Department of Public Health, Myungsung Medical College, P.O. Box: 14972, Addis Ababa, Ethiopia.
2Department of Public Health, Arba Minch University, P. O. Box: 21, Arba Minch, Ethiopia.
Int Breastfeed J. 2019 Jan 29;14:6. doi: 10.1186/s13006-019-0200-6. eCollection 2019.
In Afar, a pastoralist and remote area of Ethiopia, one in five children suffers from acute malnutrition. Investigation of the prevalence and associated factors of exclusive breastfeeding may provide insight into the current burden and nature of the problem, and offer help on how to direct prevention strategies. The aim of this study was to measure the prevalence and identify associated factors of exclusive breastfeeding (EBF) practice in Afar, Ethiopia.
A community based cross-sectional study was conducted with qualitative inquiry from March to April 2015. Quantitative data were collected from 631 mother-infant pairs residing in Aysaita woreda with a pretested structured questionnaire using the modified expanded program on immunization cluster sampling procedure. Seven clusters were selected using probability proportional to size.The qualitative data were generated through two focus group discussions among purposely selected discussants: one group of eight health professionals and another group of mothers, fathers and traditional birth attendants ( = 10). Bivariate and multivariable analysis was done using binary logistic regression model while thematic framework analysis was employed for the qualitative data.
The prevalence of EBF under six months of age was 340/618 (55%). Infants whose mothers resided in an urban area [Adjusted Odds Ratio (AOR) 5.7; 95% Confidence Interval (CI) 3.5, 9.2), were knowledgeable about breastfeeding (AOR: 2.3; 95% CI 1.6, 3.5) and delivered at health facilities (AOR: 1.7; 95% CI 1.1, 2.7), were more likely to be exclusively breastfed than the referent group. In addition, mothers had a poor understanding of what constitutes exclusive breastfeeding. Traditional beliefs, myths and misconceptions about EBF and lack of support from husband and family were found to be barriers for proper EBF practice.
The prevalence of EBF did not meet the World Health Organization recommendations. Factors related to infrastructure, service delivery, health education packages and traditional beliefs were associated with EBF practice.
在埃塞俄比亚的一个牧民和偏远地区阿法尔，每五个孩子中就有一个患有急性营养不良。调查纯母乳喂养的流行率和相关因素，可以深入了解当前的负担和问题性质，并提供如何指导预防策略的帮助。本研究旨在测量阿法尔埃塞俄比亚纯母乳喂养（EBF）实践的流行率并确定相关因素。
这是一项 2015 年 3 月至 4 月进行的基于社区的横断面研究，采用定性探究。使用改良后的扩大免疫规划聚类抽样程序，从居住在 Aysaita 区的 631 对母婴对中收集了定量数据。使用概率比例大小选择了 7 个聚类。通过两个焦点小组讨论生成了定性数据：一个是由 8 名卫生专业人员组成，另一个是由母亲、父亲和传统助产妇组成（ = 10）。使用二元逻辑回归模型进行了单变量和多变量分析，而主题框架分析则用于定性数据。
6 个月以下婴儿的 EBF 流行率为 340/618（55%）。与居住在城市地区的母亲的婴儿相比，农村地区的母亲（调整后的优势比（AOR）5.7；95%置信区间（CI）3.5, 9.2），接受母乳喂养知识教育的母亲（AOR：2.3；95% CI 1.6, 3.5）和在卫生机构分娩的母亲（AOR：1.7；95% CI 1.1, 2.7），更有可能进行纯母乳喂养。此外，母亲对什么是纯母乳喂养的理解很差。发现传统信仰、关于 EBF 的神话和误解以及缺乏丈夫和家庭的支持是适当 EBF 实践的障碍。
EBF 的流行率不符合世界卫生组织的建议。与基础设施、服务提供、健康教育包和传统信仰相关的因素与 EBF 实践有关。
