Knowledge, Attitude, Practices and Associated Factors Towards Colostrum Feeding among Mothers of Infants in Ambo District of West Shewa Zone, Oromiya Region, Ethiopia

Gela, Jiregna Darega; Minase, Dereje; Teferi, Elias; Tesfaye, Tamiru

doi:10.21203/rs.3.rs-87805/v1

Cited by 3 publications

(4 citation statements)

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“…Additionally, mothers who delivered at home had a 4.64 times higher likelihood of practicing colostrum avoidance compared to those who delivered at a healthcare facility. This nding is consistent with the ndings of studies conducted in Bahir Dar, Ethiopia [35], Northern Wollo, Ethiopia [49], Aksum, Ethiopia [30], Wolaita Sodo, Ethiopia [48], Jinka, Ethiopia [27], and Ambo, Ethiopia [50]. The above studies reached the same conclusion as this study because giving birth at home exposes mothers to cultural beliefs held by traditional birth attendants and other family members, who may promote colostrum avoidance.…”

Section: Discussionsupporting

confidence: 92%

Colostrum avoidance and its associated factors among mothers of children under the age of six months in Sekota Zuria Woreda, Waghimra Zone, Ethiopia

Mohammed,

Desalegn,

Dagnaw

et al. 2024

Preprint

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Background Colostrum avoidance deprives infants of the essential nutrients and immune protection provided by colostrum, making them more susceptible to deadly infections such as sepsis, pneumonia, and diarrhea. Ethiopia has one of the regional even not so the global highest overall BF rate (95.5%). However, it falls short of meeting the standards set by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) for optimal breastfeeding. Objective This study aimed to assess colostrum avoidance and its associated factors among mothers of children under the age of six months in the Sekota Zuria Woreda of Waghimra Zone, Ethiopia, 2022. Method and materials: A community-based cross-sectional study was conducted between June 26th and July 30th of 2022 in the Sekota Zuria Woreda of Waghimra Zone, Ethiopia. The study included four hundred twenty-one mothers of children under the age of six months, selected using a multistage sampling technique. Once written consent was obtained from all of the participants, a pretested and reliability-checked questionnaire was employed to interview and gather data for analysis. During analysis, descriptive statistics and logistic regression models were employed to summarize and explore the statistical association between the dependent and explanatory variables. In the bivariate logistic regression analysis, variables with a P-value of < 0.25 were exported to the multivariate logistic regression model for further analysis. Finally, using a P-value of < 0.05 as an indicator of statistical significance, the Adjusted Odds Ratio (AOR) at 95% Confidence Intervals (CI) was calculated. Result In this study, 19.0% (95% CI: (15.0–22.8)) of mothers avoided colostrum. In addition, mothers who did not receive Antenatal Care (ANC) [AOR = 2.94, (95% CI: 1.1–7.8)], gave birth at home [AOR = 4.64, (95% CI: 2.0-10.75)], lacked participation in the Women’s Health Developmental Army (WHDA) [AOR = 4.71, (95% CI: 1.95–11.4)], gave pre-lacteal feds [AOR = 2.97, (95% CI: 1.23–7.1)], had insufficient knowledge [AOR = 3.02, (95% CI: 1.2–7.6)], and negative attitude toward colostrum feeding [AOR = 6.5, (95% CI: 3.0-14.2)] were more likely to avoid colostrum. Conclusion Contrary to the WHO and UNICEF recommendations, in Sekota Zuria Woreda, a substantial number of mothers avoided colostrum.

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Section: Discussionsupporting

confidence: 92%

Colostrum avoidance and its associated factors among mothers of children under the age of six months in Sekota Zuria Woreda, Waghimra Zone, Ethiopia

Mohammed,

Desalegn,

Dagnaw

et al. 2024

Preprint

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“…Mothers who are counselled on TIBF were 2.59 times more likely had good practice of CF. This nding was supported by study done in Wolaita Sodo city, Ambo, Gozamen district and Kombolcha (31)(32)(33)(34). This shows that lack of counseling on the importance of TIBF with colostrum make the mothers to initiate BF later, they would have more time for infant feeding malpractices like colostrum avoidance.…”

Section: Discussionmentioning

confidence: 59%

“…Practice: The conduct, custom, or habit of moms of children on CF toward their present children. Participants who react to 60% of practice-related questions are practicing well; participants who respond to 60% of practice-related questions are practicing poorly (19).…”

Section: Operational De Nitionmentioning

confidence: 99%

“…Knowledge: In this study, knowledge refers to mothers' understanding of colostrum breast milk and was assessed by mothers' responses to knowledge-related questions. Good knowledge: Mothers who correctly answer 60 percent of questions about knowledge and Mothers who respond to knowledge-related questions with less than 60% have poor knowledge (19).…”

Section: Operational De Nitionmentioning

confidence: 99%

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Colostrum Feeding and Associated Factors Among Mothers Attending Child Immunization Clinic at Public Healthcare Facilities in Dire Dawa City, Eastern Ethiopia

Gemeda

Muse

Yilma

et al. 2023

Preprint

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Introduction Colostrum is yellow to orange colored milk produced during a first few days of lactation and it is rich in nutrients and antibodies that have great role in health of the new born baby. Despite the world health organization recommends that every new born baby has to feed breast milk with colostrum within one hour of delivery; poor colostrum feeding practice is still a common problem in Ethiopia. Objectives The goal of this study was to assess the practice of colostrum feeding and related factors among women attending a child immunization clinic in governmental health facilities in Dire Dawa City, Eastern Ethiopia, in 2022. Method From February 1–30, 2022, in government health facilities in Dire Dawa city, 292 women with infants less than or equal to 12 months participated in this an institution-based cross-sectional study. Data were gathered by a method of systematic random sampling, and SPSS version 25 was used for analysis. The crude and adjusted odds ratios with a 95% confidence interval were calculated using bivariate and multivariate logistic regression models. A variable was deemed statistically significant if its P value was less than 0.05. Result 68.8% [95% CI: 63.4–74.3] of the moms in our study had good colostrum feeding habits. Living in an urban area [AOR = 2.52, 95% CI = 1.08–5.88], having at least a secondary education [AOR = 2.79, 95% CI = 1.12–6.98], having visited an antenatal clinic in the past [AOR = 3.12, 95% CI = 1.12–9.21], receiving counseling on when to start breastfeeding [AOR = 2.59, 95% CI = 1.02–6.59], receiving colostrum feeding counseling [AOR = 2.65, 95% CI = 1.12–6.30], having a professional attend the birth [AOR = 3.20, 95% CI = 1.23–8.31], getting information from a professional [AOR = 3.89, 95% CI = 1.54–9.82], and having good knowledge of colostrum feeding [AOR = 3.53, 95% CI = 1.56–7.96] were found to be associated with practice of colostrum feeding. Conclusion This study found that women who visit immunization clinics had a low degree of good colostrum feeding practice. Living in an urban area, being educated, having a history of antenatal visits, receiving counseling on when to start breastfeeding, having a professional attend the birth, getting information from a professional, and having a good understanding of colostrum feeding were all linked to the practice of colostrum feeding. To promote mothers' good colostrum feeding habits, prenatal care visits and breastfeeding education should be encouraged.

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Colostrum avoidance and associated factors among mothers of less than 6-month-old children in Dilla town, Southern Ethiopia

Gashaw,

Kebede,

Regasa

et al. 2024

Front. Pediatr.

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BackgroundColostrum, often referred to as “golden milk,” is the initial milk produced after birth, crucial for preventing childhood malnutrition and boosting natural immunity. Neglecting colostrum intake heightens vulnerability to infections and mortality, particularly in developing regions of the world. Colostrum avoidance is prevalent in Ethiopia. This research aims to investigate the frequency and factors that contribute to colostrum avoidance in Dilla town, Southern Ethiopia.MethodA community-based, cross-sectional study was carried out in late 2023. Data were gathered from 350 participants, selected through multistage sampling, using structured questionnaires and face-to-face interviews. Data entry was conducted using Epi Data version 4.2.0 and transferred to Stata version 18 for analysis. Bivariate and multivariable logistic regression analyses were employed to identify the factors associated with colostrum avoidance, with a significance level of p < 0.05.ResultThe rate of prevalence of colostrum avoidance was 28.3% [95% confidence interval (CI): 18.4%–38.2%]. Late initiation of breastfeeding [adjusted odds ratios (AOR) 4.15, 95% CI: 2.51–6.84] prelacteal feeding, non-use of postnatal care (PNC) (AOR 1.79, 95% CI: 1.05–3.04), and lack of information about colostrum (AOR 1.88, 95% CI: 1.14–3.08) were the factors significantly associated with colostrum avoidance.Conclusions and recommendationsA high prevalence of colostrum avoidance was observed, with prelacteal feeding, delayed initiation of breastfeeding, lack of PNC, and inadequate maternal knowledge about colostrum identified as contributing factors. Consequently, interventions aimed at reducing colostrum avoidance should prioritize improving access to and promotion of PNC, promoting timely initiation of breastfeeding, and intensifying awareness campaigns highlighting the advantages of colostrum, while emphasizing the risks associated with prelacteal feeding.

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Knowledge, Attitude, Practices and Associated Factors Towards Colostrum Feeding among Mothers of Infants in Ambo District of West Shewa Zone, Oromiya Region, Ethiopia

Cited by 3 publications

References 11 publications

Colostrum avoidance and its associated factors among mothers of children under the age of six months in Sekota Zuria Woreda, Waghimra Zone, Ethiopia

Colostrum avoidance and its associated factors among mothers of children under the age of six months in Sekota Zuria Woreda, Waghimra Zone, Ethiopia

Colostrum Feeding and Associated Factors Among Mothers Attending Child Immunization Clinic at Public Healthcare Facilities in Dire Dawa City, Eastern Ethiopia

Colostrum avoidance and associated factors among mothers of less than 6-month-old children in Dilla town, Southern Ethiopia

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