Factors associated with the early termination of exclusive breastfeeding among mother-infant dyads in Samara-Logia, Northeastern Ethiopia

Amanuel Molla Beyene, Misgan Legesse Liben, Amit Arora, Amanuel Molla Beyene, Misgan Legesse Liben, Amit Arora

Abstract

Background: The World Health Organization recommends that mothers should exclusively breastfeed their infants until 6 months of age due to the benefits for the mother and the child. There is documented evidence on exclusive breastfeeding from Ethiopia, but not specifically from Samara-Logia city administration. This study aimed to assess the factors associated with early termination of exclusive breastfeeding among mother-infant dyads in Samara-Logia, Ethiopia.

Methods: A cross-sectional study was conducted in March 2018. Data were collected on 484 randomly selected mother-infant dyads. The Kaplan Meier curve with the log-rank test was used to compare the survival difference. Cox regression models were used to identify the predictors of early termination of exclusive breastfeeding.

Results: The cumulative proportion of survival probability of exclusive breastfeeding to 6 months was 64.5%, with the median duration of 6 months. Mothers having partners with formal education [Adjusted hazard ratio (AHR): 0.58; 95% confidence interval (CI): 0.39, 0.85], receiving counseling on exclusive breastfeeding at antenatal check-up [AHR: 0.62; 95% CI: 0.43, 0.91], giving birth in a health institution [AHR: 0.50; 95% CI: 0.28, 0.88], initiating breastfeeding within the first hour [AHR: 0.41; 95% CI: 0.24, 0.68], and perceiving breast milk adequate for the first 6 months [AHR: 0.17; 95% CI: 0.12, 0.25] were associated with lower hazard of discontinuing exclusive breastfeeding before 6 months.

Conclusion: This study showed that the cumulative proportion of survival probability on exclusive breastfeeding was low in Samara-Logia city administration. Educating husbands to support their partners, strengthening infant feeding counseling, promoting institutional delivery, educating women about the benefit of early initiation of breastfeeding, and expanding urban health extension program are important to improve the duration of exclusive breastfeeding in Ethiopia.

Keywords: Afar; Ethiopia; Exclusive breastfeeding; Pastoral; Survival.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Cumulative Survival probability of exclusive breastfeeding practice in relation to women’s perception on adequacy of their breast milk, Samara-Logia city administration, Afar National Regional State, Ethiopia, 2018 (log rank test

Fig. 2

Cumulative Survival probability of exclusive…

Fig. 2

Cumulative Survival probability of exclusive breastfeeding practice in relation to place of delivery,…

Fig. 2
Cumulative Survival probability of exclusive breastfeeding practice in relation to place of delivery, Samara-Logia city administration, Afar National Regional State, Ethiopia, 2018 (log rank test

Fig. 3

Cumulative Survival probability of exclusive…

Fig. 3

Cumulative Survival probability of exclusive breastfeeding practice in relation to infant breastfeeding counseling…

Fig. 3
Cumulative Survival probability of exclusive breastfeeding practice in relation to infant breastfeeding counseling at ANC check-up, Samara-Logia city administration, Afar National Regional State, Ethiopia, 2018 (log rank test
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References
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Fig. 2
Fig. 2
Cumulative Survival probability of exclusive breastfeeding practice in relation to place of delivery, Samara-Logia city administration, Afar National Regional State, Ethiopia, 2018 (log rank test

Fig. 3

Cumulative Survival probability of exclusive…

Fig. 3

Cumulative Survival probability of exclusive breastfeeding practice in relation to infant breastfeeding counseling…

Fig. 3
Cumulative Survival probability of exclusive breastfeeding practice in relation to infant breastfeeding counseling at ANC check-up, Samara-Logia city administration, Afar National Regional State, Ethiopia, 2018 (log rank test
Similar articles
Cited by
References
    1. Saarinen UM, Kajosaari M. Breastfeeding as prophylaxis against atopic disease: prospective follow-up study until 17 years old. Lancet. 1995;346(8982):1065–1069. doi: 10.1016/S0140-6736(95)91742-X. - DOI - PubMed
    1. Oftedal OT. The evolution of milk secretion and its ancient origins. Animal. 2012;6(3):355–368. doi: 10.1017/S1751731111001935. - DOI - PubMed
    1. Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. Geneva: World Health Organization (WHO/NHD/01.08; WHO/FCH/01.23); 2001.
    1. WHO. Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life. Geneva; 2002. Available at http://whqlibdoc.who.int/publications/9241562110.pdf
    1. Kathryn A, Dorothy J, et al. Cultural barriers to exclusive breastfeeding by mothers in a rural area of cameroon. Afr J Midwifery Womens Health. 2005;50:324–328. doi: 10.1016/j.jmwh.2005.01.005. - DOI - PubMed
Show all 33 references
MeSH terms
Related information
[x]
Cite
Copy Download .nbib
Format: AMA APA MLA NLM
Fig. 3
Fig. 3
Cumulative Survival probability of exclusive breastfeeding practice in relation to infant breastfeeding counseling at ANC check-up, Samara-Logia city administration, Afar National Regional State, Ethiopia, 2018 (log rank test

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