Community Health Department, Institute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), P. O. Box 2240, Moshi, Tanzania.
Department of Epidemiology and Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), P. O. Box 2240, Moshi, Tanzania.
BMC Pregnancy Childbirth. 2020 Sep 1;20(1):505. doi: 10.1186/s12884-020-03209-y.
The World Health Organization (WHO) recommends early initiation of breastfeeding within 1 h as it confers many benefits to the child and prevents neonatal mortality. This study aimed to determine the prevalence and factors associated with timely initiation of breastfeeding in the Kilimanjaro region, northern Tanzania.
We analyzed secondary data for 866 participants from a population-based cross-sectional study conducted in April 2016 among mothers with children aged less than 5 years in three districts; Rombo, Same, and Moshi Municipal council in Kilimanjaro region, northern Tanzania. A multistage sampling selected study participants and interviewed using a questionnaire. The generalized linear model, with Poisson family and log-link function was used to estimate the prevalence ratios (PR) and 95% confidence intervals (CI) for factors associated with timely initiation of breastfeeding.
The prevalence of timely initiation of breastfeeding was 71.1%. The vast majority of mothers (90.7%) gave colostrum, and less than a tenth (6.4%) gave pre-lacteal feed to their children. Adjusted for other factors, not giving children prelacteal feeds remained was significantly associated with a higher prevalence of timely initiation of breastfeeding (PR: 2.22, 95%CI 1.38, 3.56, p = 0.001). There was no significant association between other characteristics and the likelihood of timely initiation of breastfeeding in this study.
The prevalence of timely initiation of breastfeeding in the Kilimanjaro region was higher than the national estimate. The practice of not giving infants prelacteal feeds increased the likelihood of timely initiation of breastfeeding. There is a need to encourage mothers on the significance of recommended ANC visits and early initiation of breastfeeding to their infants to improve the practice.
世界卫生组织（WHO）建议在 1 小时内尽早开始母乳喂养，因为这对孩子有很多好处，并可预防新生儿死亡。本研究旨在确定坦桑尼亚北部乞力马扎罗地区及时开始母乳喂养的流行率及其相关因素。
我们分析了 2016 年 4 月在坦桑尼亚北部乞力马扎罗地区三个区（隆布、萨马和莫希市议会）进行的一项基于人群的横断面研究中的 866 名参与者的二级数据。采用多阶段抽样选择研究参与者，并使用问卷进行访谈。使用广义线性模型，泊松家族和对数链接函数来估计与及时开始母乳喂养相关的因素的流行率比（PR）和 95％置信区间（CI）。
及时开始母乳喂养的流行率为 71.1％。绝大多数母亲（90.7％）给了初乳，不到十分之一（6.4％）给孩子喂了开奶前的食物。在调整其他因素后，不给孩子喂开奶前的食物与及时开始母乳喂养的更高流行率显著相关（PR：2.22，95％CI 1.38，3.56，p = 0.001）。在这项研究中，其他特征与及时开始母乳喂养的可能性之间没有显著关联。
乞力马扎罗地区及时开始母乳喂养的流行率高于全国估计。不给婴儿喂开奶前的食物的做法增加了及时开始母乳喂养的可能性。需要鼓励母亲重视 ANC 访视和及时给婴儿开始母乳喂养，以改善这种做法。
