Sub-optimal breastfeeding and its associated factors in rural communities of Hula District, southern Ethiopia: a cross-sectional study

Hoche, Shibru; Meshesha, Berhan; Wakgari, Negash

doi:10.4314/ejhs.v28i1.7

Cited by 37 publications

(54 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mothers with primary and above school qualification seemed to perform better with respect to IFPs than illiterate mothers. This finding is in agreement with previous studies in Ethiopia and elsewhere [13,42,44,45,75]. This may be explained by educated mothers having better understanding of IYCF itself and/or had exposure to IYCF awareness raising campaigns (through their ability to read leaflets, posters and banners) that have been conducted for several years by the Ministry of Health and development partners in Ethiopia.…”

Section: Discussionsupporting

confidence: 91%

“…Systematic reviews in 2019 and 2015concluded that depressed women breastfed their child for shorter duration than nondepressed women [23,41]. Other previous studies also reported a negative association between maternal depression and early initiation of breastfeeding [42], complementary feeding initiation [43] and infants' dietary diversity [44,45].…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Woldetensay

Belachew

Ghosh

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depressive symptoms have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; e.g. early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship between maternal depressive symptoms and IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with rolling recruitment and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts (Woliso, Tiro-Afeta and Gomma) in the southwest of Ethiopia. The sample size was 4680 with pregnant women recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Data collection was conducted by trained nurses electronically using Open Data Kit (ODK) software. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Maternal depressive symptoms (prenatal and postnatal) were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs and maternal depression. Results: Early postnatal depressive symptoms were inversely and significantly associated with IFPs (ß= -1.031, P=0.001). However, prenatal maternal depression was not significantly associated with IFPs (ß= -0.024, P=0.953). Similarly, intimate partner violence (ß= -0.208, P=0.001) was negatively associated with IFPs. On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal education, gestational age at birth, maternal social support and social participation are positive predictors of IFPs. Overall, we conclude that a multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.Key words: Infant feeding practices, prenatal depression, postnatal depression, household food insecurity, intimate partner violence, social support, Ethiopia

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 96%

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Woldetensay

Belachew

Ghosh

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Systematic reviews in 2019 and 2015concluded that depressed women breastfed their children for shorter duration than non-depressed women [30,31]. Other previous studies also reported a negative association of maternal depression with early initiation of breastfeeding [28], timey complementary feeding initiation [27] and infants' dietary diversity [34,35].…”

Section: Discussionmentioning

confidence: 96%

“…Among the psychosocial factors, prenatal and postnatal depression consistently predicted components of IFPs such as breastfeeding initiation [28,29], exclusive breastfeeding [30][31][32], breastfeeding duration [33] complementary feeding timely initiation [27] and dietary diversity [34,35]. Moreover, researchers reported that other psychosocial factors such as intimate partner violence and maternal social support are important predictors of IFPs.…”

mentioning

confidence: 99%

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Woldetensay

Belachew

Ghosh

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence, maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results: Postnatal depressive symptoms (ß= -1.031, P=0.001) and intimate partner violence (ß= -0.208, P=0.001) were inversely and significantly associated with IFPs. However, prenatal maternal depressive symptoms was not significantly associated with IFPs (ß= -0.024, P=0.953). On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.

show abstract

“…10 Recent reports suggests that, globally only 38% of infants aged 0-6 months were breastfed between periods of 2007-2014. 11 Global breastfeeding scorecard report indicates that 45% of children are put to breast within 1 hour of birth, 43% children are exclusively breastfed at 0-5 months and 46% children are continued to be breastfed till 2 years of age. 10 Recent National Family health Survey-4 of India reported the prevalence of early initiation of breastfeeding within 1 hour as 41.6% and exclusive breastfeeding up to 6 months as 54.9%.…”

mentioning

confidence: 99%

Disparity in knowledge, attitude and practice among mothers of children under three years of age about early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding in Alwar district, Rajasthan, India

Chand¹,

Chopra²,

Sharma

2020

Int J Sci Rep

View full text Add to dashboard Cite

Background: Considering the poor practices of optimal breastfeeding, a cross-sectional study with the objective to ascertain the disparity in knowledge, attitude and practice (KAP) pertaining to early initiation, exclusive and continued breastfeeding behaviours was conducted among the mothers of children below 3 years of age.Methods: 400 mothers of children ≤6 months from 52 villages of Rajasthan were included in the analysis for EBF. The data collection was analysed using statistical software SPSS version 23.0. All characteristics were summarized descriptively. Chi-square (χ2) test was performed to study the association between two categorical variables. Three points liket scale was administered to assess the attitude of mothers. Results: 72.8 % mothers initiated early breastfeeding, 22.5% continued breastfeeding, and exclusively breastfeeding was practiced by none. 34.3% mothers had knowledge on early initiation of breastfeeding, 34.6% on exclusive breastfeeding and 65.5% had knowledge on continued breastfeeding. 73.8% mothers had positive attitude towards early initiation of breastfeeding, 13.5 % on exclusive breastfeeding and 79.5% had positive attitude towards continued breastfeeding up to 2 years.Conclusions: Though the attitude and knowledge on breastfeeding is good yet exclusive breastfeeding practice was observed very poor. These findings indicate that despite of having good knowledge and a positive attitude towards breastfeeding, there are certain myths and social determinants which hinder optimal breastfeeding. Identification of such barriers will be extremely useful, since counselling and behaviour change strategies will focus and address them, resulting in the practice of good behaviours.

show abstract

Sub-optimal breastfeeding and its associated factors in rural communities of Hula District, southern Ethiopia: a cross-sectional study

Cited by 37 publications

References 25 publications

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Disparity in knowledge, attitude and practice among mothers of children under three years of age about early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding in Alwar district, Rajasthan, India

Contact Info

Product

Resources

About