Effect of maternal nutrition education on early initiation and exclusive breast-feeding practices in south Ethiopia: a cluster randomised control trial

Jatani Admasu, Gudina Egata, Dereje Getahun Bassore, Fentaw Wassie Feleke, Jatani Admasu, Gudina Egata, Dereje Getahun Bassore, Fentaw Wassie Feleke

Abstract

Introduction: Optimal breast-feeding practices make a major contribution to the promotion of healthy growth and development through much prevention of diarrheal and respiratory diseases which majorly cause morbidity and mortality in under-five children. However, breast-feeding practices remain suboptimality in Ethiopia. Objective: The study objective was to determine the effect of maternal nutrition education on early initiation and exclusive breast-feeding practice in the Hawela Tulla sub-city. Methods: A cluster randomised, parallel-group, single-blinded trial was used. About 310 pregnant women (155 for the intervention group and 155 for the control group) were included. Result: An early initiation of breast-feeding was significantly higher among women who received breast-feeding education than those who did not receive (104(72·7 %) v. 85(59·9 %), P = 0·022) and exclusive breast-feeding practice was also significantly higher among women who received breast-feeding education than those who did not receive (106(74·1 %) v. 86(60·6 %), P = 0·015). Breast-feeding education [AORs 1·55, 95 % CI (1·02, 2·36)], institutional delivery [AOR 2·29, 95 % CI (1·21, 4·35)], vaginal delivery [AOR 2·85, 95 % CI (1·61, 5·41)] and pre-lacteal feeding [AOR 0·47, 95 % CI (0·25, 0·85)] were predictors of early initiation of breast-feeding. Breast-feeding education [AOR 1·72, 95 % CI (1·12, 2·64)] and institutional delivery [AOR 2·36, 95 % CI (1·28, 4·33)] were also determinants of exclusive breast-feeding practices. Conclusion: Breast-feeding education improved early initiation of breast-feeding and exclusive breast-feeding practices. Providing sustained education to women regarding early initiation and exclusive breast-feeding practice should be strengthened.

Keywords: ANC, antenatal care; AOR, adjusted odds ratio; BF, breast-feeding; CG, control group; COR, crude odds ratio; CS, caesarean section; CSA, Central Statistical Agency; EBF, exclusive breast-feeding; EHNRI, Ethiopian Health and Nutrition Research Institute; EIBF, early initiation of breast-feeding; Early initiation of breast-feeding; Exclusive breast-feeding; FMOH, Federal Ministry of Health; GA, gestational age; HBM, health belief model; HEW, health extension worker; IG, intervention group; IRB, Institutional Review Board; IYCF, infant and young child feeding; Nutrition education; PNC, postnatal care; SNNPR, Southern Nations, Nationalities and Peoples Region; SVD, spontaneous vaginal delivery; UNICEF, United Nation International Children's Emergency Fund; WHO, World Health Organization; Women.

© The Author(s) 2022.

Figures

Fig. 1.
Fig. 1.
Sampling procedure for effect of maternal education on breast-feeding practices in Hawela Tulla sub-city of Hawassa 2020.

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