Determinants of exclusive breastfeeding practice in Bangladesh: Evidence from nationally representative survey data

Abstract

Background Exclusive breastfeeding (EBF) means that an infant should be breastfed only for the first six months of life to achieve optimal child development and to prevent infant morbidity and mortality. The aim of this analysis was to determine the individual-, household-, and communitylevel factors associated with EBF practice in Bangladesh. Methods A total of 1,440 women-child pairs data were analysed extracted from 2011 and 2014 Bangladesh Demographic and Health Survey. Multilevel logistic regression models were used separately for individual-, household-, and community level factors to identify the different level of factors associated with EBF practice. Results Around 61% women in Bangladesh practiced EBF with significant variation across several individual-, household-, and community-level factors. At the individual level, higher odds of EBF practice was found among mothers' received higher number of antenatal care and lower age of child. Mothers' higher education and engagement in formal jobs were found negatively associated with EBF practice. At the community level, higher odds of EBF was found among women live in Barishal, Dhaka, and Rajshahi divisions, and resided in the community with moderate level of female education, higher level of fertility, and higher use of antenatal and delivery care. Conclusions One in every three children in Bangladesh do not breastfeed exclusively which needs special attention for the policymakers. In this case, educated women engaged in income

Regional prevalence and socioeconomic inequalities in infant care practices: evidence from 2018 Nigeria Demographic and Health Survey

“…Mothers from socioeconomically privileged class would have higher coverage of EBF in contrast to their counterparts in lower socioeconomic class. This is in line with a previous study which found a connection between household wealth, maternal education and infant breastfeeding, as only about one-tenth of mothers who practiced EBF came from poor households and without formal education, in contrast to their well-off and educated counterparts with over one-quarter coverage of EBF [5,31,[58][59][60]. Therefore, our evidence of a positive association between maternal education and improvement in EBF is well founded.…”

Effect of unintended pregnancy on skilled antenatal care uptake in Bangladesh: analysis of national survey data

“…Community-level factors that were considered in the analysis were the place of residence (urban and rural), region of residence (Barishal, Chattogram, Dhaka, Khulna, Rajshahi, Rangpur, and Sylhet), community-level literacy (≤25%, 26–50, and > 50%), community-level poverty (high, moderate, low, and middle-to-richest), and community-level uptake of at least four ANC visits (> 50% and ≤ 50%). These variables were categorized following previous studies in Bangladesh [ 40 , 41 ]. Women’s responses to the questions related to literacy, poverty, and ANC use across clusters were used to generate community-level responses on literacy, poverty, and ANC use, which were not directly available in the dataset used.…”

Breastfeeding Practices among Adolescent Mothers and Associated Factors in Bangladesh (2004–2014)

“…Breastfeeding prevents the introduction of potentially contaminated prelacteal foods, provides newborns with colostrum (rich in a variety of nutrients and immunoglobulins) and protects against diarrheal diseases and respiratory tract infection [ 7 , 8 , 9 , 10 , 11 , 12 ]—two leading causes of preventable under-five-years deaths in Bangladesh [ 13 ]. Numerous research from Bangladesh has identified the determinants of breastfeeding (BF) practices among mothers of all age groups [ 14 , 15 , 16 , 17 , 18 ]. However, specific studies that focus on breastfeeding practices of adolescent mothers are limited.…”