Determinants of pre-lacteal feeding practices in urban and rural Nigeria; a population-based cross-sectional study using the 2013 Nigeria demographic and health survey data.

Anselm Shekwagu Berde,Sarp Uner,Ozge Karadag Caman,Siddika Songul Yalcin,Hilal Ozcebe

doi:10.4314/ahs.v17i3.11

Anselm Shekwagu Berde, Sarp Uner + Show 3 more

Open Access

https://doi.org/10.4314/ahs.v17i3.11

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Abstract

Prelacteal feeding (PLF) is a barrier to exclusive breast feeding. To determine factors associated with PLF in rural and urban Nigeria. We utilized data from the 2013 Nigerian Demographic and Health Survey. Bivariate and multivariate analyses were used to test for association between PLF and related factors. Prevalence of PLF in urban Nigeria was 49.8%, while in rural Nigeria it was 66.4%. Sugar or glucose water was given more in urban Nigeria (9.7% vs 2.9%), plain water was given more in rural Nigeria (59.9% vs 40.8%). The multivariate analysis revealed that urban and rural Nigeria shared similarities with respect to factors like mother's education, place of delivery, and size of child at birth being significant predictors of PLF. Mode of delivery and type of birth were significant predictors of PLF only in urban Nigeria, whereas, mother's age at birth was a significant predictor of PLF only in rural Nigeria. Zones also showed variations in the odds of PLF according to place of residence. Interventions aimed at decreasing PLF rate should be through a tailored approach, and should target at risk sub-groups based on place of residence.

Highlights

Prelacteal feeding (PLF) is a barrier to exclusive breast feeding
Sugar or glucose water was given more in urban Nigeria (9.7% vs 2.9%), plain water was given more in rural Nigeria (59.9% vs 40.8% )
Interventions aimed at decreasing PLF rate should be through a tailored approach, and should target at risk sub -groups based on place of residence

Summary

Introduction

Prelacteal feeding (PLF) is a barrier to exclusive breast feeding. Objective: To determine factors associated with PLF in rural and urban Nigeria. Determinants of pre-lacteal feeding practices in urban and rural Nigeria; a population-based cross-sectional study using the 2013 Nigeria demographic and health survey data. Exclusive breast feeding (EBF) from birth through six months of age has long-term health and emotional benefits for both mother and child and is associated with lower infant morbidity and mortality as well as better growth[1]. Nigeria’s neonatal mortality rate stands at 37 deaths per 1,000 live births while the infant mortality rate stands at 69 deaths per 1,000 live births[10] Despite these rates, studies have observed that the core indicators of optimal breast feeding in Nigeria are still low with only about 34.7 % of children initiating breastfeeding early and 17.4 % of infants under-five months of age being exclusively breast fed[1,12]

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