Predictors of early breastfeeding initiation among mothers of children under 24 months of age in rural part of West Ethiopia.
BACKGROUND
The World Health Organization recommends initiation of breastfeeding within the first hour after childbirth. In developing countries alone, early initiation of breastfeeding could save as many as 1.45 million lives each year by reducing deaths mainly due to diarrheal disorders and lower respiratory tract infections in children. The current study aimed to determine the rate and the predictors of breastfeeding initiation in East Wollega Zones of West Ethiopia.


METHODS
A community-based, cross-sectional study was conducted from April to May 2014 among 594 mothers who had children less than 24 months. Multi stage cluster sampling method was used to select the study population. Eligible mothers were invited to interview using pretested questionnaires to gather data regarding sociodemographics, health-related variables, breastfeeding initiation, and current breastfeeding practices. A multivariable logistic regression analysis was used to identify independent predictors of early initiation of breastfeeding after controlling for confounding variables.


RESULTS
A sample of 593 mothers was included in the study. Breastfeeding was initiated by 83.1 % of mothers within the first hour of childbirth. Being a housewife (AOR (95 % CI) = 2.48 (1.54- 3.99)) and infant received colostrum (AOR (95 % CI) =2.22 (1.08-4.55)) were significant positive predictors for early breastfeeding initiation as revealed by logistic regression. The multivariable logistic regression analysis showed that the mothers who had no radio and/or TV in the household (AOR (95 % CI = 0.55 (0.35-0.88)), were not exposure to health information (AOR (95 % CI) = 0.44 (0.25-0.75)), and infants were provided with prelacteal feeds (AOR (95 % CI)=0.30 (0.14-0.65)) were less likely to initiate breastfeeding.


CONCLUSIONS
The rate of timely initiation of breastfeeding was high. Breastfeeding promotion program is essential to encourage the practice of timely initiation of breastfeeding, and reduce the practice of providing prelacteal feeds within three days of life. Thus appropriate health information is vital to boost early initiation of breastfeeding.
Nutrition Unit, Population & Family Health Department, College of Public Health and Medical Sciences, Jimma University, P.O. Box 378, Jimma, Ethiopia. tsedekewolde@yahoo.com.
Tsedeke Wolde
TW
Hailemariam
Department of Public Health, College of Medical and Health Sciences, Wollega University, P.O. Box 395, Nekemte, Ethiopia.
Emiru
E
Adeba
Reproductive Health Unit, Department of Public Health, College of Medical and Health Sciences, Wollega University, P.O. Box 395, Nekemte, Ethiopia.
Alem
A
Sufa
D000293:Adolescent; D000328:Adult; D001942:Breast Feeding / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005002:Ethiopia; D005191:Family Characteristics; D005260:Female; D015438:Health Behavior; D006266:Health Education; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D012424:Rural Population; D011795:Surveys and Questionnaires; D055815:Young Adult