Factors associated exclusive breastfeeding practices of urban women in Addis Ababa public health centers, Ethiopia: a cross sectional study

Abstract

BackgroundExclusive breastfeeding (EBF) is the best nutrition for the children during the first 6 months of life, yet despite knowing the clear benefits, the practice of EBF is low. The aim of the study is to determine prevalence of exclusive breastfeeding practice and associated factors in Addis Ababa.MethodsA facility based cross-sectional study with internal comparison was conducted among 648 mothers attending immunization sessions in all public health centers in Addis Ababa, Ethiopia, in February 2011. Prevalence of EBF was determined using ‘recall since birth’ method. Multiple logistic regression was used to adjust for confounding effects while determining the association between exclusive breastfeeding practice and selected factors.ResultsThe prevalence of EBF under six months was 29.3 % (95 % CI 25.9, 32.9). Mothers whose monthly income 500 - 1000birr (US$56 - 113) were more likely to exclusively breastfeed than those who earn more than 1000birr (US$113) (Adjusted Odds Ratio [AOR] = 2.49; 95 % Confidence Interval [CI] 1.06, 5.88). Mothers who reported having antenatal counseling (AOR = 1.99; 95 % CI 1.16, 3.43) and postnatal counseling were more likely to exclusively breastfeed than those who did not have counseling (AOR = 2.12; 95 % CI 1.28, 3.54). Mothers who gave birth vaginally were more likely to exclusively breastfeed than those who had a Caesarean section (AOR = 2.40; 95 % CI 1.25, 4.61).ConclusionsThe prevalence of exclusive breastfeeding was low in Addis Ababa. Mothers’ income, antenatal and postnatal counseling and mode of delivery were found to be associated with EBF practices. Recommendations include strengthening nutrition counseling during antenatal and postnatal sessions, further exploring the barriers to EBF for higher income mothers and offering continuous assistance and safe pain relief medication for mothers who gave birth by caesarean section.

Knowledge, Attitude and Practice towards Exclusive Breastfeeding among Lactating Mothers, Mizan Aman Town, Southwestern Ethiopia: Descriptive Cross Sectional Study

“…Our EBF findings were similar to a study in Addis Ababa, Ethiopia which found 29.3 % prevalence of EBF under six months [9], while it was higher than a study in Abha female educational district, Saudi Arabia in which EBF for 6 months was reported only by 8.3 % of participants (n = 32) [6] and a study in Kinshasa, Congo that found only 2.8 % of infants were exclusively breastfed (n =12) [7].…”

“…A study in Addis Ababa, Ethiopia found the prevalence of EBF under six months was 29.3 % [9]. A study in Arbaminch, Ethiopia showed that 55.6 % exclusively breastfed their children for six months.…”

Assessment of Prevalence of Exclusive Breast Feeding Practice and Associated Factors among Under Six-Month-Old Children Selected Woreda South Nation Nationality of People Regional State, Ethiopia, 2016

“…The prevalence of exclusive breast feeding in this study higher than that of reported in previous study in Brazil, 4%, Bangladesh, 16%, Saudi Arabia, 8.3 %, Rwanda, 38%, Congo, 2.8%, Malaysia, 43.1%, Nigeria ,16.4%, Meerut, 34.8% [13][14][15][16][17]33,35]. In Ethiopia reported low prevalence in Mizan Aman town, 26.4 %, Addis Ababa ,29.3 %, North Gondar, 35.9%, Southern Ethiopia, 48.2%, Arba Minch Zuria, 55.6% , Gedeo , 57.6 %, Debre Markos, 60.8%, District of Debre Markos town and Gozamen, 55% and 64% respectively [19][20][21][22][23][24][25][26]. Higher prevalence reported in Debre Berhan, 68.6 %, Goba district, south east, 71.3%, and Dubti town, afar region, and 81.1 % respectively [27,30,34].…”

“…Study showed that the prevalence of EBF in Brazil 4% , Bangladesh 16%, Rwanda 38%, Saudi Arabia 8.3 %, Congo 2.8 %, of infants were exclusively breastfed [14][15][16][17]. In Ethiopia the range of prevalence of EBF less than six months were 24.4 % -81.1% [19][20][21][22][23][24][25][26][27][28][29]. Currently, the Health Sector Transformation Plan Two (HSPII) has set a target to increase exclusive breastfeeding from 52% to 72% in Ethiopia by the end of 2020 [30].…”

“…Currently, the Health Sector Transformation Plan Two (HSPII) has set a target to increase exclusive breastfeeding from 52% to 72% in Ethiopia by the end of 2020 [30]. Exclusive breast milk feeding for the first six months of an infant's life is associated with mother knowledge and attitude, age of mother, occupation, family member, Counseling during antenatal and postnatal care, prelacteal feeding, early initiation of breastfeeding, and age of infants, Mothers' income, mode of delivery, place of delivery [20][21][22][23][24][25][26][27]. Therefore, this study will review exclusive breast feeding practice and associated factors among under 6-month-old children in selected Woreda South Nation Nationality of People Regional State in Ethiopia.…”