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Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia

Received: 29 June 2014     Accepted: 16 July 2014     Published: 30 July 2014
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Abstract

Introduction: It is realistic that Exclusive breast feeding can significantly reduce the burden of under-five death. About 41% of global under five deaths occur in Sub-Saharan Africa (SSA) mainly due to inadequate breastfeeding practices in combination with high levels of disease. Despite the universal practice of breastfeeding, most women do not practice exclusive breast feeding in many developing countries including Ethiopia. Methods: A community-based cross sectional study was conducted. A total of 819 mothers with 6-12 month aged infants were included in the study. All mothers from randomly selected kebeles were included in the study through cluster sampling technique in Mecha District, Amhara Region in April 2012. Structured interview was conducted in data collection. Both bivariate and multivariate logistic regression techniques were used to analyze the data with 95% CI. Results: The prevalence of exclusive breast feeding (EBF) was 47.13% (95% CI; 43.7% - 50.56%). Mothers who reported having 3 and more antenatal visit during pregnancy (AOR=1.7; 95% CI:1.09 – 2.67) ,who got PNC counseling on infant feeding (AOR=2.27; 95% CI: 1.56-3.30),who initiated breast feeding(BF) immediately after birth with in the first one hour (AOR=2.98;95% CI:2.11-4.22) and who have adequate knowledge on BF(AOR=2.06;95% CI:1.47-2.88) were more likely to exclusively breastfeed than their counterparts. Mothers from urban areas were less likely to exclusive breast fed than rural mothers (AOR=0.38; 95% CI: 0.23-0.62). Conclusions: The prevalence of exclusive breast feeding in the study area was below the WHO recommended level 90%. Residence, three and above ANC visit, NC counseling on infant feeding, immediate initiation of breast feeding (BF) within an hour, maternal knowledge of BF were found to be associated with EBF practice. Strengthening ANC and PNC service, educate pregnant mothers on immediate BF initiation, counseling mothers on infant feeding during PNC, prioritizing urban areas for BF promotion in line with newly launched UHEP and other promotional efforts to improve maternal BF knowledge are recommended.

Published in Science Journal of Public Health (Volume 2, Issue 4)
DOI 10.11648/j.sjph.20140204.24
Page(s) 330-336
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), 2014. Published by Science Publishing Group

Keywords

Exclusive Breastfeeding, Prevalence, Associated Factors

References
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  • APA Style

    Tesfa Getanew Woldie, Addisu Workineh Kassa, Melkie Edris. (2014). Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia. Science Journal of Public Health, 2(4), 330-336. https://doi.org/10.11648/j.sjph.20140204.24

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    ACS Style

    Tesfa Getanew Woldie; Addisu Workineh Kassa; Melkie Edris. Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia. Sci. J. Public Health 2014, 2(4), 330-336. doi: 10.11648/j.sjph.20140204.24

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    AMA Style

    Tesfa Getanew Woldie, Addisu Workineh Kassa, Melkie Edris. Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia. Sci J Public Health. 2014;2(4):330-336. doi: 10.11648/j.sjph.20140204.24

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  • @article{10.11648/j.sjph.20140204.24,
      author = {Tesfa Getanew Woldie and Addisu Workineh Kassa and Melkie Edris},
      title = {Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {2},
      number = {4},
      pages = {330-336},
      doi = {10.11648/j.sjph.20140204.24},
      url = {https://doi.org/10.11648/j.sjph.20140204.24},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140204.24},
      abstract = {Introduction: It is realistic that Exclusive breast feeding can significantly reduce the burden of under-five death. About 41% of global under five deaths occur in Sub-Saharan Africa (SSA) mainly due to inadequate breastfeeding practices in combination with high levels of disease. Despite the universal practice of breastfeeding, most women do not practice exclusive breast feeding in many developing countries including Ethiopia. Methods: A community-based cross sectional study was conducted. A total of 819 mothers with 6-12 month aged infants were included in the study. All mothers from randomly selected kebeles were included in the study through cluster sampling technique in Mecha District, Amhara Region in April 2012. Structured interview was conducted in data collection. Both bivariate and multivariate logistic regression techniques were used to analyze the data with 95% CI. Results: The prevalence of exclusive breast feeding (EBF) was 47.13% (95% CI; 43.7% - 50.56%). Mothers who reported having 3 and more antenatal visit during pregnancy (AOR=1.7; 95% CI:1.09 – 2.67) ,who got PNC counseling on infant feeding (AOR=2.27; 95% CI: 1.56-3.30),who initiated breast feeding(BF) immediately after birth with in the first one hour (AOR=2.98;95% CI:2.11-4.22) and who have adequate knowledge on BF(AOR=2.06;95% CI:1.47-2.88) were more likely to exclusively breastfeed than their counterparts. Mothers from urban areas were less likely to exclusive breast fed than rural mothers (AOR=0.38; 95% CI: 0.23-0.62). Conclusions: The prevalence of exclusive breast feeding in the study area was below the WHO recommended level 90%. Residence, three and above ANC visit, NC counseling on infant feeding, immediate initiation of breast feeding (BF) within an hour, maternal knowledge of BF were found to be associated with EBF practice. Strengthening ANC and PNC service, educate pregnant mothers on immediate BF initiation, counseling mothers on infant feeding during PNC, prioritizing urban areas for BF promotion in line with newly launched UHEP and other promotional efforts to improve maternal BF knowledge are recommended.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Exclusive Breast Feeding Practice and Associated Factors in Mecha District, North West Ethiopia
    AU  - Tesfa Getanew Woldie
    AU  - Addisu Workineh Kassa
    AU  - Melkie Edris
    Y1  - 2014/07/30
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjph.20140204.24
    DO  - 10.11648/j.sjph.20140204.24
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 330
    EP  - 336
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20140204.24
    AB  - Introduction: It is realistic that Exclusive breast feeding can significantly reduce the burden of under-five death. About 41% of global under five deaths occur in Sub-Saharan Africa (SSA) mainly due to inadequate breastfeeding practices in combination with high levels of disease. Despite the universal practice of breastfeeding, most women do not practice exclusive breast feeding in many developing countries including Ethiopia. Methods: A community-based cross sectional study was conducted. A total of 819 mothers with 6-12 month aged infants were included in the study. All mothers from randomly selected kebeles were included in the study through cluster sampling technique in Mecha District, Amhara Region in April 2012. Structured interview was conducted in data collection. Both bivariate and multivariate logistic regression techniques were used to analyze the data with 95% CI. Results: The prevalence of exclusive breast feeding (EBF) was 47.13% (95% CI; 43.7% - 50.56%). Mothers who reported having 3 and more antenatal visit during pregnancy (AOR=1.7; 95% CI:1.09 – 2.67) ,who got PNC counseling on infant feeding (AOR=2.27; 95% CI: 1.56-3.30),who initiated breast feeding(BF) immediately after birth with in the first one hour (AOR=2.98;95% CI:2.11-4.22) and who have adequate knowledge on BF(AOR=2.06;95% CI:1.47-2.88) were more likely to exclusively breastfeed than their counterparts. Mothers from urban areas were less likely to exclusive breast fed than rural mothers (AOR=0.38; 95% CI: 0.23-0.62). Conclusions: The prevalence of exclusive breast feeding in the study area was below the WHO recommended level 90%. Residence, three and above ANC visit, NC counseling on infant feeding, immediate initiation of breast feeding (BF) within an hour, maternal knowledge of BF were found to be associated with EBF practice. Strengthening ANC and PNC service, educate pregnant mothers on immediate BF initiation, counseling mothers on infant feeding during PNC, prioritizing urban areas for BF promotion in line with newly launched UHEP and other promotional efforts to improve maternal BF knowledge are recommended.
    VL  - 2
    IS  - 4
    ER  - 

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Author Information
  • Public Health Emergency Management, Bahir Dar, Ethiopia

  • Amhara Regional Health Bureau, Bahir Dar, Ethiopia

  • Gondar University, Public Health Institute, Department of Nutrition, Gondar, Ethiopia

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