Estimating the rate and determinants of exclusive breastfeeding practices among rural mothers in Southern Ghana

Manyeh, Alfred Kwesi; Amu, Alberta; Akpakli, David Etsey; Williams, John E.; Gyapong, Margaret

doi:10.1186/s13006-020-0253-6

Cited by 34 publications

(47 citation statements)

References 35 publications

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“…Similarly, household wealth index showed a positive association with EBF. This is similar with studies done in Ghana, India, and Australia [ 17 , 20 , 35 ]. The possible reasons may be increased uptake of breastfeeding related information and better skills in negotiating flexible workplace hours even can stay at home that creates opportunities for exclusive breastfeeding [ 20 ].…”

Section: Discussionsupporting

confidence: 92%

“…Among individual level factors, maternal antenatal care visit was also positively associated with EBF. This finding was concurrent with studies done in India, Ghana, and different parts of Ethiopia [ 17 , 19 – 21 , 30 , 37 ]. The possible justification could be that antenatal visit is the appropriate time for breastfeeding education and information that may improve EBF later after the birth of the infant.…”

Section: Discussionsupporting

confidence: 90%

“…Infants who live in pastoralist regions were less likely to exclusive breastfeeding as compared to infants found in agrarian regions. The regional variation of exclusive breastfeeding was also observed in previous studies in Ghana [ 17 ] and Malawi [ 38 ]. The variation in this study could be related that pastoralists were not well informed about the importance of exclusive breastfeeding due to the weak health care system and low women empowerment in the area.…”

Section: Discussionsupporting

confidence: 79%

“…Similarly, the low practice of EBF among the poorest wealth index could be related to poor awareness of EBF practice, stressful living situation to overcome the hardship of living. In addition, it can also be suggested that mothers from the poorest wealth index group might consider themselves as producing inadequate breast milk to satisfy their infant’s demand that makes them initiate additional foods [ 17 ]. Thus, mothers in the richest wealth index families do not need to go work during lactation so they have enough time to breastfeed their infants [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

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Exploring the determinants of exclusive breastfeeding among infants under-six months in Ethiopia using multilevel analysis

Tsegaw¹,

Dawed

Amsalu

2021

PLoS ONE

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Introduction Exclusive breastfeeding (EBF) is the safest and healthiest option of feeding among infants in the first 6 months throughout the world. Thus, the promotion of EBF is essential to prevent complex infant health problems even at the adulthood level. But the majority of previous studies focused on individual- level determinants of EBF by using basic regression models in localized areas. This study aimed to identify the determinants of EBF at the individual and community level which would be helpful to design appropriate strategies for improving the practice of EBF. Methods It is a secondary data analysis using the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total of 1185 infants under 6 months of age were included in the analysis. A Multilevel logistic regression model was employed to investigate factors significantly associated with EBF among under-six infants in Ethiopia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) was used to measure the association of variables whereas Intracluster correlation (ICC), median odds ratio (MOR), and proportional change in variance (PCV) were used to measure random effects (variation). Result In multilevel logistic regression; 4–5 months age infant (AOR = 0.04, 95%CI:0.02–0.07), female infants (AOR = 2.51, 95%CI:1.61–3.91), infant comorbidities (AOR = 0.35, 95%CI: 0.21–0.57), richest household wealth index (AOR = 10.34, 95%CI: 3.14–34.03) and antenatal care (AOR = 2.25, 95%CI:1.32–3.82) were individual- level determinants significantly associated with exclusive breastfeeding. Whereas, contextual region (AOR = 0.30, 95%CI: 0.10–0.87), community- level of postnatal visit (AOR = 2.77, 95%CI: 1.26–6.58) and community -level of maternal employment (AOR = 2.8, 95%CI: 1.21–6.47) were community level determinants significantly associated with EBF. The full model showed that46.8% of the variation of exclusive breastfeeding was explained by the combined factors at the individual and community levels. Similarly, it showed that the variation in exclusive breastfeeding across communities remained statistically significant (ICC = 8.77% and variance = 0.32 with P<0.001). Conclusion and recommendation Our study showed that both individual and community level determinants were significantly associated with EBF practice among under 6 infants. Based on our findings, it is recommended to promote and enhance antenatal and postnatal care services utilization of mothers to improve exclusive breastfeeding practice and more emphasis should be given to infants with comorbid conditions and those who were living in the pastoralist regions.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Exploring the determinants of exclusive breastfeeding among infants under-six months in Ethiopia using multilevel analysis

Tsegaw¹,

Dawed

Amsalu

2021

PLoS ONE

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“…Socio-demographic related predictors of infant feeding practices are relatively well researched. The literature consistently show that maternal age, socio-economic status, level of education, marital status and location are associated with infant feeding practices [18][19][20][21][22][23][24]. However, researches examining psychosocial predictors of IFPs are very limited.…”

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confidence: 99%

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Woldetensay

Belachew

Ghosh

et al. 2020

Preprint

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Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence, maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results: Postnatal depressive symptoms (ß= -1.031, P=0.001) and intimate partner violence (ß= -0.208, P=0.001) were inversely and significantly associated with IFPs. However, prenatal maternal depressive symptoms was not significantly associated with IFPs (ß= -0.024, P=0.953). On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.

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Nutritional knowledge and practices of mothers/caregivers and its impact on the nutritional status of children 6–59 months in Sefwi Wiawso Municipality, Western-North Region, Ghana

Forh¹,

Apprey²,

Agyapong³

2022

Heliyon

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Estimating the rate and determinants of exclusive breastfeeding practices among rural mothers in Southern Ghana

Cited by 34 publications

References 35 publications

Exploring the determinants of exclusive breastfeeding among infants under-six months in Ethiopia using multilevel analysis

Exploring the determinants of exclusive breastfeeding among infants under-six months in Ethiopia using multilevel analysis

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Nutritional knowledge and practices of mothers/caregivers and its impact on the nutritional status of children 6–59 months in Sefwi Wiawso Municipality, Western-North Region, Ghana

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