TY - JOUR
T1 - Mothers’ education and ANC visit improved exclusive breastfeeding in Dabat health and Demographic surveillance system site, northwest Ethiopia
AU - Tariku, Amare
AU - Alemu, Kassahun
AU - Gizaw, Zemichael
AU - Muchie, Kindie Fentahun
AU - Derso, Terefe
AU - Abebe, Solomon Mekonnen
AU - Yitayal, Mezgebu
AU - Fekadu, Abel
AU - Ayele, Tadesse Awoke
AU - Alemayehu, Geta Asrade
AU - Tsegaye, Adino Tesfahun
AU - Shimeka, Alemayehu
AU - Biks, Gashaw Andargie
N1 - Funding: This work was supported by the Centers
for Disease Control and Prevention (CDC) through
Ethiopian Public Health Association (EPHA) in
accordance with the EPHA-CDC Cooperative
Agreement No. NU22GGH001039-04-00 and
University of Gondar. The funders had no role in study design, data collection and analysis, decision
to publish, or preparation of the manuscript
Publisher Copyright:
© 2017 Tariku et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2017/6
Y1 - 2017/6
N2 - Introduction Despite its proven benefit in reducing child mortality and morbidity, the coverage of exclusive breastfeeding (EBF) remains sub-optimal. In Ethiopia, about 52% of infants under six months of age were exclusively breastfed, implying the need for further identification of the barriers to optimal EBF practice. Therefore, this study aimed to investigate EBF and its determinants in the predominantly rural northwest Ethiopia. Methods The study was conducted at the Dabat Health and Demographic Surveillance System (HDSS) site, which is located in Dabat District, northwest Ethiopia. A total of 5,227 mothers with children under five years of age were included for analysis. Multivariable binary logistic regression analysis was employed to identify factors associated with EBF. The Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was estimated to show the strength of association. A P-value of 0.05 was used to declare statistical significance. Results About 54.5% [95% CI: 51.9, 57.1] of the mothers practiced EBF. Mothers’ education [AOR = 2.10; 95% CI: 1.63, 2.71], age (20-35 years) [AOR = 1.39; CI: 1.07, 1.80], urban residence [AOR = 1.28; 95% CI: 1.07, 1.54], at least one ANC visit [AOR = 1.41; 95% CI: 1.23,1.61], initiation of breastfeeding within one hour of birth [AOR = 1.32; 95% CI: 1.15,1.50], richer household [AOR = 1.34; 95% CI: 1.07, 1.65], and withholding prelacteal feeds [AOR = 1.34; 95% CI: 1.17, 1.53] were found important determinants of EBF. Conclusion In this study area, the prevalence of EBF is lower than the national as well as the global recommendation for universal coverage of EBF. Therefore, strengthening the implementation of Infant and Young Child Feeding strategy (IYCF) and maternal health care utilization are essential for stepping up EBF coverage. Moreover, attention should be given to uneducated, rural resident, and adolescent mothers.
AB - Introduction Despite its proven benefit in reducing child mortality and morbidity, the coverage of exclusive breastfeeding (EBF) remains sub-optimal. In Ethiopia, about 52% of infants under six months of age were exclusively breastfed, implying the need for further identification of the barriers to optimal EBF practice. Therefore, this study aimed to investigate EBF and its determinants in the predominantly rural northwest Ethiopia. Methods The study was conducted at the Dabat Health and Demographic Surveillance System (HDSS) site, which is located in Dabat District, northwest Ethiopia. A total of 5,227 mothers with children under five years of age were included for analysis. Multivariable binary logistic regression analysis was employed to identify factors associated with EBF. The Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was estimated to show the strength of association. A P-value of 0.05 was used to declare statistical significance. Results About 54.5% [95% CI: 51.9, 57.1] of the mothers practiced EBF. Mothers’ education [AOR = 2.10; 95% CI: 1.63, 2.71], age (20-35 years) [AOR = 1.39; CI: 1.07, 1.80], urban residence [AOR = 1.28; 95% CI: 1.07, 1.54], at least one ANC visit [AOR = 1.41; 95% CI: 1.23,1.61], initiation of breastfeeding within one hour of birth [AOR = 1.32; 95% CI: 1.15,1.50], richer household [AOR = 1.34; 95% CI: 1.07, 1.65], and withholding prelacteal feeds [AOR = 1.34; 95% CI: 1.17, 1.53] were found important determinants of EBF. Conclusion In this study area, the prevalence of EBF is lower than the national as well as the global recommendation for universal coverage of EBF. Therefore, strengthening the implementation of Infant and Young Child Feeding strategy (IYCF) and maternal health care utilization are essential for stepping up EBF coverage. Moreover, attention should be given to uneducated, rural resident, and adolescent mothers.
UR - http://www.scopus.com/inward/record.url?scp=85021652563&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0179056
DO - 10.1371/journal.pone.0179056
M3 - Article
C2 - 28658257
AN - SCOPUS:85021652563
VL - 12
SP - 1
EP - 13
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 6
M1 - e0179056
ER -