Infant Feeding Practice and Associated Factors among HIV Positive Mothers Attending ART Clinic in Governmental Health Institutions of Bahir Dar Town, Amhara Regional State, Ethiopia, 2017

Sendo, Endalew Gemechu; Mequanint, Fikir Tadesse; Sebsibie, Girum

doi:10.4172/2155-6113.1000755

Cited by 11 publications

(14 citation statements)

References 5 publications

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“…However, it is higher than reports from other studies conducted in Ethiopia such as Debremarkos-14.2% [25], Bahir Dar-10.5% [10] and 16.4% [26], Adama-15.3% [27], Tigray-6.6% [28], and Oromia region-8.3% [29]. It is also larger as compared to findings of the study done in Urban Kano, Nigeria-7.4% [30], Lesotho-10.5% [31], and Gert Sibande, South Africa-12.4% [32].…”

Section: Discussioncontrasting

confidence: 60%

“…Therefore, EBF accompanied by adherence to HIV treatment gives HIV-exposed infants the best chance to survive and thrive HIV-free in settings where AFASS are not guaranteed and child deaths from undernutrition, pneumonia, and diarrhea are widespread [9]. EBF is also associated with a reduced risk of vertical transmission of HIV when compared to MBF in the early months of postpartum [10]. In spite of this fact, the rate of EBF practice is not satisfactory and varied across settings due to enormous barriers and determinants globally-being lower in SSA including Ethiopia [11].…”

Section: Introductionmentioning

confidence: 99%

“…In this regard, evidences showcase that noticeable vertical transmission is undertaken through malpractice in breastfeeding [ 15 , 16 ]. Therefore, MIF practice in the first six child's age is a very serious issue and totally unacceptable due to its great part in MTCT of HIV and other adverse health outcomes [ 6 – 10 , 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

Mihret

Asaye

Mengistu

et al. 2020

International Journal of Pediatrics

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Background. Mixed infant feeding practice remains a major setback for effective prevention of mother to child transmission of HIV program and updated evidences on this issue is essential for better interventions. Therefore, this study was aimed at assessing the proportion and associated factors of mixed infant feeding practice among HIV-positive women under care in public health institutions in Gondar city within two years postpartum, Ethiopia, 2017. Methods. A cross-sectional study was conducted on 485 HIV-positive women under care in Gondar City’s health facilities from May 1 to June 30/2017. Data were collected via interviewer administered questionnaire supplemented with chart review, entered into Epinfo version 7.0 and then exported to SPSS version 20.0. Both bivariable and multivariable analyses were done, and the statistical significance of each variable was claimed based on the adjusted odds ratio (AOR) with 95% confidence interval (CI) and its P value ≤0.05. Result. The proportion of HIV-positive women practicing mixed infant feeding was 21.6%. Whereas, about 73.8% and 4.5% of the mothers demonstrated exclusive breastfeeding and exclusive replacement feeding, respectively. Mixed infant feeding practice was independently predicted by lack of antenatal care (AOR=6.9; 95% CI: 3.4, 14.1) and home delivery (AOR=2.8; 95% CI: 1.4, 5.4). Conclusion. The magnitude of mixed infant feeding practice was higher than the reports of many other studies, and its predictors were connected to poor adherence to maternal health care service utilization. Hence, stakeholders need to work more on ANC and facility delivery service coverage.

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Section: Discussioncontrasting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

Mihret

Asaye

Mengistu

et al. 2020

International Journal of Pediatrics

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“…In this study, a total of 18 studies [21–38] with a sample size of 4,844 were included. Of which, five studies [22, 23, 30, 33, 35] were conducted in Amhara region, five [25, 26, 31, 34, 38] in Oromia, four [21, 28, 29, 37] in Addis Abeba, two [24, 32] in Tigray, and two [27, 36] in Southern Nations, Nationalities and Peoples Regional State (SNNPRS). All included studies were conducted with cross-sectional study design.…”

Section: Resultsmentioning

confidence: 99%

“…Out of 18 studies, fifteen [21, 23–27, 30–38] were reporting the prevalence of mixed feeding practices, of which two [21, 37] were conducted in Addis Abeba, four [23, 30, 33, 35] in Amhara region, two [24, 32] in Tigray, five [25, 26, 31, 34, 38] in Oromia, and two [27, 36] in SNNPRS (Table 2).…”

Section: Resultsmentioning

confidence: 99%

Infant Feeding Practices of HIV Positive Mothers and Its Association with Counseling and HIV Disclosure Status in Ethiopia: A Systematic Review and Meta-Analysis

Belay

Wubneh

2019

AIDS Research and Treatment

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Introduction. Breastfeeding is the ideal food source for all newborns globally. However, in the era of Human Immune Deficiency Virus (HIV) infection, feeding practice is a challenge due to mother-to-child HIV transmission. Therefore, this systematic review and meta-analysis aimed to estimate the national prevalence of exclusive breastfeeding and mixed feeding practices among HIV positive mothers and its association with counseling and HIV disclosure status to the spouse in Ethiopia. Methods. We searched all available articles from the electronic databases including PubMed, EMBASE, Google Scholar, and the Web of Science. Moreover, reference lists of the included studies and the Ethiopian institutional research repositories were used. Searching of articles was limited to the studies conducted in Ethiopia and published in English language. We have included observational studies including cohort, cross-sectional, and case-control studies. The weighted inverse variance random effects model was used. The overall variations between studies were checked through heterogeneity test (I2). Subgroup analysis by region was conducted. To assess the quality of the study, the Joanna Briggs Institute (JBI) quality appraisal criteria were employed. Publication bias was checked with the funnel plot and Egger’s regression test. Result. A total of 18 studies with 4,844 participants were included in this study. The national pooled prevalence of exclusive breastfeeding and mixed feeding practices among HIV positive mothers were 63.43% (95% CI: 48.19, 78.68) and 23.11% (95% CI: 10.10, 36.13), respectively. In the subgroup analysis, the highest prevalence of exclusive breastfeeding practice was observed in Tigray (90.12%) and the lowest in Addis Ababa (41.92%). Counseling on feeding option with an odds ratio of 4.32 (95% CI: 2.75, 6.77) and HIV disclosure status to the spouse with an odds ratio of 6.05 (95% CI: 3.03, 12.06) were significantly associated with exclusive breast feedings practices. Conclusion. Most mothers report exclusive breastfeeding, but there are still almost a quarter of mothers who mix feed. Counseling on feeding options and HIV disclosure status to the spouse should be improved.

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Feeding Practices among Human Immunodeficiency Virus-Exposed Infants in Ethiopia: Systematic Review and Meta-Analysis

Temesgen

Negesse

Getaneh

et al. 2021

Advances in Public Health

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Background. Infant and young child feeding in the context of human immunodeficiency virus- (HIV-) infected mothers has significant challenges due to the risk of transmission of the virus via breastfeeding. In Ethiopia, a number of independent studies have been conducted to assess the feeding practice of HIV-exposed infants. But, there is no concrete evidence to show the national figure in Ethiopia. Hence, this review and meta-analysis aims to estimate the pooled prevalence of feeding practices among HIV exposed infants in Ethiopia. Methods. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed. Articles were searched through search engines in PubMed, Cochrane Library, Google Scholar, and direct Google search. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument adapted for cross-sectional study design was used for quality assessment. The random effects model was used to estimate the pooled prevalence of infant feeding practices. Heterogeneity and publication bias were assessed. Trim and fill analysis was performed. Additionally, meta-regression was also performed. Results. In this review, a total of 26, 22, and 22 studies and 7413, 6224, and 6222 study participants for exclusive breastfeeding, replacement feeding, and mixed feelings were included, respectively. The overall pooled prevalence of exclusive breastfeeding, replacement feeding, and mixed feeding of HIV exposed infant was 63.99 % (95% Confidence Interval (CI): 52.32, 75.66), 16.13% (95% CI: 11.92, 20.32), and 20.95% (95% CI: 11.35, 30.58)) in Ethiopia, respectively. Conclusion and Recommendations. In Ethiopia, almost three in five HIV-exposed infants were exclusively breastfed. But still, mixed feeding during the period of first 6 months was practiced in almost one-fifth of the exposed infants in Ethiopia. Additionally, replacement feeding was also practiced even though not recommended for developing countries. Therefore, the government of Ethiopia should strengthen the health institutions to implement the existing infant feeding strategies and guidelines to increase exclusive breastfeeding for the first 6 months and to avoid mixed feeding during the periods of six months.

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Infant Feeding Practice and Associated Factors among HIV Positive Mothers Attending ART Clinic in Governmental Health Institutions of Bahir Dar Town, Amhara Regional State, Ethiopia, 2017

Cited by 11 publications

References 5 publications

Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

Mixed Infant Feeding Practice and Associated Factors among HIV-Positive Women under Care in Gondar City’s Public Health Facilities within Two Years Postpartum: A Cross-Sectional Study

Infant Feeding Practices of HIV Positive Mothers and Its Association with Counseling and HIV Disclosure Status in Ethiopia: A Systematic Review and Meta-Analysis

Feeding Practices among Human Immunodeficiency Virus-Exposed Infants in Ethiopia: Systematic Review and Meta-Analysis

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