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Determinants of Early Initiation of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study

Received: 26 February 2015     Accepted: 17 March 2015     Published: 17 April 2015
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Abstract

Background: Breastfeeding is recommended as proper infant and young child feeding practice that should be initiated within the first hour after birth. Early initiation of breastfeeding protects newborns from early neonatal mortality, hence it is important to meet the millennium development goal. Methods: Quantitative community based cross-sectional study was employed on systematically selected 633 mothers of children aged less than 24 months. Descriptive statistics, binary and multivariable logistic regression analyses were employed to identify the factors associated with early initiation of breastfeeding practices. The strength of the association was measured by odds ratio, and p-value <0.05 was considered as statistically significant. Results: The prevalence of early initiation of breastfeeding in Raya Kobo district was 71.7% (95% CI: 68.10, 75.30). Mothers who had formal education were two times (AOR: 1.8; 95% CI (1.10, 2.95)) more likely to initiate breastfeeding early compared to those who had no formal education. Compared to mothers whose husbands lack formal education, mothers with husbands having formal education were (AOR: 1.9; 95% CI (1.04, 3.51)) more likely to introduce breastfeeding early. Compared to mothers who fed prelacteal, those who did not practice prelacteal feeding were 2.4 times (AOR: 2.4; 95% CI (1.61, 3.53)) more likely to initiate breastfeeding early. Mothers who fed their children with colostrum (AOR: 2.1; 95% CI (1.23, 3.53)) were more likely to initiate breastfeeding early compared to those who discarded colostrum. Conclusion: In Raya Kobo district five in seven children benefited from early initiation of breastfeeding. Giving colostrum, avoiding prelacteal feeding, maternal and paternal attendances of formal education were positively associated with early initiation of breastfeeding. Considering health education on the importance of early initiation of breastfeeding and building women empowerment on proper newborn feeding practices are important in the promotion of early initiation of breastfeeding.

Published in International Journal of Nutrition and Food Sciences (Volume 4, Issue 3)
DOI 10.11648/j.ijnfs.20150403.16
Page(s) 289-294
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Early Initiation of Breastfeeding, Raya Kobo, Northeast Ethiopia

References
[1] WHO/UNICEF. Baby-friendly hospital initiative (BFHI). Revised, updated and expanded for integrated care. Section 3, Breastfeeding promotion and support in a baby-friendly hospital: a 20-hour course for maternity staff. 2009.
[2] Mihretab MS, Suzanne F and Tanya M. Measurement of breastfeeding initiation: Ethiopian mothers’ perception about survey questions assessing early initiation of breastfeeding. International Breastfeeding Journal. 2014, 9:13.
[3] Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011.Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International. 2012.
[4] Edmond KM, , Charles Zandoh, Maria A. Quigley, Seeba Amenga-Etego, Seth Owusu-Agyei, Betty R. Kirkwood. Delayed Breastfeeding Initiation Increases Risk of Neonatal Mortality. Journal of the American Academy of Pediatrics. 2006, 117(3):e380-86.
[5] The Lancet. Maternal and child under nutrition and overweight in low-income and middle-income countries. The Lancet series. 2013, 382:427-51.
[6] Federal Ministry of Health of Ethiopia. Health Sector Development Program IV (2010/11- 2014/15). 2010.
[7] Raya Kobo district Administration Office: Finance and economic development department. Kobo, Ethiopia. 2013
[8] Tesfaye Setegn, Mulusew Gerbaba and Tefera Belachew. Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study. BioMed Central Public Health. 2011,11:217.
[9] Gurmesa Tura. Antenatal care service utilization and associated factors in Metekel Zone, Northwest Ethiopia. Ethiopian Journal of Science. 2009, 19 (2):111-8.
[10] Mesfin Addisse. Maternal and Child Health Care. Lecture notes for Health Science Students. Ethiopian Public Health Training Initiative. 2003.
[11] Ethiopian Health and Nutrition Institute(EHNRI): Nutritional baseline survey report for the national nutrition program of Ethiopia.2010. Available at http://wwwephigovet/images/nutrition/nutrition%20baseline%20survey%20reportpdf
[12] Peter C, Jack V: Automated variable selection methods for logistic regression produced unstable models for predicting acute myocardial infarction mortality. Journal of Clinical Epidemiology 2004, 57:1138-1146.
[13] Mussie A, Kidan A, Henock Y, Kahssay Z, Hailay G: Factors Associated with Timely Initiation and Exclusive Breast Feeding among Mothers of Axum Town, Northern Ethiopia. Science Journal of Public Health. 2014, 2(5):394-401.
[14] Dessalegn Tamiru and Shikur Mohammed. Maternal Knowledge of Optimal Breastfeeding Practices and Associated Factors in Rural Communities of Arba Minch Zuria. International Journal of Nutrition and Food Sciences. 2013, 2(3):122-129.
[15] Seid AM, Yesuf ME, Koye DN: Prevalence of Exclusive Breastfeeding Practices and associated factors among mothers in Bahir Dar city, Northwest Ethiopia. International Breastfeeding Journal 2013, 8:14.
[16] El-Gilany AH,Sarraf B, Al-Wehady A. F actors associated with timely initiation of breastfeeding in Al-Hassa province, Saudi Arabia. Eastern  Mediterranean Health Journal. 2012,18(3):250-54.
[17] Legesse M, Demena M, Mesfin F, Haile D: Prelacteal feeding practices and associated factors among mothers of children aged less than 24 months in Raya kobo district, North Eastern Ethiopia: A cross sectional study. International Breastfeeding Journal 2014, 9:189.
[18] Ogah A, Ajayi A, Akib S, Okolo S. A Cross-Sectional Study of Pre-Lacteal Feeding Practice among Women Attending Kampala International University Teaching Hospital Maternal And Child Health Clinic, Bushenyi, Western Uganda. Asian Journal of Medical Sciences. 2012, 4(3):79-85.
[19] Agyemang C, BR Kirkwood, K Edmond, A Bazzano, Z Hill. Early initiation of breastfeeding in Ghana: barriers and facilitators. Journal of Perinatology. 2008, 28:546-552.
[20] Umar S, Oche M. Breastfeeding and Weaning Practices in an Urban Slum, North Western Nigeria. International Journal of Tropical disease & Health. 2013, 3(2):114-125.
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  • APA Style

    Misgan Legesse Liben. (2015). Determinants of Early Initiation of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study. International Journal of Nutrition and Food Sciences, 4(3), 289-294. https://doi.org/10.11648/j.ijnfs.20150403.16

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    ACS Style

    Misgan Legesse Liben. Determinants of Early Initiation of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study. Int. J. Nutr. Food Sci. 2015, 4(3), 289-294. doi: 10.11648/j.ijnfs.20150403.16

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    AMA Style

    Misgan Legesse Liben. Determinants of Early Initiation of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study. Int J Nutr Food Sci. 2015;4(3):289-294. doi: 10.11648/j.ijnfs.20150403.16

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  • @article{10.11648/j.ijnfs.20150403.16,
      author = {Misgan Legesse Liben},
      title = {Determinants of Early Initiation of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study},
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {4},
      number = {3},
      pages = {289-294},
      doi = {10.11648/j.ijnfs.20150403.16},
      url = {https://doi.org/10.11648/j.ijnfs.20150403.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20150403.16},
      abstract = {Background: Breastfeeding is recommended as proper infant and young child feeding practice that should be initiated within the first hour after birth. Early initiation of breastfeeding protects newborns from early neonatal mortality, hence it is important to meet the millennium development goal. Methods: Quantitative community based cross-sectional study was employed on systematically selected 633 mothers of children aged less than 24 months. Descriptive statistics, binary and multivariable logistic regression analyses were employed to identify the factors associated with early initiation of breastfeeding practices. The strength of the association was measured by odds ratio, and p-value <0.05 was considered as statistically significant. Results: The prevalence of early initiation of breastfeeding in Raya Kobo district was 71.7% (95% CI: 68.10, 75.30). Mothers who had formal education were two times (AOR: 1.8; 95% CI (1.10, 2.95)) more likely to initiate breastfeeding early compared to those who had no formal education. Compared to mothers whose husbands lack formal education, mothers with husbands having formal education were (AOR: 1.9; 95% CI (1.04, 3.51)) more likely to introduce breastfeeding early. Compared to mothers who fed prelacteal, those who did not practice prelacteal feeding were 2.4 times (AOR: 2.4; 95% CI (1.61, 3.53)) more likely to initiate breastfeeding early. Mothers who fed their children with colostrum (AOR: 2.1; 95% CI (1.23, 3.53)) were more likely to initiate breastfeeding early compared to those who discarded colostrum. Conclusion: In Raya Kobo district five in seven children benefited from early initiation of breastfeeding. Giving colostrum, avoiding prelacteal feeding, maternal and paternal attendances of formal education were positively associated with early initiation of breastfeeding. Considering health education on the importance of early initiation of breastfeeding and building women empowerment on proper newborn feeding practices are important in the promotion of early initiation of breastfeeding.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Determinants of Early Initiation of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study
    AU  - Misgan Legesse Liben
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    AB  - Background: Breastfeeding is recommended as proper infant and young child feeding practice that should be initiated within the first hour after birth. Early initiation of breastfeeding protects newborns from early neonatal mortality, hence it is important to meet the millennium development goal. Methods: Quantitative community based cross-sectional study was employed on systematically selected 633 mothers of children aged less than 24 months. Descriptive statistics, binary and multivariable logistic regression analyses were employed to identify the factors associated with early initiation of breastfeeding practices. The strength of the association was measured by odds ratio, and p-value <0.05 was considered as statistically significant. Results: The prevalence of early initiation of breastfeeding in Raya Kobo district was 71.7% (95% CI: 68.10, 75.30). Mothers who had formal education were two times (AOR: 1.8; 95% CI (1.10, 2.95)) more likely to initiate breastfeeding early compared to those who had no formal education. Compared to mothers whose husbands lack formal education, mothers with husbands having formal education were (AOR: 1.9; 95% CI (1.04, 3.51)) more likely to introduce breastfeeding early. Compared to mothers who fed prelacteal, those who did not practice prelacteal feeding were 2.4 times (AOR: 2.4; 95% CI (1.61, 3.53)) more likely to initiate breastfeeding early. Mothers who fed their children with colostrum (AOR: 2.1; 95% CI (1.23, 3.53)) were more likely to initiate breastfeeding early compared to those who discarded colostrum. Conclusion: In Raya Kobo district five in seven children benefited from early initiation of breastfeeding. Giving colostrum, avoiding prelacteal feeding, maternal and paternal attendances of formal education were positively associated with early initiation of breastfeeding. Considering health education on the importance of early initiation of breastfeeding and building women empowerment on proper newborn feeding practices are important in the promotion of early initiation of breastfeeding.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia

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