Feleke Dejen Getaneh, Kassahun Chanyalew Worku, G/Mariam W/Mariam Tesfamichael, Tassaw Sheganew Fetene, Chanie Ermias Sisay
Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Adult Health Nursing, College of Medicine and Health Sciences University of Gondar, Gondar, Ethiopia.
Heliyon. 2021 Apr 29;7(4):e06922. doi: 10.1016/j.heliyon.2021.e06922. eCollection 2021 Apr.
Non-exclusive breastfeeding is becoming a major cause of infant and child morbidity and mortality in developing countries including Ethiopia.
To assess the prevalence of non-exclusive breastfeeding and its factors in the first 6 months life of infants among mother-infant pairs of 6-12 months in Debre Tabor Town, Northwest Ethiopia, 2019.
A Community based cross-sectional study was conducted among 860 mother-infant pairs of 6-12 months in Debre Tabor Town, from March 1-30/2019. To select study participants cluster sampling technique was employed. Data were entered into EPI info version 7.2.0.1 and exported to SPSS window version 20 for analysis. Binary and multivariable logistic regression was used to see the association between dependent and independent variables. The odds' ratio with a 95% confidence interval was computed.
The prevalence of non-exclusive breastfeeding of mothers to their infants within the first 6 months was found to be 39.8% (95% CI: 36.6-43.0). Mothers whose husbands had no formal education [(Adjusted odds ratio AOR = 6.60 [95%CI: 4.14, 10.41)], primary education (AOR = 4.30 [95% CI: 2.62, 7.20]), Mothers governmental employed (AOR = 8.20 [95% CI: 5.191, 12.940]), daily laborer (AOR = 1.70 [95% CI: 1.01, 2.90]), merchant mothers (AOR = 0.44 [95% CI: 0.35, 0.90]), and Mothers who had no post-natal care follow up for current baby in health service (AOR = 2.40 [95% CI: 1.56, 3.76]) were significantly associated with outcome.
and Recommendations: High proportion of mothers practiced Early Initiation of Complementary feeding within the first 6 months. Husbands had no formal education, primary education maternal governmental employed, daily laborer, merchant, and mothers who had no post-natal follow up where were found to be a predictors variable. Hence,; it is better to increase annual leave for delivered mothers, improve awareness of husbands towards benefits of introducing complementary feeding timely, and advise mothers to improve post-natal period follow up.
在包括埃塞俄比亚在内的发展中国家，非纯母乳喂养正成为婴幼儿发病和死亡的主要原因。
评估2019年埃塞俄比亚西北部德布雷塔博尔镇6至12个月母婴对中婴儿出生后头6个月内非纯母乳喂养的患病率及其影响因素。
2019年3月1日至30日，在德布雷塔博尔镇对860对6至12个月的母婴对开展了一项基于社区的横断面研究。采用整群抽样技术选取研究参与者。数据录入EPI info 7.2.0.1版本，并导出到SPSS 20窗口版本进行分析。采用二元和多变量逻辑回归分析观察因变量和自变量之间的关联。计算比值比及95%置信区间。
发现母亲在婴儿出生后头6个月内进行非纯母乳喂养的患病率为39.8%（95%CI：36.6 - 43.0）。丈夫未接受正规教育的母亲[调整后比值比AOR = 6.60（95%CI：4.14，10.41）]、接受小学教育的母亲（AOR = 4.30（95%CI：2.62，7.20））、受雇于政府部门的母亲（AOR = 8.20（95%CI：5.191，12.940））、日工母亲（AOR = 1.70（95%CI：1.01，2.90））、商人母亲（AOR = 0.44（95%CI：0.35，0.90））以及在卫生服务机构中未对当前婴儿进行产后随访的母亲（AOR = 2.40（95%CI：1.56，3.76））与该结果显著相关。
很大比例的母亲在头6个月内过早开始添加辅食。丈夫未接受正规教育、小学教育程度的母亲、受雇于政府部门、日工、商人以及未进行产后随访的母亲被发现是预测变量。因此，最好增加产妇的年假，提高丈夫对及时引入辅食益处的认识，并建议母亲改善产后随访。
