Determinants of Early Initiation of Breastfeeding in West Belessa District, Northwest Ethiopia
Desalew Degu Ayalew1, Belayneh Ayanaw Kassie2, Melkamu Tamir Hunegnaw1
1Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Insights
Early initiation of breastfeeding (EIBF) was achieved by 77.7% of infants in Northwest Ethiopia. Maternal age and antenatal care visits were key factors influencing EIBF, highlighting the need for improved maternal health services.
Area of Science:
- Public Health
- Pediatrics
- Maternal Health
Background:
- Malnutrition and undernutrition are critical global health issues, particularly affecting children under five in developing nations.
- Suboptimal breastfeeding practices contribute significantly to undernutrition in children in countries like Ethiopia.
Purpose of the Study:
- To assess the prevalence of early initiation of breastfeeding (EIBF) among children under 24 months in West Belessa district, Northwest Ethiopia.
- To identify the determinants associated with EIBF practices in the study population.
Main Methods:
- A community-based cross-sectional study involving 569 mother-child pairs was conducted in West Belessa district.
- Data were collected using interviewer-administered questionnaires and analyzed with logistic regression to identify significant associations.
Main Results:
- The prevalence of EIBF was 77.7%, indicating a high rate of early breastfeeding initiation.
- Maternal age, receiving antenatal care (ANC), and the number of ANC visits were significantly associated with EIBF.
Conclusions:
- Over three-fourths of infants in the study area initiated breastfeeding early, within one hour of delivery.
- Enhancing antenatal care services, including accessibility and counseling, is crucial for improving EIBF rates and combating childhood malnutrition.
Background:
The world is now suffering from malnutrition and remains one of the leading causes of death for under 5 children. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Therefore, the aim of this study was to assess the EIBF practices and determinants among children aged less than 24 months in West Belessa district, Northwest Ethiopia, 2019.
Methods:
A community-based cross-sectional study was conducted from January 2 to February 28, 2019 in the West Belessa district. A total of 569 mother-children pairs were participated in the study. Study particnapants were selected by using simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable and Multivariable logistic regression analysis were done. Odds ratio with 95% confidence was done to determine the level of significance value less than .05 considered as significant with the outcome variable.
Result:
The prevalence of early initiation of breastfeeding (EIBF) was found to be 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR = 2.76, 95%CI [1.21, 6.27]), antenatal care (ANC) (AOR = 3.79, 95%CI [2.58, 9.94]), and number of antenatal care visit (AOR = 1.85, 95%CI [1.03, 3.85]) were significantly associated with early initiation of breastfeeding.
Conclusion And Recommendation:
In this study, more than three fourth of children were received early initiation of breastfeeding within 1 hour after delivery. Age of the mother, antenatal, and number of antenatal care were associated with EIBF. Therefore, during this contact period, improve antenatal services by increasing accessibility and providing counseling is important to improve EIBF utilization.
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