Determinants of Exclusive Breastfeeding Practice among Mothers of Children Age Less Than 6 Month in Bahir Dar City Administration, Northwest Ethiopia; A Community Based Cross-Sectional Survey
Science Journal of Clinical Medicine
Volume 2, Issue 6, November 2013, Pages: 153-159
Received: Sep. 3, 2013;
Published: Oct. 20, 2013
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Abay Sefene, Disaster Risk Management and Food Security Sector expert, Addis Ababa, Ethiopia
Dereje Birhanu, Bahir Dar University, College of Medicine and Health Science, Department of Public Health, Bahir Dar, Ethiopia
Worku Awoke, Bahir Dar University, College of Medicine and Health Science, Department of Public Health, Bahir Dar, Ethiopia
Tesfaye Taye, Bahir Dar University, College of Medicine and Health Science, Department of Pediatrics, Bahir Dar, Ethiopia
Background- Exclusive breastfeeding is the optimal feeding practice to achieve infants’ growth and development. Most mothers breastfeed their children but malnutrition is still prevalent in Ethiopia. Factors affecting exclusive breastfeeding practice are less known in the study area. Therefore the study aimed to assess its determinants among mother of children age less than 6 months in Bahir Dar city administration, Ethiopia. Method: Community based cross sectional survey was conducted from Jan to Feb 2013. In Bahir Dar city administration there were a total 20 (12 Urban & 8 Rural) Kebles, of which 6 (4 Urban & 2 Rural) were selected randomly using lottery method. The registration of mothers who had a child age less than 6 months by the local HEW was used as a sampling frame. Data was collected using interviewer administered questionnaire and was entered and analyzed using SPSS version 16. Logistic regression was used to identify determinants. P value <0.05 was considered statistically significant. Results: A total of 159 mothers were interviewed (93.5% response rate). Respondent’s mean age was 27.2±4.6 years, 2/3rd of respondents were housewives by occupation, and more than 90% of participants were urban residents and were married. Prevalence of exclusive breastfeeding was 49.1%. Mother education level (AOR=2.99), child sex (AOR=2.22), Parity (AOR=2.46), family size (AOR=2.92), and time of postnatal care (AOR=3.44) were independent predictors of exclusive breastfeeding practice in the study area. Conclusion & recommendation: Practice of exclusive breastfeeding was below the WHO recommendation and the target of the fifth Ethiopian Health Sector Development program. Mother education, child sex, parity, family size, and time of postnatal care were the independent predictors of exclusive breast feeding practice. The city administration should work on promoting exclusive breastfeeding practice giving special emphasis to educated mothers. The government should also consider revising the legislation of the two month postpartum maternity leave.
Determinants of Exclusive Breastfeeding Practice among Mothers of Children Age Less Than 6 Month in Bahir Dar City Administration, Northwest Ethiopia; A Community Based Cross-Sectional Survey, Science Journal of Clinical Medicine.
Vol. 2, No. 6,
2013, pp. 153-159.
CARE USA. Infant and young child feeding practices: Collecting and Using Data: A Step-by-Step Guide. 2010
WHO. Global strategy for infant and young child feeding. Geneva, 2003
WHO. Fifty-fifth world health assembly: Infant and young child nutrition: Global strategy on infant and young child feeding, Report by the Secretariat. April 2002
UNICEF. Infant and Young Child Feeding, 2008. http :// www. unicef. org/nutrition /index_ breastfeeding. html. Accessed in October 21, 2012
Mary Arimond and Marie T. Ruel. Summary indicators for infant & Child Feeding Practices: An Example from the Ethiopia Demographic and Health Survey 2000. Food and Nutrition Technical Assistance Project, August 2002
Central Statistical Agency. Ethiopia Demographic and Health Survey 2011: A.A, Ethiopia: ICF International, Calverton, Maryland, USA; March 2012.
Ethiopia Federal Bureau of Finance and Economic development, population projection report, 2011.
Tarek Amin, Hatem Hablas, and Ahmed Al Abd Al Qader. Determinants of Initiation and Exclusivity of Breastfeeding in Al Hassa, Saudi Arabia. Breastfeeding medicine. 2011, Vol. 6, No. 2. DOI: 10.1089/bfm.2010.0018
WHO. Indicators for assessing infant & young child feeding practice: Part 2, Measurement ,2010
Kibebew A. Infant and Young Child Feeding Practices among Mothers Living in Harar, Ethiopia. Harar Bulletin of Health Sciences; January 2012,Extracts Number 4,
Victor R, Baines SK, Agho KE, et al. Determinants of breastfeeding indicators among children less than 24 months of age in Tanzania: Tanzania Demographic and Health Survey. BMJ Open 2013; 3: e001529. doi:10.1136/bmjopen-2012-001529
Tewodros Alemayehu, Jemal Haidar, Dereje Habte. Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop.J.Health Dev. 2009; 23(1):12-18]
Kok Leong Tan. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. International Breastfeeding Journal, BMC, 2011; 6:2 http:// www. internationalbreastfeedingjournal.com/content/6/1/2
Upul Senarath, Michael J. Dibley, S. S. P. Godakandage etal. Determinants of infant and young child feeding practices in Sri Lanka: Secondary data analysis of Demographic and Health Survey 2000. Food and Nutrition Bulletin, 2010, vol. 31, no. 2
Haque M J, Rahman MM, Sarker SK, Ali MA, Fakir M, Rahman MM, Islam MM). Infant Feeding Practice by Rural Mothers of Dinajpur District, Bangladesh. Dinajpur Med Col J. 2010; 3 (1):35-38
R. N. O. Aryeetey and y. E. Goh, duration of exclusive breastfeeding and subsequent child feeding adequacy in Ghana, Ghana Medical Journal, 2013 Vol 47 No1.
Madan Mohan Laddunuri, Patterns and Determinants of Breast Feeding Practices in Dodoma Municipality Tanzania. Journal of Food Studies, 2012, Vol. 1, No. 1). doi:10.5296/jfs.v1i1.1566: http: //dx. doi.org / 10.5296/jfs.v1i1.1566
Henry Wamani, Anne Nordrehaug A strøm, Stefan Peterson, Thorkild Tylleska, and James K. Tumwine. Infant and Young Child Feeding in Western Uganda: Knowledge, Practices and Socio-economic Correlates, Journal of Tropical Pediatrics. 2005, Vol. 51, No. 6
Tesfaye Setegn, Tefera Belachew, Mulusew Gerbaba, et al. Factors associated with EBF practices among mothers in Goba district, Southeast Ethiopia. International Breastfeeding Journal 2012, 7:17 http:// www. internationalbreastfeedingjournal.com/content/7/1/17)
Dat V Duong, Andy H Lee, Colin W Binns. Determinants of breast-feeding within the first 6 months post-partum in rural Vietnam, Journal of Paediatrics and Child Health, 2005. Vol 41, Issue7 pp 338–343, DOI: 10.1111/j.1440-1754.2005.00627.x
Ludvigsson, J. F. and Ludvigsson, J. Socio-economic determinants, maternal smoking and coffee consumption, and exclusive breastfeeding in 10 205 children Sweden. Acta Paediatrica, Nurturing the child. Sept 2005, Vol 94: Issue 9; pp 1310–1319,. DOI: 10.1111/j.1651-2227.2005.tb02093.x
ASL Bandusena and ND Warnasuriya: Selected determinants and squeal of exclusive breastfeeding up to six months among infants attending chosen well baby clinics in the Colombo District Sir Lanka. Ceylon Medical Journal. Dec 2009, Vol. 54, No. 4,: PP 124-127
Al Sahab et al. Prevalence & predictors of 6 month exclusive breastfeeding among Canadian women: a national survey. BMC Pediatrics 2010 10. http://www.biomedcentral.com/
Prateek Sudhakar Bobhate, Saurabh Rambiharilal Shrivastava. Breastfeeding Practices and Factors Associated With It in India. International Journal of Public Health Research 2012, Vol 2 No 1, pp (115-121)
L. L. Foo, S. J. S. Quek, S. A. NG, M. T. LIM and M. Deurenberg-YAP. Breastfeeding prevalence and practices among Singaporean Chinese, Malay and Indian mothers. Health Promotion International, Vol. 20 No. 3, doi:10.1093/heapro/dai002
Mohamed M.E. Al Ghwass1 and Dalia Ahmed. Prevalence and Predictors of 6-Month Exclusive Breastfeeding in a Rural Area in Egypt. Breastfeeding medicine, Volume 6, Number 4, 201. DOI: 10.1089/bfm.2011.0035.
Patil Sapna S, Hasamnis Ameya A, Pathare Rooma S, et al. Prevalence of Exclusive Breast Feeding And Its Correlates in Urban Slum, Western India; IeJSME 2009: 3 (2): pp. 14-18
Kingsley E Agho, Michael J Dibley, Justice I Odiase, et al. Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy and Childbirth. 2011 http://www. internationalbreastfeedingjournal.Com / content/6/1/2