Assessment of Knowledge, Attitude and Practice of Post Natal Mothers towards Colostrum Breast Milk in Debre Markos Town Governmental Health Institutions East Gojjam Zone, Amhara Regional State, Ethiopia

Gualu, Tenaw

doi:10.15406/ncoaj.2017.02.00034

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…About two-third of the mothers (64.8%) have good knowledge of colostrum breast milk. In line with the studies conducted in India(34) (85.2%), in Mekelle town (11) (89.7%), and in D/Markos town (21) (76.72%), the knowledge of the participants of current study was low. The signi cant difference might be due to cultural & sociodemographic differences of the study participants; the studies were facility based/town in case of Mekelle and D/Markos and additionally small sample size (195) was allowed to participate for the study conducted in Mekelle.…”

Section: Discussionsupporting

confidence: 78%

“…Structured questionnaire for face to face administration and semi structured guiding questionnaire for quantitative & qualitative data collection were adapted and modi ed from previous similar studies respectively (9,21,(31)(32)(33). For qualitative, in addition to semi-structured questionnaire, smartphone was used.…”

Section: Data Collection Instrument and Methodsmentioning

confidence: 99%

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Knowledge, Attitude, Practices and Associated Factors Towards Colostrum Feeding among Mothers of Infants in Ambo District of West Shewa Zone, Oromiya Region, Ethiopia

Gela

Minase

Teferi

et al. 2020

Preprint

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Background: Colostrum is the first breast milk produced after birth and is important for promotion of health and prevention of infections of the newborn. Though breastfeeding practices are well known but the necessity of colostrum feeding is still poorly understood by mothers.Objective: To assess Knowledge, Attitude, Practices and associated factors towards colostrum feeding among mothers of infants in ambo district of west Shoa zone, Oromia, Ethiopia.Methods: A community-based cross-sectional study was conducted from March to April 2019 among 429 mothers of infants selected by simple random sampling technique. The data were collected using structured questionnaire, focus group discussion & key informant interview by semi structured guiding questionnaire. Descriptive analysis like frequency, percentage, & mean were performed. Binary and multiple logistic regression analysis were employed to identify associated factors. Variables with p-value <0.05 with 95% confidence interval identified statistically significant.Results: Among the respondents, 278 (64.8%) mothers had good knowledge & 250 (58%) had favorable attitude. But colostrum feeding was practiced only by 227(56.5%). Mothers of neonates without any illness/finding at birth (AOR =14.87 [ 95% CI: 5.00-44.27]) & postnatal care within the first 2-3 days (AOR = 3.48 [95% CI: 1.23-9.85]) were positively associated factors; but unwanted pregnancy/birth (AOR = 0.243 [95% CI: .113-.527]), mothers suffering from any health problems during pregnancy/birth (AOR = 0.380 [95% CI: .161-.903]), lack of counseling (AOR = 0.264 [95% CI: .103-.675]), home delivery (AOR = 0.239 [95% CI: .111-.516]), & lack of information on colostrum (AOR = 0.040 [95% CI: .013-.125]) were negatively associated with colostrum feeding practices. Conclusions: Majority of respondents had good knowledge & favorable attitude but with poor practices of colostrum feeding. Good neonatal health at/soon after birth & postnatal care attendance within two to three days were positively associated with colostrum feeding practices. But, unwanted pregnancy/birth, any sickness of mother at birth/during pregnancy, lack of counseling on colostrum feeding, home delivery, & lack of information on colostrum feeding were less likely to feed colostrum.Strengthening family planning service, antenatal care, institutional delivery, postnatal care, information provision for counseling & the revision of DHIS2 for inclusion of colostrum feeding indicators were recommended interventions.

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Section: Discussionsupporting

confidence: 78%

Section: Data Collection Instrument and Methodsmentioning

confidence: 99%

Knowledge, Attitude, Practices and Associated Factors Towards Colostrum Feeding among Mothers of Infants in Ambo District of West Shewa Zone, Oromiya Region, Ethiopia

Gela

Minase

Teferi

et al. 2020

Preprint

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“…However, this study revealed that 76.9% of the mothers discard the colostrum. This finding is higher compared to findings reported from studies in Raya Kobo district (13.5%), Axum (6.3%), Bahir Dar City (23.8%), Debre Markos Town (66.5%), rural India (16.7%), and Bangladesh (54%) [46][47][48][49][50][51]. The possible explanations for this difference could be the differences in socioeconomic status, differences in access and use of health services, and the fact that this study was conducted in remote area that contains pastoral and agropastoral communities.…”

Section: Discussioncontrasting

confidence: 63%

Early initiation of breastfeeding, colostrum avoidance, and their associated factors among mothers with under one year old children in rural pastoralist communities of Afar, Northeast Ethiopia: a cross sectional study

Gebretsadik

Tkuwab

Berhe

et al. 2020

BMC Pregnancy Childbirth

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Background: Early initiation of breastfeeding (EIBF) is defined as initiation of breastfeeding within 1 h of birth. This is also the time colostrum is secreted with its potential benefits. Globally, two out of five under 5 children die in the first month of life, more than a third of which being on the first day. Neonatal mortality is still a major health problem in Ethiopia. EIBF and colostrum feeding are associated with decreased neonatal morbidity and mortality. With this study, we aim to determine the magnitude and factors associated with EIBF and colostrum avoidance. Methods: A community based cross-sectional study was conducted from May to June 2016 on 390 mothers in Afar region. Bivariate logistic regression was used to identify the association between the independent and the outcome variables. Multivariable logistic regression was used to determine the independent predictors of EIBF and colostrum avoidance. The strength of the association was measured by odds ratio and 95% confidence interval, and p-value < 0.05 was considered statistically significant. Hosmer and Lemeshow test was used to test model goodness of fitness and multi-collinearity between independent variables was checked. Results: About 248(63.6%) respondents initiated breastfeeding within 1 h of birth. Mothers whose delivery was attended by a health professional had 4.75 times higher odds (AOR 4.75; 95% CI 1.71, 13.19) of EIBF as compared to those who were attended by others. Trust on nurses to provide pregnancy care (AOR 5.59; 95% CI 1.05, 29.8) was significantly associated with EIBF. About 300(76.9%) respondents discarded colostrum. Mothers who had no discussion with TBA on child nutrition were 6.6 times (AOR 6.63; 95% CI 1.43, 30.63) more likely to avoid colostrum than their counterparts.

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“…Different studies performed in different rural part of Ethiopia found that the prevalence of colostrum avoidance were 20⋅9 ( 17 ) and 6⋅3 % ( 14 ) in Debre Markos and Aksum, respectively. Some societies considered colostrum as heavy, profuse, unclean, contaminated and risky for the health of infants.…”

Section: Introductionmentioning

confidence: 95%

Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

2021

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Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality. These mothers believe that colostrum must discard to alleviate this effect. However, the cause of this misconception about colostrum was not well researched, particularly in this study area. The main aim of the present study was to assess colostrum avoidance and associated factors among mothers having children aged 6–59 months in North Wollo Zone, Northeastern Ethiopia. An institution-based cross-sectional study design was used. Descriptive statistics, binary and multivariable logistic regression analyses were used for the statistical analysis. The prevalence of colostrum avoidance was 19 % (95 % CI 15⋅03, 22⋅89 %) among mother–child pair aged 6–59 months. In multivariable logistic regression analysis, the most important predictors were breast-feeding initiation Adjusted Odds Ratio (AOR) 6⋅369; 95 %, Confidence Interval (CI) (3⋅067, 13⋅224), pre-lacteal feeding AOR 3⋅464; 95 % CI (1⋅721, 6⋅973), shared household decision about child feeding AOR 3⋅585; 95 % CI (1⋅563, 7⋅226), Index child sex AOR 2⋅103; 95 % CI (1⋅015, 4⋅358) and health facility delivery AOR 3⋅033; 95 % CI (1⋅293, 7⋅117). The colostrum avoidance in the present study was 19 %. The study recommends the promotion of institutional delivery, timely initiation of breast-feeding, the shared household decisions about child feeding, avoiding sex preferences and stopping pre-lacteal feeding were critically important.

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Assessment of Knowledge, Attitude and Practice of Post Natal Mothers towards Colostrum Breast Milk in Debre Markos Town Governmental Health Institutions East Gojjam Zone, Amhara Regional State, Ethiopia

Cited by 7 publications

References 5 publications

Knowledge, Attitude, Practices and Associated Factors Towards Colostrum Feeding among Mothers of Infants in Ambo District of West Shewa Zone, Oromiya Region, Ethiopia

Knowledge, Attitude, Practices and Associated Factors Towards Colostrum Feeding among Mothers of Infants in Ambo District of West Shewa Zone, Oromiya Region, Ethiopia

Early initiation of breastfeeding, colostrum avoidance, and their associated factors among mothers with under one year old children in rural pastoralist communities of Afar, Northeast Ethiopia: a cross sectional study

Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

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