Abstract

BackgroundEarly initiation of breastfeeding has been well-recognized in reducing neonatal mortality; however, it remains sub-optimal in Ethiopia. This study therefore assessed the prevalence of early initiation of breastfeeding and associated factors among mothers with children aged 6–24 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia, where literature on the issue is markedly scarce.MethodsThis community-based cross-sectional survey was carried out from May to June, 2015, at Dabat HDSS site, Dabat District. Eight hundred twenty-two mother–child pairs were included in the study. A multivariable logistic regression model was employed to identify factors associated with early initiation of breastfeeding.ResultsThis study demonstrated that the prevalence of early initiation of breastfeeding was 53.3%. Institutional delivery (AOR = 4.9; 95% CI 3.2, 7.4), higher Infant and Young Child Feeding (IYCF) knowledge (AOR = 2.3; 95% CI 1.6, 3.3), higher wealth status (AOR = 4.1, 95% CI 2.8, 6.0) and low fathers’ education (AOR = 0.3, 95% CI 0.2, 0.6) were significantly associated with early initiation of breastfeeding in the multivariate analysis.ConclusionIn summary, the coverage of early initiation of breastfeeding in Dabat HDSS site was low, considerably below the national target. Therefore, efforts should be intensified to step-up early initiation of breastfeeding by focusing on the identified determinants.

Highlights

  • Initiation of breastfeeding has been well-recognized in reducing neonatal mortality; it remains sub-optimal in Ethiopia

  • This study demonstrated that the prevalence of Early Initiation of Breastfeeding (EIBF) was 53.3% [95% confidence interval (CI): 49.8, 56.7]

  • The result of multivariate logistic regression analysis illustrated that place of delivery, mother’s Infant and Young Child Feeding (IYCF) knowledge, household wealth status, and father’s educational status were significantly and independently associated with EIBF

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Summary

Introduction

Initiation of breastfeeding has been well-recognized in reducing neonatal mortality; it remains sub-optimal in Ethiopia. This study assessed the prevalence of early initiation of breastfeeding and associated factors among mothers with children aged 6–24 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia, where literature on the issue is markedly scarce. In spite of Likewise, the prevalence of EIBF is found low in Ethiopia; nationally 52% of the mothers practice EIBF [7]. Some of the district level studies illustrate low prevalence of EIBF as it was shown in Jimma Arijo (62.6%) [18], Goba (52.4%) [19], Debre Markos (51.8%) [20] and Arbaminch (42.8%) [21]. Majority of mothers initiated breastfeeding early in Nekemte District (88.5%) [22] and East Wollega Zone (83.3%) [23]

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