scholarly journals Non-Exclusive Breast Feeding And Its Factors In The First 6-Month Life of Infants Among Mother-Infant Pairs of 6 to 12 months In Debre Tabor Town, Northwest Ethiopia, 2019: Community Based cross sectional Study.

2020 ◽  
Author(s):  
Dejen Getaneh Feleke ◽  
Chanyalew Worku Kassahun ◽  
Tesfamichael G/Mariam W/mariam ◽  
Sheganew Fetene Tassaw ◽  
Ermiase Sisay Chanie

Abstract BackgroundNon-exclusive breastfeeding is becoming major cause of infants and children morbidity and mortality in developing countries including Ethiopia. The magnitude of non-exclusive breast feeding and its factors is not addressed in the study area.ObjectiveTo assess the prevalence of non-exclusive breast feeding and its factors in the first 6 months life of infants among mother-infant pairs of 6 to 12 months in Debre Tabor Town, Northwest Ethiopia, 2019.MethodsA Community based cross sectional study was conducted among 860 mother-infant pairs of 6 to 12 months in Debre Tabor Town, from March 1-30/2019. To select study participants cluster sampling technique was employed. Data was entered into Epi info version 7.2.0.1, and exported to SPSS window version 20 for analysis. Binary and Multivariable logistic regression was used to see the association between dependent and independent variables. Odds ratio with 95% confidence interval was computed. P-value < 0.05 was used to declare association.ResultsThe prevalence of non-exclusive breastfeeding of mothers to their infants within the first 6 months was found to be 39.8% (95% CI: 36.6-43.0). Mothers whose husbands had no formal education (AOR=6.60 [95%CI: 4.14, 10.41), primary education (AOR=4.30 [95% CI: 2.62, 7.20]), Mothers governmental employed ((AOR=8.20 [(95% CI: 5.191, 12.940]), daily laborer (AOR=1.70 [95% CI: 1.01, 2.90], merchant mothers (AOR=0.44 [95% CI: 0.35, 0.90]),and Mothers who had no post-natal care follow up for current baby in health service (AOR=2.40 [(95% CI: 1.56, 3.76]) were significantly associated with Non-exclusive breastfeeding within the first 6 months.Conclusion and RecommendationsHigh proportion of mothers practiced non-exclusive breast feeding within the first 6 months. Husband’s had no formal education, primary education maternal governmental employed, daily laborer, merchant and mothers who had no post-natal follow up were predictors with outcomes in the study area. Hence; it is better to increase annual leave for delivered mothers, improve awareness of husbands towards benefits of introducing complementary feeding timely, and advice mothers to improve post-natal period follow up.

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Zegeye Abebe ◽  
Degefaye Zelalem Anlay ◽  
Belete Biadgo ◽  
Asemarie Kebede ◽  
Tsedalu Melku ◽  
...  

Objective. To assess undernutrition and associated factors among children aged 6–59 months in Gondar Town, northwest Ethiopia. Methods. A community-based cross-sectional study was conducted in 2014. Multistage sampling method was used to select study participants. Structured interviewer administered questionnaire and anthropometric measurements were used. Binary logistic regression was fitted to identify associated factors. Results. The prevalences of wasting and stunting were 6.8% and 45.7%, respectively. Higher odds of wasting were observed among children whose fathers were daily laborers (AOR = 2.63), children who had eating problem (AOR = 2.96), and those who were not exclusively breast-fed for the first six months (AOR = 5.63). Similarly, higher odds of stunting were found among female children (AOR = 1.65), children who lived in households having four to six families (AOR = 2.14), and children who did not start breast-feeding within one hour of birth (AOR = 0.67). Conclusion. Childhood undernutrition was a significant problem. Child eating problem, paternal occupation, and exclusive breast-feeding were associated with wasting, whereas family size, child sex, and breast-feeding initiation time were associated with stunting. Therefore, strengthening of early initiation and exclusive breast-feeding, promoting healthcare seeking behavior, and designing social support programme for poor family are recommended to reduce undernutrition.


2020 ◽  
Author(s):  
Maezu G/slassie1 ◽  
Kiflay Mulugeta ◽  
Abraha Teklay Berhe

Abstract Background: Prelacteal feeding is administration of any food or fluid other than breast milk before initiation of breast feeding. Optimal breastfeeding including discouraging prelacteal feeding could save 823,000 lives per year among children ages five years old and younger. Despite of this mothers give prelacteal feeding to their child in different part of Ethiopia; However, there is a paucity of information on prevalence of prelacteal feeding and associated factors in the study area. Thus, the current study aimed at determining of the prevalence of prelacteal feeding and associated factors among mothers of children aged less than six months in Gozamen district, East Gojjam zone, North West Ethiopia, 2019-2020Methods: A community -based cross-sectional study was conducted among 741 mothers of children aged less than six months in Gozamen district from August 2019 to Feb 2020. Stratified cluster sampling technique was used to select study participants. Data were collected by face to face interviewer-administered, pretested and semi-structured questionnaire. Descriptive analysis, bi-variable and multivariable logistic regression model were employed. Adjusted odds ratio with 95% confidence interval was used to identify factors associated with prelacteal feeding.Results: In this study the prevalence of prelacteal feeding was found to be 17.1%with 95%CI [14.3, 20]. Mothers who had no ANC follow up [AOR: 7.53, CI; 3.32, 17.05], those mothers who did not discard colostrum [AOR: 0.12, CI; 0.07, 0.12] time of breast feeding initiation [AOR: 3.53, CI; 2.05, 6.11] and mothers who had single ANC visit [AOR: 2.98, CI; 1.52, 5.85] were significant independent factors associated with prelacteal feeding.Conclusion: This study concluded that prelacteal feeding was high in the study area .Therefore, in order to tackle this problem strengthening antenatal follow up, timely initiation of breastfeeding, health education and awarenes creation of the communities are recommended interventions.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Maezu G/slassie ◽  
Zelalem Nigussie Azene ◽  
Abuhay Mulunesh ◽  
Tesfa Sewunet Alamneh

Abstract Background Colostrum is a yellowish and sticky breast milk produced in late pregnancy. Annually, 60% of 10.9 million under-five deaths globally are due to malnutrition. Of these, over two-thirds of the deaths are accounted by sub-optimal feeding practices in the first year of life, including colostrum discarding. However, evidence on the magnitude of colostrum avoidance and its associated factors at the community level is very limited in Ethiopia, particularly in the study area. Thus, this study aimed to assess the magnitude of colostrum avoidance and associated factors among mothers who gave birth in the last six months in Gozamen district, northwest Ethiopia, 2019. Methods A community-based cross-sectional study was conducted among 741 (741) mothers who gave birth in the last six months in Gozamen district from August 1 to September 12, 2019. A stratified cluster sampling technique was used to select the study participants. Data were collected by face-to-face interviewer-administered, pretested, and semi-structured questionnaire. Binary logistic regressions (bi-variable and multivariable) were fitted to identify statistically significant variables. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used to declare statistically significant variables on the basis of p-value < 0.05 in the multivariable binary logistic regression. Results This study indicated that the magnitude of colostrum avoidance was 22.1% (95% CI, 19.0, 25.2%). Mothers who did not get counseling on timely initiation of breast feeding (AOR = 3.91[95% CI, 1.98, 7.72]), not participate in pregnant woman forum (AOR = 2.59[95% CI, 1.30, 5.14]), initiate breast-feeding lately (more than 1 h) (AOR 2.27[95% CI, 1.18, 4.34]), and those having unfavorable attitude towards colostrum feeding (AOR = 7.35[95% CI, 3.89, 13.91]) were factors associated with the increased likelihood of colostrum avoidance. However, institutional delivery (AOR; 0.06[95% CI, 0.02, 0.19]) and prelacteal feeding (AOR; 0.10[95% CI, 0.05, 0.21]) were predictors associated with reduced likelihood of colostrum avoidance. Conclusion Colostrum avoidance is a common practice in the study area. Therefore, in order to reduce this practice, strengthening infant feeding counseling, promoting institutional delivery, timely initiation of breastfeeding, health education, and community advocating are recommended interventions. In addition, creating awareness on the benefits of colostrum feeding is very instrumental to tackle the practice of colostrum avoidance.


2020 ◽  
Vol 7 (4) ◽  
pp. 884
Author(s):  
Gayathri G. Nair ◽  
Arul Kumaran Arunagirinathan ◽  
Nirmal S. R. ◽  
Rajesh Yadav B.

Background: Breast milk, the first natural food for a new-born, provides all the energy and essential nutrients an infant requires for the first 6 months of life. The NHFS -4 survey shows only 45.5% of children are exclusively breastfed (EBF) in Puducherry. This study aims at assessing the socio-demographic characteristics associated with exclusive breastfeeding in a tertiary hospital in Puducherry and identify the barriers in the promotion of exclusive breastfeeding.Methods: Community-based cross-sectional study at a tertiary hospital in Puducherry. Sample size: 115 mothers of 6 months to 2-year-old children, born term gestation with a birth weight of >2.5 kg, attending the Paediatric OPD. Questionnaire-based study comprising of socio-demographic and parameters pertaining to exclusive breast-feeding.Results: Only 44.3% of the mothers have exclusively breastfed in the first 6 months. Shorter duration of spacing between births and caesarean section had significant negative association with exclusive breast-feeding. Most of the mothers received postnatal counselling on breast-feeding (94%) of which 58% were by health care personnel. Despite that, only a sixth (19%) of them were well versed with proper breastfeeding techniques. Poor secretion (45.3%), sore/inverted nipple (23.5%) amounted to the most common of the barriers. Among working mothers, 42.9% attributed their jobs as the cause for early weaning.Conclusions: The prevalence of exclusive breastfeeding is still low even among a literate study group. There were no significant association with socio-demographic factors found, but lacunae were identified. A more objective post-natal counselling to mothers involving their caregivers may improve the current scenario.


2020 ◽  
Vol 7 (10) ◽  
pp. 1468
Author(s):  
Suhaila Abdalkarim Ali ◽  
Amani Osman Abdelmola

Background: Breastfeeding is the best way of providing nutrition for the healthy growth and development of infants. It is an essential part of the reproductive process with important inferences for the health of mothers. Exclusive breastfeeding for 6 months is the recommended way for infants nourishing. Complementary foods should be introduced after the age of 6 months, and breastfeeding should continue until the age of 2 years. This study was conducted to measure the prevalence of exclusive breastfeeding and to identify the most common obstacles confronting the practice between mothers attending El-Darrassa PHC centre.Methods: A descriptive cross-sectional study included all mothers attending the PHC centre. The data was collected by a questionnaire. The descriptive method and inferential statistics were used for data analysis.Results: The prevalence of breastfeeding was 97%, while the prevalence of exclusive breast-feeding was 51%. The obstacles facing breastfeeding were: 38% decreasing amount of mother’s milk, 16.8% the ease of artificial feeding and 16% the mothers’ working status. Nearly half knew the breastfeeding benefits for mother and child. There were no significant relations between exclusive breastfeeding and demographic characteristics, while there were significant relationships, between breastfeeding and medications contraindicated with lactation, easiness of artificial feeding, and decreased amounts of milk.Conclusions: The study revealed that the key factors for improving exclusive breastfeeding are raising the mothers’ awareness, enhancing health facilities policies to support mothers’ initiation of breastfeeding immediately after birth, promoting effective breastfeeding and enforcing laws protecting working mothers and facilitating their breastfeeding practice during work.


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