scholarly journals Factors Associated with Delayed Initiation of Breastfeeding in Health Facilities: Secondary Analysis of Bangladesh Demographic and Health Survey 2014

2020 ◽  
Author(s):  
Shahreen Raihana ◽  
Ashraful Alam ◽  
Tanvir M Huda ◽  
Michael J Dibley
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Mode Of Delivery ◽  
Newborn Health ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
Maternal And Newborn Health ◽  
Factors Associated ◽  
Delayed Initiation ◽  
Initiation Of Breastfeeding

Abstract Background: Irrespective of the place and mode of delivery, 'delayed' initiation of breastfeeding beyond the first hour of birth can negatively influence maternal and newborn health outcomes. In Bangladesh, 49% of newborns initiate breastfeeding after the first hour. The rate is higher among deliveries at a health facility (62%). Objective: This study investigates the maternal, health service, infant, and household characteristics associated with delayed initiation of breastfeeding among health facility deliveries in Bangladesh. Methods and Study Design: We used data from the 2014 Bangladesh Demographic and Health Survey. We included 1277 last-born children born at a health facility in the two years preceding the survey. 'Delayed' breastfeeding was defined using WHO recommendations as initiating after one hour of birth. We performed univariate and multivariable logistic regression to determine factors associated with delayed initiation. Results: About three-fifth (n=785,62%) of the children born at a health facility delayed initiation of breastfeeding beyond one hour. After adjusting for potential confounders, we found delayed initiation to be common among women, who delivered by caesarean section (aOR:2.93; 95%CI:2.17-3.98), and who were exposed to media less than once a week (aOR:1.53; 95%C:1.07-2.19). Women with a higher body mass index had an increased likelihood of delaying initiation (aOR:1.05; 95%CI:1.01-1.11). Multiparous women were less likely to delay (aOR:0.71; 95%CI:0.53-0.96). Conclusions: Delayed initiation following caesarean deliveries continues to be a challenge. Several other health facility and maternal factors also contribute to the delayed. Interventions to promote early breastfeeding should include strengthening the capacity of healthcare providers to encourage early initiation, especially for caesarean deliveries.

scholarly journals Factors associated with delayed initiation of breastfeeding in health facilities: secondary analysis of Bangladesh demographic and health survey 2014

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shahreen Raihana ◽  
Ashraful Alam ◽  
Tanvir M. Huda ◽  
Michael J. Dibley
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Mode Of Delivery ◽  
Newborn Health ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
Maternal And Newborn Health ◽  
Factors Associated ◽  
Delayed Initiation ◽  
Initiation Of Breastfeeding

Abstract Background Irrespective of the place and mode of delivery, ‘delayed’ initiation of breastfeeding beyond the first hour of birth can negatively influence maternal and newborn health outcomes. In Bangladesh, 49% of newborns initiate breastfeeding after the first hour. The rate is higher among deliveries at a health facility (62%). This study investigates the maternal, health service, infant, and household characteristics associated with delayed initiation of breastfeeding among health facility deliveries in Bangladesh. Methods We used data from the 2014 Bangladesh Demographic and Health Survey. We included 1277 last-born children born at a health facility in the 2 years preceding the survey. ‘Delayed’ breastfeeding was defined using WHO recommendations as initiating after 1 h of birth. We performed univariate and multivariable logistic regression to determine factors associated with delayed initiation. Results About three-fifth (n = 785, 62%) of the children born at a health facility delayed initiation of breastfeeding beyond 1 h. After adjusting for potential confounders, we found delayed initiation to be common among women, who delivered by caesarean section (adjusted Odds Ratio (aOR): 2.93; 95% CI 2.17, 3.98), and who were exposed to media less than once a week (aOR: 1.53; 95% CI 1.07, 2.19). Women with a higher body mass index had an increased likelihood of delaying initiation (aOR: 1.05; 95% CI 1.01, 1.11). Multiparous women were less likely to delay (aOR: 0.71; 95% CI 0.53, 0.96). Conclusions Delayed initiation of breastfeeding following caesarean deliveries continues to be a challenge, but several other health facility and maternal factors also contributed to delayed initiation. Interventions to promote early breastfeeding should include strengthening the capacity of healthcare providers to encourage early initiation, especially for caesarean deliveries.

scholarly journals Factors Associated with Delayed Initiation of Breastfeeding Among Hospital Deliveries: Secondary Analysis of Bangladesh Demographic and Health Survey 2014 (P18-107-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shahreen Raihana ◽  
Tanvir Huda ◽  
Ashraful Alam ◽  
Michael Dibley
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Maternal And Newborn Health ◽  
Breastfeeding Initiation ◽  
Maternal Characteristics ◽  
Factors Associated ◽  
Delayed Initiation ◽  
Initiation Of Breastfeeding

Abstract Objectives This study investigates the factors associated with delayed initiation of breastfeeding among hospital deliveries in Bangladesh, where only 50% women initiate breastfeeding within the 1st hour of birth and the rate is lower among deliveries at a health facility (38%). Early initiation of breastfeeding is crucial in improving maternal and newborn health outcomes. Methods We used data from the 2014 Bangladesh demographic and health survey. A total of 1277 last-born children born at a health facility in the 2 years preceding the survey were included in this analysis. ‘Early’ breastfeeding was defined using WHO recommendations as initiating within 1st hour of birth. Univariate and multivariable logistic regression were performed to determine factors associated with delayed initiation. Results About three-fifth (n = 785, 62%) of the children born at a health facility delayed initiation of breastfeeding beyond the first hour. After adjusting for potential confounders, delayed initiation was found to be more common among caesarean deliveries (aOR 3.31; 95%CI 2.38–4.61), delivery by medically un-trained personnel (aOR 1.57; 95%CI 1.02–2.42), delay in first postnatal check-up after birth (aOR 1.61; 95%CI 1.17–2.21), and women exposed to media less than once a week (aOR 1.57; 95%CI 1.09–2.26). Women with higher body mass index had an increased likelihood of delaying initiation (aOR 1.05; 95%CI 1.01–1.10). Multiparous women were less likely to delay initiation (aOR 0.72; 95%CI 0.53–0.98). Conclusions Delayed initiation following caesarean deliveries continues to be a challenge but several other health facility factors and maternal characteristics also contributed to delayed initiation of BF. Interventions to promote early breastfeeding initiation should include strengthening the capacity of healthcare providers to encourage early initiation especially for caesarean deliveries. Funding Sources Endeavour Postgraduate Scholarship. Supporting Tables, Images and/or Graphs

scholarly journals Prevalence and Factors Associated with Late Antenatal Care Visit in Ethiopia: A population-based study using the 2016 Ethiopia Demographic and Health Survey

2019 ◽  
Author(s):  
Eskeziaw Kassahun Abebe ◽  
Amanuel Addisu Dessie ◽  
Liknaw Bewket Zeleke
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Health Survey ◽  
Multivariable Analysis ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
P Value ◽  
Factors Associated ◽  
Antenatal Care Visit ◽  
Care Visit

Abstract Objectives Maternal health care services are important for the survival and wellbeing of both mother and infant. In 2015, an estimated 303,000 women died from pregnancy-related complications. The Ethiopian government has implemented strategies to enhance maternal health service utilization, and reduce maternal morbidity and mortality. However, only 20.4% of women initiated the first antenatal care visit before 16 weeks of gestation. Therefore, this study assessed factors associated with late antenatal care visit in Ethiopia. A community based cross-sectional study design was used to examine 4,740 women from the 2016 Ethiopia Demographic and Health Survey data. Odds ratios with corresponding 95% confidence intervals (CI) were computed to examine the strength of an association. In the multivariable analysis, variables with p-value <0.05 were considered as statistically significant. Result The prevalence of late initiation of first antenatal care visit in Ethiopia was 67.3% (65.0%,69.6%). Living in rural areas (AOR= 95% CI:1.19,2.56) and fifth or above birth order (AOR=1.5;95% CI:1.10,2.00) were significantly associated with late antenatal care visit. Consequently, increasing the access and utilization of family planning, and raise an awareness on the benefit of early initiation of first antenatal care visit is recommended.

scholarly journals Factors Associated with Maternal Health Service Utilization in Cote d’Ivoire: Analysis of the 2011 Ivorian Demographic and Health Survey

2019 ◽  
Vol 7 (4) ◽  
pp. 115 ◽  
Author(s):  
Kpebo Djoukou Olga Denise ◽  
Koumi Mélèdje Marie-Dorothée ◽  
Agbré Yacé Marie-Laurette ◽  
Tano-Kamelan Akoua ◽  
Essis Esme Marie Laure ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Survey ◽  
Cote D'ivoire ◽  
Health Service Utilization ◽  
Côte D’Ivoire ◽  
Demographic And Health Survey ◽  
Maternal Health Service ◽  
Factors Associated

scholarly journals Determinants of Early Initiation of Breastfeeding Practices of Newborns in Bangladesh: Evidence From Bangladesh Demographic and Health Survey

2021 ◽  
Vol 14 ◽  
pp. 117863882110546
Author(s):  
Md. Saifullah Sakib ◽  
Abu Sayed Md. Ripon Rouf ◽  
Tahmina Ferdous Tanny
Keyword(s):  
Health Survey ◽  
Multinomial Logistic Regression ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Bivariate Analysis ◽  
Data Set ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Initiation Of Breastfeeding

Purpose: Early initiation of breastfeeding is essential for newborns after birth to reduce mortality and morbidity. Early initiation of breastfeeding awareness/activities may be a vital role in Bangladesh to minimize the infant deaths. The aim of this study is to identify factors associated with the early initiation of breastfeeding practices. Methods: In this study, Bangladesh Demographic and Health Survey (BDHS) 2017 to 2018 data was used that will be the first analysis for early initiation of breastfeeding practices in this data set in Bangladesh. Considering the importance of early breastfeeding practices, the dependent variable was divided into 3 categories (immediately: breastfeeding for less than 20 minutes, within an hour, and after 1 hour) to find a significant association with early breastfeeding practices in Bangladesh. Bivariate analysis is used to examine the differentials to early initiation of breastfeeding according to the selected number of background variables. Multinomial logistic regression is used to determine predictive independent factors associated with the dependent variable. Results: Using BDHS 2017 to 2018 data on 4950 observations, this study revealed that 24.6% of mothers breastfed their babies immediately after birth and 36.2% of mothers breastfed their babies within an hour. The rate of mothers who breastfeed their babies immediately after birth is lowest at the age of 20 to 25, mothers with a higher level of education, richer class, Khulna division, the first child born, Islam, and private/NGO. With a multivariate analysis of breastfeeding within an hour compared to immediate breastfeeding: richest (OR = 0.71), Barisal division (OR = 0.72), and Buddhism[Formula: see text]are less likely to breastfeed newborns compared to the reference category. On the other hand, primary, secondary, and higher educated mothers are more likely to breastfeed newborns compared to no educated mothers. Besides, breastfeeding newborns after 1 hour compared to immediate after birth: mothers aged 20 to 25 (OR = 1.40), richer (OR = 1.46), higher secondary (OR = 2.06), Khulna division (OR = 1.81), and private/NGO (OR = 2.51) are more likely breastfeed newborn. Conclusion: Mother’s education, wealth index, region, birth order, religion, and place of delivery have a significant impact on the early initiation of breastfeeding practices, but the rate of immediate breastfeeding is relatively lower than others. Ultimately, this information will help planners and other professionals plan strategies and interventions to provide good quality health services.

Disparities in Maternal and Newborn Health Interventions in Bangladesh: Evidence from the latest Demographic and Health Survey

2020 ◽  
Vol 23 (16) ◽  
Author(s):  
Md. Mortuza Ahmmed ◽  
Shumaya Aziz Anee ◽  
Md. Ashraful Babu ◽  
Zahir Rayhan Salim ◽  
Md. Shohel Babu ◽  
...  
Keyword(s):  
Health Survey ◽  
Newborn Health ◽  
Health Interventions ◽  
Demographic And Health Survey ◽  
Maternal And Newborn Health ◽  
Maternal And Newborn

scholarly journals Prevalence and Factors Associated With Caesarean Section in Rwanda: a Trend Analysis of Rwanda Demographic and Health Survey 2000 to 2019-20

2021 ◽  
Author(s):  
Peter M. Kibe ◽  
Grace Wambura Mbuthia ◽  
Duncan Shikuku ◽  
Catherine Akoth ◽  
James Oguta ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Health Survey ◽  
Mode Of Delivery ◽  
Medical Intervention ◽  
Health Facilities ◽  
Demographic And Health Survey ◽  
Sub Saharan Africa ◽  
Mortality And Morbidity ◽  
Factors Associated ◽  
The Past

Abstract Background: Caesarean section (CS) is an important medical intervention for reducing the risk of poor perinatal outcomes. However, CS trends in sub-Saharan Africa (SSA) continue to increase yet maternal and neonatal mortality and morbidity remain high. Rwanda, like many other countries in SSA, has shown an increasing trend in the use of CS. This study assessed the trends and factors associated with CS delivery in Rwanda over the past two decades.Methods: We used nationally representative child datasets from the Rwanda Demographic and Health Survey 2000 to 2019-20. All births in the preceding three years to the survey were assessed for the mode of delivery. The participants’ characteristics, trends and the prevalence of CS were analysed using frequencies and percentages. Unadjusted and adjusted logistic regression analyses were used to assess the factors associated with population and hospital-based CS in Rwanda for each of the surveys.Results: The population-based rate of CS in Rwanda significantly increased from 2.2% (95% CI 1.8–2.6) in 2000 to 15.6% (95% CI 13.9–16.5) in 2019-20. Despite increasing in all health facilities over time, there was an almost four-fold difference in the rate of CS between private (60.6%) and public health facilities (15.4%) in 2019-20. The rates and odds of CS were disproportionately high among women of high socioeconomic groups, those who resided in Kigali city, had multiple pregnancies, and attended at least four antenatal care visits while the odds of CS were significantly lower among multiparous women and those who had female babies. Conclusion: Over the past two decades, the rate of CS use in Rwanda increased significantly at health facility and population level with high regional and socio-economic disparities. There is a need to examine the disparities in CS trends and developing tailored policy guidelines to ensure proper use of CS in Rwanda.

scholarly journals Patterns and determinants of effective coverage of routine maternal and newborn health visits in Nepal: Analysis of the 2016 Demographic and Health Survey

2021 ◽  
Author(s):  
Resham Khatri ◽  
Jo Durham ◽  
Rajendra Karkee ◽  
Yibeltal Assefa
Keyword(s):  
Health Survey ◽  
Institutional Delivery ◽  
Statistical Significance ◽  
Newborn Health ◽  
Demographic And Health Survey ◽  
Maternal And Newborn Health ◽  
Effective Coverage ◽  
Significance Level ◽  
Remote Areas ◽  
Maternal And Newborn

Abstract Background Antenatal care (ANC) visits, institutional delivery, and postnatal care (PNC) visits are vital for improved health of mothers and newborns. Access of these routine maternal and newborn health (MNH) visits have increased in the last few decades in Nepal; however, little is known on the effective uptake (including timely, skilled, frequent, and adequate care) of essential MNH interventions during those visits. This study examined the patterns of effective coverage (EC) of routine MNH visits and their determinants in Nepal. Methods A secondary analysis was conducted taking data from the Nepal Demographic and Health Survey (NDHS) 2016. The study included 1,978 women aged 15–49 years who had a live birth in the two years preceding the survey. Three outcome variables were EC of i) at least 4ANC visits, ii) institutional delivery, and iii) first PNC visit for newborns and mothers within 48 hours of childbirth. The independent variables included several structural, intermediary and health system factors. Binomial logistic regression analysis was conducted, and the magnitude of EC was reported as odds ratio (OR) with 95% confidence intervals (CIs). The statistical significance level was set at p<0.05 (two-tailed).Results The effective coverage of 4ANC visits, institutional delivery, and PNC visit was 52%, 33% and 23%, respectively. Women with advantaged ethnicity were more likely and women living in province six, who speak the Maithili language, who had high birth order (≥4) were less likely to have good EC of MNH visits compared to their reference categories. Women who had access to a bank account, completed at least 4ANC visits or had caesarian-section delivery were more likely to have good EC of MNH visits. Women who perceived problem if not seen by female providers had poor EC of MNH visits compared to their reference counterpart. Conclusions Women with ethnic and social disadvantages and remote areas had poor EC of MNH visits. Continuous monitoring of EC of MNH visits is vital, especially among women with markers of disadvantages. Policies and programs should focus on increasing the uptake of essential MNH interventions, especially among women with social disadvantages and those living in remote areas.

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