scholarly journals Trends and determinants of breastfeeding within one hour in Ethiopia, further analysis of Ethiopian Demographic and Health Survey: multivariate decomposition analysis

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Tilahun Yemanu Birhan ◽  
Wullo Sisay Seretew ◽  
Muluneh Alene
Keyword(s):  
Health Facility ◽  
Decomposition Analysis ◽  
Facility Delivery ◽  
Early Initiation ◽  
Breastfeeding Initiation ◽  
Health Facility Delivery ◽  
Initiation Rate ◽  
Early Initiation Of Breastfeeding ◽  
Over Time ◽  
Initiation Of Breastfeeding

Abstract Background Despite the substantial efforts to improve timely/early initiation of breastfeeding, avoidance of colostrum, and delayed initiation of breastfeeding remains a big challenge in developing countries. Therefore, this study aimed to analyze the trends of early breastfeeding rate over time based on the Ethiopian Demographic and Health Survey (EDHS). Methods Secondary data analysis was conducted based on the Ethiopian Demographic Health Surveys (EDHSs) conducted in 2005, 2011, and 2016. A total weighted sample of 9, 111, 10,106, and 8564 in 2005, 2011, and 2016 respectively were included for analysis. Trend and Logistic based decomposition analysis technique was used for analyzing the trends of early breastfeeding initiation over time and factors contributing to the change in early breastfeeding initiation rate. STATA 15 was employed for data management and analyses. All analyses presented in this paper were weighted for the sampling probabilities and non-response. Result Among children age less than 5 years the rate of early breastfeeding initiation rate overtime was increased from 70.5% in 2005 to 72.7% in 2016. The highest rate of improvement was seen in the second phase of the study (2011–2016) while it shows a decline in the first phase (2005–2011) from 70.5 to 55.1%. The decomposition analysis indicated that about half of the overall change in early breastfeeding initiation rate was due to the difference in women’s composition. Particularly, an increase in health facility delivery and vaginal delivery was a significant predictor of the increasing rate of early breastfeeding initiation over the surveys. Conclusion Early initiation of breastfeeding slightly increasing over the last 10 years in Ethiopia. Half of the overall increase in the early initiation of breastfeeding was due to the change in compositional characteristics of women over 10 years in Ethiopia. Change in the composition of women according to health facility delivery and vaginal delivery were the major source of the increase in early breastfeeding initiation over time. Public interventions including promoting health facility delivery of women for further improvements of early breastfeeding initiation should be needed.

scholarly journals Higher rates of early initiation of breastfeeding associated with health facility delivery in Nepal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Dharel ◽  
A Bhattarai ◽  
Y R Paudel ◽  
P Acharya ◽  
K Acharya
Keyword(s):  
Health Facility ◽  
Newborn Care ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Essential Newborn Care ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Nationally Representative ◽  
Initiation Of Breastfeeding

Abstract Background Initiation of breastfeeding within one hour from birth is one of the five key essential newborn care messages, implemented along with birth preparedness package since 2008. This study aimed to determine the trend of early initiation of breastfeeding (EIBF) and to assess the effect of health facility delivery on EIBF in Nepal. Methods We analyzed the data from the last four nationally representative Nepal Demographic and Health Surveys (NDHS) conducted in 2001,2006,2011 and 2016. Data on the early initiation of breastfeeding was obtained from the mothers of infants born within 24 months prior to the survey. The explanatory variable was the place of delivery, dichotomized as either the health facility, or home delivery. Survey year had a significant interaction with the place of delivery. Multivariable logistic regression was conducted separately on pooled samples before (NDHS 2001 and 2006) and after (NDHS 2011 and 2016) the program implementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) for EIBF was calculated after adjusting for predetermined covariates. Results The rate of EIBF increased by 26.5% points (from 32.8% in 2001 to 59.3% in 2016) among infants delivered in a health facility, compared to an increase by 17.1% points (from 29.9% to 47.0%) among home born infants. EIBF increased by 32.5% points before, compared to 49.7% points after BPP. Delivery in a health facility was associated with a higher odd of EIBF in later years (AOR2.3, 95% CI 2.0,2.8), but not in earlier years (AOR1.3, 95% CI 0.9,2.0). Delivery by caesarean section, first-born infant, and lack of maternal education were associated with a lower rate of EIBF in both periods. Conclusions Higher EIBF was associated with health facility delivery in Nepal, only after programmatic emphasis on essential newborn care messages. This implies the need for explicit focus on EIBF at birth, particularly when mother is less educated, primiparous or undergoing operative delivery. Key messages The rate of initiation of breastfeeding within an hour from birth is increasing in Nepal, with higher rates in health facility delivery, as shown by the recent four nationally representative surveys. Programmatic focus on essential newborn care messages may have contributed to significant association of higher rates of early initiation of breastfeeding when delivered in health facility.

scholarly journals Determinants of Timely Initiation of Breastfeeding among Disadvantaged Ethnic Groups in Midwest Nepal

2019 ◽  
Vol 16 (41) ◽  
pp. 385-391
Author(s):  
Keshab Sanjel ◽  
Archana Amatya
Keyword(s):  
Ethnic Groups ◽  
Health Facility ◽  
Univariate Analysis ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Timely initiation of breastfeeding has the potential to prevent 22% of neonatal deaths if breastfed within an hour after birth. Although breastfeeding is almost universal in Nepal, ranges of regional differences in timely initiation of breastfeeding have been documented. The aim of this study was to identify the prevalance and the determinants of early initiation of breastfeeding among disadvantaged ethnic women in Midwest Nepal. Methods: The data was obtained from a household survey of women who had their last child less than one year of age. Descriptive statistics were used to analyze respondents’ demographic, socioeconomic, obstetric and health services related characteristics. Determinants of timely initiation of breastfeeding were assessed using univariate analysis and further evaluated using multivariable logistic regression analysis.Results: Of 362 mothers, 65.5% initiated breastfeeding within one hour of childbirth. Mothers belonging to Tharu ethnic groups (aOR 1.788; 95% CI: 1.014, 3.152), health facility delivery (aOR 3.381; 95% CI: 1.795, 6.369) and mothers who were counseled on breastfeeding during ANC attendance (aOR 2.898; 95% CI: 1.038, 8.096) were more likely to initiate breastfeeding within the first hour of child birth. Conclusions: Almost two in every three mothers had initiated breastfeeding within one hour of childbirth. The factors influencing timely initiation of breastfeeding were Tharu ethnic mothers, health facility delivery and Ante Natal Care counseling. We need to aim at increasing institutional deliveries and counseling during ANC which may increase the early initiation of breastfeeding among disadvantaged ethnic groups. Keywords: Breastfeeding; determinants; Nepal; prevalence; timely initiation

scholarly journals A quality improvement study on breastfeeding initiation rate within 1 hour of life in inborn neonates in a tertiary care centre

2020 ◽  
Vol 7 (2) ◽  
pp. 252
Author(s):  
C. Renuka Devi ◽  
Nalini A. ◽  
N. S. Raghupathy
Keyword(s):  
Quality Improvement ◽  
Tertiary Care ◽  
Early Initiation ◽  
Normal Vaginal Delivery ◽  
Preterm Neonates ◽  
Breastfeeding Initiation ◽  
Tertiary Care Centre ◽  
Initiation Rate ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Breastfeeding is a well-established key of success to improve the outcome in neonates. Early initiation of breastfeeding in neonates refers to the provision of mother’s milk to their own babies as early as possible after delivery. Despite the established benefits of breastfeeding, early initiation of breastfeeding is found to be suboptimal in our country. Early initiation of breastfeeding has many challenges like no bedding in, availability of lactation counsellors and staff nurses, procedural delay (episiotomy, skin suture) and shifting from the recovery room. Objective of the study was to improve the rate of initiation of breastfeeding stable term and preterm neonates within 1 hour of life in both normal vaginal delivery and caesarean section conducted in our hospital from baseline to 95% over 3 months period by Quality improvement approach.Methods: Eligible inborn mother-infant dyads were enrolled in this study. A team formed, baseline data and rate of early initiation of breastfeeding collected and factors for delayed initiation analysed by Flowchart process, Fishbone analysis and 5 why’s, 3 PDSA cycles were done.Results: Total 50 mother-infant dyads assessed. Rate of early initiation of breastfeeding within 1 hour of life increased from 25% to 100% over 3 months.Conclusions: This quality improvement study was able to accomplish sustained improvement in the rate of breastfeeding the neonates in the first hour of life.

HUBUNGAN PENGETAHUAN SIKAP DENGAN INISIASI MENYUSU DINI PADA IBU POST PARTUM DI RUANG VK IRINA D BLU RSUP PROF R.D. KANDOUMANADO

e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Fransisca M.A. Wowiling ◽  
Benny Wantouw ◽  
Julia Rottie
Keyword(s):  
Post Partum ◽  
Early Initiation ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Early Initiation Of Breastfeeding ◽  
Chi Square Test ◽  
Knowledge And Attitude ◽  
Initiation Of Breastfeeding

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value ​> 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD).     Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).

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 Modelling the Trend and Determinants of Breastfeeding Initiation in Nigeria

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Waheed Babatunde Yahya ◽  
Samson Babatunde Adebayo
Keyword(s):  
Urban Areas ◽  
Educational Status ◽  
Early Initiation ◽  
Demographic And Health Surveys ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Singleton Birth ◽  
Nursing Mothers ◽  
Mother’S Age ◽  
Initiation Of Breastfeeding

This paper examined the general trend of timing of breastfeeding initiation among nursing mothers in Nigeria. The time of initiating the first breast milk to an infant by his/her mother is measured as whether it is immediate (before the first hour of birth) or delayed (after the first hour of birth), and the impacts of some socioeconomic and maternal factors on this are determined. Results from this study showed that mother’s age at birth, her enhanced educational status, mothers’ domiciling in urban areas, singleton birth, and mother’s frequent antenatal visits among others contributed positively to early initiation of breastfeeding by Nigerian nursing mothers (P<0.05). In the contrary, delivery through caesarean operation, nursing mothers that delivers at homes instead of hospitals, and the current birth being the first from a mother are all found to militate against early initiation of breastfeeding (P<0.05) among others. General results showed that early breastfeeding initiation experience among nursing mothers in Nigeria significantly improves over time between 1990 and 2008 (P<0.05), although following a sinusoidal pattern. Four waves of national data from the Nigerian Demographic and Health Surveys for 1990, 1999, 2003, and 2008 were employed in the study.

scholarly journals Early initiation of breastfeeding is protective against child stunting in South Sulawesi: A Cross-Sectional Study

2021 ◽  
Author(s):  
SIRAJUDDIN SIRAJUDDIN ◽  
Saifuddin Sirajuddin ◽  
A Razak Thaha ◽  
Amran Razak ◽  
Ridwan M Thaha ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Early Initiation ◽  
Cluster Sampling ◽  
Breastfeeding Initiation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Child Stunting ◽  
Early Initiation Of Breastfeeding ◽  
South Sulawesi ◽  
Initiation Of Breastfeeding

Abstract BackgroundSouth Sulawesi in 2018 was declared as the region with the fifth-highest position of stunting children. increasing the risk of excess nutrition and non-communicable diseases.ObjectivesTo investigate The early breastfeeding initiation practices dan stunting children in South Sulawesi Province, Indonesia.MethodsThe surveys were designed by a cross-sectional study. The sample size proportional to children 0–50 months. The household was eligible for inclusion in the survey if they contained a child aged 0–23 month and if the primary caregiver was present for interviews. Sampling technique determined by cluster sampling for each district.ResultsThe distribution of EBI practices in all districts/cities in South Sulawesi is between 14.93% to 90.97 %. EBI status is the majority of EBI 55.2%, duration with the highest percentage of ½ to 1 hour 48.2%. The Suckling process is good at 18.2% while others don't know. Timing is generally < 15 minutes 36.9%. Nutritional status data were known to severely stunting 6.1% and moderately stunting 15.6%.ConclusionEBI practices are more in urban than rural. Early initiation of breastfeeding is protective against child stunting in South Sulawesi

scholarly journals Pengaruh Usia Dan Pendidikan Terhadap Implementasi nisiasi Menyusu Dini (IMD) Pada Pasien Post Sectio Caesarea

2021 ◽  
Vol 4 (1) ◽  
pp. 7
Author(s):  
Meylina Parela Ningsih ◽  
FX. Ady Soesetijo ◽  
Dewi Rokhmah
Keyword(s):  
Data Analysis ◽  
Formal Education ◽  
Early Initiation ◽  
Primary Data ◽  
Sectio Caesarea ◽  
Breastfeeding Initiation ◽  
Educational Media ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding (EIBF) in post sectio caesarea patients is the process of breastfeeding the baby to his mother immediately after birth by placing the baby on the mother's chest or abdomen so that skin-to-skin contact occurs and letting the baby find the mother's nipple and then breastfeed until satisfied. The benefits of IMD are very large for mothers and babies including accelerating the production of colostrum as a baby antibody so as to prevent infection, prevent hypothermia and hypoglycemia and prevent anemia due to bleeding after delivery. IMD becomes important to be carried out both for mothers with normal labor and with the act of sectio caesarea. This study aims to determine the effect of maternal age and education on the implementation of early initiation of breastfeeding (IMD) in post sectio caesarea patients. This type of research was analytic observational with cross sectional design. Data obtained from primary data 99 respondents by filling out a questionnaire and direct observation. The research site at Bina Sehat Jember Hospital in April 2021. Data obtained from the primary data of 99 respondents by filling out questionnaires and making direct observations. Data analysis used is bivariate analysis using SPSS statistical data processing tool. The results of the instrument test show that all variables were valid and reliable as a data collection tool. The results of data analysis showed that: 1) Age had no significant effect on the implementation of IMD in post sectio caesarea patients (p = 0.769) because the indication for delivery by sectio caesarea was not carried out in patients with high risk age, but also in productive age. 2) Education had no significant effect on the implementation of IMD in post sectio caesarea patients (p = 0.284) Because knowledge about the importance of early breastfeeding initiation and how to do it is not obtained during formal education but from non-formal education and other educational media, so that other educational media are needed in order to support the implementation of IMD, especially in post sectio cesarea patients. Keywords: Early Initiation Breastfeeding, Education, Sectio Caesarea, Age

scholarly journals Factors Related to The Implementation of Early Breastfeeding by Midwives at Datu Sanggul Rantau Hospital

2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
M Riduan Abriadi ◽  
Husaini Husaini ◽  
Eko Suhartono ◽  
Zairin Noor ◽  
Meitria Syahadatina Noor
Keyword(s):  
Education Level ◽  
Early Initiation ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Service Training ◽  
Years Of Service ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is program of Indonesian Government.   Early breastfeeding has not been widely practiced, <30% for South Kalimantan and 21% for Tapin District. The implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital is influenced by age, education level, years of service, midwife training and socialization of implementation of early breastfeeding initiation. This study aims was to analyze the factors associated with implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital. The study was cross sectional, with 32 midwives in PONEK, maternity and nicu at Datu Sanggul Rantau Hospital. The variables were age, education level, years of service, training and socialization. Data were analyzed using Chi square.  The results showed socialization was related with p value of 0.004. Unrelated factors were age p value 0.660, education level p value 0.496, years of service p value of 0.761, and training p value 0.314. Simultaneously, age, education level, years of service, training and socialization are not related to the implementation of early breastfeeding initiation with p value 0, 083. The conclusion is there is a significant relationship between socialization and the implementation of early initiation of breastfeeding at Datu Sanggul Rantau Hospital.

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