Factors associated with early initiation of breastfeeding among children less than 24 months old: the 2019 Ethiopian mini demographic and health survey

Lucha, Tadele Abate; Ketsela, Admassu

doi:10.1186/s13690-022-00920-4

Cited by 5 publications

(5 citation statements)

References 45 publications

(41 reference statements)

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“…In line with prior research conducted in Ethiopia [ 36 , 60 ], the findings of this study indicate that mothers aged 34–49 years were less likely to encounter delayed initiation of breastfeeding in comparison to mothers aged 15–24 years. One possible explanation for this trend is that as maternal age increases, so does the mother’s experience in managing infants, which can facilitate the timely initiation of breastfeeding within one hour of birth.…”

Section: Discussionsupporting

confidence: 90%

Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis

Abebe,

Tilahun,

Tadesse

et al. 2024

PLoS ONE

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Background Despite the well-established benefits of early initiation of breastfeeding and exclusive breastfeeding for the first six months to promote optimal neonatal and child health, evidence indicates that in Ethiopia, a significant number of newborns initiate breastfeeding late, do not adhere to exclusive breastfeeding (EBF) for the recommended duration, and instead are fed with bottles. Objective To determine the proportion of delayed initiation of breast milk, exclusive breastfeeding, and its individual and community-level predictors among mothers in Ethiopia. Methods A secondary data analysis was done using the 2019 Ethiopian Mini Demographic Health Survey data. We examined a weighted sample of 2,012 children born within the past 24 months and 623 children aged 0–5 months at the time of the survey. The data analysis was done using STATA version 15. To understand the variation in delayed initiation and exclusive breastfeeding, statistical measures such as the Intraclass correlation coefficient, median odds ratio, and proportional change in variance were calculated. We employed a multilevel mixed-effects logistic regression model to identify predictors for each outcome variable. Statistical significance was determined with a p-value < 0.05. Results The proportion of delayed initiation of breast milk and exclusive breastfeeding were 24.56 and 84.5%, respectively. Women aged 34–49 years old (AOR = 0.33: 95% CI; 0.15–0.72), having a television in the house (AOR = 0.74: 95%CI; 0.33–0.97), delivered by cesarean section (AOR = 3.83: 95% CI; 1.57–9.32), and resided in the Afar regional state (AOR = 1.43: 95%CI; 1.03–12.7) were significantly associated with delayed initiation of breast milk. On the other hand, attended primary education (AOR = 0.67: 95%CI; 0.35–0.99), secondary education (AOR = 0.34: 95%CI; 0.19–0.53), women whose household headed by male (AOR = 0.68; 95% CI; 0.34–0.97), and rural residents (AOR = 1.98: 95%CI; 1.09–3.43) were significantly associated with exclusive breastfeeding practice. Conclusion Health promotion efforts that encourage timely initation of breast milk and promote EBF, focused on young mothers, those who gave birth through cesarean section, and those residing in urban and the Afar regional state. Furthermore, government health policymakers and relevant stakeholders should consider these identified predictors when revising existing strategies or formulating new policies.

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Section: Discussionsupporting

confidence: 90%

Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis

Abebe,

Tilahun,

Tadesse

et al. 2024

PLoS ONE

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“…EIBF is crucial for neonates as it promotes neonatal survival. The current study reports a prevalence of 70.4% in Bangladesh, higher than other LMICs such as India (41.5%), 24 Ethiopia (75.2%) 25 and Indonesia (57%). 26 However, it is still low in comparison to countries like Sri Lanka (88.5%), Nepal (86.5%) and Angola (98.4%).…”

Section: Discussionmentioning

confidence: 46%

“…Among the participants, the median (IQR) age of the mothers was 25 (21)(22)(23)(24)(25)(26)(27)(28)(29)(30) years. Regarding sex, 48.6% were female and the majority (81.1%) lived in rural areas.…”

Section: Resultsmentioning

confidence: 99%

“…The median (IQR) maternal age for those who practised SSC was 25 (21)(22)(23)(24)(25)(26)(27)(28)(29). SSC was found to be significantly associated with maternal age (p=0.011), residence (p<0.001), maternal education (p<0.001), receiving antenatal care (p<0.001), SBA at birth (p<0.001), institutional delivery (p<0.001) and wealth index (p<0.001).…”

Section: Resultsmentioning

confidence: 99%

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Skin-to-skin contact and early initiation of breast feeding in Bangladesh: a cross-sectional study using MICS6, Bangladesh (2019) data

Al Fidah,

Efa

2023

bmjpo

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BackgroundTo curb neonatal deaths, practices such as skin-to-skin contact (SSC) and early initiation of breast feeding (EIBF) can play an important role. Despite being effective, globally only 48% of newborns receive EIBF, and SSC is practised at varying prevalence (1%–74%) among low-income and middle-income countries.ObjectivesThe objective of the current study was to estimate the level of SSC and EIBF practice in Bangladesh and examine factors associated with SSC and EIBF.MethodsThe cross-sectional study used data from the Multiple Indicator Cluster Survey, Bangladesh (2019). Women of reproductive age with live birth during the last 2 years were included in the analysis (n=8854). A p<0.05 as considered statistically significant (significance level of α=0.05).ResultsThe prevalence of SSC and EIBF was 16.4% and 70.4%, respectively. Higher secondary or more level of education (AOR 1.43; 95% CI 1. 07 to 1.90; p=0.016), skilled birth attendant’s (SBA) assistance at birth (AOR 2.04, 95% CI 1.60 to 2.61; p<0.001) and receiving antenatal care (AOR 1.40; 95% CI 1.15 to 1.70; p<0.001) had higher odds of practising SSC. Having institutional delivery (AOR 0.35; 95% CI 0.28 to 0.43; p<0.001) and belonging to the richest category (AOR 0.78; 95% CI 0.65 to 0.94; p=0.008) had lower odds of practising EIBF. SSC and EIBF did not have a statistically significant association in the study.ConclusionThe prevalence of SSC in Bangladesh is quite low. However, EIBF prevalence can be considered as ‘good’. Targeted interventions such as antenatal care, and assistance by SBA during birth can help in promoting SSC. To promote EIBF practice, interventions should focus on institutes providing delivery support and the richer strata of the society.

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“…Mothers from Tigray and Amhara had significantly higher odds of EBF than the others. This is supported by a EDHS analysis studies and could be explained by differences in culture, socioeconomic status and availability of health resources across the different regions of Ethiopia [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 62%

Magnitude and determinants of early initiation and exclusive breastfeeding at six weeks postpartum: evidence from the PMA Ethiopia longitudinal survey

Armdie,

Ejigu,

Seme

et al. 2024

Int Breastfeed J

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Background Early initiation and exclusive breastfeeding are crucial in preventing child morbidity and mortality. Despite the importance of these practices, rates of timely initiation of breastfeeding and exclusive breastfeeding remain suboptimal in many sub-Saharan countries, including Ethiopia. This paper aimed to estimate the prevalence and identify determinants of breastfeeding initiation within the first hour after birth and exclusive breastfeeding in Ethiopia. Methods Data from the Performance Monitoring for Action Ethiopia project, a national survey conducted from August 2019 to September 2020, were used. The analytical sample comprises 2564 postpartum women and their children; data reported at baseline during enrollment and six weeks postpartum were used in this analysis. A multi-level binary logistic regression model was employed to identify determinant factors linked with initiation breastfeeding and exclusive breastfeeding. Results Of the 2564 mothers, 77.8% of infants breastfed within the first hour of birth and 68.4% of women practiced exclusive breastfeeding at six weeks postpartum with significant variation across regions. In the multivariate analysis, mothers who had cesarean delivery were less likely to initiate early breastfeeding as compared to mothers with vaginal delivery (AOR 0.27; 95% CI 0.17, 0.41). The odds of early initiation of breastfeeding were higher for mothers whose baby cried immediately after birth (AOR 3.31; 95% CI 1.95, 5.62) and who had skilled assisted delivery (AOR 2.13; 95% CI 1.01, 4.48). Other factors that were significantly associated with early initiation of breastfeeding were obstetric complication(s), parity, immediate mother-to-baby skin-to-skin contact, immediate postnatal care and the region. Similarly, mothers whose babies had a good neonatal birth status (AOR 1.81; 95% CI 1.09, 2.99) were more likely to exclusively breastfeed their child at six weeks postpartum. Conclusions Early initiation of breastfeeding and exclusive breastfeeding is sub-optimal in Ethiopia. Nutrition programmers should consider regional variations in designing intervention programs to enhance breastfeeding practices. Healthcare providers should give special attention to women at risk such as those giving birth through cesarean section and having obstetric complications during delivery.

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Factors associated with early initiation of breastfeeding among children less than 24 months old: the 2019 Ethiopian mini demographic and health survey

Cited by 5 publications

References 45 publications

Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis

Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis

Skin-to-skin contact and early initiation of breast feeding in Bangladesh: a cross-sectional study using MICS6, Bangladesh (2019) data

Magnitude and determinants of early initiation and exclusive breastfeeding at six weeks postpartum: evidence from the PMA Ethiopia longitudinal survey

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