scholarly journals Exclusive Breastfeeding Knowledge of HIV Positive mothers and Associated Factors in Selected Health Institution of West Oromia, Ethiopia

2014 ◽  
Vol 2 (3) ◽  
pp. 37-44
Author(s):  
Abebe Bekere ◽  
Wondu Garoma ◽  
Fekadu Beyene
2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Lewam Mebratu ◽  
Selamawit Mengesha ◽  
Yadessa Tegene ◽  
Abraham Alano ◽  
Alemayehu Toma

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.


PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0210782 ◽  
Author(s):  
Negeso Gebeyehu Gejo ◽  
Haftom Gebrehiwot Weldearegay ◽  
Kidisti Tesfay W/tinsaie ◽  
Dejene Ermias Mekango ◽  
Ermias Sahile Woldemichael ◽  
...  

2020 ◽  
Author(s):  
Hamelmal Mekonen Embaye ◽  
Teferi Gebru Gebremeskel

Abstract Background: Breastfeeding exposed to HIV is a major factor in the spread of HIV, but breastfeeding alone poses a significant risk to the baby's health because breastfeeding can reduce the impact of many infections and support some chronic diseases. Therefore, this study was aimed to assess exercise-based and associated factors breastfeeding on HIV-infected mothers for children age 1-24 months in the central zone, Tigray, north Ethiopia. Methods: A Facility-based Cross-Sectional study was conducted from March to April 2019. A systematic random sampling method was used to select study participants. Information was collected using a structured, pre-tested questionnaire. The data is coded, cleaned, copied and entered EPI-info 7 and finally export to SPSS version 22.00 for analysis. Association between independent and dependent variables was first analyzed using binary logistic regression analyses. An alternative bivariate logistic regression analyzes of less than 0.2 were entered in multivariable logistic regression analysis. The statistical association between variance dependent and independent variables was measured using an OR, AOR, 95% CI, and a p-value less than 0.05. Result: 239 HIV-positive mothers participated in this study. Approximately 204(85.4) are favorable attitude in the practice of exclusive breastfeeding. The majority of mothers 206 (86.7%) experienced good breastfeeding. Mothers with Information while exclusive breastfeeding (AOR, 2.57, 95%CI: 1.03- 6.4) and age at first birth (AOR: .247, 95%: (.106- .578) had a significant collaboration on exclusive breastfeeding practice among HIV-infected mothers. Several ANC visits have had a significant collaboration on exclusive breastfeeding practice among HIV-infected mothers (AOR; 3.726 95%CI; 1 .055-13.154).Conclusion: The study found that HIV positive mothers attending health care facilities had a favorable attitude but practiced on EBF is still low. Therefore, train health professionals especially health extension workers to raise awareness education, enhance information, regarding EBF and strength counseling in ANC service is better to improve the HIV positive mother level of attitude and practice to EBF.


Author(s):  
Mustafa Geleto Ansha ◽  
Kemal Ahmed Kuti ◽  
Selamawit Tesfaye Tasew

Objective: To assess Infant feeding practice and associated factors among HIV positive mothers at health institution of Shashemene town, South Ethiopia. Materials and methods: Facility based cross sectional study was conducted. The study used all the study population as source of data since they are small in number hence sample size calculation was not needed. This study was conducted at health institutions which provide ART and PMTCT service at Shashemene town. Structured questionnaires were developed by reviewing different literatures. Data collectors were trained and data were collected from February to March 2018. The data were analyzed using statistical package for social science (SPSS) version 20, descriptive statistics as well as bivariate and multivariate analysis were computed to identify the independent predictor of infant feeding practice and to control effect of confounders. Results: On this study majority 175 (90.7%) of respondent breast feed their infants. Regarding feeding option about 154 (79.8%) chose EBF followed by complementary feeding. Concerning feeding practice majority of respondent 172 (89.1%) utilize safe feeding practice. On multivariate analysis only Counseling provided by health professional on infant feeding option was found as independent predictors of infant feeding practice with [AOR = 4.538 (CI = 1.099, 18.736)]. Conclusion: Higher proportion of HIV positive mothers follow safe infant feeding practice. Counseling by health professional was found as independent predictors of infant feeding practice. Further counseling by health professional needed to discourage mixed feeding practice.  


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Betty Mogesi Samburu ◽  
Judith Kimiywe ◽  
Sera Lewise Young ◽  
Frederick Murunga Wekesah ◽  
Milka Njeri Wanjohi ◽  
...  

Abstract Background Although recent policies have sought to increase the rates of exclusive breastfeeding (EBF) and continued breastfeeding for HIV exposed infants, few programs have considered the multiple social and cultural barriers to the practice. Therefore, to generate evidence for exclusive and continued breastfeeding policies in Kenya, we examined community perspectives on the facilitators and barriers in adherence to EBF for the HIV positive mothers. Methods Qualitative research was conducted in Koibatek, a sub-County in Baringo County Kenya, in August 2014 among 205 respondents. A total of 14 focus group discussions (n = 177), 14 In-depth Interviews and 16 key informant interviews were conducted. Transcribed data was analyzed thematically. NVivo version 10.0 computer qualitative software program was used to manage and facilitate the analysis. Results Facilitators to exclusive breastfeeding were perceived to include counselling at the health facility, desire to have a healthy baby, use of antiretroviral drugs and health benefits associated with breastmilk. Barriers to EBF included poor dissemination of policies, knowledge gap, misinterpretation of EBF, inadequate counselling, attitude of mother and health workers due to fear of vertical HIV transmission, stigma related to misconception and misinformation that EBF is only compulsory for HIV positive mothers, stigma related to HIV and disclosure, social pressure, lack of male involvement, cultural practices and traditions, employment, food insecurity. Conclusions There are multiple facilitators and barriers of optimal breastfeeding that needs a holistic approach to interventions aimed at achieving elimination of mother to child transmission. Extension of infant feeding support in the context of HIV to the community while building on existing interventions such as the Baby Friendly Community Initiative is key to providing confidential support services for the additional needs faced by HIV positive mothers.


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