Pre-Lacteal Feeding Practice and Its Determinants Among Mothers of Children Aged Less Than 24 Months Old In Soddo Zuria District, Wolaita Zone, Southern Ethiopia, 2017
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Date
2017-06
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Addis Ababa University
Abstract
Back ground: Although Pre-lacteal feeding is a barrier for implementation of optimal
breastfeeding practices and increases the risk of neonatal illness and mortality, still it is continued as
a deep-rooted nutritional malpractice in developing countries. Introducing pre-lacteal feeding and
inadequate amount of breast milk contributes to over a million avoidable infant deaths each year in
developing countries.
Objectives: The studyaimed to assess the pre-lacteal feeding practice and its determinants among
mothers of children less than 24 months of age in Sodozuria district, Wolaita zone, SNNRG,
Ethiopia, 2017.
Methods: Community-based cross-sectional study design both quantitative and qualitative was
employed.For quantitative data five hundred five (505) mothers of children aged less than 24 months
were selected by multistage randomized sampling technique and the data was collected by using
interview based structured questionnaire. Descriptive statistics, binary and multivariable logistic
regression analysis were employed to identify the magnitude and factors associated with pre-lacteal
feeding practices. Variables with a p-value < 0.05 were identified as statistically significant factors.
Qualitative data was collected by focus group discussion and analyzed using thematic frameworks.
Results: The prevalence of pre-lacteal feeding practice was 20.6%. The common type of pre-lacteal
feedinggiven was plain water; 38(7.7%) and the major reason wasinsufficient breast milk
32(6.5%).Mothers who live with extended family type were 6.239(1.073, 36.275)times more likely
to give pre-lacteal feeding as compared to those mothers who live with nuclear family type. Mothers
who didn’t get breast feeding counseling were 4.069(1.338,12.377) times more likely give to pre-
lacteal feeding as compared to those mothers who got breast feeding counseling.Mothers who
avoided colostrums 10.358(3.670, 29.233)times more likely to provide pre-lacteal feeding as
compared to those mothers who fed colostrums their infants. In qualitative part, most of the
participants believed that giving Pre-lacteal feeding is culturally inherited and reluctant to accept
information from health professionals.
Conclusion & Recommendation: Pre-lacteal feeding was more prevalent among mothers who live
with extended family type,mothers who avoidcolostrums and mothers who didn’t get breast feeding
counseling. Therefore, strengthening breast feeding counseling about the risks associated with pre-lacteal
feeding and integrated. Promotion of intensive nutrition education program by giving special emphasis
toextended family mothers and should be implemented in the community.
Key words:pre-lacteal feeding, Determinants, Children less than 24 months of age
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Keywords
Pre-lacteal feeding, Determinants, Children less than 24 months of age