Assessment of Status of Infant and Young Child Feeding (IYCF) Practice, Policy and Programs: Achievements and Gaps, in Ethiopia

Assefa, Tsehai; Samuel, Aregash; Argaw, Alemayehu; Moges, Debebe; Negash, selamawit; Mesfin, Frehiwot; Teklie, Abinet; Gose, Mesfin; Abebe, Yewlsew; Hailu, Israel; Chanetsa, Joyce; Bekele, Abebe; mamo, Tigist

doi:10.9734/ejnfs/2015/21255

Cited by 9 publications

(12 citation statements)

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“…As a result, mothers may be forced to choose to discontinue EBF earlier than recommended period even if they do know the benefit of exclusive breastfeeding. However, there is no legally written lactation break in our country [34].…”

Section: Discussionmentioning

confidence: 96%

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Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town, Central Ethiopia

et al. 2020

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Background: Employed women tend to exclusively breastfeed less than non-employed women. Early returning to work has been major reason why employed women stop exclusive breastfeeding. The aim of this study was to investigate exclusive breastfeeding (EBF) cessation and associated factors among employed mothers in Dukem town, Central Ethiopia. Methods: A cross-sectional study was conducted from February to March 2015 using total sample of 313 randomly selected permanently employed women. Information regarding participants' work-related factors, health service and sociodemographic factors were collected by face to face interview using structured questionnaire. Data were checked for completeness, entered and analyzed by SPSS version 20. Binary logistic regression was done to identify factors associated with exclusive breastfeeding cessation. The strength of association was measured using odds ratio with 95% confidence intervals. Results: Prevalence of exclusive breastfeeding cessation was 75.7% (95% CI 71.0, 80.5%). Having a short duration of maternity leave (AOR 9.3; 95% CI 3.8, 23), being a full time employee (AOR 3.5; 95% CI 1.7, 11), being private organization employee (AOR=2.1, 95% CI(1, 4.3)), lack of flexible work time (AOR 3.0; 95% CI 1.2, 7.5), not pumping breast milk (AOR 4.3; 95% CI 1.7, 11), lack of a lactation break (AOR 6.7; 95% CI 3,14.5) and work place far away from her child (AOR 3.1; 95% CI 3.1, 6.3), were significantly associated with cessation of EBF among employed mothers. Conclusion: Prevalence of exclusive breastfeeding cessation was much higher than the international and national expectation. The concerned governmental bodies should consider improving the legislation of the 3 months postpartum maternity leave to reduce employed mother's exclusive breastfeeding cessation.

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Section: Discussionmentioning

confidence: 96%

“…Data were collected by using questionnaire adapted from the WHO, EDHS and LINKAGE project which were designed to assess infant and young child feeding practices in developing countries including Ethiopia [2,34,35]. In addition, some questions were developed by reviewing related literature.…”

Section: Data Collection Process/measurementsmentioning

confidence: 99%

Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town, Central Ethiopia

et al. 2020

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“…Evidence on the successful implementation of the BFHI has been published elsewhere [88,89]. However, in Ethiopia, none of the health facilities are accredited for BFHI [90], suggesting that Ethiopian mothers are not receiving appropriate and skilled IYCF support from available health facilities. This gap in the initiation and implementation of BFHI in Ethiopia suggests that initiating and implementing BFHI at the health facility level would play a crucial role in improving IYCF and reduce the disease burden attributable to ARI and diarrhoea in Ethiopia. In 2008, the Federal Democratic Republic of Ethiopia launched the National Nutrition Strategy (NNS) to improve child health outcomes, including IYCF [91].…”

Section: Policy Implications Of the Study Findingsmentioning

confidence: 99%

“…Although this initiative is needed and well-deserved, there is a need for Ethiopian health stakeholders to strengthen the BFHI in order to improve IYCF behaviours. This measure is crucial to improve IYCF and subsequently reduce ARI and diarrhoea burden in Ethiopia because a recent assessment of IYCF scored BFHI service zero out of ten points in the country [90]. Also, future studies that evaluate the success, challenges and opportunities of the Ethiopian Health Sector Transformation Plan within the context of the impact on IYCF may be needed to guide refinement of future programs.…”

Section: Policy Implications Of the Study Findingsmentioning

confidence: 99%

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

et al. 2020

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Background Acute respiratory infection (ARI) and diarrhoea are the leading causes of childhood morbidity and mortality in Ethiopia. Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. The IYCF practices include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, introduction of complementary foods, continued breastfeeding at two years and bottle feeding. Results Infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed had a lower prevalence of ARI. Infants who were exclusively and predominantly breastfed had a lower prevalence of diarrhoea. Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of

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“…18,27,28 There is no doubt regarding the multiple benefits of breastfeeding for infants and Essential Nutrition Actions / Integrated Infant and Young Feeding Counseling Services. 30 Despite the reduced under-five mortality, the rate of malnutrition, rate of stunting and rate of underweight 31 , the rate of EBF has fallen short of the Health Sector Transformation Plan 2016-2020 30 , National Nutrition Program 2016-2020 32 and WHO global target. These drawbacks call for the need to assess multidimensional factors that affect EBF.…”

Section: Introductionmentioning

confidence: 99%

Multidimensional factors predicting exclusive breastfeeding in Ethiopia: evidence from a meta-analysis of studies in the past 10 years

Endalamaw

Mohammed

Mulugeta

et al. 2019

Preprint

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Background: In Ethiopia, the prevalence of exclusive breastfeeding (EBF) is 60.1%, which is lower than the national Health Sector Transformation Plan 2016‐2020, National Nutrition Program 2016-2020 and WHO global target. This may be attributed to multidimensional factors. Objective: The aim of this meta-analysis was to investigate the association between EBF and educational status, household income, marital status, media exposure, and parity in Ethiopia. Methods: Databases used were PubMed, EMBASE, Web of Science, SCOPUS, CINAHL and WHO Global health library, and key terms were searched using interactive searching syntax. It was also supplemented by manual searching. Observational studies published between September 2000 and March 2019 were included. The methodological quality of studies was examined using the Newcastle-Ottawa Scale (NOS) for cross-sectional studies. Data were extracted using the Joanna Briggs Institute (JBI) data extraction tool. To obtain the pooled odds ratio (OR), extracted data were fitted in a random-effects meta-analysis model. Statistical heterogeneity was quantified using Cochran Q test, τ2, and I2 statistics. Additional analysis conducted includes Jackknife sensitivity analysis, cumulative meta-analysis, and meta-regression analysis. Results: Out of 553 studies retrieved, 31 studies fulfilled our inclusion criteria. Almost all studies were conducted on mothers with newborn less than 23 months. Maternal educational status (OR = 1.39; p = 0.03; 95% CI = 1.03 - 1.89; I2 = 86.11%), household income (OR = 1.27; p = 0.02; 95% CI = 1.05 - 1.55; I2 = 60.9%) and marital status (OR = 1.39; p = 0.02; 95% CI = 1.05 - 1.83; I2 = 76.96%) were found to be significantly associated with EBF. We also observed an inverse dose-response relationship of EBF with educational status and income. Significant association was not observed between EBF and parity, media exposure and paternal educational status. Conclusions: In this meta-analysis, we depicted the relevant effect of maternal education, income, and marital status on EBF. Therefore, multifaceted, effective, and evidence-based efforts are needed to increase national breastfeeding rates in Ethiopia.

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Assessment of Status of Infant and Young Child Feeding (IYCF) Practice, Policy and Programs: Achievements and Gaps, in Ethiopia

Cited by 9 publications

References 0 publications

Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town, Central Ethiopia

Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town, Central Ethiopia

Associations between infant and young child feeding practices and acute respiratory infection and diarrhoea in Ethiopia: A propensity score matching approach

Multidimensional factors predicting exclusive breastfeeding in Ethiopia: evidence from a meta-analysis of studies in the past 10 years

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