Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study

Abstract

BackgroundAlthough breastfeeding is universal in Ethiopia, ranges of regional differences in timely initiation of breastfeeding have been documented. Initiation of breastfeeding is highly bound to cultural factors that may either enhance or inhibit the optimal practices. The government of Ethiopia developed National Infant and Young Child Feeding Guideline in 2004 and behavior change communications on breast feeding have been going on since then. However, there is a little information on the practice of timely initiation of breast feeding and factors that predict these practices after the implementation of the national guideline. The objective of this study is to determine the prevalence and determinant factors of timely initiation of breastfeeding among mothers in Bale Goba District, South East Ethiopia.MethodsA community based cross sectional study was carried out from February to March 2010 using both quantitative and qualitative methods of data collection. A total of 608 mother infant pairs were selected using simple random sampling method and key informants for the in-depth interview were selected conveniently. Descriptive statistics, bivariate analysis and multivariable logistic regression analyses were employed to identify factors associated with timely initiation of breast feeding.ResultsThe prevalence of timely initiation of breastfeeding was 52.4%. Bivariate analysis showed that attendance of formal education, being urban resident, institutional delivery and postnatal counseling on breast feeding were significantly associated with timely initiation of breastfeeding (P < 0.05). After adjust sting for other factors on the multivariable logistic model, being in the urban area [AOR: 4.1 (95%C.I: 2.31-7.30)] and getting postnatal counseling [AOR: 2.7(1.86-3.94)] were independent predictors of timely initiation of breastfeeding.ConclusionsThe practice of timely initiation of breast feeding is low as nearly half the mothers did not start breastfeeding with one hour after delivery. The results suggest that breast feeding behavior change communication especially during the post natal period is critical in promoting optimal practice in the initiation of breast feeding. Rural mothers need special attention as they are distant from various information sources.

Community Based Essential New Born Care Practices and Associated Factors among Women in the Rural Community of Awabel District, East Gojjam Zone, Amhara, Ethiopia, 2013

“…The prevalence of timely initiation of breast feeding observed in the study area is 41.6%.This is lower than compared to finding of EDHS,2011 which was 51% [9], finding of a research done in Nepal 2010 (14), which was 46.7 % , finding of a research done by JSI /L10K base line house hold survey in 2009(13) which was 45% and finding of a research done Goba Woreda, South East Ethiopia, 2011 [15], which was 52.4% but higher than EDHS 2011 Amhara region, which was 38% and also higher than finding of research done in Tanzania, December 2010 which was (18%) and higher than Jimma Arjo Woreda, Southwest Ethiopia, 2012 which was 37% [9][14] [16].…”

Fatores ligados aos serviços de saúde determinam o aleitamento materno na primeira hora de vida no Distrito Federal, Brasil, 2011

“…The orientation on breastfeeding by health professionals soon after birth increased the chance of women to breastfeed in the first hour of life 17 . Boccolini et al 20 found that mothers have limited or no power to make decisions about breastfeeding their children in the first hour of life, and shall be subject to the practices and actions of the professionals involved in the delivery, as well as to the institutional procedures in place in maternity wards.…”

“…The literature has indicated that the practices of health professionals 8,[13][14][15][16][17][18] , as well as the organization and management of health services, are essential to the initiation of breastfeeding immediately after childbirth 12 . Mothers who got the prenatal care 13 , who were counseled during prenatal about breastfeeding 18 and who received postpartum assistance from health professionals for breastfeeding were more likely to breastfeed their children in the first hour 16,17 . With regard to health services, allowing companion in childbirth, having deliveries paid by the Unified Health System (SUS) and in hospitals that received the title of Child Friendly Hospital Initiative (IHAC) 12 were appointed as stimulating factor for the breastfeeding within one hour of birth.…”

Influencing factors on time of breastfeeding initiation among a national representative sample of women in India

“…This may delay initiation among Indian women. Recently, a study in Ethiopia found that 35% of the women in their study discarded the colostrum due to belief it was bad for the child [41].…”