total of 6,143 participants (female youth) were included. Multi-level mixed-effect logistic regression was done to identify individual and community-level factors. Adjusted odds ratio along with 95% confidence interval was used to show the strength and direction of the association. Finally, the level of statistical significance was declared at P value less than 0.05.Results: Individual-level factors significantly associated with early sexual initiation among female youth were; age group from 19-24 years [AOR=5.8, 95% CI= (4.6, 7.3)], not attending school [AOR=14.1, 95% CI= (8.1, 24.7)], ever chewing Chat [AOR= 2.0, 95% CI= (1.3, 3.0)]. From community-level factors: living in Addis Ababa [AOR= 0.3, 95% CI= (0.2, 0.5)], living in Gambella [AOR=2.7, 95% CI= (1.7, 4.3)] and live in a low proportion of poor communities [AOR= 0.7, 95% CI= (0.5, 0.9)] were significantly associated with early sexual initiation among female youth in Ethiopia.Conclusions: Age, low educational status, ever chewing Chat, region and live in a high proportion of poor community had a statistical association with early sexual initiation among female youth in Ethiopia. Improving educational coverage and community-level of wealth status are important intervention areas to delay the age of early sexual initiation.

scholarly journals Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Mastewal Arefaynie ◽  
Melaku Yalew ◽  
Yitayish Damtie ◽  
Bereket Kefale
Keyword(s):  
Health Survey ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Sexual Initiation ◽  
Demographic And Health Survey ◽  
Community Level ◽  
P Value ◽  
Mixed Effect ◽  
Female Youth ◽  
Early Sexual Initiation

Abstract Background: There is limited national evidence on determinants of early sexual initiation among female youth especially; community level factors are not investigated in Ethiopia. Therefore, this study aimed to assess individual and community level factors associated with early sexual initiation among female youth in Ethiopia. Methods: A secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey (EDHS) dataset. A total of 6,143 female youth were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by using STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio along with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05. Results: Individual-level factors significantly associated with early sexual initiation among female youth were; age group from 19-24 years [AOR=5.8, 95% CI= (4.6, 7.3)], not attend school [AOR=14.1, 95% CI= (8.1, 24.7)], ever chew Chat [AOR= 2.0, 95% CI= (1.3, 3.0)]. From community label factors: living in Addis Ababa [AOR= 0.3, 95% CI= (0.2, 0.5)], living in Gambella [AOR=2.7, 95% CI= (1.7, 4.3)] and live in low proportion of poor communities [AOR= 0.7, 95% CI= (0.5, 0.9)] were significantly associated with early sexual initiation among female youth in Ethiopia. Conclusions: Age, low educational status, ever chewing Chat, region and live in high proportion of poor community had statistical association with early sexual initiation among female youth in Ethiopia. Improving educational coverage and community level of wealth status are important intervention areas to delay the age of early sexual initiation among female youth.

scholarly journals Determinants of wife-beating acceptance among reproductive age women in Ethiopia: a multilevel analysis of 2016 Ethiopian demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mastewal Arefaynie ◽  
Gedamnesh Bitew ◽  
Erkihun Tadesse Amsalu ◽  
Bereket Kefale ◽  
Amare Muche ◽  
...  
Keyword(s):  
Health Survey ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Reproductive Age ◽  
Wife Beating ◽  
Mixed Effect ◽  
Reproductive Age Women ◽  
Television Exposure

Abstract Background There is limited national representative evidence on determinants of women’s acceptance of wife-beating especially; community level factors are not investigated in Ethiopia. Thus, this study aimed to assess individual and community-level factors associated with acceptance of wife beating among reproductive age women in Ethiopia. Methods Secondary data analysis was done on 2016 Ethiopian Demographic and Health Survey data. A total of 15,683 weighted reproductive age group women were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by Stata version 14.0 to identify individual and community-level factors. An adjusted odds ratio with a 95% confidence interval was used to show the strength and direction of the association. Statistical significance was declared at p value less than 0.05 at the final model. Result Individual-level factors significantly associated with acceptance of wife-beating among women were; being Muslim follower [AOR = 1.3, 95% CI = (1.1, 1.5)], Being married [AOR = 1.3, 95% CI = (1.1, 1.6)], attending primary, secondary and higher education [AOR = 0.8, 95% CI = (0.7, 0.9)], [AOR = 0.4, 95% CI = (0.3, 0.5)], [AOR = 0.3, 95% CI (0.2, 0.4)] respectively. From community level factors, living in Somali [AOR = 0.2 95% CI = (0.1, 0.3)], Addis Ababa [AOR = 0.3, 95%CI = (0.2, 0.5)] and Dire Dawa [AOR = 0.5, 95% CI = (0.3, 0.7)] were 80%, 70% and 50% less likely accept wife-beating when compare to women who live in Tigray region, respectively. Live in high proportion of poor community [AOR = 1.2, 95% CI = (1.1, 1.3)], live in low proportion of television exposure communities [AOR = 1.4, 95% CI = (1.2, 2.2)] were significantly associated with acceptance of wife-beating among women in Ethiopia. Conclusion Educational status, religion, marital status, region, community-level wealth, and community level of television exposure had a statistical association with women’s acceptance of wife-beating. Improving educational coverage, community-level of media exposure, community-level wealth status and providing community-friendly interventions are important to reduce the acceptance of wife-beating among women in Ethiopia.

Geographical disparities and determinants of childhood diarrheal illness in Ethiopia: Further Analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
Asmamaw Atnafu ◽  
Malede Mequanent Sisay ◽  
Getu Debalkie Demissie ◽  
Zemenu Tadesse Tessema
Keyword(s):  
Health Survey ◽  
Mixed Model ◽  
Addis Ababa ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Childhood Diarrhea ◽  
Mixed Effect ◽  
Under Five ◽  
Diarrheal Illness ◽  
Under Five Children

Abstract Background: Childhood diarrheal illness is the second leading cause of child mortality in Sub Saharan Africa, including Ethiopia. Studies hypothesized that there are regional variations. Thus, the study aimed to examine the spatial variations and to identify the determinants of childhood diarrhea in Ethiopia. Methods: Data from the 2016 Ethiopia Demographic and Health Survey (EDHS) was analyzed. This nationwide survey involved 10,337 children below 5 years old. The survey was carried out using a two-stage stratified sampling design. Moran’s I and LISA were used to detect the spatial clustering of diarrhea cases and to test for clustering in the data. Descriptive statistics followed by a mixed-effect logistic regression was used to identify the factors associated with the prevalence of diarrhea. Results: Overall, 11.87% of children were experienced childhood diarrheal illness. The study reveals high-risk areas were Southern and central Ethiopia, while eastern and west were indicated as low-risk regions. Younger children were more likely to suffer from childhood diarrhea than their older counterparts: age 6 to 12, 12 to 23, and 24 to 35 months were (AOR = 2.66, (95% CI 2.01, 3.52)), (AOR = 2.45, (95% CI 1.89, 3.17)), and (AOR = 1.53, (95% CI 1.17, 2.01)), respectively. Children living in Tigray (AOR= 1.69 (95% CI, 1.01, 2.83)), Amhara (AOR = 1.80, (95% CI, 1.06, 3.06), SNNPR (AOR = 2.04, 95% CI 1.22, 3.42), and Gambela (AOR = 2.05, (95% CI 1.22, 3.42)), faced greater risk than Addis Ababa city. The odds of getting diarrhea is decreased by 24% among households having ≥3 under-five children as compared to households having only one under-five child (AOR = 0.76 (95% CI: 0.61, 0.94)). The odds of children getting diarrheal illness among working mothers increase by 19% as compared to not working (AOR = 1.19 (95% CI 1.03, 1.38)). Conclusions: childhood diarrheal illness is highly prevalent among under-five children, particularly in SNNP, Gambella, Oromia, and Benishangul Gumuz regions. Capacity building programs with best experience sharing and better household environment may prove effective in reducing the incidence of childhood diarrhea in Ethiopia. Keywords: Spatial statistics, Ethiopia, under-five children, Diarrhea, Generalized Mixed Model

scholarly journals Predictors of home births among rural women in Ghana: analysis of data from the 2014 Ghana Demographic and Health Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eugene Budu
Keyword(s):  
Maternal Health ◽  
Health Survey ◽  
Rural Women ◽  
Rural Areas ◽  
Statistical Significance ◽  
Northern Region ◽  
Demographic And Health Survey ◽  
Wealth Status ◽  
Home Births ◽  
Factors Associated

Abstract Background Home births is one of the factors associated with maternal mortality. This study examined the predictors of home births among rural women in Ghana. Methods Data for this study was obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. For the purpose of this study, a sample size of 2,101 women in the rural areas who had given birth within five years prior to the survey and had responses on variables was considered. Data processing, management and analysis were carried out using STATA version 14.0. This study carried out bivariate and multivariate analyses and results were tested at 95% confidence interval. The Adjusted odds ratios were used to present the results and the level of statistical significance was assessed using 95% confidence intervals. Results Home births was found to be high among women who resided in the Northern region compared to those in the Western region [AOR, 1.81 CI = 1.10–2.98]. Similarly, the likelihood of home birth was high among women with four or more births [AOR, 1.46 CI = 1.03–2.05] and Traditionalists [AOR, 2.50 CI = 1.54–4.06]. Conversely, giving birth at home was low among women with higher level of education [AOR = 0.58, CI = 0.43–0.78], those with rich wealth status [AOR = 0.19, CI = 0.10–0.38], those with four or more ANC visits [AOR = 0.11, CI = 0.15–0.23] and those who were covered by NHIS [AOR = 0.58, CI = 0.46–0.72]. Conclusions Over the years, there have been efforts by governments in Ghana to make maternal health services free in the country. However, a substantial proportion of women still undergo home births. To reduce the utilization of home births in Ghana, it is essential that government and non-governmental organisations make the cost of delivery services part of the free maternal health care policy and take into consideration the factors associated with the high rates of home births among rural women in Ghana.

scholarly journals Geographical variations and associated factors of defaulting from immunization among children aged 12 to 23 months in Ethiopia: using spatial and multilevel analysis of 2016 Ethiopian Demographic and Health Survey

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Mukemil Awol ◽  
Zewdie Aderaw Alemu ◽  
Nurilign Abebe Moges ◽  
Kemal Jemal
Keyword(s):  
Multilevel Analysis ◽  
Health Survey ◽  
Associated Factors ◽  
Demographic And Health Survey ◽  
Community Level ◽  
Scan Statistics ◽  
Moran’S I ◽  
Moran's I ◽  
Depth Analysis ◽  
Global Moran’S I

Abstract Background In Ethiopia, despite the considerable improvement in immunization coverage, the burden of defaulting from immunization among children is still high with marked variation among regions. However, the geographical variation and contextual factors of defaulting from immunization were poorly understood. Hence, this study aimed to identify the spatial pattern and associated factors of defaulting from immunization. Methods An in-depth analysis of the 2016 Ethiopian Demographic and Health Survey (EDHS 2016) data was used. A total of 1638 children nested in 552 enumeration areas (EAs) were included in the analysis. Global Moran’s I statistic and Bernoulli purely spatial scan statistics were employed to identify geographical patterns and detect spatial clusters of defaulting immunization, respectively. Multilevel logistic regression models were fitted to identify factors associated with defaulting immunization. A p value < 0.05 was used to identify significantly associated factors with defaulting of child immunization. Results A spatial heterogeneity of defaulting from immunization was observed (Global Moran’s I = 0.386379, p value < 0.001), and four significant SaTScan clusters of areas with high defaulting from immunization were detected. The most likely primary SaTScan cluster was seen in the Somali region, and secondary clusters were detected in (Afar, South Nation Nationality of people (SNNP), Oromiya, Amhara, and Gambella) regions. In the final model of the multilevel analysis, individual and community level factors accounted for 56.4% of the variance in the odds of defaulting immunization. Children from mothers who had no formal education (AOR = 4.23; 95% CI: 117, 15.78), and children living in Afar, Oromiya, Somali, SNNP, Gambella, and Harari regions had higher odds of having defaulted immunization from community level. Conclusions A clustered pattern of areas with high default of immunization was observed in Ethiopia. Both the individual and community-level characteristics were statistically significant factors of defaulting immunization. Therefore, the Federal Ethiopian Ministry of Health should prioritize the areas with defaulting of immunization and consider the identified factors for immunization interventions.

scholarly journals Exploring spatial variation in BCG vaccination among children 0–35 months in Ethiopia: spatial analysis of Ethiopian Demographic and Health Survey 2016

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043565
Author(s):  
Chilot Desta Agegnehu ◽  
Adugnaw Zeleke Alem
Keyword(s):  
Spatial Variation ◽  
Health Survey ◽  
Addis Ababa ◽  
Public Health Problem ◽  
Demographic And Health Survey ◽  
Scan Statistics ◽  
Major Public Health Problem ◽  
Hotspot Analysis ◽  
Bcg Vaccination ◽  
South West

ObjectiveTuberculosis is a major public health problem and is the second leading cause of death worldwide. BCG vaccination is a life-saving and important part of standard tuberculosis control measures, particularly in Ethiopia where tuberculosis is endemic. The End Tuberculosis Strategy targets of 2020 have not been achieved. Exploring spatial variations in BCG vaccination among children is vital to designing and monitoring effective intervention programmes. Therefore, this study aimed to explore the spatial variation in BCG vaccination among children in Ethiopia.DesignCross-sectional study design.SettingEthiopia.ParticipantsChildren aged 0–35 months.Primary outcomeBCG vaccination coverage.MethodsData from the 2016 Ethiopian Demographic and Health Survey were used and a total of 4453 children aged 0–35 months were included. Spatial autocorrelation analysis, cluster and outlier analysis, hotspot analysis, spatial interpolation, and spatial scan statistics were carried out to identify geographical risk areas for BCG vaccine utilisation. ArcGIS V.10.6 and SaTScan V.9.6 statistical software were employed to explore spatial pattern and significant hotspot areas for BCG vaccination among children.ResultsBCG vaccination was spatially clustered in Ethiopia at the regional level (Global Moran’s I=0.516, p<0.001). A total of 51 most likely clusters of low BCG vaccination were identified in the Somali and Afar regions (log-likelihood ratio=136.58, p<0.001). Significant secondary clusters were also identified in North West Gambela, South Amhara, South West Addis Ababa, North East Southern Nations, Nationalities, and People’s Region, and South West Oromia.ConclusionA low probability of receiving BCG vaccination was found among children in the Somali and Afar regions. Therefore, these areas should be given attention when designing effective immunisation strategies to improve BCG vaccination among children in order to reduce the burden of tuberculosis in Ethiopia.

scholarly journals Less than one-fifth of the mothers practised exclusive breastfeeding in the emerging regions of Ethiopia: a multilevel analysis of the 2016 Ethiopian demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Demiss Mulatu Geberu ◽  
Asmamaw Atnafu
Keyword(s):  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Household Wealth ◽  
Community Level ◽  
Wealth Status ◽  
Individual Level ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
The Individual ◽  
Low Coverage

Abstract Background The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF practices in Ethiopia is low, the practices in the pastoral communities, in particular, are significantly low and affected by individual and community-level factors. Besides, its adverse outcomes are mostly unrecognised. Therefore, this study aimed to assess the individual and community-level factors of low coverage of EBF practices in the emerging regions of Ethiopia. Methods In this analysis, data from 2016 Ethiopian Demographic and Health Survey (EDHS) were used. A two-stage stratified sampling technique was used to identify 1406 children aged 0 to 23 months in the emerging regions of Ethiopia. A multilevel mixed-effect binary logistic regression analysis was used to determine the individual and community level factors associated with exclusive breastfeeding practices. In the final model, variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were found to be statistically significant factors that affect exclusive breastfeeding practices. Results Overall, 17.6% (95% CI: 15.6–19.6) of the children aged 0 to 23 months have received exclusive breastfeeding. Employed mothers (AOR: 0.33, 95% CI: 0.21–0.53), richer household wealth status (AOR: 0.39, 95% CI: 0.16–0.96), mothers undecided to have more children (AOR: 2.29, 95% CI: 1.21–4.29), a child with a history of diarrhoea (AOR: 0.31, 95% CI: 0.16–0.61) were the individual-level factors, whereas Benishangul region (AOR: 2.63, 95% CI: 1.44–4.82) was the community-level factors associated with the exclusive breastfeeding practices. Conclusions Less than one-fifth of the mothers have practised exclusive breastfeeding in the emerging regions of Ethiopia. The individual-level factors such as mother’s employment status, household wealth status, desire for more children, presence of diarrhoea and community-level factors such as region have contributed to the low coverage of exclusive breastfeeding. Therefore, the federal and regional health bureaus and other implementers should emphasise to those emerging regions by creating awareness and strengthening the existing community-based health extension program to enhance exclusive breastfeeding practices.

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