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Published in: International Breastfeeding Journal 1/2013

Open Access 01-12-2013 | Research

Prevalence of Exclusive Breastfeeding Practices and associated factors among mothers in Bahir Dar city, Northwest Ethiopia: a community based cross-sectional study

Authors: Abdulbasit Musa Seid, Melkie Edris Yesuf, Digsu Negese Koye

Published in: International Breastfeeding Journal | Issue 1/2013

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Abstract

Background

Breastfeeding is an unequalled way of providing ideal food for the healthy growth and development of infants. World Health Organization (WHO) recommend exclusive breastfeeding (EBF) for six months which has a great contribution in reducing under five mortality, which otherwise leads to death of 88/1000 live birth yearly in Ethiopia. Hence, this study aimed to assess prevalence of EBF and associated factors in mothers in the city of Bahir Dar, Northwest Ethiopia.

Methods

A community-based cross-sectional study was conducted from 10 to 25 June 2012 among mothers who delivered 12 months earlier in Bahir Dar city, Northwest Ethiopia. A cluster sampling technique was used to select a sample of 819 participants. Data were collected using a structured and pre-tested questionnaire by face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding.

Results

Of 819 mother-infant pairs sampled, the overall age appropriate rate of EBF practice was found to be 50.3%. Having a young infant aged 0-1 month (AOR = 3.77, 95% CI = 1.54, 9.24) and 2-3 months (AOR = 2.80, 95% CI = 1.71, 4.58), being a housewife (AOR = 2.16, 95% CI = 1.48, 3.16), having prenatal EBF plan (AOR = 3.75, 95% CI = 2.21, 6.37), delivering at a health facility (AOR = 3.02, 95% CI = 1.55, 5.89), giving birth vaginally (AOR = 2.33, 95% CI = 1.40, 3.87) and receiving infant feeding counseling/advice (AOR = 5.20, 95% CI = 2.13, 12.68) were found to be significantly associated with EBF practice.

Conclusion

Prevalence of exclusive breastfeeding was low in Bahir Dar. Strengthening infant feeding advice/counseling both at the community and institutional levels, promoting institutional delivery, providing adequate pain relief and early assistance for mothers who gave birth by caesarean section, and enabling every mother a prenatal EBF plan during antenatal care were recommended in order to increase the proportion of women practicing EBF.
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Literature
1.
go back to reference WHO: Global strategy for infant and young child feeding. 2003, Geneva: Swizerland WHO: Global strategy for infant and young child feeding. 2003, Geneva: Swizerland
2.
go back to reference WHO: The optimal duration of exclusive breastfeeding: report of an expert consultation. 2001, Geneva: World Health Organization, Department of nutrition for health and development and department of child and adolescent health and development WHO: The optimal duration of exclusive breastfeeding: report of an expert consultation. 2001, Geneva: World Health Organization, Department of nutrition for health and development and department of child and adolescent health and development
4.
go back to reference Federal Ministry of Health: National strategy for Infant and Young Child Feeding (IYCF). 2004, Ethiopia: Federal Ministry of Health, Family Health Department Federal Ministry of Health: National strategy for Infant and Young Child Feeding (IYCF). 2004, Ethiopia: Federal Ministry of Health, Family Health Department
5.
go back to reference Ladomenou F, Moschandreas J, Kafatos A, Tselentis Y, Galanakis E: Protective effect of exclusive breastfeeding against infections during infancy: a prospective study. Arch Dis Child. 2010, 95 (12): 1004-1008. 10.1136/adc.2009.169912.CrossRefPubMed Ladomenou F, Moschandreas J, Kafatos A, Tselentis Y, Galanakis E: Protective effect of exclusive breastfeeding against infections during infancy: a prospective study. Arch Dis Child. 2010, 95 (12): 1004-1008. 10.1136/adc.2009.169912.CrossRefPubMed
6.
go back to reference Lauer JA, Betrán AP, Barros AJD, de Onís M: Deaths and years of life lost due to suboptimal breast-feeding among children in the developing world: a global ecological risk assessment. Public Health Nutr. 2006, 9 (6): 673-685.CrossRefPubMed Lauer JA, Betrán AP, Barros AJD, de Onís M: Deaths and years of life lost due to suboptimal breast-feeding among children in the developing world: a global ecological risk assessment. Public Health Nutr. 2006, 9 (6): 673-685.CrossRefPubMed
7.
go back to reference Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS, Bellagio Child Survival Study G: How many child deaths can we prevent this year?. Lancet. 2003, 362 (9377): 65-71. 10.1016/S0140-6736(03)13811-1.CrossRefPubMed Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS, Bellagio Child Survival Study G: How many child deaths can we prevent this year?. Lancet. 2003, 362 (9377): 65-71. 10.1016/S0140-6736(03)13811-1.CrossRefPubMed
8.
go back to reference Federal Ministry of Health: Health sector development program IV woreda based annual core plan. 2010, Addis Ababa, Ethiopia Federal Ministry of Health: Health sector development program IV woreda based annual core plan. 2010, Addis Ababa, Ethiopia
9.
go back to reference Central Statistical Agency [Ethiopia]: Ethiopia Demographic and Health Survey 2011. 2012, Addis Ababa, Ethiopia, Calverton, Maryland, USA: Central statistical agency and ICF International Central Statistical Agency [Ethiopia]: Ethiopia Demographic and Health Survey 2011. 2012, Addis Ababa, Ethiopia, Calverton, Maryland, USA: Central statistical agency and ICF International
10.
go back to reference Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia Demographic and Health Survey (EDHS) 2005. 2006, Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia Demographic and Health Survey (EDHS) 2005. 2006, Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro
11.
go back to reference Federal Democratic Republic of Ethiopia: Census Commission: Summary and statistical report of the 2007 population and housing census. 2008, Addis Ababa,Ethiopia Federal Democratic Republic of Ethiopia: Census Commission: Summary and statistical report of the 2007 population and housing census. 2008, Addis Ababa,Ethiopia
12.
go back to reference Aidam BA, Pérez-Escamilla R, Lartey A, Aidam J: Factors associated with exclusive breastfeeding in Accra, Ghana. Eur J Clin Nutr. 2005, 59 (6): 789-796. 10.1038/sj.ejcn.1602144.CrossRefPubMed Aidam BA, Pérez-Escamilla R, Lartey A, Aidam J: Factors associated with exclusive breastfeeding in Accra, Ghana. Eur J Clin Nutr. 2005, 59 (6): 789-796. 10.1038/sj.ejcn.1602144.CrossRefPubMed
13.
go back to reference USAID: Essential Services for Health in Ethiopia Final Report November 2003 - September 2008. 2008, Addis Ababa, Ethiopia USAID: Essential Services for Health in Ethiopia Final Report November 2003 - September 2008. 2008, Addis Ababa, Ethiopia
14.
go back to reference Senarath U, Dibley MJ, Agho KE: Factors associated with nonexclusive breastfeeding in 5 east and southeast Asian countries: a multilevel analysis. J Hum Lact. 2010, 26 (3): 248-257. 10.1177/0890334409357562.CrossRefPubMed Senarath U, Dibley MJ, Agho KE: Factors associated with nonexclusive breastfeeding in 5 east and southeast Asian countries: a multilevel analysis. J Hum Lact. 2010, 26 (3): 248-257. 10.1177/0890334409357562.CrossRefPubMed
15.
go back to reference Tan KL: Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. Int Breastfeed J. 2011, 6: 2-10.1186/1746-4358-6-2.PubMedCentralCrossRefPubMed Tan KL: Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. Int Breastfeed J. 2011, 6: 2-10.1186/1746-4358-6-2.PubMedCentralCrossRefPubMed
16.
go back to reference Agho KE, Dibley MJ, Odiase JI, Ogbonmwan SM: Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy Childbirth. 2011, 11: 2-10.1186/1471-2393-11-2.PubMedCentralCrossRefPubMed Agho KE, Dibley MJ, Odiase JI, Ogbonmwan SM: Determinants of exclusive breastfeeding in Nigeria. BMC Pregnancy Childbirth. 2011, 11: 2-10.1186/1471-2393-11-2.PubMedCentralCrossRefPubMed
17.
go back to reference Sasaki Y, Ali M, Kakimoto K, Saroeun O, Kanal K, Kuroiwa C: Predictors of exclusive breast-feeding in early infancy: a survey report from Phnom Penh, Cambodia. J Pediatr Nurs. 2010, 25 (6): 463-469. 10.1016/j.pedn.2009.04.010.CrossRefPubMed Sasaki Y, Ali M, Kakimoto K, Saroeun O, Kanal K, Kuroiwa C: Predictors of exclusive breast-feeding in early infancy: a survey report from Phnom Penh, Cambodia. J Pediatr Nurs. 2010, 25 (6): 463-469. 10.1016/j.pedn.2009.04.010.CrossRefPubMed
18.
go back to reference Sapna SP, Ameya AH, Rooma SP, Parmar A, Rashid K, Narayan A: Prevalence of exclusive breastfeeding and its correlates in an Urban Slum in Western India. Int e-journal Sci, Med Educ. 2009, 3 (2): 14-18. Sapna SP, Ameya AH, Rooma SP, Parmar A, Rashid K, Narayan A: Prevalence of exclusive breastfeeding and its correlates in an Urban Slum in Western India. Int e-journal Sci, Med Educ. 2009, 3 (2): 14-18.
19.
go back to reference Vafaee A, Khabazkhoo M, Moradi A, Najafpoor AA: Prevalence of exclusive breastfeeding during the first six months of life and its determinant factors on the referring children to the health centers in Mashhad, Northeast of Iran-2007. J Appl Sci. 2010, 10 (4): 343-348.CrossRef Vafaee A, Khabazkhoo M, Moradi A, Najafpoor AA: Prevalence of exclusive breastfeeding during the first six months of life and its determinant factors on the referring children to the health centers in Mashhad, Northeast of Iran-2007. J Appl Sci. 2010, 10 (4): 343-348.CrossRef
20.
go back to reference Nkala TE, Msuya SE: Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. Int Breastfeed J. 2011, 6: 17-10.1186/1746-4358-6-17.PubMedCentralCrossRefPubMed Nkala TE, Msuya SE: Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. Int Breastfeed J. 2011, 6: 17-10.1186/1746-4358-6-17.PubMedCentralCrossRefPubMed
21.
go back to reference Al-Sahab B, Lanes A, Feldman M, Tamim H: Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey. BMC Pediatr. 2010, 10: 20-10.1186/1471-2431-10-20.PubMedCentralCrossRefPubMed Al-Sahab B, Lanes A, Feldman M, Tamim H: Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey. BMC Pediatr. 2010, 10: 20-10.1186/1471-2431-10-20.PubMedCentralCrossRefPubMed
22.
go back to reference Laisiriruangrai P, Wiriyasirivaj B, Phaloprakarn C, Manusirivithaya S: Prevalence of exclusive breastfeeding at 3, 4 and 6 months in Bangkok Metropolitan Administration Medical College and Vajira Hospital. J Med Assoc Thai. 2008, 91 (7): 962-967.PubMed Laisiriruangrai P, Wiriyasirivaj B, Phaloprakarn C, Manusirivithaya S: Prevalence of exclusive breastfeeding at 3, 4 and 6 months in Bangkok Metropolitan Administration Medical College and Vajira Hospital. J Med Assoc Thai. 2008, 91 (7): 962-967.PubMed
23.
go back to reference El-Gilany A-H, Shady E, Helal R: Exclusive breastfeeding in Al-Hassa, Saudi Arabia. Breastfeed Med. 2011, 6 (4): 209-213. 10.1089/bfm.2010.0085.CrossRefPubMed El-Gilany A-H, Shady E, Helal R: Exclusive breastfeeding in Al-Hassa, Saudi Arabia. Breastfeed Med. 2011, 6 (4): 209-213. 10.1089/bfm.2010.0085.CrossRefPubMed
24.
go back to reference Ghwass A, Mohamed M, Dalia A: Prevalence and predictors of 6-month exclusive breastfeeding in a rural area in Egypt. Breastfeed Med. 2011, 6 (4): 191-196. 10.1089/bfm.2011.0035.CrossRefPubMed Ghwass A, Mohamed M, Dalia A: Prevalence and predictors of 6-month exclusive breastfeeding in a rural area in Egypt. Breastfeed Med. 2011, 6 (4): 191-196. 10.1089/bfm.2011.0035.CrossRefPubMed
25.
go back to reference Kimani-Murage EW, Madise NJ, Fotso JC, Kyobutungi C, Mutua MK, Gitau TM, Yatich N: Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health. 2011, 11: 396-10.1186/1471-2458-11-396.PubMedCentralCrossRefPubMed Kimani-Murage EW, Madise NJ, Fotso JC, Kyobutungi C, Mutua MK, Gitau TM, Yatich N: Patterns and determinants of breastfeeding and complementary feeding practices in urban informal settlements, Nairobi Kenya. BMC Public Health. 2011, 11: 396-10.1186/1471-2458-11-396.PubMedCentralCrossRefPubMed
26.
go back to reference Alemayehu T, Haidar J, Habte D: Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop J Health Dev. 2009, 23 (1): 12-18. Alemayehu T, Haidar J, Habte D: Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop J Health Dev. 2009, 23 (1): 12-18.
Metadata
Title
Prevalence of Exclusive Breastfeeding Practices and associated factors among mothers in Bahir Dar city, Northwest Ethiopia: a community based cross-sectional study
Authors
Abdulbasit Musa Seid
Melkie Edris Yesuf
Digsu Negese Koye
Publication date
01-12-2013
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2013
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/1746-4358-8-14

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