Exclusive Breast Feeding Practice and Associated Factors Among Mothers in Debre Markos Town and Gozamen District, East Gojjam Zone, North West Ethiopia
Journal of Food and Nutrition Sciences
Volume 3, Issue 5, September 2015, Pages: 174-179
Received: Jul. 8, 2015;
Accepted: Jul. 27, 2015;
Published: Aug. 5, 2015
Views 5128 Downloads 206
Yeshamble Sinshaw, Gozamin District Education Office, East Gojjam Zone, Debre Markos town, Debre Markos, Ethiopia
Kassahun Ketema, Gozamin District Education Office, East Gojjam Zone, Debre Markos town, Debre Markos, Ethiopia; Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia
Mulugeta Tesfa, Department of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia
Background: Breastfeeding is an important public health strategy for improving infant and child morbidity and mortality. It plays a great role in preventing morbidity and mortality in first six months. It is one of the six targets in global nutrition set to increase it practice by 50% by 2025. Despite its great benefits, the prevalence in Ethiopia is only 52% with limited information on associated factors. Objective: To assess exclusive breastfeeding practices and associated factors in Debre Markos town and Gozamen district, East Gojjam Zone, North West Ethiopia, 2015. Methods: A community-based cross-sectional study was conducted in May 2015. A total of 483 mothers were randomly selected. Semi-structured and pretested questionnaires were administered to collect data. One day training was given for data collectors and supervisors. The collected data was entered in to Epidata version 3.1, cleaned and transported to SPSS windows version 16.0 then analyzed. The crude and adjusted odds ratio (AOR) together with their corresponding 95% confidence intervals was computed. Bivariate and multivariate logistic regression analysis was computed to identify factors associated EBF. A P-value<0.05 was considered to declare a result as statistically significant in this study. Results: The prevalence of exclusive breast-feeding was 89(55%) and 207(64%) in Debre Markos town and Gozamen district respectively. In Debre Markos town, being unemployed (AOR=2.77, 95%CI= [1.13, 6.74]), and counseling on EBF during Antenatal care (ANC) (AOR=4.02, 95%CI= [1.65, 9.78]), were significantly associated. Whereas in Gozamen district, mothers age15-35 (AOR=2.55, 95%CI= (1.27, 5.1]), counseling on EBF during ANC (AOR=5.7, 95%CI= [2.62, 12.3]), and colostrums feeding (AOR= 2.24 95%CI= (1.28, 3.9]) were significantly associated. Conclusions: The prevalence exclusive breast-feeding in both areas was lower than the target set by Ethiopia ministry of health at the end of 2015, (70%). Unemployment, getting counseling during ANC was significant factors in Debre Markos town whereas maternal ages, getting counseling during ANC, and early initiation of breastfeeding were significant factors in Gozamen district. Giving emphasis to promoting the EBF should be given and strengthen ANC counseling.
Exclusive Breast Feeding Practice and Associated Factors Among Mothers in Debre Markos Town and Gozamen District, East Gojjam Zone, North West Ethiopia, Journal of Food and Nutrition Sciences.
Vol. 3, No. 5,
2015, pp. 174-179.
United States department of Health and Human Services: The surgeon Generals call for Action to Support Breast Feeding. U.S. Department of Health And Human Services, office of the Surgeon General, Washington, D.C, 2011.
World Health Organization: fifty-fifth world health assembly, provisional agenda item 13.10 Infant and young child nutrition Global strategy on infant and young child feeding, Report by the Secretariat, 16 April 2002.
Federal Ministry of Health National Strategy for Infant and Young Child Feeding, Federal Ministry of Health, Family Health department, Ethiopia, 2004.
United Nations Children’s Fund (UNICEF): Improving Exclusive Breastfeeding Practice By Using Communication For Development In Infant And Young Child Feeding Programs, United Nations Children's Fund; 2010.
Iowa WIC Program: Breastfeeding Promotion and Support Guidelines for Healthy Full Term Infants Iowa Department of Public Health August, 2001.
USAID, Mother and child health (MCH) program description, overall MCH and health sector situation, Ethiopia 2008.
Alive and thrive, nourish, nurture and grow. Impact of early initiation of exclusive breastfeeding on newborn deaths, Technical brief issue1, January 2010.
World Health Organization(WHO): Infant and young child feeding. Model chapter for textbooks for medical students and allied health professionals 2009.
Central Statistical Agency: Demographic and health survey 2005, Ethiopia ORC Macro Calverton, Maryland, USA September 2006.
Ojo M Agunbiade and Opeyemi V Ogunleye. Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: implications for scaling up. International Breastfeed Journal 2012; 7: 5.
Huda Mohamed Haroun, Mohamed Salih Mahfouz, Bassam Younis Ibrahim. Breast feeding indicators in Sudan: A case study of Wad Medani town. Sudanese Journal of public health 2008; 3(2): 81-90.
Mussie Alemayehu, Kidan Abreh, Henock Yebyo, Kahssay Zemichael, Hailay Gebremichael, Factors Associated with Timely Initiation and Exclusive Breast Feeding among Mothers of Axum Town, Northern Ethiopia, Science Journal of Public Health.2(5): 2014;394-401.
Getachew Gezehagne. Feeding profile and diarrhoea morbidity among infants of 7-12 months” Adua town, Tigray, north Ethiopia 2006, master’s thesis Addis Ababa University.
Mathewos Echamo. Exclusive breastfeeding in Arbaminch, SNNPR, Ethiopia. Arbaminch, Harar Bulletin of Health Sciences Extract Number 5, June 2012.
Tiras Eshton Nkala and Sia Emmanueli Msuya. Prevalence and predictors of exclusive breastfeeding among women in Kingdom region, Western Tanzania. International Breastfeeding Journal 2011; 6:17.
Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International, 2012.
Gudina Egata, Yemane Berhane and Alemayehu Worku. Predictors of non-exclusive breastfeeding at 6 months among rural mothers in East Ethiopia: a community-based analytical cross-sectional study, rural East Ethiopia August. International Breastfeeding Journal 2013, 8:8.
Zenebu Begna Bayissa, Belayneh Kefale Gelaw, Alayou Geletaw, Ahimed Abdella, Bereket chinasho, Abreham Alemayehu, Amanuel Yosef, Keno Tadele. Knowledge and practice of mothers towards exclusive breastfeeding and its associated factors in Ambo Woreda West Shoa Zone Oromia Region, Ethiopia, Epidemiology (sunnyvale) 2015; 5: 182. doi:10.4172/2161-1165.1000182.
Kirk Dearden, Mekibib Altaye, Irma de Maza, Maritza de Oliva, Maryanne Stone-Jimenez, Ardythe L. Morrow, and Barton R. BurkhalterDeterminants of optimal breast-feeding in periurban Guatemala City, Guatemala, Rev Panam Salud Publica.2002; 12(3).
Mekuanint Taddele, Lakew Abebe, Netsanet Fentahun, Exclusive Breastfeeding and Maternal Employment in Ethiopia: A Comparative Cross- Sectional Study, International Journal of Nutrition and Food Sciences. 3( 6); 2014,497-503.
U Senarath, M J Dibley and K E Agho. Breastfeeding practice and associated factors among children under 24 months of age in Timor Leste. European Journal of Clinical Nutrition 2007; 61, 387–397.