Background Vitamin A is a nutrient that is required in a small amount for normal visual system function, growth and development, epithelia’s cellular integrity, immune function, and reproduction. Vitamin A has a significant and clinically important effect since it has been associated with a reduction in all-cause and diarrhea mortality. The aim of this study was to determine factors associated with national vitamin A supplementation among children aged 6–35 months. Method The data for this study was extracted from the 2019 Ethiopian Mini Demographic and Health Survey. A total weighted sample of 2242 women with children aged 6–35 months was included in the study. The analysis was performed using Stata version 14.2 software. Applying sampling weight for descriptive statistics and complex sample design for inferential statistics, a manual backward stepwise elimination approach was applied. Finally, statistical significance declared at the level of p value < 0.05. Result The overall coverage of vitamin A supplementation among children aged 6–35 months for the survey included was 44.4 95% CI (40.15, 48.74). In the multivariable analysis, mothers who had four or more antenatal visits [AOR = 2.02 (95% CI: 1.34, 3.04)] were two times more likely to receive vitamin A capsules for their children than mothers who had no antenatal visits. Children from middle-wealth quintiles had higher odds of receiving vitamin A capsules in comparison to children from the poorest wealth quintile [AOR = 1.77 (95% CI: 1.14, 2.73)]. Older children had higher odds of receiving vitamin A capsules than the youngest ones. Other factors that were associated with vitamin A supplementation were mode of delivery and region. Conclusion The coverage of vitamin A supplementation in Ethiopia remains low and it is strongly associated with antenatal visit, household wealth index and age of child. Expanding maternal health services like antenatal care visits should be prioritized.
Background: World health organization (WHO) recommended all mothers should be supported to initiate breastfeeding as soon as possible after birth within the first hour. This study examined the determinants of early initiation of breastfeeding in Ethiopia by using data from 2019 Ethiopia mini demographic and health survey (EMDHS)..Methods: The data for this study was extracted from 2019 EMDHS. A total of 3752 children born during the last 24 months at the time of survey were included for analysis from the nine regional states and two city administrations. Descriptive statistics was used to identify the proportion of children who had early initiation of breastfeeding (EIBF) after which multivariable logistic regression analysis was carried out to determine the predictors of EIBF. Results were presented using frequencies, percentages, p-value, crude and adjusted odds ratios. Statistical significance was declared at p <0.05 for the multivariable logistic regression analysis .Result: The prevalence of Early Initiation of Breastfeeding (EIBF) in Ethiopia was remarked to be 73.7% (n = 2767). Place of delivery [AOR =1.65, 95% CI: 1.39, 1.96] mother who deliveries at health facility had higher odds to practice early breast-feeding than those who deliveries at home, mode of delivery [ AOR = 3.94, 95% CI: 2.99, 5.17] mother who had deliveries by vaginal had 3.9 times higher odds to practice early breast-feeding compared with cesarian section and parity [ AOR = 1.57, 95% CI: 1.23, 2.00] mother who had more than five children had higher odds to practice early breastfeeding compared with first time babies. In addition, early breast-feeding initiation was also associated with region where mothers residing particularly in regions such as Oromia [AOR = 1.78, 95% CI: 1.26, 2.53] had higher odds to practice early breast feeding as compared with mothers residing in Tigray.Conclusions: The overall prevalence of EIBF was determined to be 73.7%. EIBF in Ethiopia was found to be significantly associated with place of delivery, mode of delivery, parity and region. Focus should be given to expand institutional delivery and increase awareness of mothers with their first delivery .
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