Skip to main content
Top
Published in: International Breastfeeding Journal 1/2016

Open Access 01-12-2016 | Research

Factors associated with exclusive breastfeeding practices among mothers in dubti town, afar regional state, northeast Ethiopia: a community based cross-sectional study

Authors: Misgan Legesse Liben, Yohannes Bacha Gemechu, Mulugeta Adugnew, Adugnaw Asrade, Belete Adamie, Ehitemelak Gebremedin, Yibel Melak

Published in: International Breastfeeding Journal | Issue 1/2016

Login to get access

Abstract

Background

Exclusive breastfeeding for the first 6 months of life is recommended internationally. This study aimed to investigate exclusive breastfeeding practices and associated factors among mothers of infants aged less than 6 months.

Methods

A community based cross-sectional study was conducted on mother-infant pairs in Dubti town in May, 2015. In this study, exclusive breastfeeding was defined as an infant’s breast milk consumption without supplementation of any type of food or drink, except for vitamins, minerals and necessary medications in the 24 h preceding the survey. Descriptive statistics, bivariate and multivariable logistic regression analysis were employed to identify the factors associated with exclusive breastfeeding practices. Variables with a p-value < 0.05 in the multivariable model were identified as predictors of exclusive breastfeeding practices.

Results

Exclusive breastfeeding under 6 months was practiced by 81.1 % (95 % Confidence Interval [CI] 77.0, 85.0 %) of mothers of infants aged less than 6 months. The median duration of exclusive breastfeeding for infants less than 6 months was 3 months. Multivariable logistic regression analysis showed that initiation of breastfeeding within 1 h after birth (Adjusted Odds Ratio [AOR] 5.46; 95 % CI 1.93, 15.41), age of infants of less than 2 months (AOR 7.03; 95 % CI 2.16, 22.88), being a housewife (AOR 4.81; 95 % CI 2.30, 10.06) and mothers who received postnatal counseling (AOR 3.88; 95 % CI 1.88, 7.99) were positive predictors of exclusive breastfeeding.

Conclusion

The study revealed that exclusive breastfeeding under 6 months using 24-h recall method was lower than the World Health Organization recommendation. Therefore, interventions could focus on educating mothers the importance of timely initiation of breastfeeding and postnatal care in the study area.
Literature
3.
go back to reference FANTA (Food and Nutrition Technical Assistance) Project and LINKAGES Project. Nutrition and HIV/AIDS: A training manual for nurses and midwives. Arusha: ECSA-HC (East, Central, and Southern African Health Community); 2008. FANTA (Food and Nutrition Technical Assistance) Project and LINKAGES Project. Nutrition and HIV/AIDS: A training manual for nurses and midwives. Arusha: ECSA-HC (East, Central, and Southern African Health Community); 2008.
4.
go back to reference Aborigo RA, Moyer CA, Rominski S, Adongo P, Williams J, Logonia G, Affah G, HodgsonA, Engmann C. Infant nutrition in the first seven days of life in rural northern Ghana. BMC Pregnancy Childbirth. 2012;12:76. Aborigo RA, Moyer CA, Rominski S, Adongo P, Williams J, Logonia G, Affah G, HodgsonA, Engmann C. Infant nutrition in the first seven days of life in rural northern Ghana. BMC Pregnancy Childbirth. 2012;12:76.
5.
go back to reference Central Statistical Agency (CSA) Ethiopia. Demographic and health survey 2011. Addis Ababa and Calverton: CSA and ORC Macro; 2012. Central Statistical Agency (CSA) Ethiopia. Demographic and health survey 2011. Addis Ababa and Calverton: CSA and ORC Macro; 2012.
6.
go back to reference Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M, Ezzati M, McGregor SG, Katz J, Martorell R, Uauy R. Maternal and child under nutrition and overweight in low-income and middle-income countries. Lancet. 2013;382:427–51. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, Onis M, Ezzati M, McGregor SG, Katz J, Martorell R, Uauy R. Maternal and child under nutrition and overweight in low-income and middle-income countries. Lancet. 2013;382:427–51.
7.
go back to reference Hajeebhoy N, Nguyen PH, Mannava P, Nguyen TT, Mai LT. Suboptimal breastfeeding practices are associated with infant illness in Vietnam. Int Breastfeed J. 2014;9:12.CrossRefPubMedPubMedCentral Hajeebhoy N, Nguyen PH, Mannava P, Nguyen TT, Mai LT. Suboptimal breastfeeding practices are associated with infant illness in Vietnam. Int Breastfeed J. 2014;9:12.CrossRefPubMedPubMedCentral
8.
go back to reference Setegn T, Belachew T, Gerbaba M, Deribe K, Deribew A, Biadgilign S. Factors associated with exclusive breastfeeding practices among mothers in Goba district, south east Ethiopia: a cross-sectional study. Int Breastfeed J. 2012;7:17.CrossRefPubMedPubMedCentral Setegn T, Belachew T, Gerbaba M, Deribe K, Deribew A, Biadgilign S. Factors associated with exclusive breastfeeding practices among mothers in Goba district, south east Ethiopia: a cross-sectional study. Int Breastfeed J. 2012;7:17.CrossRefPubMedPubMedCentral
10.
go back to reference Bayissa ZB, Gelaw BK, Geletaw A, Abdella A, Chinasho B, Alemayehu A, Yosef A, Tadele K. Knowledge and practice of mothers towards exclusive breastfeeding and its associated factors in Ambo Woreda West Shoa zone Oromia region. Ethiopia Global J Med Res. 2015;15(2):19–25. Bayissa ZB, Gelaw BK, Geletaw A, Abdella A, Chinasho B, Alemayehu A, Yosef A, Tadele K. Knowledge and practice of mothers towards exclusive breastfeeding and its associated factors in Ambo Woreda West Shoa zone Oromia region. Ethiopia Global J Med Res. 2015;15(2):19–25.
11.
go back to reference Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, northwest Ethiopia: a cross-sectional study. Int Breastfeedi J. 2015;10:1.CrossRef Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, northwest Ethiopia: a cross-sectional study. Int Breastfeedi J. 2015;10:1.CrossRef
12.
go back to reference Sinshaw Y, Ketema K, Tesfa M. Exclusive breast feeding practice and associated factors among mothers in Debre Markos town and Gozamen district, east Gojjam zone, north west Ethiopia. J Food Nutr Sci. 2015;3(5):174–9. Sinshaw Y, Ketema K, Tesfa M. Exclusive breast feeding practice and associated factors among mothers in Debre Markos town and Gozamen district, east Gojjam zone, north west Ethiopia. J Food Nutr Sci. 2015;3(5):174–9.
13.
go back to reference Woldie TG, Kassa AW, Edris M. Assessment of exclusive breast feeding practice and associated factors in Mecha district, north west Ethiopia. Sci J Public Health. 2014;2(4):330–6.CrossRef Woldie TG, Kassa AW, Edris M. Assessment of exclusive breast feeding practice and associated factors in Mecha district, north west Ethiopia. Sci J Public Health. 2014;2(4):330–6.CrossRef
14.
go back to reference Berhanu M, Zemene W, Mekonnen M. Prevalence and associated factors of nonexclusive breastfeeding to infants within the first 6 months in Gondar town, northwest Ethiopia, 2014. Adv Nurs. 2015;142319:7. Berhanu M, Zemene W, Mekonnen M. Prevalence and associated factors of nonexclusive breastfeeding to infants within the first 6 months in Gondar town, northwest Ethiopia, 2014. Adv Nurs. 2015;142319:7.
15.
go back to reference Ayisi RK, Thuita F, Njeru E, Wakoli AB. Factors associated with exclusive breastfeeding among infants aged 0–6 months in a peri-urban low income settlement of Kangemi, Nairobi. Global Journal of Biology, Agriculture and Health Sciences. 2014;3(4):180–7. Ayisi RK, Thuita F, Njeru E, Wakoli AB. Factors associated with exclusive breastfeeding among infants aged 0–6 months in a peri-urban low income settlement of Kangemi, Nairobi. Global Journal of Biology, Agriculture and Health Sciences. 2014;3(4):180–7.
16.
go back to reference World Health Organization. Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Geneva: WHO; 2009. World Health Organization. Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Geneva: WHO; 2009.
17.
go back to reference Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. Bellagio child survival study group: How many child deaths can we prevent this year? Lancet. 2003;362:65–71.CrossRefPubMed Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. Bellagio child survival study group: How many child deaths can we prevent this year? Lancet. 2003;362:65–71.CrossRefPubMed
18.
go back to reference Alemayehu T, Haidar J, Habte D. Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop J Heal Dev. 2009;23(1):12–8. Alemayehu T, Haidar J, Habte D. Determinants of exclusive breastfeeding practices in Ethiopia. Ethiop J Heal Dev. 2009;23(1):12–8.
19.
go back to reference 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 Breastfeed J. 2013;8:14.CrossRefPubMedPubMedCentral 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 Breastfeed J. 2013;8:14.CrossRefPubMedPubMedCentral
20.
go back to reference Gashaw AB, Amare T, Gizachew AT. Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case—control study. Int Breastfeed J. 2015;10:30.CrossRef Gashaw AB, Amare T, Gizachew AT. Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case—control study. Int Breastfeed J. 2015;10:30.CrossRef
21.
go back to reference Shifraw T, Worku A, Berhane Y. Factors associated exclusive breastfeeding practices of urban women in Addis Ababa public health centers, Ethiopia: a cross sectional study. Int Breastfeed J. 2015;10:22.CrossRefPubMedPubMedCentral Shifraw T, Worku A, Berhane Y. Factors associated exclusive breastfeeding practices of urban women in Addis Ababa public health centers, Ethiopia: a cross sectional study. Int Breastfeed J. 2015;10:22.CrossRefPubMedPubMedCentral
Metadata
Title
Factors associated with exclusive breastfeeding practices among mothers in dubti town, afar regional state, northeast Ethiopia: a community based cross-sectional study
Authors
Misgan Legesse Liben
Yohannes Bacha Gemechu
Mulugeta Adugnew
Adugnaw Asrade
Belete Adamie
Ehitemelak Gebremedin
Yibel Melak
Publication date
01-12-2016
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2016
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-016-0064-y

Other articles of this Issue 1/2016

International Breastfeeding Journal 1/2016 Go to the issue