One strategy for lowering infant mortality and morbidity is breastfeeding. It benefits communities, families, and the economy. This study assessed the variation in breastfeeding duration among the household and communities in Ethiopia based on the evidence from Ethiopia Mini Demographic and Health Survey (EMDHS), 2019. A total of 8414 women were considered in the final analysis of the study. Multinomial multilevel logistic regression was used to estimate the effects of the covariates on each breastfeeding status. Based on the results, the percentage of women who had breastfed was 3.7% for less than six months, 44.1% for six months or longer but less than twelve months, and 52.2% for twelve months or longer. Age of mother, preceding birth interval (in months), mother’s and father’s educational level, wealth quintile, sex of child, place of delivery, number of prenatal care visits, postnatal (women, infants, and children) participation, place of residence, and region were the significant factors to the duration of breast feeding. The duration of breastfeeding varies throughout family and community groups in Ethiopia. The amount of time of breastfeeding varies significantly within family and community clusters, as this study showed and offered substantial evidence of. Therefore, programs to educate and prepare healthcare professionals about women's health ought to be implemented. By raising awareness and strengthening the current community-based health extension program, the federal, regional, and other implementers should underscore the benefits of duration of breastfeeding to those pastoral communities. It is recommended that breastfeeding education be incorporated into follow-up visits for prenatal care and that postpartum care visits be made more widely available in order to promote breastfeeding practices in Ethiopia.
| Published in | American Journal of Nursing Science (Volume 12, Issue 5) |
| DOI | 10.11648/j.ajns.20231205.12 |
| Page(s) | 96-105 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Breastfeeding Duration, Community, Household, Ethiopia
| [1] | J. M. Adams, “Breastfeeding and infant mortality in Indiana: Changing the culture and saving lives: A model for other states,” Breastfeed. Med., vol. 12, no. 8, pp. 456–458, 2017. |
| [2] | WHO, “Infant and young child feeding,” Nutrition, pp. 11–13, 2021. |
| [3] | UNICEF, “The state of the world’s children 2019: children, food and nutrition: growing well in a changing world.” Unicef, 2019. |
| [4] | W. Rosa and C. Coach, A new era in global health: Nursing and the United Nations 2030 Agenda for Sustainable Development. Springer Publishing Company, 2017. |
| [5] | J. Ahishakiye, L. Bouwman, I. D. Brouwer, L. Vaandrager, and M. Koelen, “Prenatal infant feeding intentions and actual feeding practices during the first six months postpartum in rural Rwanda: a qualitative, longitudinal cohort study,” Int. Breastfeed. J., vol. 15, no. 1, pp. 1–14, 2020. |
| [6] | J. Thompson, “Breastfeeding: benefits and implications. Part two,” Community Pract., vol. 78, no. 6, p. 218, 2005. |
| [7] | UNICEF, “Infant and young child feeding, Improving Exclusive Breastfeeding Practices Communication for Development in Infant and Young Child Feeding Programmes, 2018,” Dostupno na https//data. unicef. org/topic/nutrition/infant-and-young-child-feeding/(0909 2018), 2017. |
| [8] | S. Hanieh et al., “Exclusive breast feeding in early infancy reduces the risk of inpatient admission for diarrhea and suspected pneumonia in rural Vietnam: a prospective cohort study,” BMC Public Health, vol. 15, pp. 1–10, 2015. |
| [9] | L.-L. Su et al., “Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial,” Bmj, vol. 335, no. 7620, p. 596, 2007. |
| [10] | W. H. Organization, “Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-friendly Hospital initiative: 2018 implementation guidance: frequently asked questions,” 2020. |
| [11] | G. T. Gessese, B. T. Woldeamanuel, T. G. Demie, T. Diriba Biratu, and S. Handebo, “Breastfeeding performance index and associated factors among children aged 0–6 months in Ethiopia: Analysis of the 2019 Ethiopia Mini Demographic and Health Survey,” Front. Nutr., vol. 9, p. 970737, 2022. |
| [12] | B. Adugna, H. Tadele, F. Reta, and Y. Berhan, “Determinants of exclusive breastfeeding in infants less than six months of age in Hawassa, an urban setting, Ethiopia,” Int. Breastfeed. J., vol. 12, no. 1, p. 45, 2017, doi: 10.1186/s13006-017-0137-6. |
| [13] | EMDHS, “Ethiopia Mini Demographic and Health Survey,” FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA Ethiopia, 2019. |
| [14] | A. Agresti and Y. Min, “On sample size guidelines for teaching inference about the binomial parameter in introductory statistics,” Dep. Stat. Univ. Florida. Gainesville, Florida, vol. 32611, p. 38545, 2002. |
| [15] | H. G. Mengesha, H. Vatanparast, C. Feng, and P. Petrucka, “Modeling the predictors of stunting in Ethiopia: analysis of 2016 Ethiopian demographic health survey data (EDHS),” BMC Nutr., vol. 6, no. 1, pp. 1–11, 2020. |
| [16] | H. K. Kasaye, F. T. Bobo, M. T. Yilma, and M. Woldie, “Poor nutrition for under-five children from poor households in Ethiopia: Evidence from 2016 Demographic and Health Survey,” PLoS One, vol. 14, no. 12, p. e0225996, 2019. |
| [17] | A. Agresti, “Categorical data analysis second edition.” New York: John Wiley & Sons, LTD, 2002. |
| [18] | M. A. Islam et al., “Prevalence and factors associated with early initiation of breastfeeding among Bangladeshi mothers: a nationwide cross-sectional study,” PLoS One, vol. 14, no. 4, p. e0215733, 2019. |
| [19] | S. Ali, S. F. Ali, A. M. Imam, S. Ayub, and A. G. Billoo, “Perception and practices of breastfeeding of infants 0-6 months in an urban and a semi-urban community in Pakistan: a cross-sectional study,” J. Pak. Med. Assoc., vol. 61, no. 1, p. 99, 2011. |
| [20] | M. Asim, B. Mahmood, and M. M. Sohail, “Infant Health Care: Practices In Pakistan: A Systematic Review,” Prof. Med. J., vol. 22, no. 08, pp. 978–988, 2015. |
| [21] | R. Zakar, M. Z. Zakar, L. Zaheer, and F. Fischer, “Exploring parental perceptions and knowledge regarding breastfeeding practices in Rajanpur, Punjab Province, Pakistan,” Int. Breastfeed. J., vol. 13, no. 1, pp. 1–12, 2018. |
| [22] | F. A. Ogbo, K. E. Agho, and A. Page, “Determinants of suboptimal breastfeeding practices in Nigeria: evidence from the 2008 demographic and health survey,” BMC Public Health, vol. 15, no. 1, pp. 1–12, 2015. |
| [23] | J.-W. Noh et al., “Factors affecting complete and timely childhood immunization coverage in Sindh, Pakistan; A secondary analysis of cross-sectional survey data,” PLoS One, vol. 13, no. 10, p. e0206766, 2018. |
| [24] | J.-W. Noh et al., “Impact of socio-economic factors and health information sources on place of birth in Sindh Province, Pakistan: a secondary analysis of cross-sectional survey data,” Int. J. Environ. Res. Public Health, vol. 16, no. 6, p. 932, 2019. |
| [25] | D. Thulier and J. Mercer, “Variables associated with breastfeeding duration,” J. Obstet. Gynecol. Neonatal Nurs., vol. 38, no. 3, pp. 259–268, 2009. |
| [26] | M. Kohlhuber, B. Rebhan, U. Schwegler, B. Koletzko, and H. Fromme, “Breastfeeding rates and duration in Germany: a Bavarian cohort study,” Br. J. Nutr., vol. 99, no. 5, pp. 1127–1132, 2008. |
| [27] | M. Bonet et al., “Breastfeeding duration, social and occupational characteristics of mothers in the French ‘EDEN mother–Child’Cohort,” Matern. Child Health J., vol. 17, pp. 714–722, 2013. |
| [28] | L. N. Mututho, W. K. Kiboi, and P. K. Mucheru, “Factors associated with exclusive breastfeeding in Kenya: a systematic review,” Int. J. Community Med. Public Heal., vol. 4, no. 12, pp. 4358–4362, 2017. |
| [29] | B. A. Tambe et al., “The determinants of exclusive breastfeeding in Cameroon, Sub-Saharan Africa,” Trends Gen. Pract., vol. 1, no. 3, pp. 2–6, 2018. |
| [30] | S. V. Dalcastagnê, E. R. J. Giugliani, L. N. Nunes, L. Hauser, and C. Giugliani, “Practice of exclusive breastfeeding and its associated factors in a suburban area in Angola: a cross-sectional study,” Sao Paulo Med. J., vol. 136, pp. 533–542, 2018. |
| [31] | A. I. Issaka, K. E. Agho, and A. M. N. Renzaho, “Prevalence of key breastfeeding indicators in 29 sub-Saharan African countries: a meta-analysis of demographic and health surveys (2010–2015),” BMJ Open, vol. 7, no. 10, p. e014145, 2017. |
| [32] | A. M. Tampah-Naah and A. Kumi-Kyereme, “Determinants of exclusive breastfeeding among mothers in Ghana: a cross-sectional study,” Int. Breastfeed. J., vol. 8, no. 1, pp. 1–6, 2013. |
| [33] | T. E. Nkala and S. E. Msuya, “Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study,” Int. Breastfeed. J., vol. 6, no. 1, pp. 1–7, 2011. |
| [34] | A. U. Ukegbu, E. U. Ebenebe, and P. O. Ukegbu, “Breastfeeding pattern, anthropometry and health status of infants attending child welfare clinics of a teaching hospital in Nigeria,” South African J. Clin. Nutr., vol. 23, no. 4, pp. 191–196, 2010. |
| [35] | B. Al-Sahab, A. Lanes, M. Feldman, and H. Tamim, “Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey,” BMC Pediatr., vol. 10, no. 1, pp. 1–9, 2010. |
| [36] | O. Nkoka, P. A. M. Ntenda, V. Kanje, E. B. Milanzi, and A. Arora, “Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: a population-based cross-sectional study,” Int. Breastfeed. J., vol. 14, pp. 1–9, 2019. |
| [37] | A. B. Belachew, A. B. Kahsay, and Y. G. Abebe, “Individual and community-level factors associated with introduction of prelacteal feeding in Ethiopia,” Arch. Public Heal., vol. 74, no. 1, pp. 1–11, 2016. |
APA Style
Gagabo, S. Y., Kuse, K. A. (2023). Multinomial-Multilevel Analysis of the Duration of Breastfeeding Status in Ethiopia. American Journal of Nursing Science, 12(5), 96-105. https://doi.org/10.11648/j.ajns.20231205.12
ACS Style
Gagabo, S. Y.; Kuse, K. A. Multinomial-Multilevel Analysis of the Duration of Breastfeeding Status in Ethiopia. Am. J. Nurs. Sci. 2023, 12(5), 96-105. doi: 10.11648/j.ajns.20231205.12
AMA Style
Gagabo SY, Kuse KA. Multinomial-Multilevel Analysis of the Duration of Breastfeeding Status in Ethiopia. Am J Nurs Sci. 2023;12(5):96-105. doi: 10.11648/j.ajns.20231205.12
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Download@article{10.11648/j.ajns.20231205.12,
author = {Sisay Yohannes Gagabo and Kenenisa Abdisa Kuse},
title = {Multinomial-Multilevel Analysis of the Duration of Breastfeeding Status in Ethiopia},
journal = {American Journal of Nursing Science},
volume = {12},
number = {5},
pages = {96-105},
doi = {10.11648/j.ajns.20231205.12},
url = {https://doi.org/10.11648/j.ajns.20231205.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231205.12},
abstract = {One strategy for lowering infant mortality and morbidity is breastfeeding. It benefits communities, families, and the economy. This study assessed the variation in breastfeeding duration among the household and communities in Ethiopia based on the evidence from Ethiopia Mini Demographic and Health Survey (EMDHS), 2019. A total of 8414 women were considered in the final analysis of the study. Multinomial multilevel logistic regression was used to estimate the effects of the covariates on each breastfeeding status. Based on the results, the percentage of women who had breastfed was 3.7% for less than six months, 44.1% for six months or longer but less than twelve months, and 52.2% for twelve months or longer. Age of mother, preceding birth interval (in months), mother’s and father’s educational level, wealth quintile, sex of child, place of delivery, number of prenatal care visits, postnatal (women, infants, and children) participation, place of residence, and region were the significant factors to the duration of breast feeding. The duration of breastfeeding varies throughout family and community groups in Ethiopia. The amount of time of breastfeeding varies significantly within family and community clusters, as this study showed and offered substantial evidence of. Therefore, programs to educate and prepare healthcare professionals about women's health ought to be implemented. By raising awareness and strengthening the current community-based health extension program, the federal, regional, and other implementers should underscore the benefits of duration of breastfeeding to those pastoral communities. It is recommended that breastfeeding education be incorporated into follow-up visits for prenatal care and that postpartum care visits be made more widely available in order to promote breastfeeding practices in Ethiopia.
},
year = {2023}
}
TY - JOUR T1 - Multinomial-Multilevel Analysis of the Duration of Breastfeeding Status in Ethiopia AU - Sisay Yohannes Gagabo AU - Kenenisa Abdisa Kuse Y1 - 2023/12/26 PY - 2023 N1 - https://doi.org/10.11648/j.ajns.20231205.12 DO - 10.11648/j.ajns.20231205.12 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 96 EP - 105 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20231205.12 AB - One strategy for lowering infant mortality and morbidity is breastfeeding. It benefits communities, families, and the economy. This study assessed the variation in breastfeeding duration among the household and communities in Ethiopia based on the evidence from Ethiopia Mini Demographic and Health Survey (EMDHS), 2019. A total of 8414 women were considered in the final analysis of the study. Multinomial multilevel logistic regression was used to estimate the effects of the covariates on each breastfeeding status. Based on the results, the percentage of women who had breastfed was 3.7% for less than six months, 44.1% for six months or longer but less than twelve months, and 52.2% for twelve months or longer. Age of mother, preceding birth interval (in months), mother’s and father’s educational level, wealth quintile, sex of child, place of delivery, number of prenatal care visits, postnatal (women, infants, and children) participation, place of residence, and region were the significant factors to the duration of breast feeding. The duration of breastfeeding varies throughout family and community groups in Ethiopia. The amount of time of breastfeeding varies significantly within family and community clusters, as this study showed and offered substantial evidence of. Therefore, programs to educate and prepare healthcare professionals about women's health ought to be implemented. By raising awareness and strengthening the current community-based health extension program, the federal, regional, and other implementers should underscore the benefits of duration of breastfeeding to those pastoral communities. It is recommended that breastfeeding education be incorporated into follow-up visits for prenatal care and that postpartum care visits be made more widely available in order to promote breastfeeding practices in Ethiopia. VL - 12 IS - 5 ER -
Department of Statistics, Bonga University, Bonga, Ethiopia
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