Timely Initiation of Breastfeeding and its Determinant Factors Among Mothers who Have Less than 12 Months of Age Children in Tiyo Woreda, Arsi Zone, Oromia Regional State, Ethiopia
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Date
2014-10
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Addis Ababa University
Abstract
Background: Timely initiation of breastfeeding is a recommended practice by the World
Health Organization which says” initiate breastfeeding within one hour of delivery,
though it is not a usual practice in Ethiopia. Untimely initiation of breastfeeding has
negative effect on child health, survival, growth and development. Furthermore, timely
initiation of breastfeeding has many advantages for the mother and the child.
Objective: To assess timely initiation of breastfeeding and its determinant factors
among mothers who have child less than 12 months of age in Tiyo woreda, Arsi Zone,
Oromia region Ethiopia.
Methodology: A community based cross sectional study design was employed. Data
was collected using interviewer administered pre-tested and structured questionnaire. A
total of 386 respondents participated in the study. The data were cleaned, coded and
entered into Epi-Data version 3.1 and then exported SPSS version 21windows for
analyses. Logistic regression analysis was used to identify determinants of timely
initiation of breast feeding and P value <0.05 was considered as statistically significant.
Results: A total of 386 mothers were interviewed, with a response rate of 96.6%. The
prevalence of timely initiation of breastfeeding of in the current study is 67.3%. Mothers
with formal education were more likely to initiate breastfeeding timely (AOR=4.509, CI:
1.084, 18.762). Mothers who gave birth at home were less likely to start breastfeeding
timely than mothers who delivered at health institution with (AOR= 0.131, 95% CI:
0.049, 0.352). Advice about timely initiation of breast feeding provided to mothers
immediately after delivery was independently associated with timely initiation of
breastfeeding(AOR=3.710,95%CI:1.451,9.481).
Conclusions and Recommendations: The prevalence of timely initiation of breast
feeding is below the target of millennium development goal IV. Formal education
attended mother, mother with hospital admission immediately after delivery, place of
delivery and advice for mothers on timely initiation of breastfeeding immediately after
delivery were the independent predictors of timely imitation of breastfeeding. The
woreda administration should give emphasis on increasing the formal education
enrolment by women. More effort is expected from health extension workers and woreda
health office to address the determinant of timely initiation of breastfeeding
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Keywords
Breastfeeding, Timely Initiation