College of Health Sciences, Department of Nursing, Madawalabu University, Bale Goba, Ethiopia.
BMC Public Health. 2011 Apr 8;11:217. doi: 10.1186/1471-2458-11-217.
Although breastfeeding is universal in Ethiopia, ranges of regional differences in timely initiation of breastfeeding have been documented. Initiation of breastfeeding is highly bound to cultural factors that may either enhance or inhibit the optimal practices. The government of Ethiopia developed National Infant and Young Child Feeding Guideline in 2004 and behavior change communications on breast feeding have been going on since then. However, there is a little information on the practice of timely initiation of breast feeding and factors that predict these practices after the implementation of the national guideline. The objective of this study is to determine the prevalence and determinant factors of timely initiation of breastfeeding among mothers in Bale Goba District, South East Ethiopia.
A community based cross sectional study was carried out from February to March 2010 using both quantitative and qualitative methods of data collection. A total of 608 mother infant pairs were selected using simple random sampling method and key informants for the in-depth interview were selected conveniently. Descriptive statistics, bivariate analysis and multivariable logistic regression analyses were employed to identify factors associated with timely initiation of breast feeding.
The prevalence of timely initiation of breastfeeding was 52.4%. Bivariate analysis showed that attendance of formal education, being urban resident, institutional delivery and postnatal counseling on breast feeding were significantly associated with timely initiation of breastfeeding (P < 0.05). After adjust sting for other factors on the multivariable logistic model, being in the urban area [AOR: 4.1 (95%C.I: 2.31-7.30)] and getting postnatal counseling [AOR: 2.7(1.86-3.94)] were independent predictors of timely initiation of breastfeeding.
The practice of timely initiation of breast feeding is low as nearly half the mothers did not start breastfeeding with one hour after delivery. The results suggest that breast feeding behavior change communication especially during the post natal period is critical in promoting optimal practice in the initiation of breast feeding. Rural mothers need special attention as they are distant from various information sources.
尽管母乳喂养在埃塞俄比亚是普遍的，但已经记录到母乳喂养及时开始的地区差异范围。母乳喂养的开始高度依赖于文化因素，这些因素可能促进或抑制最佳实践。埃塞俄比亚政府于 2004 年制定了《国家婴幼儿喂养指南》，此后一直在进行母乳喂养行为改变的传播。然而，在国家指南实施后，关于及时开始母乳喂养的实践及其预测因素的信息很少。本研究的目的是确定巴莱戈巴地区母亲及时开始母乳喂养的流行率和决定因素。
2010 年 2 月至 3 月，采用定量和定性数据收集方法进行了一项基于社区的横断面研究。使用简单随机抽样法选择了 608 对母婴对，并方便选择了深入访谈的关键信息提供者。采用描述性统计、双变量分析和多变量逻辑回归分析来确定与及时开始母乳喂养相关的因素。
及时开始母乳喂养的流行率为 52.4%。 双变量分析表明，参加正规教育、城市居民、机构分娩和产后母乳喂养咨询与及时开始母乳喂养显著相关（P<0.05）。在多变量逻辑模型中调整其他因素后，居住在城市地区[OR：4.1（95%CI：2.31-7.30）]和获得产后咨询[OR：2.7（1.86-3.94）]是及时开始母乳喂养的独立预测因素。
及时开始母乳喂养的做法很低，因为近一半的母亲在分娩后一小时内没有开始母乳喂养。结果表明，母乳喂养行为改变的传播，特别是在产后期间，对于促进母乳喂养的最佳实践至关重要。农村母亲需要特别关注，因为她们远离各种信息来源。
