Exclusive Breast Feeding Practices and Associated Factors among HIV Positive Women in Public Health Facilities of Adama Town, Ethiopia

No Thumbnail Available



Journal Title

Journal ISSN

Volume Title


Addis Ababa University


Background: Despite the benefit and promotion of exclusive breast feeding, the rate of excusive breast feeding is still low in Ethiopia. Thus, this study will assess factors that lead to nonadherence to exclusive breast feeding among HIV positive mothers. Objective: the main objective of this study was to assess the prevalence of exclusive breast feeding and factors that influence its practices among HIV positive mothers of infants aged 6-24 months old who are on chronic HIV care in selected health facilities of Adama town. Method: Institution based cross-sectional study was conducted among 193 HIV positive women with infant aged 6-24months in three health facilities (Adama hospital, Geda and Adama health centers) of Adama town in Ethiopia. Data was collected using structured and pre-tested questionnaires. Four data collectors and three supervisors were trained and involved in data collection process. Data were entered and analyzed using SPSS version 20 statistical software package. Univariate analyses were done to determine various proportions and bivariate analysis was conducted to measure the existence and the strength of an association between the dependent and the independent variables. Level of significance was set at a p value of ≤ 0.05. Variables that had less than 0.05 level of significance were further analyzed in multiple logistic regression models to control the potential confounding variables. Results: In this study the prevalence of exclusive breast feeding, exclusive replacement feeding and mixed feeding and factors associated with exclusive breast feeding was determined. The result showed that exclusive breastfeeding, exclusive replacement feeding, and mixed feeding were 84.7%, 3.2 %, and 6.3 %, respectively. Exclusive breast feeding was more practiced by mothers who had adequate knowledge on exclusive breast feeding (Adjusted OR = 6.84(2.54, 18.44)), mothers who disclosed their HIV status to their husbands/spouses (Adjusted OR= 3.80(1.28, 11.28)), and mothers who attained below primary level of education (Adjusted OR = 3.89(1.41, 10.70)). Conclusion and Recommendation: Despite more than three-quarters mothers who adhere to exclusive breastfeeding, the rate is still not satisfactory. More extensive and comprehensive approach of infant feeding counseling should be put in place in order to increase exclusive breastfeeding by HIV positive mothers. Moreover, both partners should be counseled properly on the issue to get the support from their male partners. Keywords: Exclusive breast feeding, replacement feeding, mixed feeding, HIV positive women



Exclusive breast feeding, Replacement feeding, Mixed feeding, HIV positive women