Tesfa Dejenie Habtewold1,2, Shimels Hussien Mohammed3, Aklilu Endalamaw4, Mohammed Akibu5, Nigussie Tadesse Sharew5, Yihun Mulugeta Alemu6, Misrak Getnet Beyene7, Tesfamichael Awoke Sisay8, Mulugeta Molla Birhanu9, Md Atiqul Islam10, Balewgizie Sileshi Tegegne11. 1. Department of Nursing, College of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia. tesfadej2003@gmail.com. 2. Department of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands. tesfadej2003@gmail.com. 3. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences-International Campus (TUMS-IC), Tehran, Islamic Republic of Iran. 4. Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. 5. Department of Nursing, College of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia. 6. Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia. 7. Ethiopian Public Health Institute, Addis Ababa, Ethiopia. 8. Department of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. 9. Department of Adult Health Nursing, School of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. 10. Department of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh. 11. Department of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Abstract
PURPOSE: The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia. METHODS: PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case-control and cohort studies were included. Newcastle-Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran's Q χ2 statistic and Higgins's method (I2). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area. RESULTS: In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF. CONCLUSIONS: Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.
PURPOSE: The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia. METHODS: PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case-control and cohort studies were included. Newcastle-Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran's Q χ2 statistic and Higgins's method (I2). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area. RESULTS: In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF. CONCLUSIONS: Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.
Authors: Nigel C Rollins; Nita Bhandari; Nemat Hajeebhoy; Susan Horton; Chessa K Lutter; Jose C Martines; Ellen G Piwoz; Linda M Richter; Cesar G Victora Journal: Lancet Date: 2016-01-30 Impact factor: 202.731
Authors: Géssica S Santana; Elsa Regina J Giugliani; Tatiana de O Vieira; Graciete O Vieira Journal: J Pediatr (Rio J) Date: 2017-09-05 Impact factor: 2.197
Authors: Tania Maria Brasil Esteves; Regina Paiva Daumas; Maria Inês Couto de Oliveira; Carlos Augusto de Ferreira de Andrade; Iuri Costa Leite Journal: Rev Saude Publica Date: 2014-08 Impact factor: 2.106