Health Facility Support Factors Associated with Exclusive Breastfeeding in Town Administrations of Wolaita Zone, Southern Ethiopia: Community Based Cross-Section Study

Fekadu, Elias (2016) Health Facility Support Factors Associated with Exclusive Breastfeeding in Town Administrations of Wolaita Zone, Southern Ethiopia: Community Based Cross-Section Study. Masters thesis, Addis Ababa University.

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Abstract

Introduction: Promotion of exclusive breastfeeding for the first 6 months of life is the most effective preventive strategy for saving the lives in low-income settings, and significantly contributes to the reduction of child mortality. Baby friendly hospital initiative is based on ten steps to successful breastfeeding; however which one of them are being implemented and associated with exclusive breastfeeding is not clear. Objective: To assess rate of exclusive breastfeeding; Examine whether the health facilities implementing 8 out of ten steps and Identify health facility support factors associated with exclusive breastfeeding. Method and Materials: Community based cross-sectional study was conducted among 458 randomly selected mother-infant pairs and 45 health care providers in town administrations of Wolaita Zone; Southern Ethiopia from January to February 2016. Data were collected from mothers and health care providers using pretested and structured questionnaires. Bivariate and multivariate logistic regressions were performed to identify the presence and strength of association. Odds ratio with 95% confidence interval was estimated to check for statistical significance. Result: The rate of exclusive breastfeeding was (93.2%) and 22.2% of health care providers received training. Facilities demonstrated higher compliance to Step 6, 7 and 9. In multivariate logistic regression; antenatal care visit at government health facility 4.54 (95% CI: 1.77, 11.65), receiving breastfeeding counselling during antenatal care visit 3.05 (95% CI: 1.12, 8.29) and having information on breastfeeding support 3.20 (95% CI: 1.23, 8.33) were statistically significantly association with exclusive breastfeeding. Conclusion: Exclusive breastfeeding rate is high. However, relatively small proportions of managers/staffs trained adequately. Facilities are not complied with majority of baby friendly practices. Attending government health facility for antenatal care visit, receiving breastfeeding counselling during antenatal care visit and having information on breastfeeding support are associated with exclusive breastfeeding practice. These suggest training of managers/staffs, providing support by trained health care providers during antenatal care visit and information on breastfeeding support.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Exclusive breast feeding, Baby Friendly Hospital Initiative (BFHI), health care providers, infant, Wolaita, Ethiopia
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 30 Oct 2018 11:34
Last Modified: 30 Oct 2018 12:23
URI: http://thesisbank.jhia.ac.ke/id/eprint/7168

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