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International Breastfeeding Journal
Published in: International Breastfeeding Journal 1/2015

Open Access 01-12-2015 | Research

Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case–control study

Authors: Gashaw Andargie Biks, Amare Tariku, Gizachew Assefa Tessema

Published in: International Breastfeeding Journal | Issue 1/2015

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Abstract

Background

For the first six months of life, breast milk is the ideal food to provide adequate quality and quantity of nutrients. Exclusive breastfeeding has a profound effect to reduce the risk of respiratory and gastrointestinal related morbidities as well as all-cause and infection-related neonatal mortalities. Despite the immense benefits of exclusive breastfeeding, the practice is suboptimal in Ethiopia. The aim of this study was to assess whether antenatal care and institutional delivery contributes to mothers' practice of exclusive breastfeeding in rural communities of northwest Ethiopia.

Methods

A community-based nested case–control study was conducted in northwest Ethiopia from November 2009 to August 2011. About 1769 mother-infant pairs were included and followed for six months after birth. Interviews with mothers were conducted in the first week, at 1st, 4th, and 6th month. Bivariate and multivariate logistic regression were carried out to determine associations between independent variables and exclusive breastfeeding practice.

Results

Of the total respondents, 30.7 % (95 % CI: 27 %, 35 %) of mothers exclusively breastfed their infants. In multivariate analysis, own business activity (AOR= 3.06; 95 % CI: 1.29, 7.25), being a housewife (AOR= 3.41; 95 % CI: 1.28, 9.11), having antenatal care (AOR= 1.32; 95 % CI: 1.01, 1.73), giving birth in a health institution (AOR= 1.29; 95 % CI: 1.02, 1.62), and possessing a microfinance bank account (AOR= 2.35; 95 % CI: 1.80, 3.07) were positively associated with exclusive breastfeeding practice.

Conclusions

Despite underutilization of maternal health services, these services contributed to mothers exclusive breastfeeding practice. Strengthening utilization of antenatal care and institutional delivery would have an added benefit in improving exclusive breastfeeding practice. Moreover involving mothers in business activities is important.
Literature
1.
WHO. Global Strategy for Infant and Young Child Feeding : A joint WHO/UNICEF statement. Geneva, Switzerland: WHO; 2003.
2.
WHO. Report of the Global Consultation on Summary of Guiding Principles for Complementary Feeding of the Breastfed Child. Geneva:Switzerland: World Health Organization; 2001.
3.
Jackson K, Nazar A. Breastfeeding, the immune response, and long-term health. J Am Osteopath Assoc. 2006;106(4):203–7.PubMed
4.
WHO. Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life. Geneva: WHO; 2002.
5.
Lamberti LM, Walker CLF, Noiman A, Victora C, Black RE. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health. 2011;11 Suppl 3:S15.PubMedCentralCrossRefPubMed
6.
Duijts L, Jaddoe VW, Hofman A, Moll HA. Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics. 2010;126(1):e18–25.CrossRefPubMed
7.
Quinn P, O’Callaghan M, Williams G, Najman J, Andersen M, Bor W. The effect of breastfeeding on child development at 5 years: A cohort study. J Paediatr Child Health. 2001;37(5):465–9.CrossRefPubMed
8.
Jedrychowski W, Perera F, Jankowski J, Butscher M, Mroz E, Flak E, et al. Effect of exclusive breastfeeding on the development of children’s cognitive function in the Krakow prospective birth cohort study. Eur J Pediatr. 2012;171(1):151–8.PubMedCentralCrossRefPubMed
9.
UNICEF C4D orientation webinar series. Improving exclusive breastfeeding practices by using communication for development in Infant and Young Child Feeding programmes. 2010.
10.
Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013;382(9890):452–77.CrossRefPubMed
11.
Khatoon T, Mollah AH, Choudhury AM, Islam MM, Rahman KM. Association between infant and child-feeding index and nutritional status: results from a cross-sectional study among children attending an urban hospital in Bangladesh. J Health Popul Nutr. 2011;29(4):349–56.PubMedCentralCrossRefPubMed
12.
Arimond M, Ruel MT. Summary indicators for infant and child feeding practices: an example from the Ethiopia Demographic and Health Survey 2000. 2002.
13.
Kruger R, Gericke G. Qualitative exploration of rural feeding and weaning practices, knowledge and attitudes on nutrition in South Africa. Public Health Nutr. 2002;6(2):217–23.
14.
15.
Steve IO. Nutritional status and feeding practices of infants among low-income nursing mothers in Ondo State, Nigeria. Int J Trop Med. 2006;1(3):123–9.
16.
Bekele Y, Mengistie B, Mesfine F. Prelacteal feeding practice and associated factors among mothers attending immunization clinic in Harari region public health facilities, Eastern Ethiopia. Open J Prev Med. 2014;4:529–34.CrossRef
17.
Khanal V, Adhikari M, Sauer K, Zhao Y. Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011. Int J Breastfeed. 2013;8:9.CrossRef
18.
Hadley C, Lindstrom D, Belachew T, Tessema F. Ethiopia adolescents’ attitudes and expectations deviate from current infant and ioung child feeding recommendations. J Adolesc Health. 2008;43(3):253–9.PubMedCentralCrossRefPubMed
19.
Central Statistical Authority [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2011. Calverton, Maryland: ICF International; 2011.
20.
Subramanyam MA, Kawachi I, Berkman LF, Subramanian SV. Socioeconomic inequalities in childhood undernutrition in India: analyzing trends between 1992 and 2005. PLoS One. 2010;5(6), e11392.PubMedCentralCrossRefPubMed
21.
Tan KL. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. Int J Breastfeed. 2011;6:2.CrossRef
22.
Khanal V, Cruz JLNBD, Karkee R, Lee AH. Factors associated with exclusive breastfeeding in Timor-Leste: findings from demographic and health Survey 2009–2010. Nutrients. 2013;6(4):1691–700.CrossRef
23.
Rez-Escamilla RP, Lãoetter C, Segall AM, Rivera A, Trevino-Siller S, Sanghvf T. Exclusive breast-feeding duration is associated with attitudinal, socioeconomic and biocultural determinants in three Latin American Countries. J Nutr. 1995;125(12):2972–84.
24.
Su L-L, Chong Y-S, Chan Y-H, Chan Y-S, Fok D, Tun K-T, et al. Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. Br Med J. 2007;335(7620):596.CrossRef
25.
Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. Int J Breastfeed. 2015;10:1.CrossRef
26.
Teferra AS, Alemu FM, Woldeyohannes SM. Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community-based cross sectional study. BMC Pregnancy Childbirth. 2012;12:74.PubMedCentralCrossRefPubMed
27.
Bramson L, Lee JW, Moore E, Montgomery S, Neish C, Bahjri K, et al. Effect of early skin-to-skin mother–infant contact during the first 3 hours following birth on exclusive breastfeeding during the maternity hospital stay. J Hum Lact. 2010;26(2):130–7.CrossRefPubMed
28.
USAID: Focused antenatal care providing integrated, individualized care during pregnancy. Access to clinical and community maternal, neonatal and women’s health services.
29.
MOH, Ethiopia: Antenatal Care, Blended Learning Module for the Health Extension Programme, UNICEF, The Open University, the AMREF.
30.
Seid AM, Yesuf ME, Koye DN. Prevalence of exclusive breastfeeding practices and associated factors among mothers in Bahir Dar city, Northwest Ethiopia: a community based cross-sectional study. Int J Breastfeed. 2013;8:14.CrossRef
31.
Sefene A, Birhanu D, Awoke W, Taye T. Determinants of exclusive breastfeeding practice among mothers of children age less than 6 month in Bahir Dar city administration, Northwest Ethiopia; a community based cross-sectional survey. Sci J Clin Med. 2013;2(6):153–9.CrossRef
32.
Yeneabat T, Belachew T, Haile M. Determinants of cessation of exclusive breastfeeding in Ankesha Guagusa Woreda, Awi Zone, Northwest Ethiopia: a cross-sectional study. BMC Pregnancy Childbirth. 2014;14:262.PubMedCentralCrossRefPubMed
33.
Tadesse T, Getachew A, Admassu M, Kebede Y, Awoke T, Melesse T, et al. Demographic and Health Survey at Dabat district in northwest Ethiopia:report of the 2008 baseline survey. Ethiop J Health Biomed Sci. 2011;4:2–23.
34.
Biks GA, Berhane Y, Worku A, Gete YK. Exclusive breast feeding is the strongest predictor of infant survival in Northwest Ethiopia: a longitudinal study. J Health Popul Nutr. 2015;34:9.
35.
Andargie G, Berhane Y, Worku A, Kebede Y. Predictors of perinatal mortality in rural population of Northwest Ethiopia: a prospective longitudinal study. BMC Public Health. 2013;13:168.PubMedCentralCrossRefPubMed
36.
Global COMICS. Statistics and monitoring section division of policy and practices UNICEF, three United Nations Plaza New York, NY 10017. USA MICS questionnaire. 2011.
37.
Egata G, Berhane Y, Worku A. Predictors of non-exclusive breastfeeding at 6 months among rural mothers in east Ethiopia: a community-based analytical cross-sectional study. Int J Breastfeed. 2013;8:8.CrossRef
38.
Aidam BA, Perez-Escamilla R, Lartey A, Aidam J. Factors associated with exclusive breastfeeding in Accra, Ghana. Eur J Clin Nutr. 2005;59(6):789–96.CrossRefPubMed
39.
Seifu W, Assefa G, Egata G. Prevalence of exclusive breast feeding and its predictors among infants aged six months in Jimma town, Southwest Ethiopia. J Pediatr Neonatal Care. 2013;1(3):00017.
40.
Ahmad MO, Sughra U, Kalsoom U, Imran M, Hadi U. Effect of antenatal counselling on exclusive breastfeeding. J Ayub Med Coll Abbottabad. 2012;24(2):116–9.
41.
Mattar CN, Chong Y-S, Chan Y-S, Chew A, Tan P, Chan Y-H, et al. Simple antenatal preparation to improve breastfeeding practice; randomized controlled trial. Obstet Gynecol. 2007;109:73–80.CrossRefPubMed
42.
Jino GB, Munyanshongore C, Birungi F. Knowledge, attitudes and practices of exclusive breast-feeding of infants aged 0–6 months by urban refugee Women in Kigali. Rwanda Med J. 2013;70(1):7–10.
43.
Alemayehu T, Haidar J, Habte D. Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop J Health Dev. 2009;23(1):12–8.CrossRef
Metadata
Title
Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case–control study
Authors
Gashaw Andargie Biks
Amare Tariku
Gizachew Assefa Tessema
Publication date
01-12-2015
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2015
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-015-0055-4

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