Prevalence and associated factors of timely initiation of breastfeeding among mothers at Debre Berhan town, Ethiopia: a cross-sectional study

Abstract Background: Prelacteal feeding is administration of any food or fluid other than breast milk before initiation of breast feeding. Optimal breastfeeding including discouraging prelacteal feeding could save 823,000 lives per year among children ages five years old and younger. Despite of this mothers give prelacteal feeding to their child in different part of Ethiopia; However, there is a paucity of information on prevalence of prelacteal feeding and associated factors in the study area. Thus, the current study aimed at determining of the prevalence of prelacteal feeding and associated factors among mothers of children aged less than six months in Gozamen district, East Gojjam zone, North West Ethiopia, 2019-2020Methods: A community -based cross-sectional study was conducted among 741 mothers of children aged less than six months in Gozamen district from August 2019 to Feb 2020. Stratified cluster sampling technique was used to select study participants. Data were collected by face to face interviewer-administered, pretested and semi-structured questionnaire. Descriptive analysis, bi-variable and multivariable logistic regression model were employed. Adjusted odds ratio with 95% confidence interval was used to identify factors associated with prelacteal feeding.Results: In this study the prevalence of prelacteal feeding was found to be 17.1%with 95%CI [14.3, 20]. Mothers who had no ANC follow up [AOR: 7.53, CI; 3.32, 17.05], those mothers who did not discard colostrum [AOR: 0.12, CI; 0.07, 0.12] time of breast feeding initiation [AOR: 3.53, CI; 2.05, 6.11] and mothers who had single ANC visit [AOR: 2.98, CI; 1.52, 5.85] were significant independent factors associated with prelacteal feeding.Conclusion: This study concluded that prelacteal feeding was high in the study area .Therefore, in order to tackle this problem strengthening antenatal follow up, timely initiation of breastfeeding, health education and awarenes creation of the communities are recommended interventions.

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Prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia 2018: A cross sectional study

10.21203/rs.2.13141/v1 ◽

2019 ◽

Author(s):

Sisay Shine ◽

Sindew Muhamud ◽

Solomon Adnew ◽

Alebachew Demelash

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Sectional Study ◽

Rota Virus ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Debre Berhan

Abstract Introduction Diarrhea is responsible for 525,000 under five children deaths and 1.7 billion cases in the world and the second leading cause of death among under-five children. It is the major public health problem in developing countries like Ethiopia. The main aim of this study was to assess the prevalence and associated factors of diarrhea among under-five children in Debre Berhan Town, Ethiopia.Methods Community based cross-sectional study design was done among 420 children in Debre Behan Town. Multi-stage sampling technique was used to select the study participants. Data were collected by using pre-tested and structured questionnaire. Odds ratios with 95% confidence intervals were used to assess level of significance.Results The two week prevalence of diarrhea among under-five children was 16.4%. Age of children with 7-11 month years old (AOR: 4.2, 95%CI: 1.2 – 15.3), being the second children (AOR: 3.9, 95%CI: 1.8 – 8.5), not vaccinated against Rota virus (AOR: 10.3, 95%CI: 3.2 – 91.3) and feeding children by using hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of under five children diarrhea.Conclusions This study revealed that the two weeks’ period prevalence of under-five diarrhea was relatively high. Age of children, vaccination against Rota virus and feeding children by using hand were associated with under-five children diarrhea. Education program on the important of vaccination against Rota virus and critical point of hand washing is recommended.

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Delayed breast feeding initiation increases the odds of colostrum avoidance among mothers in Northwest Ethiopia: a community-based cross-sectional study

Archives of Public Health ◽

10.1186/s13690-021-00571-x ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Maezu G/slassie ◽

Zelalem Nigussie Azene ◽

Abuhay Mulunesh ◽

Tesfa Sewunet Alamneh

Keyword(s):

Breast Feeding ◽

Associated Factors ◽

Institutional Delivery ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Timely Initiation ◽

Colostrum Feeding

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.

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