Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia
Summary: Background: The undesirable effect of prelacteal feeding on children's health, growth, and development become a persistent health problem in low-income countries such as Ethiopia. It increases the risk of acquiring respiratory tract infections, diarrhea, and malnutrition. Without iden...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Clinical Nutrition Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268523000530 |
| _version_ | 1797404569327632384 |
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| author | Girma Gilano Samuel Hailegebreal Kefita Kashala Kasarto Gilano |
| author_facet | Girma Gilano Samuel Hailegebreal Kefita Kashala Kasarto Gilano |
| author_sort | Girma Gilano |
| collection | DOAJ |
| description | Summary: Background: The undesirable effect of prelacteal feeding on children's health, growth, and development become a persistent health problem in low-income countries such as Ethiopia. It increases the risk of acquiring respiratory tract infections, diarrhea, and malnutrition. Without identifying and interrupting factors contributing to this practice, it may continue costing the lives of newborn children. Thus, this study to explores the individual and community-level factors that contribute to introducing prelacteal feeding and provides information on future improvement and policy decisions. Methods: We conducted a community-based quantitative cross-sectional study using secondary EDHS 2016 data collected from nine regions and two city administrations. We used 4,128 weighted samples of women with under-five children for this analysis. We applied a multilevel binary logistic regression to know the random, fixed, and mixed effects of prelacteal feeding. We used a P-value of <0.25 for select variables and a P-value of <0.05 to declare final associations. Results: From 4,128 mothers, 328.38 (7.95%) with 95% CI (7.14–8.81%) women reported prelacteal feeding. The highest prevalence was in Afar (43%), Somali (42%), Harari (26%), and Dire Dawa (22%). Factors such as health institutions delivery 0.69 (0.05–0.96), early initiation of breastfeeding 0.21 (0.17–0.28), middle economic status 0.63 (0.42–0.95), and greater than four ANCs 0.63 (0.45–0.90) showed an association with reduced prelacteal feeding, while the caesarian section was associated with increased prelacteal feeding 2.01 (1.17–3.47). Conclusion: Although prelacteal feeding deprives a newborn of vital nutrients and exposes infant to high mortality, women still practice it in Ethiopia. This shows that government commitment, policy intervention, and community mobilization for health education with motivated caregivers on prelacteal feeding are important. |
| first_indexed | 2024-03-09T02:56:55Z |
| format | Article |
| id | doaj.art-515db2ac31534c4bb5e4fc7846ff5951 |
| institution | Directory Open Access Journal |
| issn | 2667-2685 |
| language | English |
| last_indexed | 2024-03-09T02:56:55Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj.art-515db2ac31534c4bb5e4fc7846ff59512023-12-05T04:15:52ZengElsevierClinical Nutrition Open Science2667-26852023-12-01521424Individual and community-level factors associated with introducing prelacteal feeding in EthiopiaGirma Gilano0Samuel Hailegebreal1Kefita Kashala2Kasarto Gilano3Department of Health Informatics, Arba Minch University, College of Health Science, Southern, Ethiopia; Corresponding author.Department of Health Informatics, Arba Minch University, College of Health Science, Southern, EthiopiaDepartment of Biomedical Science, Arba Minch University, College of Health Science, Southern, EthiopiaDepartment of Public Health, Arba Minch Health Sciences College, Arba Minch, Southern, EthiopiaSummary: Background: The undesirable effect of prelacteal feeding on children's health, growth, and development become a persistent health problem in low-income countries such as Ethiopia. It increases the risk of acquiring respiratory tract infections, diarrhea, and malnutrition. Without identifying and interrupting factors contributing to this practice, it may continue costing the lives of newborn children. Thus, this study to explores the individual and community-level factors that contribute to introducing prelacteal feeding and provides information on future improvement and policy decisions. Methods: We conducted a community-based quantitative cross-sectional study using secondary EDHS 2016 data collected from nine regions and two city administrations. We used 4,128 weighted samples of women with under-five children for this analysis. We applied a multilevel binary logistic regression to know the random, fixed, and mixed effects of prelacteal feeding. We used a P-value of <0.25 for select variables and a P-value of <0.05 to declare final associations. Results: From 4,128 mothers, 328.38 (7.95%) with 95% CI (7.14–8.81%) women reported prelacteal feeding. The highest prevalence was in Afar (43%), Somali (42%), Harari (26%), and Dire Dawa (22%). Factors such as health institutions delivery 0.69 (0.05–0.96), early initiation of breastfeeding 0.21 (0.17–0.28), middle economic status 0.63 (0.42–0.95), and greater than four ANCs 0.63 (0.45–0.90) showed an association with reduced prelacteal feeding, while the caesarian section was associated with increased prelacteal feeding 2.01 (1.17–3.47). Conclusion: Although prelacteal feeding deprives a newborn of vital nutrients and exposes infant to high mortality, women still practice it in Ethiopia. This shows that government commitment, policy intervention, and community mobilization for health education with motivated caregivers on prelacteal feeding are important.http://www.sciencedirect.com/science/article/pii/S2667268523000530Community-levelIndividual levelPrelacteal feeding, factorsEthiopia |
| spellingShingle | Girma Gilano Samuel Hailegebreal Kefita Kashala Kasarto Gilano Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia Clinical Nutrition Open Science Community-level Individual level Prelacteal feeding, factors Ethiopia |
| title | Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia |
| title_full | Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia |
| title_fullStr | Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia |
| title_full_unstemmed | Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia |
| title_short | Individual and community-level factors associated with introducing prelacteal feeding in Ethiopia |
| title_sort | individual and community level factors associated with introducing prelacteal feeding in ethiopia |
| topic | Community-level Individual level Prelacteal feeding, factors Ethiopia |
| url | http://www.sciencedirect.com/science/article/pii/S2667268523000530 |
| work_keys_str_mv | AT girmagilano individualandcommunitylevelfactorsassociatedwithintroducingprelactealfeedinginethiopia AT samuelhailegebreal individualandcommunitylevelfactorsassociatedwithintroducingprelactealfeedinginethiopia AT kefitakashala individualandcommunitylevelfactorsassociatedwithintroducingprelactealfeedinginethiopia AT kasartogilano individualandcommunitylevelfactorsassociatedwithintroducingprelactealfeedinginethiopia |