Prevalence of Exclusive Breastfeeding Practice and Its Associated Factors Among Mothers with Children Aged 6 - 12 Months in Hargeisa City, Somaliland
Science Journal of Public Health
Volume 8, Issue 2, March 2020, Pages: 43-49
Received: Feb. 7, 2020;
Accepted: Mar. 16, 2020;
Published: Apr. 14, 2020
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Ahmed Ismail Mohamed, Faculty of Public Health, University of Hargeisa, Hargeisa, Somaliland
Yonatan Tegene, Collage of Health Science, Jigjiga University, Jigjiga, Ethiopia
Kiruja Jonah, Collage of Health Science, University of Hargeisa, Hargeisa, Somaliland
Breastfeeding has many health benefits for both mother and infant. Breast milk contains all the nutrients an infant need in the first 6 months of life. Exclusive breastfeeding is the most widely known and effective intervention for preventing early-childhood deaths. Optimum breastfeeding practices can prevent 1.4 million deaths worldwide among children under five every year. The aim of this study was to assess the prevalence of exclusive breastfeeding and associated factors among mothers who have an infant six months up to one year old in Hargeisa, Somaliland. A community based cross-sectional study was conducted from November to December, 2019. A cluster along with simple random sampling technique was used to select sample population. A total of 357 mothers with children aged six months to one year old were included in this study. Data were collected using questionnaires administered at interview. Both bivariate and multivariate logistic regression analyses were carried out to identify factors associated with exclusive breastfeeding. The prevalence of exclusive breastfeeding was 68%. Those mothers who were heard information on EBF [AOR=14.243 CI (4.630, 43.816)], attend ANC service [AOR=25.412 (3.506, 184.179)], received breastfeeding counseling during antenatal care (ANC) [AOR=6.037 (2.878, 12.666)], aware that breastfeeding is enough the child up to six months [AOR=3.411 (1.536, 7.577)], and had fed colostrum [AOR=4.663 CI (2.107, 10.321)] were more likely to practice EBF than their counterparts. The proportion of exclusive breastfeeding in the city was below WHO Infant and Young Child Feeding recommendations. The practice of exclusive breastfeeding in mothers of under 6 months children was influenced by receiving information about EBF, colostrum discharging, awareness of breast feeding is enough the child up to six month and antenatal care visit were significantly associated with EBF practice (P < 0.05).
Ahmed Ismail Mohamed,
Prevalence of Exclusive Breastfeeding Practice and Its Associated Factors Among Mothers with Children Aged 6 - 12 Months in Hargeisa City, Somaliland, Science Journal of Public Health.
Vol. 8, No. 2,
2020, pp. 43-49.
UNICEF, WHO: Indicators for assessing infant and young child feeding practices. Part 1 Definitions. 2008, Geneva: WHO.
Vafaee, A., et al., Prevalence of exclusive breastfeeding during the first six months of life and its determinant factors on the referring children to the health centers in Mashhad, Northeast of Iran-2007. J Appl Sci, 2010. 10 (4): p. 343-348.
Horta, B. L., et al., Evidence on the long-term effects of breastfeeding: systematic review and meta-analyses. 2007.
Messele, T. and A. Kebede, Nutrition Baseline Survey Report for the National Nutrition Program of Ethiopia. Ethiopia: Ethiopian Health and Nutrition Research Institute, 2010.
Dieterich, C. M., et al., Breastfeeding and health outcomes for the mother-infant dyad. Pediatric Clinics of North America, 2013. 60 (1): p. 31.
Ahmed, A. H., Breastfeeding preterm infants: an educational program to support mothers of preterm infants in Cairo, Egypt. Pediatric Nursing, 2008. 34 (2): p. 125.
Communication, U. D. o., Tracking progress on child and maternal nutrition: a survival and development priority. 2009: Unicef.
Yngve, A. and M. Sjöström, Breastfeeding in countries of the European Union and EFTA: current and proposed recommendations, rationale, prevalence, duration and trends. Public health nutrition, 2001. 4 (2b): p. 631-645.
Mohamed, A. A., et al., Prevalence and Associated Factors of Exclusive Breastfeeding Practices Among Mothers of Infants Less Than Six Months in Galkayo, Somalia: A Community Based Cross-Sectional Study. Sci J Public Health, 2018. 6 (5): p. 133-9.
Govermant, H. L., 2016.
UNICEF, UNICEF 2016 Somali infant and Young child nutrition Assessment. https://reliefweb.int/sites/reliefweb.int/files/resources/2016-Somali-IYCN-Assessment-Final-Report.pdf., 2016.
Veghari G, M. A., Abdollahi A., Breastfeeding status and some related factors in northern Iran.. Oman Med J. 2011; 26: 342–348.
H., R., Patterns and determinants of breastfeeding and complementary feeding practices of Emirati Mothers in the United Arab Emirates. BMC Public Health. 2013; 13: 171.
Ghwass A, A. D., Prevalence and Predictors of 6-Month Exclusive Breastfeeding in a Rural Area in Egypt. Breastfeeding medicine 2011; 6 (4): 191-6.
S, A.-K., S. HA, and S. NA., Breastfeeding practice and determinants among Arab mothers in Qatar. Saudi Med J. 2012; 33: 436–443.
M, A., et al., Factors influencing the duration of exclusive breastfeeding in a group of Turkish women. J Hum Lact. 2001; 17: 220–226.
Lenja, A., et al., Determinants of exclusive breastfeeding practice to infants aged less than six months in Offa district, Southern Ethiopia: a cross-sectional study. International breastfeeding journal, 2016. 11 (1): p. 32.
Roudbari, M., S. Roudbari, and A. Fazaeli, Factors associated with breastfeeding patterns in women who recourse to health centres in Zahedan, Iran. Singapore medical journal, 2009. 50 (2): p. 181.
Mbada, C. E., et al., Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC research notes, 2013. 6 (1): p. 552.
I., S., Exclusive breastfeeding and family influences in rural Ghana: a qualitative study (Master’s thesis). Malmö:. Malmö University, 2013.
Maeza, M., D. Mesele, and K. Zelalem, Factors associated with exclusive breastfeeding practices in Debre Berhan District, Central Ethiopia. International Breastfeeding Journal, 2015. 10: p. 23.
Su, L.-L., et al., Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. Bmj, 2007. 335 (7620): p. 596.
Agho, K. E., et al., Determinants of exclusive breastfeeding in Nigeria. BMC pregnancy and childbirth, 2011. 11 (1): p. 2.