Research Article: Exclusive breastfeeding and associated factors among HIV positive mothers in Northern Ethiopia

Date Published: January 16, 2019

Publisher: Public Library of Science

Author(s): Negeso Gebeyehu Gejo, Haftom Gebrehiwot Weldearegay, Kidisti Tesfay W/tinsaie, Dejene Ermias Mekango, Ermias Sahile Woldemichael, Alula Seyum Buda, Leta Hinkosa Dinsa, Mussie Alemayehu, Gelila Goba, Katia Cristina Bassichetto.

http://doi.org/10.1371/journal.pone.0210782

Abstract

It is estimated that sub-optimal feeding, especially non-exclusive breastfeeding in the first 6months of life, results in 1.4million deaths and 10% of disease burden in children younger than five years. Worldwide, it is estimated that only 34.8% of infants are exclusively breastfed for the first 6months of life, the majority receiving some other food or fluid in the early months. Besides, the Ethiopian demographic and health survey (2016) stated that the median duration of exclusive breastfeeding in Tigray region was 3.8 months which is shorter than the recommended duration. The main purpose of this study was to determine the magnitude of exclusive breastfeeding practice and associated factors among HIV positive mothers in public hospitals of Tigray region, Northern Ethiopia.

A facility based cross-sectional study was conducted from July 9 to October 11, 2016, in public hospitals of Tigray region. Data was collected by using structured questionnaire using face-to-face interview among 304 eligible women through a systematic sampling technique. Data was analyzed using SPSS version 20.0. Binary and multiple variable logistic regressions (“odds ratio”) analyses were calculated with 95% CI and p value ≤ 0.05 as significance were used.

Two hundred seventy (88.8%) of mothers practiced exclusive breastfeeding for the first six months of life. Infant feeding counseling during antenatal care of last pregnancy [AOR = 6.9, 95% CI; 2.63, 17.99], knowledge on exclusive breastfeeding (AOR = 5.5, 95% CI; (2.12, 14.02] and attitude towards exclusive breastfeeding [AOR = 7.9; 95% CI; 2.96, 21.21] had significant association with exclusive breastfeeding practice.

A high proportion of mothers practiced exclusive breastfeeding for the first six months of life. Infant feeding counseling, knowledge and attitude towards exclusive breastfeeding practice were the predictors of exclusive breastfeeding among HIV positive mothers. Strengthening infant feeding counseling during antenatal care and improving mothers’ knowledge and attitude on exclusive breastfeeding is essential.

Partial Text

Exclusive breastfeeding (EBF) is defined as feeding the infant only breast milk, and no additional liquids or solids, not even water, apart from drops or syrups consisting of vitamins, minerals supplements or medicines[1]. Exclusive breastfeeding in the first 6 months of life boost babies’ immune system and protects them from diarrhea and acute respiratory infections which are leading causes of infant mortality in the developing world[2].

A facility based cross-sectional study design was conducted from July 9 to October 11, 2016 in four randomly selected public hospitals of Tigray region. Tigray regional state is located at the northern part of Ethiopia. It has an estimated area of 54,569.25 square kilometers. The region is divided into 7 zones and 46 districts; out of which 34 are rural and 12 are urban. Mekelle is the capital city of the region.

This study assessed magnitude of exclusive breastfeeding and its associated factors among HIV positive women visiting public hospitals of Tigray region. The study design and sampling technique employed in the present study was scientific. Furthermore, the validity and reliability of the instrument was checked intensively and appropriate statistical analysis methods were used. Therefore, the information obtained from the present study is reliable.

This study revealed that high proportion of mothers practiced exclusive breastfeeding for the first six months of life.

 

Source:

http://doi.org/10.1371/journal.pone.0210782

 

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