Prevalence and associated factors of non-exclusive breastfeeding of infants during the first six months in rural area of Sorro District, Southern Ethiopia: a cross-sectional study

Abstract

BackgroundDespite the importance of exclusive breastfeeding, a wide number of mothers practice non-exclusive breastfeeding in Ethiopia. Therefore, this study aimed to identify prevalence and factors associated with non-exclusive breastfeeding in rural area of Sorro District in Southern Ethiopia.MethodsA community based cross-sectional study was undertaken. The study population consisted of all mothers with infants aged of 0–5 months living in the randomly selected kebeles (lowest administrative unit) in the rural area of Sorro District. The study was conducted on 602 mothers with infants selected by using systematic sampling method from 12 August to 23 August 2015. Both bivariate and multivariable logistic regression analysis were used to assess the association between the study variables and to control possible confounding.ResultsThe prevalence of non-exclusive breastfeeding in infants under 6 months was 49.4 %. Being currently unmarried [AOR (95 % CI) = 3.85 (1.44, 10.27)], index infant’s age being within 2–3 months [AOR (95 % CI) = 3.63 (2.06, 6.36)] and 4–5 months [AOR (95 % CI) =10.29 (5.60, 18.92)] compared to infant age 0–1 month, initiation of breastfeeding after 1 h of birth [AOR (95 % CI) = 2.11 (1.37, 3.24)], no antenatal care visit during their last pregnancy [AOR (95 % CI) =2.60 (1.64, 4.10)] and no postnatal care visit after delivery [AOR (95 % CI) = 1.90 (1.19, 3.04)] were significantly associated with non-exclusive breastfeeding.ConclusionIn this study a large proportion of mothers with infants under 6 months of age were practicing non-exclusive breastfeeding which is one of the major risks for infant and child morbidity and mortality. Taking measures on identified associated factors with non-exclusive breastfeeding was recommended to improve the status of exclusive breastfeeding in the study area.

Effect of gender of new-born, antenatal care and postnatal care on breastfeeding practices in Ethiopia: Evidence from systematic review and meta-analysis of national studies

“…Mothers who had at least one ANC visit had 2.24 times significantly higher chance of exclusively breastfeed compared with mothers who had no ANC visit. Egger's regression test for funnel plot asymmetry was not significant (z = 1.69, p = 0.09) (Supplementary Furthermore, seven studies 40,42,47,50,51,53,57 reported the association between EBF and PNC in 2,995 mothers (Table 2C). The pooled OR of PNC was 1.86 (95% CI 1.41 -2.47, p <0.0001, I 2 = 63.4%) ( figure 6).…”

“…Egger's regression test for funnel plot asymmetry was not significant (z = 1.64, p = 0.10). Furthermore, 7 studies 36,38,43,46,47,49,52 reported the association between EBF and PNC in 2,995 mothers (Table 2C). The pooled OR of PNC was 1.86 (95% CI 1.41 2.47) ( figure 6).…”

“…Out of the 24 studies included, 11 studies 23,24,[40][41][42][43][44][45][46][47][48] reported the association between EBF and gender of new-born in 6,527 mothers (Table 2A) Twenty-one studies [33][34][35]38,[40][41][42][43][44][45][46][47][49][50][51][52][53][54][55][56][57] reported the association between EBF and ANC in 16,052 mothers (Table 2B). The pooled OR of ANC was 2.24 (95% CI 1.65 -3.04, p <0.0001, I 2 = 90.9%) ( figure 5).…”

Association of age and colostrum discarding with exclusive breastfeeding in Ethiopia: systematic review and meta-analyses

“…Egger's regression test for funnel plot asymmetry was not significant (z = -0.99, p = 0.32). In addition, ten (51,65,66,(69)(70)(71)(72)(73)(74)(75) out of 23 studies reported the association between EBF and infant age with a total sample of 6,763 mothers. The pooled OR of infant age was 1.86 (95% CI 1.45 -2.39, p <0.001) ( figure 5).…”

“…Egger's regression test for funnel plot asymmetry was not significant (z = 2.31, p = 0.02). Finally, 12 studies (50,53,64,68,(71)(72)(73)(74)(75)(76)(77)(78) reported the association between EBF and colostrum discarding with a sample of 6,035 mothers. As indicated in figure 6, the pooled OR of colostrum discarding was 0.56 (95% CI 0.37 -0.84, p = 0.005).…”