Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia
Science Journal of Public Health
Volume 2, Issue 4, July 2014, Pages: 330-336
Received: Jun. 29, 2014;
Accepted: Jul. 16, 2014;
Published: Jul. 30, 2014
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Tesfa Getanew Woldie, Public Health Emergency Management, Bahir Dar, Ethiopia
Addisu Workineh Kassa, Amhara Regional Health Bureau, Bahir Dar, Ethiopia
Melkie Edris, Gondar University, Public Health Institute, Department of Nutrition, Gondar, Ethiopia
Introduction: It is realistic that Exclusive breast feeding can significantly reduce the burden of under-five death. About 41% of global under five deaths occur in Sub-Saharan Africa (SSA) mainly due to inadequate breastfeeding practices in combination with high levels of disease. Despite the universal practice of breastfeeding, most women do not practice exclusive breast feeding in many developing countries including Ethiopia. Methods: A community-based cross sectional study was conducted. A total of 819 mothers with 6-12 month aged infants were included in the study. All mothers from randomly selected kebeles were included in the study through cluster sampling technique in Mecha District, Amhara Region in April 2012. Structured interview was conducted in data collection. Both bivariate and multivariate logistic regression techniques were used to analyze the data with 95% CI. Results: The prevalence of exclusive breast feeding (EBF) was 47.13% (95% CI; 43.7% - 50.56%). Mothers who reported having 3 and more antenatal visit during pregnancy (AOR=1.7; 95% CI:1.09 – 2.67) ,who got PNC counseling on infant feeding (AOR=2.27; 95% CI: 1.56-3.30),who initiated breast feeding(BF) immediately after birth with in the first one hour (AOR=2.98;95% CI:2.11-4.22) and who have adequate knowledge on BF(AOR=2.06;95% CI:1.47-2.88) were more likely to exclusively breastfeed than their counterparts. Mothers from urban areas were less likely to exclusive breast fed than rural mothers (AOR=0.38; 95% CI: 0.23-0.62). Conclusions: The prevalence of exclusive breast feeding in the study area was below the WHO recommended level 90%. Residence, three and above ANC visit, NC counseling on infant feeding, immediate initiation of breast feeding (BF) within an hour, maternal knowledge of BF were found to be associated with EBF practice. Strengthening ANC and PNC service, educate pregnant mothers on immediate BF initiation, counseling mothers on infant feeding during PNC, prioritizing urban areas for BF promotion in line with newly launched UHEP and other promotional efforts to improve maternal BF knowledge are recommended.
Tesfa Getanew Woldie,
Addisu Workineh Kassa,
Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia, Science Journal of Public Health.
Vol. 2, No. 4,
2014, pp. 330-336.
World Health Organization. Learning from large-scale community-based program to improve breastfeeding practices. 2008.
World Health Organization. Mortality and burden of disease attributable to selected major risks. 2009.
UNICEF. Tracking Progress On child And Maternal Nutrition: A survival and Development priority. 2009.
Ethiopia Federal Ministry of Health. National Strategy for child survival Addiss Ababa2005.
Hall J. Effective community-based interventions to improve exclusive breast feeding at four to six months in low- and low–middle-income countries: a systematic review of randomized controlled trials. J Hall / Midwifery 2011(27):Epub 502.
Black R, Allen L, eta l. Maternal and Child Under nutrition global and regional exposures and Study Group: Health consequences. Lancet. 2008;371( 9608 ):243-60.
Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five: A case-control study EthiopJHealth Dev. 2008; 22(1):21-5.
Jones G, Steketee R, eta l. How many child deaths can we prevent this year? Lancet. 2003;362:65-71.
World Health Organization. Infant and young child feeding: Model Chapter for textbooks for medical students and allied health Professionals. Geneva2009.
World Health Organization. Global Health Observation: Early initiation and exclusive breastfeeding Feb. 22/2012. Available from :http://www.who.int/gho/child_health/prevention/breastfeeding_text/en/index.html.
CSA. Ethiopian DHS. Addis Ababa; Ethiopia2011.
Teshome B, Getahun Z, Taye G. Magnitude and determinants of stunting in children underfive years of age in food surplus region of Ethiopia: The case of West Gojam Zone. Ethiop J Health Dev. 2009;23(2):98-106.
Linkages. Academy for Educational Development: Facts for Feeding: Recommended Practices to Improve Infant Nutrition 2008.
US. Department of Health and Human Services :The Surgeon General’s Call to Action to Support Breastfeeding Washington DC, USA 2011
Kathryn A, Dorothy J, eta l. Cultural Barriers to Exclusive Breastfeeding by Mothers in a Rural Area of Cameroon, Africa Journal of Midwifery & Women’s Health 2005(50):324-8.
Agho, Kingsley E, Michael J, eta l. Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy and Childbirth 2011;11(2).
Mark W, . Early exclusive breastfeeding: still the cornerstone of child survival. Am J Clin Nutr. 2009(89):1281–2.
Hoosen M, Nigel C, Ruth M, eta l. Mother-to-child transmission of HIV-1 infection during exclusive breastfeeding in the first 6 months of life: an intervention cohort study. Lancet. 2007;369:1107-16.
Foo L, Quek S, SA N, eta l. Breastfeeding prevalence and practices among Singaporean Chinese, Malay and Indian mothers Health Prom International 2005;20(3):229-37.
UNICEF. Regional Office for West and Central Africa: Protecting breastfeeding In west and central Africa. 2007.
Aslam S, Sultan M, Akram F. Exclusive breast feeding; Duration at Norther Areas of Pakistan a hospital based study. Professional Med J 2010;17(2):286-90.
Sapana P, Ameya H, eta l. Prevalence of Exclusive Breast Feeding And Its Correlates In An Urban Slum In Western India. IeJSME 2009;3(2):14-8.
Suneth B, Thilini C. Breastfeeding practices in a public health field practice area in Sri Lanka: a survival analysis International Breastfeeding Journal. 2007;2(13).
Kok, Leong, Tan. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. International Breastfeeding Journal 2011;6(2).
Aidam B, Pe´rez R, eta l. Factors associated with exclusive breastfeeding in Accra, Ghana. European Journal of Clinical Nutrition. 2005;59:789-96.
Ghwass A, Ahmed D. Prevalence and Predictors of 6-Month Exclusive Breastfeeding in a Rural Area in Egypt Breastfeeding medicine 2011;6(4):191-6.
Alemayehu T, Haidar J, Habte D. Determinants of exclusive breastfeeding practices in Ethiopia EthiopJHealth Dev 2009;23(1):12-8.
Nekatebeb H, Guyon A, eta l. Factors related to exclusive breast feeding and dietary diversity of complementary foods: A case study in Amhara region of Ethiopia. The FASEB Journal April 2010;Abstract 734.3.
Fanosie F. Exclusive Breast Feeding Practices in Mida-Woremo District, Amhara Region, Ethiopia. Harar Bulletin of Health Sciences. 2010:Master Thesis.
Sinhababu A, Dipta K, eta l. Infant- and Young Child-feeding Practices in Bankura District, West Bengal, India. J HEALTH POPUL NUTR. 2010;28(3):294-9.
Subba S, Chandrashekhar T, Binu V, Joshi H, eta l. Infant feeding practices of mothers in an urban area in Nepal. Kathmandu Univ Med J (KUMJ). 2007;5(1):42-7.
Suneth B, Thilini C, eta l. Exclusive breastfeeding in Sri Lanka: problems of interpretation of reported rates: Commentary. International Breastfeeding Journal. 2009;4(14):doi:10.1186/746-4358-4-14.
Venancio S, Monteiro C. Individual and contextual determinants of exclusive breast-feeding in Sa˜o Paulo, Brazil: a multilevel analysis Public Health Nutrition 2006;9(1):40–6: DOI: 10.1079/PHN2005760.
Nkala, Msuya. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. International Breastfeeding Journal. 2011;6(17): doi:10.1186/746-4358-6-17.
Haider R, Ashworth A, Kabir L, eta l, . Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomized controlled trial Lancet 2000.