Exploring the determinants of exclusive breastfeeding among infants under-six months in Ethiopia using multilevel

Shambel Aychew Tsegaw1, Yeshimebet Ali Dawed2, Erkihun Tadesse Amsalu3

  • 1Department of Public Health, Dessie Health Science College, Dessie, Ethiopia.

Plos One
|January 13, 2021
PubMed

Insights

Exclusive breastfeeding (EBF) is vital for infant health. This study identified individual and community factors influencing EBF in Ethiopia, highlighting the need for targeted interventions to improve infant nutrition and long-term well-being.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition Science

Background:

  • Exclusive breastfeeding (EBF) is crucial for infant health, preventing issues from infancy through adulthood.
  • Previous research primarily focused on individual determinants of EBF, often in limited geographical areas.
  • Understanding both individual and community-level factors is essential for effective EBF promotion strategies.

Purpose of the Study:

  • To identify individual and community-level determinants of exclusive breastfeeding (EBF) among infants under six months in Ethiopia.
  • To provide evidence for designing targeted interventions to improve EBF practices.

Main Methods:

  • Secondary data analysis of the 2016 Ethiopian Demographic and Health Survey (EDHS).
  • Inclusion of 1185 infants under 6 months.
  • Application of multilevel logistic regression to analyze individual and community-level factors associated with EBF.

Main Results:

  • Individual factors associated with EBF included infant age, sex, comorbidities, household wealth, and antenatal care visits.
  • Community-level factors significantly associated with EBF were region, postnatal visit rates, and maternal employment.
  • The combined individual and community factors explained 46.8% of the variation in EBF, with significant community-level variation (ICC = 8.77%).

Conclusions:

  • Both individual and community factors significantly influence exclusive breastfeeding practices in Ethiopia.
  • Recommendations include enhancing antenatal and postnatal care utilization and focusing on infants with comorbidities and those in pastoralist regions.
Abstract

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