Adherence to Exclusive Breastfeeding and its Associated Factors among HIV-Positive Mothers in Referral Hospitals of Amhara Regional State, Northwest Ethiopia, 2018

Iranian Journal of Neonatology IJN Pub Date : 2021-04-01 DOI:10.22038/IJN.2021.51074.1903

Sindu Ayalew Yimer, Marta Berta Badi, Birhanu Wubale Yirdaw

{"title":"Adherence to Exclusive Breastfeeding and its Associated Factors among HIV-Positive Mothers in Referral Hospitals of Amhara Regional State, Northwest Ethiopia, 2018","authors":"Sindu Ayalew Yimer, Marta Berta Badi, Birhanu Wubale Yirdaw","doi":"10.22038/IJN.2021.51074.1903","DOIUrl":null,"url":null,"abstract":"Background: Exclusive breastfeeding is defined as feeding only breast milk without any other liquids or solids, except for medicine. For mothers with positive human immunodeficiency virus (HIV), adherence to exclusive breastfeeding added with antiretroviral therapy extremely reduces the risk of transmitting the virus to their exposed neonates. Therefore, the World Health Organization has recommended exclusive breastfeeding for exposed infants within the first 6 months of life. This study was performed to identify factors associated with adherence to exclusive breastfeeding among HIV-positive mothers. Methods: The required data in this facility based cross-sectional study was collected using a structured questionnaire through a face-to-face interview. Descriptive statistics were used to show the frequency distributions of factors associated with the dependent variable. Logistic regression was applied to identify factors associated with the outcome variable. The odds ratio was used for the measure of association, and statistical tests with p-values of less than 0.05 were considered significant. Results: The proportion of adherence to exclusive breastfeeding among HIV-positive mothers was found to be 80.8% (95% CI: 77.2-84.6). It was revealed that having good knowledge (adjusted odds ratio [AOR]=7.363, CI=3.37-12.98), receiving exclusive breastfeeding counseling during the postnatal period (AOR=4.88, CI=2.68-8.916), timely initiation of exclusive breastfeeding (AOR=4.429, CI=2.378-8.25), and making 4 or more antenatal care visits (AOR=2.557, CI=1.413-4.629) were identified to be the significant factors. Conclusion: The proportion of adherence to exclusive breastfeeding among HIV-positive mothers was found to be low. Interventions that seek to increase exclusive breastfeeding should focus on ensuring four antepartum care visits and postpartum counseling.","PeriodicalId":14584,"journal":{"name":"Iranian Journal of Neonatology IJN","volume":"19 1","pages":"56-62"},"PeriodicalIF":0.0000,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Neonatology IJN","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22038/IJN.2021.51074.1903","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Exclusive breastfeeding is defined as feeding only breast milk without any other liquids or solids, except for medicine. For mothers with positive human immunodeficiency virus (HIV), adherence to exclusive breastfeeding added with antiretroviral therapy extremely reduces the risk of transmitting the virus to their exposed neonates. Therefore, the World Health Organization has recommended exclusive breastfeeding for exposed infants within the first 6 months of life. This study was performed to identify factors associated with adherence to exclusive breastfeeding among HIV-positive mothers. Methods: The required data in this facility based cross-sectional study was collected using a structured questionnaire through a face-to-face interview. Descriptive statistics were used to show the frequency distributions of factors associated with the dependent variable. Logistic regression was applied to identify factors associated with the outcome variable. The odds ratio was used for the measure of association, and statistical tests with p-values of less than 0.05 were considered significant. Results: The proportion of adherence to exclusive breastfeeding among HIV-positive mothers was found to be 80.8% (95% CI: 77.2-84.6). It was revealed that having good knowledge (adjusted odds ratio [AOR]=7.363, CI=3.37-12.98), receiving exclusive breastfeeding counseling during the postnatal period (AOR=4.88, CI=2.68-8.916), timely initiation of exclusive breastfeeding (AOR=4.429, CI=2.378-8.25), and making 4 or more antenatal care visits (AOR=2.557, CI=1.413-4.629) were identified to be the significant factors. Conclusion: The proportion of adherence to exclusive breastfeeding among HIV-positive mothers was found to be low. Interventions that seek to increase exclusive breastfeeding should focus on ensuring four antepartum care visits and postpartum counseling.

查看原文本刊更多论文

2018年埃塞俄比亚西北部阿姆哈拉地区州转诊医院中艾滋病毒阳性母亲的纯母乳喂养依从性及其相关因素

背景:纯母乳喂养被定义为只喂母乳，不喂任何其他液体或固体，除了药物。对于人类免疫缺陷病毒(艾滋病毒)阳性的母亲，坚持纯母乳喂养加上抗逆转录病毒治疗，极大地降低了将病毒传播给暴露的新生儿的风险。因此，世界卫生组织建议在出生后头6个月内对受感染婴儿进行纯母乳喂养。本研究旨在确定与艾滋病毒阳性母亲坚持纯母乳喂养有关的因素。方法:本研究采用面对面访谈的方式，采用结构化问卷收集所需资料。描述性统计用于显示与因变量相关的因素的频率分布。应用逻辑回归来确定与结果变量相关的因素。比值比用于衡量相关性，p值小于0.05的统计检验被认为是显著的。结果:艾滋病毒阳性母亲坚持纯母乳喂养的比例为80.8% (95% CI: 77.2-84.6)。调查结果显示，了解相关知识(调整后优势比[AOR]=7.363, CI=3.37 ~ 12.98)、产后接受纯母乳喂养咨询(AOR=4.88, CI=2.68 ~ 8.916)、及时开始纯母乳喂养(AOR=4.429, CI=2.378 ~ 8.25)、产前检查4次及以上(AOR=2.557, CI=1.413 ~ 4.629)是影响产后母乳喂养的显著因素。结论:艾滋病毒阳性母亲坚持纯母乳喂养的比例较低。寻求增加纯母乳喂养的干预措施应侧重于确保产前四次护理访问和产后咨询。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Iranian Journal of Neonatology IJN

自引率

0.00%

发文量