Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan

Tongun, Justin Bruno; Sebit, Mohammed Boy; Mukunya, David; Ndeezi, Grace; Nankabirwa, Victoria; Tylleskär, Thorkild; Tumwine, James K

doi:10.1186/s13006-018-0170-0

Cited by 46 publications

(41 citation statements)

References 35 publications

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“…The odds of colostrum avoidance among mothers who have exposure to infant formula advertisement were nearly seven times, (AOR = 7.476, 95% CI: 3.549, 15.752), higher than the counterpart. The study is in line with report from South Sudan [33]. Infant formula advertising has weakened breastfeeding and misled mothers to discard colostrum and to adopt prelacteal feed for their children.…”

Section: Discussionsupporting

confidence: 88%

Determinants of early days of newborn feeding mal-practice among mothers of children less than one years of age in Mizan-Aman Town, South-west Ethiopia, 2020

Amare

2020

Preprint

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Back ground: Neonatal death remained a global public health issue, especially in Ethiopia due to sub-optimal breast-feeding practices. While several interventions have been made to comply with the WHO guideline, sub-optimal feeding practices are commonly seen in Ethiopia. The goal of this study was therefore to identify gaps in optimal breast-feeding practice in South West Ethiopia.Objective: To assess the prevalence and determinant of early days of newborn feeding mal-practices among recently delivered women in Mizan-Aman Town, southwestern Ethiopia, 2020.Methods: A community-based cross-sectional study was undertaken on recently delivered women from March-April/2020. A total of 487 mothers-child (<12month) pair were selected by using multistage randomized sampling technique and the data was collected through face to face interview by using structured questionnaire. The result was analyzed via SPSS version 26. Multivariate logistic regression analysis was used to assess determinant of newborn feeding mal-practices and a p<0.05 was deem to be significant.Result: Prevalence of prelacteal feeding and colostrum avoidance was approximately 21.9% and 15.5% respectively. The most common prelacteal food was Rue / Tenadam/49 (10.1 %). The key reasons were: 49(10.1 %) Cultural activity followed by 45 (9.3 %) clean-up of the intestine / throat / mouth of babies. Determinants of pre-lacteal feeding were found to be: mothers recognizing risks of prelacteal feeding, multipara mothers, having ≥4 number of children and infant’s birth order 4-6. Likewise, exposure to infant formula advertisement, absence of home to home health education, multipara mothers and spontaneous vaginal birth were the determinants of colostrum avoidance.Conclusion: The study found that there was a sub-optimal breast-feeding practice, one in four newborns. As a result, activities to discourage pre-lacteal feeding and to improve early initiation of colostrum feeding practices shall be carried out.

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Section: Discussionsupporting

confidence: 88%

Determinants of early days of newborn feeding mal-practice among mothers of children less than one years of age in Mizan-Aman Town, South-west Ethiopia, 2020

Amare

2020

Preprint

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“…The same results had been found in our nationally representative samples [19]. A similar observation was also mentioned by several studies [36][37][38][39][32][33][34]. This study found that mothers aged 20-34 years were more likely to provide EIBF to their children than mothers aged 35 years and above.…”

Section: Discussionsupporting

confidence: 91%

“…The prevalence of EIBF among mothers in Rajshahi district was also higher than south Asian countries like India (21%) [28], Pakistan (8.5%) [29], other developing countries like Nigeria (34.7%) [30], Iran (32.2%) [31] and South Sudan (48%) [32]. The rate of EIBF of mothers in Ethiopia was close (83.7%) to our nding [33].…”

Section: Discussionsupporting

confidence: 59%

Factors influencing early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh

Ayesha

Islam

et al. 2020

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Background: Early initiation of breastfeeding (EIBF) is referred to as providing breast milk to the newborn within one hour of birth. EIBF ensures that the infant receives the colostrum containing highly protective antibodies. This study aimed to identify the influential factors of EIBF among mothers in Rajshahi district, Bangladesh. Methods: The data was collected from mothers living in Rajshahi district who had at least one child aged 6-24 months. This study was conducted from January to March, 2019. The EIBF was measured by a principal question, “Did you provide your breast milk to your infant within one hour after delivery?” Frequency distribution and Chi-square test and multivariable binary logistic regression model were utilized in this study for getting prevalence and influential factors of EIBF respectively. Results: This study revealed that the prevalence of EIBF among mothers in Rajshahi district was 88.4%. Multivariable logistic model provided eight influential factors of EIBF: (i) place of delivery, (ii) family monthly income, (iii) husbands’ education level, (iv) mothers’ nutritional status, (v) mothers’ age, (vi) husbands’ occupation, (vii) getting pregnancy with planning, and (viii) mothers taking advice regarding the benefit of breastfeeding during their pregnancy. Conclusions: This study identified several modifiable influential factors of EIBF. The customs, culture and other characteristics are almost the same across the country. These factors could be considered to increase the rate of EIBF among mothers in Bangladesh.

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“…At the same time, in low- middle-income countries, it ranged from 35% in the Middle East and North Africa to 65% in Eastern Southern Africa regions [ 2 ]. Prevalence in African countries varies from 34.7% in Nigeria and 87.2% in Sudan [ 8 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and factors associated with early initiation of breastfeeding among women with children aged < 24 months in Kilimanjaro region, northern Tanzania: a community-based cross-sectional study

et al. 2020

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Background Early initiation of breastfeeding offers nutritional and immunological benefits to the newborn, which is critical for health and survival. Understanding factors associated with timely initiation of breastfeeding is crucial for healthcare providers and policy-makers. This study aimed to assess the prevalence and factors associated with early initiation of breastfeeding among mothers with children < 24 months of age in the Kilimanjaro region, Northern Tanzania. Methods This study utilized secondary data from a cross-sectional survey conducted in April 2016 and April 2017 in the Kilimanjaro region. A multistage sampling technique was used to select study participants and interviewed using a questionnaire. A total of 1644 women with children aged < 24 months were analyzed. Modified Poisson regression models were used to determine factors independently associated with early initiation of breastfeeding, within first hour of life. Results The prevalence of early initiation of breastfeeding in the Kilimanjaro region was 70%, ranging from 64% in Same to 80% in Siha districts. The prevalence of early initiation of breastfeeding was lower among women who initiated prelacteal feeding compared to their counterparts (prevalence ratio [PR] 0.42; 95% Confidence Interval [CI] 0.34, 0.53). Likewise, women living in Same and Hai district had lower prevalence of early initiation of breastfeeding compared to women in Rombo (PR 0.8; 95% CI 0.76, 0.93) and (PR 0.89, 95% CI 0.80, 0.98) respectively. Higher prevalence of early initiation of breastfeeding was found in women with primary education compared to those with secondary education (PR 1.09; 95% CI 1.003, 1.18), and among women with two children compared to one child (PR 1.14, 95% CI 1.03, 1.26). Conclusions Early initiation of breastfeeding practice was suboptimal in this study. To improve early initiation of breastfeeding, healthcare providers at reproductive and child health clinics and labour wards should discourage women from prelacteal feeding, give more support to women with one child and those with secondary level of education and above. Furthermore, a qualitative study is crucial to understand the reasons for low prevalence of early initiation of breastfeeding in Same and Hai districts.

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Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan

Cited by 46 publications

References 35 publications

Determinants of early days of newborn feeding mal-practice among mothers of children less than one years of age in Mizan-Aman Town, South-west Ethiopia, 2020

Determinants of early days of newborn feeding mal-practice among mothers of children less than one years of age in Mizan-Aman Town, South-west Ethiopia, 2020

Factors influencing early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh

Prevalence of and factors associated with early initiation of breastfeeding among women with children aged < 24 months in Kilimanjaro region, northern Tanzania: a community-based cross-sectional study

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