Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
BMJ Open. 2022 Oct 27;12(10):e062905. doi: 10.1136/bmjopen-2022-062905.
This study aims to assess the prevalence of early initiation of breast feeding (EIBF) and associated factors among mothers having children less than 2 years of age in Ethiopia.
Community-based cross-sectional study.
In this analysis, data from 2019 Ethiopia Mini Demographic and Health Survey (EMDHS) was used. The survey included all the nine regional states and two city administrations of Ethiopia.
We extracted data of 2054 mothers who had last-born children and those mothers who ever breast fed or still breast feeding their children during the survey from the 2019 EMDHS datasets.
We performed a two-stage multilevel mixed-effects logistic regression to identify individual and community-level determinants of EIBF. In the final model, variables with a p-value less than 5% and an adjusted OR with a 95% CI were reported as statistically significant variables with EIBF.
The prevalence of EIBF among mothers having children aged 0-23 months was 73.56% (95% CI: 71.65% to 75.47%). Women who delivered at a health facility (adjusted OR (AOR)=1.98; 95% CI: 1.39 to 2.79) and have children with birth order second-fourth (AOR=1.76; 95% CI: 1.24 to 2.49) were more likely to initiate early breast feeding than their counterparts. On the other hand, women who gave birth by caesarean section (AOR=0.21; 95% CI: 0.13 to 0.33), had multiple births (AOR=0.35; 95% CI: 0.13 to 0.92) and had postnatal check-up (AOR=0.62; 95% CI: 0.44 to 0.91) were less likely to practise EIBF as compared with their counterparts. Region of residence of women was also significantly associated with EIBF.
In this study, the overall prevalence of EIBF was good. Place of delivery, mode of delivery, postnatal check-up, type of birth, birth order and region were factors significantly associated with EIBF. Therefore, government and stakeholders need to show commitment to improve access and utilisation of basic maternal health services to increase the practice of EIBF.
本研究旨在评估埃塞俄比亚 2 岁以下儿童母亲中早期开始母乳喂养（EIBF）的流行率及其相关因素。
基于社区的横断面研究。
在这项分析中，使用了 2019 年埃塞俄比亚微型人口与健康调查（EMDHS）的数据。该调查包括埃塞俄比亚的九个地区州和两个城市行政区。
我们从 2019 年 EMDHS 数据集提取了 2054 名最近分娩的母亲和那些在调查期间曾经母乳喂养或仍在母乳喂养孩子的母亲的数据。
我们进行了两阶段多水平混合效应逻辑回归，以确定 EIBF 的个体和社区水平决定因素。在最终模型中，p 值小于 5%且 95%CI 调整后的 OR 有统计学意义的变量被报告为与 EIBF 相关的统计学显著变量。
0-23 个月儿童的母亲中 EIBF 的流行率为 73.56%（95%CI：71.65%-75.47%）。在医疗机构分娩的妇女（调整后的 OR（AOR）=1.98；95%CI：1.39-2.79）和分娩顺位为第二至第四的儿童（AOR=1.76；95%CI：1.24-2.49）比其他妇女更有可能开始早期母乳喂养。另一方面，剖宫产分娩的妇女（AOR=0.21；95%CI：0.13-0.33）、多胎分娩的妇女（AOR=0.35；95%CI：0.13-0.92）和产后检查的妇女（AOR=0.62；95%CI：0.44-0.91）与其他妇女相比，不太可能进行 EIBF。妇女的居住地也与 EIBF 显著相关。
在这项研究中，EIBF 的总体流行率良好。分娩地点、分娩方式、产后检查、分娩类型、分娩顺位和地区是与 EIBF 显著相关的因素。因此，政府和利益相关者需要承诺改善基本产妇保健服务的获取和利用，以提高 EIBF 的实践率。
