Infant Feeding Practice and Associated Factors Among Hiv Positive Mothers Attending Art Service in Governmental Health Institutions Of Bahir Dar Town, 2017

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Date

2017-06

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Addis Ababa University

Abstract

Background: Infant feeding practice is the important modifiable factor influencing the health of children born from HIV-positive mothers. While breastfeeding carries significant health benefits to infants and young children, HIV can be transmitted during breastfeeding from an HIV- infected mother to her infant. Breastfeeding may thus be responsible for 1/3 -1/2 of HIV infections in infants in African settings. Objective: The aim of this study was to assess infant feeding practice and associated factor among HIV positive mothers attending ART service in governmental health institutions of Bahir dar city. Methods: Institution based cross- sectional study was conducted in 4 health institutions which provides ART service in Bahir dar town from October to June, 2017. A total of 230 mother- infant pairs attending ART clinics were selected by systematic random sampling. The data were coded, entered and stored in to the computer using Epi Data version 3.1, then cleaned and analyzed by SPSS software version 20. Bivariate and multivariate models were run to assess any relationship between independent variable and outcome variable. Result: The majority 173(75.2%) practiced exclusive breast feeding up to six months of age. 13.9% and 10.9% of mothers practiced exclusive replacement feeding and mixed feeding, respectively. In multivariable logistic regressions, mothers counseled about the recommended infant feeding options during delivery (AOR (95%CI):3.699(1.00-13.41), ever given any food or fluid before first breast milk (AOR (95%CI):0.015(0.001-0.188) and knowledge on PMTCT and the recommended infant feeding options (AOR (95%CI):0.189(0.042-0.855) were significantly associated with infant feeding practice. Conclusion and Recommendation: The study revealed that majority mothers experienced exclusive breast feeding (75.2%). Mothers ever given any food/fluid before first breast milk, counseled the recommended feeding options during delivery and knowledge on PMTCT and the recommended infant feeding options were independent predictors of infant feeding practice. Adequate information should be provided to HIV positive mothers to select the best feeding options for their child. Key words: infant feeding practice, HIV positive mothers, and Bahirdar.

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Keywords

Infant feeding practice, HIV positive mothers

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