Factors associated with exclusive breastfeeding practices in Debre Berhan District, Central Ethiopia: a cross
Maeza Mitiku Asfaw1, Mesele Damte Argaw2, Zelalem Kebede Kefene3
1Addis Ababa City Government Health Bureau, Addis Ketema Sub City Health Department, Addis Ababa, Ethiopia.
Insights
Exclusive breastfeeding (EBF) was practiced by two-thirds of mothers in Ethiopia. Rural, older, and counselled mothers were more likely to practice EBF, highlighting areas for targeted interventions to improve infant nutrition.
Area of Science:
- Public Health
- Pediatrics
- Nutrition
Background:
- High global under-five mortality rates necessitate effective infant feeding strategies.
- Ethiopia adopted WHO recommendations for exclusive breastfeeding (EBF) for the first six months.
- Understanding factors influencing EBF is crucial for reducing infant morbidity and mortality.
Purpose of the Study:
- To assess factors associated with exclusive breastfeeding (EBF) practices.
- To identify determinants of EBF among mothers with infants under 12 months in Debre Berhan District, Ethiopia.
Main Methods:
- A cross-sectional, community-based quantitative survey was conducted from January to April 2014.
- Data from 634 mothers and their infants were analyzed using univariate and multivariable logistic regression.
- Factors associated with EBF practice were identified.
Main Results:
- 68.6% of mothers practiced EBF to six months, with high knowledge (83.4%) and positive attitudes (97.5%).
- Rural mothers (AOR 4.54) and those aged 25-35 years (AOR 8.99) were more likely to practice EBF.
- Mothers not receiving infant feeding counseling (AOR 0.42) and employed mothers (AOR 0.36) were less likely to practice EBF.
Conclusions:
- High maternal knowledge and positive attitudes towards EBF were observed.
- Two-thirds of mothers practiced exclusive breastfeeding, indicating a need for targeted support.
- Improving access to infant feeding information and counseling, especially for young, employed, and urban mothers, is recommended.
Background:
Globally, an estimated 6.3 million children under-five years of age died in the year 2013. To reduce the burden of morbidity and mortality of infants, Ethiopia adopted the World Health Organization (WHO) recommendation of exclusive breastfeeding (EBF) for the first six months of life. The objective of this study was to assess factors associated with EBF practices among mothers who have an infant aged below 12 months in Debre Berhan District, Ethiopia.
Methods:
In this study we employed a cross sectional community based quantitative survey method, and data were collected from January through April 2014. Univariate statistical analysis was used to describe variables using frequencies and percentages. Multivariable logistic regression model was developed; the factors associated with EBF practice were identified.
Result:
We enrolled 634 mothers with their index infant aged under 12 months. Four hundred thirty five (68.6 %; 95 % CI: 64.9 %, 72.2 %) mothers practiced EBF to six months. In this study 83.4 % of mothers were knowledgeable with the recommended duration of EBF. About 97.5 % of mothers had a positive attitude towards EBF practice. Mothers from rural places were 4.54 times likely to EBF than mothers residing in urban areas Adjusted Odds Ratio (AOR 4.54; 95 % CI: 2.64, 7.81, p = 0.001). The odds of mothers aged 25 to 35 years to practice EBF was up to 8.9 times more than mothers aged less than 25 years (AOR 8.99; 95 % CI: 4.56, 17.73, p = 0.001). The odds of mothers who didn't receive infant feeding counselling was 0.42 times less likely to practice EBF than those who received Counselling services (AOR 0.42; 95 % CI: 0.24, 0.73, p = 0.002). Employed mothers were found to be 0.36 times less likely to practice EBF than housewives (AOR 0.36; 95 % CI: 0.18, 0.73, p = 0.005). Household income did not show a statistically significant association with EBF.
Conclusions:
The knowledge and attitude of mothers towards EBF was found to be very high. In this study, two thirds of mothers practiced exclusive breastfeeding. Improving access to information on recommended infant feeding during routine maternal and child health services is recommended. It is important to encourage EBF among the young, employed and urban mothers through proper counselling and mother friendly work environment.
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