Menelik II Medical and Health Science College, City Administration of Addis Ababa Health Bureau, Addis Ababa, Ethiopia.
City Administration of Addis Ababa Health Bureau, Addis Ababa, Ethiopia.
J Health Popul Nutr. 2024 Feb 20;43(1):28. doi: 10.1186/s41043-024-00496-5.
In the era of HIV infection, exclusive breast-feeding highly recommended for infants aged less than 6 months. Avoidance of exclusive breast-feeding by HIV-infected mothers recommended when replacement feeding is acceptable, feasible, affordable, sustainable and safe. The prevalence of exclusive breast-feeding has remained very low worldwide. Despite this fact, there is limited information on infant feeding practices of HIV-positive mothers and factors that affect the practice in the current study area.
This study assessed the magnitude of infant feeding practice and associated factors among HIV-positive mothers of infants aged 0-6 months at public health facilities in Addis Ababa, Ethiopia.
A multicenter facility-based cross-sectional study design was employed among a total of 397 study participants. The study participants were selected using a simple random sampling technique. The completeness of the data was checked, coded, cleaned and entered into Epi-data version 4.6 software, and exported to SPSS version 24 for analysis. Descriptive statistics and Binary logistic regression model were employed for the analysis with adjusted odds ratio (AOR) with a 95% CI and a P value ≤ 0.05 to determine the strength of association between infant feeding practice and its independent factors.
The overall magnitude of appropriate infant feeding practice among HIV-positive mothers was 82.6% (95% CI 80.9-88.2). Good knowledge of mother's toward infant feeding (AOR: 1.26, 95%, CI 1.11-3.34), better household monthly income, ≥ 6001 Ethiopian birr (AOR: 1.62, 95% CI 1.33-5.14) and favorable attitude of mother's toward infant feeding (AOR: 1.71, 95% CI 1.01-2.92) were statistically significant associated factors with the recommended way of infant feeding practice.
Hence, the current study area is the capital city of the Ethiopia, where a relatively educated population lived in, there was an opportunity for better income, and appropriate infant feeding practice among HIV-positive mothers was found slightly higher than even the overall national target (70%) that was planned by 2020. Therefore, different stakeholders should develop strategic plan to excel females' education coverage and thereby their knowledge and attitude toward infant feeding to fully eradicate mother-to-child transmission of diseases.
在 HIV 感染时代，建议年龄小于 6 个月的婴儿完全母乳喂养。当替代喂养可接受、可行、负担得起、可持续且安全时，建议感染 HIV 的母亲避免进行纯母乳喂养。全球范围内，纯母乳喂养的比例仍然非常低。尽管如此，在当前研究地区，关于 HIV 阳性母亲的婴儿喂养实践及其影响因素的信息有限。
本研究评估了在埃塞俄比亚亚的斯亚贝巴的公共卫生机构中，0-6 个月龄 HIV 阳性婴儿的母亲的婴儿喂养实践及其相关因素。
采用多中心基于设施的横断面研究设计，共纳入 397 名研究参与者。使用简单随机抽样技术选择研究参与者。检查数据的完整性，对数据进行编码、清理并输入 Epi-data 版本 4.6 软件，然后导出到 SPSS 版本 24 进行分析。采用描述性统计和二元逻辑回归模型进行分析，采用调整后的优势比（AOR）和 95%置信区间（CI）和 P 值≤0.05 来确定婴儿喂养实践及其独立因素之间的关联强度。
HIV 阳性母亲中适当婴儿喂养实践的总体比例为 82.6%（95%CI 80.9-88.2）。母亲对婴儿喂养的良好知识（AOR：1.26，95%CI 1.11-3.34）、较高的家庭月收入（≥6001 埃塞俄比亚比尔）（AOR：1.62，95%CI 1.33-5.14）和母亲对婴儿喂养的有利态度（AOR：1.71，95%CI 1.01-2.92）是与推荐的婴儿喂养方式显著相关的因素。
因此，当前研究地区是埃塞俄比亚的首都，那里居住着相对受过教育的人群，有机会获得更好的收入，HIV 阳性母亲的适当婴儿喂养实践比例略高于全国计划的 2020 年的总体目标（70%）。因此，不同利益攸关方应制定战略计划，以提高女性教育的覆盖面，从而提高她们对婴儿喂养的知识和态度，以彻底消除母婴传播疾病。
