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Determinants of delayed initiation of breastfeeding in rural Ethiopia: programmatic implications

Naoko Horii1, Agnès B Guyon, Victoria J Quinn

  • 1UNICEF, Niamey, Niger.

Food and Nutrition Bulletin
|December 15, 2011
PubMed

Insights

Health worker attendance at birth increases the risk of delayed breastfeeding initiation in Ethiopia. Support from traditional birth attendants and family members promotes early breastfeeding, crucial for infant health.

Area of Science:

  • Maternal and Child Health
  • Public Health Interventions
  • Infant Nutrition

Background:

  • Studies indicate potential adverse effects of health worker and community member services on postpartum infant feeding.
  • This analysis explores risk factors for delayed breastfeeding initiation (over 1 hour post-birth) using existing data from rural Ethiopia.

Purpose of the Study:

  • To identify key determinants influencing delayed initiation of breastfeeding.
  • To understand factors promoting or hindering early breastfeeding practices.

Main Methods:

  • Utilized multivariate logistic regression analysis.
  • Analyzed cross-sectional survey data from baseline child health and nutrition projects in Ethiopia (2003-2004).

Main Results:

  • Health worker attendance at delivery was a significant risk factor for delayed breastfeeding initiation.
  • Attendance by traditional birth attendants, family, or friends was a protective factor for early initiation.
  • Behavior change interventions targeting health workers could improve early breastfeeding rates.

Conclusions:

  • Inadequate breastfeeding information within the health system and health worker attendance are linked to delayed initiation.
  • Births attended by trained traditional birth attendants and family members show better infant feeding practices.
  • Targeted interventions for health workers, community members, families, and mothers can enhance early breastfeeding adoption.
Abstract

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