Trends of inequalities in early initiation of breastfeeding in Ethiopia: Evidence from Ethiopian Demographic and Health Surveys, 2000-2016

Index Of Inequality ◽

Abstract Background Early initiation of breastfeeding (EIBF) is a cost-effective and straightforward activity with numerous neonates' survival benefits. Thus, any disparity would result in an unacceptably high rate of neonatal death at the national level, and disparities among sub-groups regarding EIBF have not been well explored in Ethiopia. Therefore, this study aimed at assessing the trends of socioeconomic inequalities in EIBF in Ethiopia. Methods The Ethiopian demographic and health survey 2000 to 2016 data and the World Health Organization's (WHO) Health Equity Assessment Toolkit (HEAT) were used to investigate the inequalities in early breastfeeding initiation across the wealth quantile, educational level, residence and subnational region. Difference, ratio, slope index of inequality, relative index of inequality and population attributable risk were used as equity summary measures. A 95% uncertainty interval was calculated to declare the significance of the disparity in each point estimate. Results The magnitude of EIBF practice has fluctuated over the last seventeen years, with 47.4% in 2000, 66.2% in 2005, 51.5% in 2011 and 73.3% in 2016. In 2011, a significant change in inequality was observed in wealth- and educational status, whereas in 2016, inequalities were found in the subnational regions. Furthermore, in all survey years, the simple dispersion measure indicated no inequality in EIBF based on residence differences. However, there was high dispersion both in Difference and Ratio in Ethiopia across all survey years based on Ethiopia's sub-national region. In 2016, Afar (42.0%; 95% UI: 34.7–49.7), Tigray (63.0%; 95% UI: 56.6–69.0) and Amhara (66.0%; 95% UI: 59.7–71.8) were the three least EIBF practiced regions in Ethiopia. If the regional performance disparities in 2016 were reduced to an insignificant level, the EIBF proportion at the national level would increase by 17.2% (95% UI: 2.2–32.2). Conclusion In Ethiopia, the trend of socioeconomic inequality in EIBF has increased significantly over the past seventeen years. The disparity in EIBF was observed in all measures of dispersion in 2011. In all survey years, the northern part of Ethiopia (Afar, Tigray and Amhara regions) performed worse than the rest of the country. Therefore, interventions targeting them would significantly improve the national level performance of EIBF for the subsequent reduction of neonatal mortality.

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

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03308-w ◽

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 ◽

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.

Modelling the Trend and Determinants of Breastfeeding Initiation in Nigeria

Child Development Research ◽

10.1155/2013/530396 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 9

Author(s):

Waheed Babatunde Yahya ◽

Samson Babatunde Adebayo

Keyword(s):

Urban Areas ◽

Educational Status ◽

Early Initiation ◽

Demographic And Health Surveys ◽

Singleton Birth ◽

Nursing Mothers ◽

Mother’S Age ◽

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.

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

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191856 ◽

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 ◽

Cross Sectional ◽

Timely Initiation ◽

Factors Affecting ◽

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.

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

BioScientia Medicina ◽

10.32539/bsm.v5i11.427 ◽

2021 ◽

Vol 5 (11) ◽

pp. 1236-1243

Author(s):

Barirah Madeni ◽

Hasritawati

Keyword(s):

Health Center ◽

Early Initiation ◽

World Health ◽

Good Knowledge ◽

Survey Method ◽

District Health ◽

Cross Sectional ◽

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.

Determinants of Early Initiation of Breastfeeding in Lamongan Public Health Center

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i2.443 ◽

2020 ◽

Vol 9 (2) ◽

pp. 1151-1159

Author(s):

Husnul Muthoharoh

Keyword(s):

Public Health ◽

Health Center ◽

Service Providers ◽

Early Initiation ◽

World Health ◽

P Value ◽

Public Health Center ◽

The World Health Organization (WHO) and United Nations Children's Fund (UNICEF) recommend initiation of breastfeeding within the first hour of life. This research aimed to investigated the determinants of breastfeeding practices in Lamongan Public Health Center. This study used an observational analytic research design with a cross-sectional approach. The population in this study were all mothers giving birth at the Lamongan Public Health Center when the study was running in May-July 2020. The sampling technique used total sampling. The sample in this study are 43 people. The factors associated with the implementation of early breastfeeding initiation were knowledge about early initiation of breastfeeding (p value = 0.000) and family support (p value = 0.006). It is recommended that childbirth service providers provide education to families before childbirth in order to facilitate the implementation of early initiation of breastfeeding.

Prevalence and Associated Factors of Caesarean Section and its Impact on Early Initiation of Breastfeeding in Abu Dhabi, United Arab Emirates

Nutrients ◽

10.3390/nu11112723 ◽

2019 ◽

Vol 11 (11) ◽

pp. 2723 ◽

Cited By ~ 2

Author(s):

Zainab Taha ◽

Ahmed Ali Hassan ◽

Ludmilla Wikkeling-Scott ◽

Dimitrios Papandreou

Keyword(s):

United Arab Emirates ◽

Mode Of Delivery ◽

Early Initiation ◽

World Health ◽

Abu Dhabi ◽

Delayed Initiation ◽

Health Organization ◽

The World Health Organization (WHO) recommends the early initiation of breastfeeding. Research shows that factors such as mode of delivery may interfere with the early initiation of breastfeeding. However, data in the United Arab Emirates (UAE) on these findings is limited. Thus, the aim of this study was to describe the prevalence of caesarean sections (CSs) and evaluate their effect on breastfeeding initiation among mothers of children under the age of two years in Abu Dhabi. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi during 2017 using consent and structured questionnaires for interviews with mothers. Data analysis included both descriptive and inferential statistics. Among the 1624 participants, one-third (30.2%) reportedly delivered by CS, of which 71.1% were planned, while 28.9% were emergency CS. More than half of all mothers (62.5%) initiated early breastfeeding. Multivariable logistic regression indicated factors that were associated positively with CS included advanced maternal age, nationality, and obesity. However, gestational age (GA) was negatively associated with CS. This study shows that the prevalence of CS is high in Abu Dhabi, UAE. CS is associated with lower early initiation rates of breastfeeding. The early initiation rates of breastfeeding were 804 (79.2%) 95% confidence interval (CI) (76.4, 82.0), 162 (16.0%) 95% CI (10.4, 21.6), and 49 (4.8%) 95% CI (1.2, 10.8) among vaginal delivery, planned CS, and emergency CS, respectively. Regarding the mode of delivery, vaginal were 2.78 (Adjusted Odd Ratio (AOR)): CI (95%), (2.17–3.56, p < 0.001) times more likely related to an early initiation of breastfeeding. CS in general, and emergency CS, was the main risk factor for the delayed initiation of breastfeeding. The study provides valuable information to develop appropriate strategies to reduce the CS rate in UAE. Maternal literacy on CS choices, the importance of breastfeeding for child health, and additional guidance for mothers and their families are necessary to achieve better breastfeeding outcomes.

Trends in early initiation of breastfeeding in Bangladesh and a multilevel analysis approach to find its determinants

Scientific Reports ◽

10.1038/s41598-021-84412-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Foyez Ahmmed ◽

Muhammad Mahabub Rahaman Manik

Keyword(s):

Wealth Index ◽

Early Initiation ◽

Multiple Birth ◽

Demographic And Health Surveys ◽

Antenatal Visit ◽

Regression Result ◽

Chi Square ◽

The Hierarchical Structure ◽

AbstractEarly initiation of breastfeeding (EIBF) is an essential practice for child health as well as for maternal health. This study aims to determine trends, prevalence, and factors associated with EIBF in Bangladesh. Data for this study were extracted from Bangladesh demographic and health surveys (BDHS) 2004, 2007, 2011, and 2014. This study found an increasing trend in EIBF in Bangladesh irrespective of the different characteristics of mothers and children. Chi-square test was conducted to find the association between EIBF and different factors. Multilevel logistic regression analysis was used to consider the hierarchical structure of the data. Regression result showed that educated parents [Adjusted odds ratio (AOR) = 1.14, 95% Confidence Interval (CI) = 1.04, 1.26 ], exposure to media [AOR = 1.13, CI = 1.05, 1.21], 2nd or 3rd birth order [AOR = 1.13, CI = 1.04, 1.23], wanted child [AOR = 1.12, CI = 1.02, 1.23], antenatal visit [AOR = 1.07, CI = 1.00, 1.15], antenatal visit by medically trained provider [AOR = 1.06, CI = 1.00,1.13] and rich wealth index [AOR = 1.10, CI = 1.01, 1.20] were positively associated with EIBF. In contrast, mothers with caesarian delivery [AOR = 0.36, CI = 0.31, 0.40], delivery in private facility [AOR = 0.83, CI = 0.73, 0.95], multiple birth, and higher maternal age were less likely to EIBF.

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

e-NERS ◽

10.35790/ens.v1i1.1795 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Fransisca M.A. Wowiling ◽

Benny Wantouw ◽

Julia Rottie

Keyword(s):

Post Partum ◽

Early Initiation ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Chi Square Test ◽

Knowledge And Attitude ◽

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).

Measurement of breastfeeding initiation: Ethiopian mothers’ perception about survey questions assessing early initiation of breastfeeding

International Breastfeeding Journal ◽

10.1186/1746-4358-9-13 ◽

2014 ◽

Vol 9 (1) ◽

Cited By ~ 11

Author(s):

Mihretab Melesse Salasibew ◽

Suzanne Filteau ◽

Tanya Marchant

Keyword(s):

Early Initiation ◽

Survey Questions ◽

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

10.21203/rs.3.rs-432718/v1 ◽

2021 ◽

Author(s):

SIRAJUDDIN SIRAJUDDIN ◽

Saifuddin Sirajuddin ◽

A Razak Thaha ◽

Amran Razak ◽

Ridwan M Thaha ◽

...

Keyword(s):

Cross Sectional Study ◽

Early Initiation ◽

Cluster Sampling ◽

Sectional Study ◽

Cross Sectional ◽

Child Stunting ◽

South Sulawesi ◽

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