Factors Associated with Timely Initiation and Exclusive Breast Feeding among Mothers of Axum Town, Northern Ethiopia
Science Journal of Public Health
Volume 2, Issue 5, September 2014, Pages: 394-401
Received: Jul. 9, 2014;
Accepted: Jul. 15, 2014;
Published: Aug. 20, 2014
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Mussie Alemayehu, Department of Public Health, Mekelle University College of Health Sciences, Mekelle, Ethiopia
Kidan Abreh, Department of Public Health, Mekelle University College of Health Sciences, Mekelle, Ethiopia
Henock Yebyo, Department of Public Health, Mekelle University College of Health Sciences, Mekelle, Ethiopia
Kahssay Zemichael, Axum District health office, Axum, Ethiopia
Hailay Gebremichael, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
Background: Globally, there is a declining in the trend of breast feeding. Moreover, inappropriate practice of timely initiation and exclusive breastfeeding affects negatively on child survival, growth and development. One in every 11 and 17 Ethiopian children dies before the first birthday and the fifth birthday, respectively. However, one of the priorities, in the Health Sector Development Plan (HSDP) IV is improving child health, with a goal to reduce the under-five mortality rate. This study aimed at assessing the proportion and factors associated with timely initiation and exclusive breastfeeding among mothers in Axum town. Methods: A cross sectional study was conducted in Axum Town from May 10-26, 2013 to collect data from 418 mothers having children less than one year old using a systematic random sampling. Descriptive and multiple logistic regression analyses were performed using SPSS 20 for windows to estimate indicators and effect sizes of the predictors on timely initiation and exclusive breastfeeding. Results: The overall proportion of timely initiation and exclusive breastfeeding was, 41.6 and 40.9%, respectively. Mothers with female child and those who didn’t give colostrums to their newborn within an hour after birth had a positive association with timely initiation of breastfeeding with AOR of 2.09 (95% CI: 1.37, 3.17) and AOR of 0.31 (95% CI: 0.20, 0.48). Moreover, mothers who didn’t give the colostrum to their newborn within an hour after birth were less likely to practice exclusive breastfeeding than their counterparts AOR of 0.13 (95% CI: 0.08, 0.21). Conclusion: The proportion of timely initiation and exclusive breastfeeding was low. Giving colostrums could have an influence on timely initiation and exclusive breastfeeding. Besides, child sex could have an influence on timely initiation of breastfeeding.
Factors Associated with Timely Initiation and Exclusive Breast Feeding among Mothers of Axum Town, Northern Ethiopia, Science Journal of Public Health.
Vol. 2, No. 5,
2014, pp. 394-401.
Kuldip K. International baby Food Action Network (IBFAN) BBP, IBFAN-Asia, (October 2007), 1-2
Alive and Thrive 1825 Connecticut Ave., NW, Washington, D.C. 2009-5721@fhi360 (360, Alive and thrive initiative).
Stuart C, Christoph L. Obstetrics by Ten Teachers. Amesterdam: New York; 2000, 17th edition.
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
The state of the Better world's breastfeeding: report card. Initiation of breastfeeding within 1 hour.2008; 10, 19-38
Scott JA, Aitkin I, Binns CW, Aroni RA. Factors associated with the duration of breastfeeding amongst women in Perth, Australia. Act Paediatrica. 1999 Apr; 88(4):41621.
European Journal scientific research, © Euro Journals Publishing, Inc. 2010, ISSN 1450216X Vol.40 No.3 (2010), Pp.404-422
Lauer JA, Betran AP, Barros AJ, and de Onis M. Deaths and years of life lost due to suboptimal breast-feeding: Public Health Nutrition 2006; 9:673-685.
Edmond KM, Zandoh C, and Quigley MA: Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006, 117:380-386.
K, Cagliari A. Initial management of breastfeeding. Sep, 2001; 64:981-8
Ampeire Isaac Petit. Uropean Journal of Health and knowledge on exclusive breast feeding. August 2008, Vol 23, No 1
TRHB. Tigray regional health bureau profile for the 20011/12 EFY. Tigray, Mekelle, 2013
Hegney D, Fallon A, Crepinsek M, and O’Brien M, Doolan J. Against all odds: Toowoomba University of Queensland 2005. Report No: ISBN 0 909756 83
Ministry of finance and economic development population department an annotated bibliography of population and reproductive health researches in Ethiopia, 2002-2007 December, 2008 p 24-28
Alemayehu T, Haidar J, Habte D: Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop J Health Dev 2009, 23(1):12-18.
Hailemariam B. Determinants of breast feeding practice among mothers of children age less than 24 months attending maternal and child health clinics in Mekelle town, 2011, grey literature
Singh B. Knowledge, Attitude and Practice of Breast Feeding - A Case Study, the European, Journal of Scientific Research, 2010 40 (3) pp.404-422.
Salami L. factors influencing breastfeeding practices Edo state, Nigeria, African journal of food, agriculture, nutrition and development, 2006.
Ojo M Agunbiade, Opeyemi V Ogunleye, Constraints to exclusive breastfeeding practice among breastfeeding mothers in Southwest Nigeria: implications for scaling up, International Breastfeeding Journal 2012, 7:5 doi:10.1186/1746-4358-7-5.
20. LINKAGES, Experience: Result final report http://www.linkages project.org /media/ publications / Results 11-06.pdf] web site Ghana, 2006.
Khassawneh M, Khader Y, and Amarin Z: Knowledge, attitude and practice of breastfeeding in the north of Jordan: a cross-sectional study. International Breastfeeding Journal 2006, 1:17
Chandrasekhar TS, Joshi HS, and Binu VS: Breast-feeding initiation and determinants of exclusive breast-feeding: A questionnaire survey in an urban population of western Nepal. Public Health Nutrition 2007, 10(2):192-9.
Orun E. factors associated with breastfeeding initiation time in a Baby-Friendly Hospital. Turkish J Pediatric 2010; 52: 10-16
Davies. A, Anita A. Socio cultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun State, Nigeria, journal Social Science & Medicine,1997;45 (1) : 113-125
Setegn T, Gerbaba M. Breastfeeding and Pre-Lacteal Feeding Rates in Hospital Delivered Babies in India and Associated Factors, Pediatric Research (2011) 70, 52–52; doi:10.1038/pr.2011.277
Getachew G. feeding profile and diarrhoea morbidity among infants of 7-12 months” Adua town, Tigray, north Ethiopia 2006, master’s thesis
Lense G. Tefera B. and Fasil T.fators affecting adherence to exclusive breastfeeding practice in Ambo town and Ambo Woreda; EPHA 20th Annual public health conference, 2009.
UNICEF: SriLanka statistics http://www.unicef.org/ progressforchildren/2006n4 /index breast feeding .html web site UNICEF: 2012. New York: UNIFEF
Uchendu U. O. Ikefuna A. N. and Emodi I. J. Factors associated with exclusive breastfeeding among mothers seen at the University of Nigeria Teaching Hospital. S.A journal of child health, 2009; 3(1): 14-19
Gerbaba et al; Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: licensee Biomed Central Ltd © 2011
Chudasama R. Patel P. & Kavishwar A. Breastfeeding initiation practice and factors affecting breastfeeding in South Gujarat region of India. The Internet Journal of Family Practice. 2009; 7
Guyon A, et al. LINKAGES global program that seeks to increase breastfeeding and related practices to improve maternal reproductive health, Final Report: The Madagascar, LINKAGES Project, 2006