Knowledge, and Practice of Mothers and Its Associated Factors on Colostrum Feeding of Neonates at Este (Mekane-eyesus), South Gondar Amhara, North West, Ethiopia: Community Based Cross-sectional Study 2020

2021 ◽  
Author(s):  
Gashaw Mehiret Wubet ◽  
Libsuye Yalgaw Zemamu ◽  
Gashaw Mekete Adan ◽  
Bisrat Desie Getu
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia ◽  
Colostrum Feeding ◽  
Knowledge And Practice ◽  
Study Participants ◽  
South Gondar

Abstract Introduction - Feeding of human breast milk, especially colostrum, is the normative standards for infants and regarded as a complete form of nutrition. The positive health benefits of breastfeeding/breast milk feeding as part of caring for premature, sick and vulnerable newborns are well documented in the scientific literature.Objective -To assess the knowledge and practice of mothers and its contributing factors on colostrum feeding of newborn at Este (Mekane Eyesus), south Gondar Amhara ,north west, ethiopia,2020Method – community-based cross sectional study design was conducted among 376 mothers, from March 10/2020 to May 2020. The study participants were selected by multistage sampling technique after selecting 02 urban and 03 rural kebeles by simple random sampling technique. Each participant was also selected from household after determining and proportionately allocating of samples in each selected kebeles. During selection of participants, house to house visit was made. To select the study participants from each household, Kth interval was determined for each proportionally allocated 3rural and 02 urban kebeles. Multivariable binary logistic regression model was fitted and adjusted odds ratios with 95% confidence interval were computed to determine the strength of association between each variable with milk teeth extraction. Variables with P-value < 0.05 was considered as statistically significant.Result - knowledge of mothers about colostrum feeding was 86.4 % [95% CI: ( 83.0-89.6)] whereas the overall practice of mothers about colostrum feeding was found to be 98.4% [95%, CI :( 96.8-99.5)]. counseling about colostrum feeding [AOR: 31.1(10.35, 93.2] were significantly associated with knowledge of mothers about colostrum feeding. Regarding to practice of mothers on colostrum feeding mothers’ the place of delivery at home [AOR: 20.00(2.30, 173.8] was significantly associated with practice of mothers about colostrum feeding.Conclusion - Discarding of colostrum (first milk) is still common in Este (Mekane Eyesus) and the surrounding rural kebeles. The current knowledge and practice level of colostrum feeding among mothers was 96.4% and 98.4% respectively and which was considered being high when compared the study conducted in Northern Ethiopia and post-natal educations in health institutions.

scholarly journals Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245233
Author(s):  
Ayenew Mose ◽  
Merga Dheresa ◽  
Bezatu Mengistie ◽  
Biresaw Wassihun ◽  
Haimanot Abebe
Keyword(s):  
Cesarean Section ◽  
Antenatal Care ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Care Group ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia ◽  
Colostrum Feeding ◽  
Study Participants

Introduction The World Health Organization and the United Nations International Children’s Emergency Fund jointly recommend colostrum feeding immediately following delivery of the newborn. Colostrum avoidance is the practice of discarding colostrum at least once within the first three days after delivery of the newborn. Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality, and they believe colostrum should be discarded to alleviate its effects. However, the cause of this misconception about colostrum is not well researched in Ethiopia, particularly in the study area. Objective To assess the prevalence of colostrum avoidance and associated factors among mothers of children aged less than six months in Bure district, Amhara Region, North West, Ethiopia. Methods A community-based cross-sectional study was conducted from March 1st to 30th, 2019 in Bure district. Structured questionnaires and face to face interviews were used to collect data from 621 study participants. Multistage sampling technique was used to select study participants. Data were entered into Epi Data version 4.2.0 and then exported to Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were performed to identify predictors of colostrum avoidance practice. Results Six hundred twenty-one (621) mothers of children aged less than six months participated. The prevalence of colostrum avoidance was 14.5% (95%CI; 11.5–17.4). The multivariate analysis indicated that home delivery [AOR = 3.350, (95%CI; 2.517–14.847)], giving birth through cesarean section [AOR = 3.368, (95%CI; 1.339–8.471)], no participation in an antenatal care group [AOR = 1.889, (95%CI; 1.144–3.533)], poor knowledge of mothers about colostrum [AOR = 3.44, (95%CI; 2.45–4.977)], and poor attitude of mothers towards colostrum [AOR = 3.053, (95%CI; 1.157–8.054)] were important predictors of colostrum avoidance practice. Conclusion and recommendations Home delivery, giving birth through cesarean section, no participation in an antenatal care group, poor knowledge of mothers about colostrum, and poor attitude of mothers towards colostrum were significantly associated with colostrum avoidance practice. Therefore, health care workers in the district should promote institutional delivery, reduce the magnitude of cesarean section, encourage pregnant mothers to participate in an antenatal care group, and enhance maternal awareness about the merits of colostrum feeding. Moreover, health educations for mothers to have a positive attitude towards colostrum are important recommendations to be taken to prevent the further practice of colostrum avoidance.

scholarly journals Prevalence of antenatal depression and associated factors among pregnant women in Aneded woreda, North West Ethiopia: a community based cross-sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Abebe Habtamu Belete ◽  
Mulunesh Alemayehu Assega ◽  
Amanuel Alemu Abajobir ◽  
Yihalem Abebe Belay ◽  
Mengistie Kassahun Tariku
Keyword(s):  
Pregnant Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia

Abstract Objectives To assess the prevalence of antenatal depression and factors associated with antenatal depression among pregnant women in Aneded woreda, Northwest Ethiopia, 2019. A community based- cross sectional study was conducted in Aneded woreda among 7 kebles’ of North-West, Ethiopia from March 16 to April 23, 2019. A total of 342 pregnant women were recruited using simple random sampling. Result The prevalence of antenatal depression was 15.20%. Urban residence [AOR = 6.8; 95% CI (1.97, 23.32)], marital status of being unmarried [AOR = 5.1; 95% CI (1.79, 14.63)], occupation of being government employee [AOR = 8.8; 95% CI (2.06, 37.12)] and merchant [AOR = 3.7; 95% CI (1.27, 10.91)], prim gravid [AOR = 5.3; 95% CI (2.03, 13.82)], not attend ANC follow up [AOR = 8.7; 95% CI (3.46, 21.79)], intimate partner violence [AOR = 4.5; 95% CI (1.28, 15.52)], unplanned pregnancy [AOR = 6.2; 95% CI (2.37, 16.06)], and substance use [AOR = 5.6; 95% CI (2.12, 14.92)] were significantly factors. Strengthen the risk prevention activities so important to tackle the problem of antenatal depression.

scholarly journals Cultural malpractices during labor/delivery and associated factors among women who had at least one history of delivery in selected Zones of Amhara region, North West Ethiopia: community based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Misganaw Fikrie Melesse ◽  
Yibelu Bazezew Bitewa ◽  
Kumneger Nigussie Dessie ◽  
Demeke Binalf Wondim ◽  
Tefera Marie Bereka
Keyword(s):  
Educational Status ◽  
Cross Sectional Study ◽  
Labor And Delivery ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
Pregnancy And Childbirth ◽  
North West Ethiopia ◽  
History Of

Abstract Background Every day, at least 810 women die worldwide from the complications of pregnancy and childbirth, 86% of which occurring in Southern Asia and Sub-Saharan Africa. One of the contributing factors for these problems is cultural malpractices during pregnancy and childbirth. The actual incidence of cultural malpractices in developing countries accounts for about 5–15% of maternal deaths. Thus, understanding the link between cultural affairs and maternal health is critical to saving the lives of women and their babies. Therefore, this research was aimed to assess cultural malpractices during labor and delivery and associated factors among women who had at least one history of delivery in selected Zones of the Amhara region, North West Ethiopia. Method Community based cross-sectional study was conducted on women who had at least one delivery history in Awi, West, and East Gojjam Zones from January 1 to May 30, 2020. The multistage cluster sampling technique was used to select 845 study participants. Data was collected through a pre-tested and structured interview questionnaire, entered and cleaned using EPI info version 7.2, and exported to SPSS version 23 for analysis. Bivariable and multivariable logistic regression was employed to assess the association of the variables and a P-value less than 0.05 was declared as statistically significant. Result Out of 845 women 162(19.2%) practiced nutritional taboo, 77(9.1%) women practiced abdominal massage and 273(32.3%) delivered their babies at home. Educational status of the respondents being un able to read and write (AOR = 14.35,95% CI: 3.12,65.96), husband's educational status (AOR = 3.80,95% CI: 1.24,11.64), residence (AOR = 2.93,95% CI: 1.41: 6.06), ethnicity (AOR = 2.20,95% CI:1.32, 3.67), pregnancy complications (AOR = 1.61,95% CI:1.02, 2.53), gravidity (AOR = 3.54,95% CI:1.38,9.08) and antenatal care follow up (AOR = 2.24, 95% CI:1.18,4.25) had statistically significant association with cultural malpractices during labor and delivery. Conclusion This study showed that cultural malpractices during childbirth were high in Awi, West, and East Gojjam Zones relative to the country's maternal health service utilization plan. Working on antenatal care follow-up and women and husband education in a culturally acceptable manner may reduce cultural malpractices during labor and delivery.

scholarly journals Determinants of early marriage among married women in Injibara town, north West Ethiopia: community-based cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Minale Bezie ◽  
Dagne Addisu
Keyword(s):  
Formal Education ◽  
Cross Sectional Study ◽  
Married Women ◽  
Early Marriage ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
First Marriage ◽  
North West Ethiopia

Abstract Background Early marriage is occurred when one or both of the spouses are below the age of 18 years at the time of their first marriage. It is one of the major traditional practices in developing counties particularly in Ethiopia; which has significant physical, intellectual, psychological and emotional effects and reduces educational opportunities and the chance for personal growth for both boys and girls. Even though this traditional practice was the common cultural events in the study area, there is no prior study on the magnitude and its determinant factors. Hence, the study was aimed to determine the prevalence and determinant factors of early marriage among married women in Injibara town, North West Ethiopia. Methods A Community-based cross-sectional study was conducted from September to December 2018. A total of 373 women were included in the study. A multistage sampling procedure was applied to select the study participants. Data analysis was done by using SPSS versions 23. Both descriptive & analytical statistics were computed. Statistical significance was considered at P < 0.05 and the strength of association were assessed by using adjusted odds ratio with 95% confidence interval. Result The prevalence of early marriage was 167(44.8%). The minimum and maximum ages at first marriage were 9 and 23 years respectively. Non-formal educational level of the father [Adjusted Odd Ratio (AOR) =2.32; 95%CI = 1.33–4.05], family’s average monthly income <1000 Ethiopian birr [AOR = 2.32, 95%CI = 1.27–4.24], family size ≥7 [AOR = 3.59, 95%CI = 1.94–6.63] and non-formal education level of the respondents [AOR = 5.16; 95%CI = 2.87–9.28] were found to be associated with early marriage. Conclusion The prevalence of early marriage was high in Injibara town, Ethiopia. Factors that tend to facilitate early marriage in this town include family income, family size, educational level of the father and that of the respondent. Improving on the strategies that promote formal education will reduce the level of early marriage in Injibara town, Ethiopia.

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