Breastfeeding Practice of Children Age Less than Two Years in South Wollo Zone, Northeast Ethiopia
Gebeyaw Biset1, Kibret Ameha2, Awraris Hailu3
1Department of Paediatric and Child Health Nursing, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. gebeyawbiset@yahoo.com.
Insights
Suboptimal breastfeeding is common in Ethiopia, affecting 36.3% of infants under two. Key factors include Cesarean delivery, lack of counseling, and maternal feeding habits, highlighting the need for improved support.
Area of Science:
- Public Health
- Pediatrics
- Maternal Health
Background:
- Suboptimal breastfeeding significantly contributes to child morbidity and mortality in Ethiopia.
- Understanding the prevalence and determinants of suboptimal breastfeeding is crucial for intervention development.
Purpose of the Study:
- To assess the prevalence of suboptimal breastfeeding practices.
- To identify factors associated with suboptimal breastfeeding in children under two years old in South Wollo, Ethiopia.
Main Methods:
- A community-based cross-sectional study involving 636 mother-child pairs.
- Multi-stage random sampling and structured interviewer-administered questionnaires were used for data collection.
- Binary logistic regression analysis identified factors associated with suboptimal breastfeeding.
Main Results:
- A high prevalence of 36.3% suboptimal breastfeeding was observed in children under two years.
- Cesarean delivery, lack of breastfeeding counseling, infrequent maternal feeding, child health problems, and younger infant age (<6 months) were significantly associated with suboptimal practices.
- Specific odds ratios and confidence intervals were reported for each associated factor.
Conclusions:
- Suboptimal breastfeeding is highly prevalent in Ethiopia, influenced by health service and socio-cultural factors.
- Interventions should focus on improving breastfeeding practices for children under two.
- Strengthening breastfeeding counseling services is recommended to combat this public health issue.
Background:
Suboptimal breastfeeding causes substantial numbers of child morbidity and mortality in Ethiopia. This study was designed to assess suboptimal breastfeeding practice and its associated factors among children age less than two years in South Wollo, northeast Ethiopia.
Method:
A community-based cross-sectional study was conducted among 636 women-child pairs. The study participants were selected by a multi sage random sampling technique. Data were collected using a structured interviewer-administered questionnaire, then it was entered into Epi-Data version 3.1, and exported into SPSS version 24.0 for analysis. A Binary Logistic Regression Model with a backward elimination method was used to determine the association of factors and suboptimal breastfeeding practice of babies at a 95% confidence interval.
Result:
Six hundred and thirty-six participants were included with a response rate of 99.7%. The study showed that 36.3% babies age less than 2 years were received suboptimal breastfeeding. Cesarean delivery [AOR: 8.81; 95% CI (4.92-15.77)], lack of breastfeeding counseling [AOR: 3.22; 95% CI (1.93-5.36)], maternal feeding less than 5 times/day during breastfeeding [AOR: 2.01; 95% CI (1.20-3.34)], child health problems [AOR: 3.57; 95%CI (2.17-5.85)], and babies age less than 6 months [AOR:1.92; 95%CI (1.24-2.97)] were positively associated with suboptimal breastfeeding practice.
Conclusion:
Suboptimal breastfeeding practice is highly prevalent in Ethiopia. Health service-related and socio-cultural factors were associated with the high prevalence of suboptimal breastfeeding practice. Emphasis should be given to the breastfeeding practices of children age less than years in Ethiopia. Moreover, counseling regarding the importance of breastfeeding practices should be strengthened.
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