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Determinants of early initiation of breastfeeding in Nigeria: a population-based study using the 2016 demograhic and health survey data


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John, JR, Mistry, SK, Kebede, G, Manohar, N and Arora, A 2019 , 'Determinants of early initiation of breastfeeding in Nigeria: a population-based study using the 2016 demograhic and health survey data' , Bmc Pregnancy, Childbirth and Neonatal Care, vol. 19 , pp. 1-10 , doi: 10.1186/s12884-019-2211-0.

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Background: Timely breastfeeding initiation is a simple but important measure that has protective effects oninfants and mothers. This study aims to determine the predictors of early breastfeeding initiation among mothersresiding in Ethiopia.Methods: This study employed the 2016 Ethiopian Demographic and Health Survey data. A total of 5546 childrenborn during the last 24 months at the time of survey were included for analysis from nine regional states and twocity administration areas. Socio-demographic and socio-economic factors including individual, household andcommunity-level factors were examined of their significance against the outcome variable of early initiation ofbreastfeeding using a mixed-effect logistic regression model.Results:The proportion of infants who had timely initiation of breastfeeding was 74.3% (n = 3064). In themultivariate logistic regression analysis, mothers who delivered with assistance of one or more health professionalshad 68% (AOR 1.68; 95% CI: 1.23, 2.29) higher odds of initiating timely breastfeeding. In addition, mothers deliveringby a caesarean section had 86% reduced odds of early breastfeeding initiation (AOR 0.14; 95% CI: 0.09, 0.22) whencompared to mothers who had vaginal delivery. In terms of socio-demographic factors, the odds of earlybreastfeeding initiation were more than two and half times higher particularly for mothers residing particularly inOromiya (AOR 2.58; 95% CI: 1.84, 3.63) and Southern Nations Nationalities and Peoples (SNNP) (AOR 2.75; 95% CI:1.86, 4.05). In addition, timely breastfeeding initiation was also significantly associated with wealth index withwealthier mothers having 43% higher odds compared to mothers of poorest households (AOR 1.43; 95% CI: 1.07,1.92). Other factors such as age, gender and birth order of the infant also had significant associations with earlybreastfeeding initiation.Conclusion: Early breastfeeding initiation in Ethiopia is inextricably associated with various socio-demographic,biomedical, and socio-economic factors. The study findings can potentially inform mothers and the widercommunity on the benefits of timely breastfeeding initiation and policymakers and community leaders to targethealth promotional interventions and resources where needed.

Item Type: Article
Authors/Creators:John, JR and Mistry, SK and Kebede, G and Manohar, N and Arora, A
Keywords: timely initiation, Ethiopia, breastfeeding, mothers, infants
Journal or Publication Title: Bmc Pregnancy, Childbirth and Neonatal Care
Publisher: BioMed Central Ltd.
ISSN: 1471-2393
DOI / ID Number: 10.1186/s12884-019-2211-0
Copyright Information:

Copyright 2019 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

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