Pre-lacteal feeding practices and associated factors among mothers of children aged less than 12 months in Jinka Town, South Ethiopia, 2018/19

Sorrie, Muluken Bekele; Amaje, Elias; Gebremeskel, Feleke

doi:10.1371/journal.pone.0240583

Cited by 19 publications

(32 citation statements)

References 25 publications

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“…This proportion is comparable with findings from east Wollega zone (5.9%), 30 Ambo district (9.7%), 31 and Gonder town (8.2%) Ethiopia. 32 However, the current finding is lower than study results done in different parts of Ethiopia, 15% in Bahirdar city, 33 15.9% in Benishangul-gumuz region, 34 17.2% in Axum town, 35 and 16.8% in Debre birhan town. 36 The study results from lowand middle-income countries also report higher magnitude of pre-lacteal feeding, Nigeria (49.8% in urban and 66.4% in rural), 37 Kenya (26.8%), 38 in south Sudan (53%) 39 and in Himachal Pradesh, India (49.5%).…”

Section: Discussioncontrasting

confidence: 80%

Determinants of pre-lacteal feeding practices among mothers having children aged less than 36 months in Ethiopia: Evidence from 2016 Ethiopian demographic and health survey

et al. 2021

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Background: Pre-lacteal feeding is associated with infant morbidity and mortality especially during the neonatal period. About 96% infant deaths in developing countries are attributable to inappropriate feeding practice during the first 6 months of life. This study assessed determinants of pre-lacteal feeding practices in Ethiopia using the data from nationally representative survey. Methods: Data were extracted from the 2016 Ethiopian Demographic and Health Survey to assess determinants of pre-lacteal feeding practices in Ethiopia. The analysis included a weighted sample of 5303 mothers having children aged 0–36 months. A multivariable logistic regression analysis was conducted and the results were presented with adjusted odds ratio at 95% confidence interval, declaring statistical significance at a p-value < 0.05 in all analyses. Results: From a total of 5303 mothers having children aged 0–36 months, 423 (8%, 95% confidence interval, 7.06%, 8.99%) had given pre-lacteal foods to their newborn baby. Being from agrarian region (adjusted odds ratio = 0.15, 95% confidence interval, 0.11, 0.20), poorest wealth status (adjusted odds ratio = 1.50, 95% confidence interval, 1.02, 2.22), home delivery (adjusted odds ratio = 1.35, 95% confidence interval, 1.01, 1.79), late initiation of breast feeding (adjusted odds ratio = 4.52, 95% confidence interval, 3.62, 5.64), having no counseling on breast feeding (adjusted odds ratio = 1.33, 95% confidence interval, 1.01, 1.75), and cesarean delivery (adjusted odds ratio = 2.47, 95% confidence interval, 1.45, 4.20) were factors significantly associated with pre-lacteal feeding practice. Conclusion: A significant proportion of Ethiopian mothers had given pre-lacteal foods to their newborn babies. Poorest wealth index, region, late initiation of breast feeding, not counseled on breast feeding, home delivery, and cesarean delivery were identified as determinants of pre-lacteal feeding. Thus, emphasis should be given to improve mothers’ Infant and Young Child Feeding practice through counseling and utilization of institutional delivery. Moreover, special attention should be given to mothers from pastoralist regions and poor socio-economic status to reduce pre-lacteal feeding practice.

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Section: Discussioncontrasting

confidence: 80%

Determinants of pre-lacteal feeding practices among mothers having children aged less than 36 months in Ethiopia: Evidence from 2016 Ethiopian demographic and health survey

et al. 2021

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“…In this study, we obtained that institutional delivery and delayed ANC attendance were significantly associated with prelacteal feeding practice in Eastern Africa. In Eastern Africa, those mothers who deliver in health facilities decreased the practice of prelacteal feeding by 58%, in line with studies conducted in Ethiopia 50 , 51 systematic review and meta-analysis. 52 Since the mother who delivers in a health facility has a strong opportunity to obtain postnatal therapy from healthcare practitioners on the impact of prelacteal feeding, good position, and an attachment to breastfeeding.…”

Section: Discussionsupporting

confidence: 72%

Pooled Prevalence and Determinants of Prelacteal Feeding Practice in Eastern Africa Evidence from Demographic and Health Survey Data: A Multilevel Study

Birhan

Birhan²,

Alene

2021

RMHP

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Background: Despite the benefits of breast milk and colostrum for the health and survival of children, early prelacteal feeding is commonly practiced worldwide, particularly in lowand middle-income countries. The aim of this study was to evaluate the pooled prevalence and determinants of prelacteal feeding in Eastern Africa. Methods: This study was carried out within 11 East African countries from 2010 to 2018, a pooled study of prelacteal feeding was performed. For assessing model fitness and contrast, intra-class correlation coefficient, median odds ratio, proportional change in variance, and deviance were used. In order to identify possible covariates associated with prelacteal feeding in the study area, the multilevel multivariable logistic regression model was adapted. Adjusted Odds Ratio was used with 95% confidence interval to declare major prelacteal factors. Results: The pooled prevalence of prelacteal feeding in Eastern Africa was 12% (95% CI: 11.42-12.53%), with the highest prevalence of prelacteal feeding in the Comoros (39%) and the lowest in Malawi (3%). Multilevel multivariable logistic regression model; wealth index (AOR = 1.22; 95% CI 1.03-1.34), ANC visit (AOR = 1.42; 95% CI: 1.12-1.79), institutional delivery (AOR = 0.58; 95% CI: 0.58-0.64), small birth size (AOR = 1.14; 95% CI: 1.30-1.26), delivery type (AOR = 2.61; 95% CI: 2.30-2.96), and high community ANC visit (AOR = 0.90; 95% CI: 0.84-0.97) were significantly associated with prelacteal feeding in Eastern Africa. Conclusion: In East Africa, the magnitude of prelacteal feeding was still high. The possible determinants of prelacteal feeding in Eastern Africa were wealth index, birth interval, delivery mode, place of delivery, ANC visit, and community ANC visit. Structural improvements are required for women with caesarean births to achieve optimal breastfeeding practice in Eastern Africa.

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“…This result is higher than that of a study in East Africa (3) and meta-analysis studies in Ethiopia (4,11). Moreover, the present finding is higher than the previous studies in southern (5,6) and northern part of Ethiopia (8,9,15), as well as it supports a spatial and multilevel study in Ethiopia reported that the Afar region has the greatest rate of prelacteal feeding (10). The different between the current study and the previous studies could be attributed to regional and ethnic differences in traditional practices.…”

Section: Discussioncontrasting

confidence: 96%

“…Mothers who give birth at health institutes were less practicing pre-lacteal feeding than those of home delivery. This finding is in line with the previous studies (3,4,6,7,(10)(11)(12).…”

Section: Discussionsupporting

confidence: 94%

“…Pre-lacteal feeding was practiced by 12.6% of women in southern Ethiopia. Lack of mother education, colostrum avoidance, home delivery, the absence of information regarding the risk of pre-lacteal feeding and unawareness about breast feeding practices were associated with pre-lacteal feeding (6). Pre-lacteal feeding was found to be 46.4% in south-west Ethiopia.…”

Section: Introductionmentioning

confidence: 96%

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The Magnitude of Pre-lacteal Feeding Practice and its Influencing Factors Among Mothers with Children Under the Age of Two Years in Afar Region of Ethiopia: A Community based Quantitative and Qualitative Study

Gebeyehu

Gebru

Agegnehu

2021

Preprint

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Background: Pre-lacteal feeding is a barrier to implement optimal breastfeeding practices and caused new-born disease. Pre-lacteal feeding is primarily practiced in developing countries, where cultural and social structures are based on descent and relationships. The aim of study was to determine the magnitude of pre-lacteal feeding practice and its influencing factors among mothers with children under the age of 2-years in Afar region of Ethiopia. Method: A community based cross sectional study supplemented by qualitative study was employed. In the quantitative study, 235 study participants were included, whereas seventeen study subjects participated in the qualitative study. Bivariate and multivariate logistic regression was used to determine factors associated with pre-lacteal feeding practice. The qualitative data was analyzed using thematic approach. Result: The magnitude of pre-lacteal feeding was 36.6%. Being a housewife (AOR=4.1, 95% CI: 1.4-12.2) and having male indexed child (AOR=4.9, 95% CI: 1.8-13.5) were more likely to practice pre-lacteal feeding than those of trade and female, respectively. However, pre-lacteal feeding practice decreased in those mothers with three and above ante natal care visits (AOR=0.31, 95% CI: 0.1-0.9), delivered at health institutes (AOR=0.1, 95% CI: 0.02-0.3), starting breastfeeding within one hour (AOR=0.04, at 95% CI: 0.01-0.1) and getting breast feeding counseling (AOR=0.21, at 95%CI: 0.06-0.7). Milk, plain water, sugar solution, honey, butter, dates (‘temir'), a leaf, and condo pepper were the most common pre-lacteal foods reported by study participants. Cultural beliefs and the assumption of cleaning new-born throat and bowel were the most common reason to practice pre-lacteal feeding. Conclusion: The magnitude of pre-lacteal feeding was high due to socio-cultural and maternal health service utilization factors. Water, milk products, sweet foods and some of plant types were the most common pre-lacteal foods. Key words: Pre-lacteal feeding, factors, mother, children

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Pre-lacteal feeding practices and associated factors among mothers of children aged less than 12 months in Jinka Town, South Ethiopia, 2018/19

Cited by 19 publications

References 25 publications

Determinants of pre-lacteal feeding practices among mothers having children aged less than 36 months in Ethiopia: Evidence from 2016 Ethiopian demographic and health survey

Determinants of pre-lacteal feeding practices among mothers having children aged less than 36 months in Ethiopia: Evidence from 2016 Ethiopian demographic and health survey

Pooled Prevalence and Determinants of Prelacteal Feeding Practice in Eastern Africa Evidence from Demographic and Health Survey Data: A Multilevel Study

The Magnitude of Pre-lacteal Feeding Practice and its Influencing Factors Among Mothers with Children Under the Age of Two Years in Afar Region of Ethiopia: A Community based Quantitative and Qualitative Study

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