Trends and determinants of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2000 to 2016

International Breastfeeding Journal

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[1] 0000 0000 9939 5719, grid.1029.a, Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Locked Bag 1797, NSW 2571, Penrith, Australia;0000 0000 9939 5719, grid.1029.a, Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Locked Bag 1797, NSW 2571, Penrith, Australia;0000 0000 9939 5719, grid.1029.a, School of Science and Health, Western Sydney University, Campbelltown Campus, Locked Bag 1797, NSW 2571, Penrith, Australia;0000 0001 0753 1056, grid.416088.3, Oral Health Services, Sydney Local Health District and Sydney Dental Hospital, NSW Health, Sydney, Australia;0000 0004 1936 834X, grid.1013.3, Discipline of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Weastmead, NSW, Australia;0000 0000 9939 5719, grid.1029.a, Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Locked Bag 1797, NSW 2571, Penrith, Australia;0000 0004 4684 7098, grid.459905.4, College of Medicine and Health Sciences, Samara University, PO Box: 132, Samara, Ethiopia;0000 0000 9939 5719, grid.1029.a, Translational Health Research Institute, Western Sydney University, Campbelltown Campus, Locked Bag 1797, NSW 2571, Penrith, Australia;General Practice Unit, Prescot Specialist Medical Centre Makurdi, Welfare Quarters, Makurdi, Benue State 972261, Nigeria;

关键词: Early initiation of breastfeeding;    Timely initiation of breastfeeding;    Exclusive breastfeeding;    Infant and young child feeding;    Ethiopia;   

DOI  :  10.1186/s13006-019-0234-9

来源: publisher

【 摘 要 】

BackgroundAt the national level in Ethiopia, there is limited knowledge of trends and factors associated with early initiation of breastfeeding and exclusive breastfeeding (EBF), particularly during the Millenium Development Goal (MDG) era (2000–2015). The study aimed to examine the trends and determinants of early initiation of breastfeeding and EBF in Ethiopia between 2000 and 2016.MethodsUsing the Ethiopia Demographic and Health Survey (EDHS) data for the years: 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037) and 2016 (n = 3861), trends in early initiation of breastfeeding and EBF were estimated. Multivariate logistic regression models that adjusted for confounders, sampling weight, clustering and stratification were used to examine the association between socioeconomic, demographic, health service and community level factors with early initiation of breastfeeding and EBF from 2000 to 2016.ResultsThe prevalence of early initiation of breastfeeding increased from 48.8% in 2000 to 75.7% in 2016 in Ethiopia. Improvement in EBF prevalence was not statistically significant (from 54.5% in 2000 to 59.9% in 2016). Over the study period, informal maternal employment (Adjusted Odds Ratio [aOR] 0.75; 95% Confidence Interval [CI] 0.68, 0.83), frequent antenatal care visits (aOR 0.74; 95% CI 0.65, 0.85), and cesarean birthing (aOR 0.22; 95% CI 0.17, 0.30) were associated with delayed initiation of breastfeeding. Birthing in the health facility (aOR 1.35; 95% CI 1.05, 1.75) and residing in the metropolis region (aOR 1.95; 95% CI 1.65, 2.32) were associated with timely initiation of breastfeeding. In a similar period, informally employed mothers (aOR 1.37; 95% CI 1.15, 1.63) and those with six or more family size (aOR 1.46; 95% CI 1.10, 1.93) were more likely to exclusively breastfeed their babies.ConclusionEarly initiation of breastfeeding improved in Ethiopia during the MDG era but it is still below the national target; progress in EBF remained slow. To improve breastfeeding outcomes and meet the global breastfeeding targets in Ethiopia, infant feeding efforts should focus on improving key modifiable factors, including place and mode of birthing and socioeconomic status of mothers.

【 授权许可】

CC BY