scholarly journals Exclusive breastfeeding practice and its associated factors among mothers with infants aged less than six months in Nono, Western Ethiopia: A cross-sectional study

Author(s):  
Gerba Fufa ◽  
Tesfaye Solomon ◽  
Teka Girma

Abstract Background Exclusive breastfeeding is the best and cost effective intervention to prevent childhood morbidities and mortalities in developing countries. But there was no evidence in the study area regarding the practice of exclusive breastfeeding and its associated factors. Therefore, this study was aimed to assess exclusive breastfeeding practice and its associated factors in a rural district, Western part of Ethiopia. Methods A community-based cross-sectional study was conducted from August 15–30, 2020 among 565 mothers who have an infant less than six months in Nono District. Study participants were selected using random sampling. Data on infant breastfeeding practice were collected by trained interviewers by using a structured questionnaire. Multivariable logistic regression analysis was used to determine factors associated with exclusive breastfeeding. Statistical significance was declared at P < 0.05 at 95% confidence interval. Results A total of 565 participants were participated in this study, giving a 95.9% response rate. The prevalence of exclusive breastfeeding practice was 70.8%. Age of Mothers (AOR = 2.67, 95%CI = 1.79, 4.60), attended antenatal care during the recent pregnancy (AOR = 2.31, 95%CI = 1.31,4.71), attended delivery in health facilities (AOR = 1.34, 95%CI = 1.21,2.11), having information about exclusive breastfeeding (AOR = 2.34, 95%CI = 1.13,4.76) and knowing the importance of exclusive breastfeeding (AOR = 1.46, 95% CI = 1.12, 3.73) were associated factors with exclusively breastfeeding. Conclusions The prevalence of exclusive breastfeeding among infants less than six months in the Nono district was 70.8%. Factors associated with exclusive breastfeeding were the age of mothers, antenatal care service utilization, place of birth, mothers' information about breastfeeding, and knowledge of mothers about the importance of exclusive breastfeeding. Therefore, it is recommended that awareness should be continuously raised and pregnant women should be encouraged to attend health facilities for antenatal care and delivery by health service providers hence improving exclusive breastfeeding.

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Getachew Arage ◽  
Haileyesus Gedamu

Background. Exclusive breastfeeding for the first six months of life is recommended by the World Health Organization and United Nations Children’s Fund. However, the prevalence of exclusive breastfeeding is very low in many developing countries including Ethiopia.Objectives. The study was aimed at assessing the prevalence of exclusive breastfeeding practice and its associated factors among infants aged six months in Debre Tabor town.Methods. Community based cross-sectional study was conducted. Simple random sampling technique was employed in the selection of participants. Data were collected using pretested and structured questionnaire through face-to-face interview. Odds ratios with their 95% CI were computed and variables havingpvalue less than 0.05 in the multivariable logistic regression were considered as significantly associated with the dependent variable.Result. Of 470 mother-infant pair’s samples, 453 were included in the final analysis. The overall age appropriate rate of EBF practice was found to be 70.8%. Having an infant aged 2-3 months [AOR = 2.3 (95% CI: 1.12, 6.42)], giving birth in the health facility [AOR = 3.8 (95% CI: 2.18, 7.32)], being a house wife in occupation [AOR = 2.4 (95% CI (1.22, 6.92)], receiving counseling/advice on infant feeding [AOR = 2.1 (95% CI: 1.61, 5.41)], and colostrums feeding [AOR = 1.5 (95% CI: 1.28, 7.98)] were found to be significantly associated with EBF practice.Conclusion and Recommendations. A small proportion of infants are exclusively breastfed during the first 6 months. Promoting institutional delivery, revising the leave after birth, advice and counseling pregnant mothers about EBF, and enabling every mother to encourage colostrum feeding were recommended in order to increase the proportion of women practicing exclusive breastfeeding.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Laykewold Elyas ◽  
Amha Mekasha ◽  
Amha Admasie ◽  
Etagegnehu Assefa

Background. The prevalence of exclusive breastfeeding (EBF) is globally low (35%) in sub-Saharan Africa, whereas it is 58% in Ethiopia. Exclusive breastfeeding has the potential to prevent 11.6% of under-five deaths in developing countries. Therefore, the main objective of this study was to assess the exclusive breastfeeding practice and associated factors on mothers attending private pediatric and child clinics in Addis Ababa, Ethiopia. Methods. An institutional-based cross-sectional study design was used. A total of 380 samples were obtained. Data were collected using a self-administered questionnaire. Data was entered and analyzed using SPSS version 16. Descriptive statistics and logistic regression analysis were used. Results. From 380 mothers, only 44.2% of the mothers practiced EBF. Two hundred (52.6%) mothers started breastfeeding within 1 hour of delivery; 161 (42.4%) of the mothers gave extra food before six months, and 244 (64.2%) believed that exclusive breastfeeding was sufficient. Moreover, 288 (75.8%) mothers breastfed their children eight or more times per day. Spontaneous vaginal delivery was a significant factor to practice EBF (AOR: 1.86, 95% CI: 1.19–2.89). Conclusion. EBF practice in this study was low. Spontaneous vaginal delivery was a significant factor for EBF; hence, it is very crucial to promote EBF.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243350
Author(s):  
Demeke Anshebo ◽  
Bifitu Geda ◽  
Aregash Mecha ◽  
Alemu Liru ◽  
Ritbano Ahmed

Background Institutional delivery is one of the key interventions that have been proven to reduce maternal and newborn morbidity and mortality. Ethiopia has initiated different efforts to enhance the acceptance of institutional delivery. In spite of this, the number of institutional deliverys is still very low in Ethiopia and varies from region to region. Therefore, this study aimed to assess the utilization of institutional delivery and of factors associated with it among mothers in Hossana Town, Southern Ethiopia. Methods This study was a community-based cross-sectional study of mothers who had given birth within 12 months before the study. Data were collected using a pretested questionnaire. During the study period, 403 mothers were selected using the systematic random sampling technique. Data entry was done using EpiData (version 3.1), and data were exported to SPSS (version 24) for analysis. Both bivariate and multivariable logistic regression analyses were used to identify the associated factors at 95% CI. Results This study revealed that 53.6% of mothers delivered their infants at health facilities. The factors associated with the institutional delivery were primigravidas (AOR = 3.9; 95% CI, 1.4–4.7), the availability of antenatal care (AOR = 3.4; 95%CI, 1.7–7.2), having planned pregnancies (AOR = 3.9; 95%CI, 1.7–9.3) and the involvement of both parents in decision making (AOR = 2.4; 95%CI, 1.4–2.5). However, when only the mother was involved in the decision making regarding the delivery, the figure decreased by 70% (AOR = 0.3; 95%CI, 0.1–0.8). Conclusions The findings of this study indicate that high numbers of births occur without skilled attendants or are non- institutional delivery. In terms of the factors that are associated with institutional delivery, the study suggests that strengthening sustained provision of education during antenatal care and at community levels are crucial.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Ter Goon ◽  
Anthony Idowu Ajayi ◽  
Oladele Vincent Adeniyi

Abstract Background Exclusive breastfeeding (EBF) is associated with a reduction of postnatal HIV transmission and optimal infant growth. Given that the factors influencing exclusive breastfeeding are multi-factorial and context-specific, we examined the prevalence and factors associated with exclusive breastfeeding practice in the first 6 months among mothers on antiretroviral therapy in the Eastern Cape, South Africa. Methods This was a cross-sectional study conducted between January to May 2018, on 469 parturient women enlisted in the prevention of mother-to-child HIV transmission cohort study in the Eastern Cape. Mothers were asked to recall whether they breastfed their infant exclusively with breast milk from birth and if so, to state how long they did. We collected relevant sociodemographic, lifestyle, and maternal information by interview. Bivariate and multivariable logistic regression analyses were fitted to determine the sociodemographic and lifestyle factors associated with exclusive breastfeeding practice. Results The prevalence of six-month exclusive breastfeeding, measured since birth, was 32.0%. E Exclusive breastfeeding’s prevalence was significantly higher among married women (36.8%), unemployed women (36.6%), non-smokers (32.7%), and those who never drank alcohol (37.0%). Unemployed women (adjusted odds ratio [AOR] 1.66, 95% Confidence Interval [CI] 1.08–2.56) and those with grade 12 or less level of education (AOR 2.76, 95% CI 1.02–7.49) had a higher likelihood of practising EBF for 6 months since birth while mothers who consumed alcohol (AOR 0.54, 95% CI 0.34–0.85) were less likely to practice EBF for 6 months. Conclusions The prevalence of six-month exclusive breastfeeding in the study, although comparable with sub-Saharan Africa and worldwide prevalence, remains suboptimal. Advocacy campaigns on EBF must target alcohol cessation and the creation of a favourable workplace environment for lactating mothers.


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