Exclusive breast feeding, Baby Friendly Hospital Initiative (BFHI), health care providers, infant, Wolaita, Ethiopia
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Date
2016
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Addis Abeba Universty
Abstract
Introduction: Promotion of exclusive breastfeeding for the first 6 months of life is the
most effective preventive strategy for saving the lives in low-income settings, and
significantly contributes to the reduction of child mortality. Baby friendly hospital
initiative is based on ten steps to successful breastfeeding; however which one of them
are being implemented and associated with exclusive breastfeeding is not clear.
Objective: To assess rate of exclusive breastfeeding; Examine whether the health
facilities implementing 8 out of ten steps and Identify health facility support factors
associated with exclusive breastfeeding.
Method and Materials: Community based cross-sectional study was conducted among
458 randomly selected mother-infant pairs and 45 health care providers in town
administrations of Wolaita Zone; Southern Ethiopia from January to February 2016. Data
were collected from mothers and health care providers using pretested and structured
questionnaires. Bivariate and multivariate logistic regressions were performed to identify
the presence and strength of association. Odds ratio with 95% confidence interval was
estimated to check for statistical significance.
Result: The rate of exclusive breastfeeding was (93.2%) and 22.2% of health care
providers received training. Facilities demonstrated higher compliance to Step 6, 7 and 9.
In multivariate logistic regression; antenatal care visit at government health facility 4.54
(95% CI: 1.77, 11.65), receiving breastfeeding counselling during antenatal care visit
3.05 (95% CI: 1.12, 8.29) and having information on breastfeeding support 3.20 (95% CI:
1.23, 8.33) were statistically significantly association with exclusive breastfeeding.
Conclusion: Exclusive breastfeeding rate is high. However, relatively small proportions
of managers/staffs trained adequately. Facilities are not complied with majority of baby
friendly practices. Attending government health facility for antenatal care visit, receiving
breastfeeding counselling during antenatal care visit and having information on
breastfeeding support are associated with exclusive breastfeeding practice. These suggest
training of managers/staffs, providing support by trained health care providers during
antenatal care visit and information on breastfeeding support.
Key Words: Exclusive breast feeding, Baby Friendly Hospital Initiative (BFHI), health
care providers, infant, Wolaita, Ethiopia
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Exclusive breast feeding, Baby Friendly Hospital Initiative (BFHI), health care providers, infant, Wolaita, Ethiopia