临床与医学科学杂志

抽象的

Predictors of Timely Initiation of Breast-Feeding among Rural Women using Case Study Design in Dawuro Zone, Southern Ethiopia in 2018

Teshome Negash

Background: Globally rate of early initiation (within the first hour) of breast-feeding was below 40%, in developing counties 39% and in Africa 47%. Breast-feeding within the first hour of life was a potential mechanism for health promotion for neonate. From a public health perspective, it was important that newborns be breastfed at birth and It was internationally recommended that timely initiation and promotion of exclusive breast-feeding as the optimal method of infant feeding for the first six months of life.

Objective: It was assessed Predictors of timely initiation of breast feeding among rural woman in Dawuro Zone.

Methods: A community-based case study design with both quantitative and qualitative method was conducted in Dawuro Zone, Southern Ethiopia from January up to August 2018. Sample size was 598 rural women, and which was calculated using single population proportion formula. Interviewer administered structured questionnaire for quantitative and four FGDS for qualitative study were used to collect data. Frequency table and cross tabulation was done. AOR and OR with 95% CI were considered for statistical significance. Bivariate analysis was used to determine presence of crude association. Multivariate logistic regression model was employed to control confounding.

Results: More than sixty percent of the women were not initiated breastfeeding within the first one hour after delivery. Early initiation of breastfeeding was associated with many material and neonatal factor in addition to belief of a community.

Conclusion: In order to advance the rates of breastfeeding within the first hour of life, health care professionals must encourage the factors favouring TIBF practice such as ANC guidance regarding the advantages of breastfeeding, health education for women during family planning period and giving care up to full term birth, counselling on rue of delivery, and stimulate this practice in vulnerable situations such as women with cesarean section and preterm birth. In other hand the health development army must promote the importance of timely initiation of breastfeeding for neonate growth and developments at each one to five network.

Recommendation: Ministry of health should strength health promotion program on breast feeding for rural women. Regional health bureau should give training for health developmental army in rural set up to enhance promotion of breast-feeding at community level.