For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
4
views
30
references
 Top references
cited by
4
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      159
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          The World Health Organization (WHO) encourages breastfeeding to begin within the first hour after birth in order to save children’s lives. In Ethiopia, different studies are done on the prevalence and determinants of breastfeeding initiation, up to our knowledge, the spatial distribution and the spatial determinants of breast feeding initiation over time are not investigated. Therefore, the objectives of this study were to assess spatial variation and its spatial determinant of delayed initiation of breastfeeding in Ethiopia using Geographically Weighted Regression (GWR).

          Methods

          A cross-sectional study was undertaken using the nationally representative 2016 Ethiopian Demographic and Health Survey (EDHS) dataset. Global Moran’s I statistic was used to measure whether delayed breastfeeding initiation was dispersed, clustered, or randomly distributed in study area. Ordinary Least Squares (OLS) regression was used to identify factors explaining the geographic variation in delayed breastfeeding initiation. Besides, spatial variability of relationships between dependent and selected predictors was investigated using geographically weighted regression.

          Result

          A total weighted sample of 4169 children of aged 0 to 23 months was included in this study. Delayed initiation of breastfeeding was spatially varies across the country with a global Moran’s I value of 0.158 at (p-value<0.01). The hotspot (high risk) areas were identified in the Amhara, Afar, and Tigray regions. Orthodox religion, poor wealth index, caesarian section, baby postnatal checkup, and small size of a child at birth were spatially significant factors for delayed breastfeeding initiation in Ethiopia.

          Conclusion

          In Ethiopia initiation of breastfeeding varies geographically across region. A significant hotspot was identified in the Amhara, Afar, and Tigray regions. The GWR analysis revealed that orthodox religion, poor wealth index, caesarian section, baby postnatal checkup, and small birth weight were spatially significant factors.

          Related collections

          Most cited references30

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis

          Emily R. Smith, Lisa Hurt, Ranadip Chowdhury … (2017)
          Objective To assess the existing evidence regarding breastfeeding initiation time and infant morbidity and mortality. Study design We conducted a systematic review and meta-analysis. We searched Pubmed, Embase, Web of Science, CINAHL, Popline, LILACS, AIM, and Index Medicus to identify existing evidence. We included observational studies and randomized control trials that examined the association between breastfeeding initiation time and mortality, morbidity, or nutrition outcomes from birth through 12 months of age in a population of infants who all initiated breastfeeding. Two reviewers independently extracted data from eligible studies using a standardized form. We pooled effect estimates using fixed-effects meta-analysis. Results We pooled five studies, including 136,047 infants, which examined the association between very early breastfeeding initiation and neonatal mortality. Compared to infants who initiated breastfeeding ≤1 hour after birth, infants who initiated breastfeeding 2–23 hours after birth had a 33% greater risk of neonatal mortality (95% CI: 13–56%, I2 = 0%), and infants who initiated breastfeeding ≥24 hours after birth had a 2.19-fold greater risk of neonatal mortality (95% CI: 1.73–2.77, I2 = 33%). Among the subgroup of infants exclusively breastfed in the neonatal period, those who initiated breastfeeding ≥24 hours after birth had an 85% greater risk of neonatal mortality compared to infants who initiated <24 hours after birth (95% CI: 29–167%, I2 = 33%). Conclusions Policy frameworks and models to estimate newborn and infant survival, as well as health facility policies, should consider the potential independent effect of early breastfeeding initiation.
          Article 0 comments Cited 89 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study

            Getnet Mekuria, Melkie Edris (2015)
            Background Exclusive breastfeeding is the most widely known and effective intervention for preventing early-childhood deaths. Optimum breastfeeding practices can prevent 1.4 million deaths worldwide among children under five every year. The aim of this study was to assess the prevalence of exclusive breastfeeding and associated factors among mothers who have an infant less than six months old in Debre Markos, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from April 1 to 30, 2013. A simple random sampling technique was used from a list of all mothers who had an infant less than six months old obtained from the health extension workers (HEWs) registration book in all kebeles (neighbourhoods) of the city. A total of 423 mothers with infants less than six months old were included in this study. Data were collected using questionnaires administered at interview. Both bivariate and multivariate logistic regression analyses were carried out to identify factors associated with exclusive breastfeeding. Results The prevalence of exclusive breastfeeding during the seven days before the survey was 60.8% (95% CI: 55.8%, 65.8%). Those mothers who were unemployed [AOR = 1.98 (1.21, 3.22)], received breastfeeding counseling during antenatal care (ANC) [AOR = 2.44 (1.53, 3.91)], received infant feeding counseling during postnatal care (PNC) [AOR = 5.03 (3.04, 8.31)], didn’t give prelacteal feeding [AOR = 3.44 (1.88, 6.33)] and had adequate knowledge about breastfeeding [AOR = 2.57 (1.57, 4.19)] were more likely to practice EBF than their counterparts. Conclusions Although the prevalence of exclusive breastfeeding was lower in the study area than international recommendations, rates were higher than found in other studies. Recommendations for improving exclusive breastfeeding include better support for working mothers through extending maternal leave and establishing work-site day care centers for infants, expanding the urban health extension program so that more pregnant women and mothers can be taught about appropriate infant and young child feeding practices and how to express their milk, thereby increasing their breastfeeding knowledge.
            Article 0 comments Cited 81 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO Global Survey

              Kenzo Takahashi, Togoobaatar Ganchimeg, Erika Ota … (2017)
              Early initiation of breastfeeding (EIBF) within 1 hour of birth can decrease neonatal death. However, the prevalence of EIBF is approximately 50% in many developing countries, and data remains unavailable for some countries. We conducted a secondary analysis using the WHO Global Survey on Maternal and Perinatal Health to identify factors hampering EIBF. We described the coverage of EIBF among 373 health facilities for singleton neonates for whom breastfeeding was initiated after birth. Maternal and facility characteristics of EIBF were compared to those of breastfeeding >1 hour after birth, and multiple logistic regression analysis was performed. In total, 244,569 singleton live births without severe adverse outcomes were analysed. The EIBF prevalence varied widely among countries and ranged from 17.7% to 98.4% (average, 57.6%). There was less intra-country variation for BFI <24 hours. After adjustment, EIBF was significantly lower among women with complications during pregnancy and caesarean delivery. Globally, EIBF varied considerably across countries. Maternal complications during pregnancy, caesarean delivery and absence of postnatal/neonatal care guidelines at hospitals may affect EIBF. Our findings suggest that to better promote EIBF, special support for breastfeeding promotion is needed for women with complications during pregnancy and those who deliver by caesarean section.
              Article 0 comments Cited 57 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Samuel Hailegebreal:
                ORCID: https://orcid.org/0000-0003-0887-7803
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Project administration
                Yosef Haile: Role: Methodology
                Binyam Tariku Seboka:
                ORCID: https://orcid.org/0000-0002-8309-5986
                Role: Data curationRole: MethodologyRole: Supervision
                Ermias Bekele Enyew: Role: ConceptualizationRole: Formal analysis
                Tamiru Shibiru: Role: SupervisionRole: Writing – review & editing
                Zeleke Abebaw Mekonnen: Role: Project administrationRole: Software
                Shegaw Anagaw Mengiste: Role: Writing – review & editing
                James Mockridge: Role: Editor
                Journal
                Journal ID (nlm-ta): PLoS One
                Journal ID (iso-abbrev): PLoS One
                Journal ID (publisher-id): plos
                Title: PLoS ONE
                Publisher: Public Library of Science (San Francisco, CA USA )
                ISSN (Electronic): 1932-6203
                Publication date (Electronic): 15 September 2022
                Publication date Collection: 2022
                Volume: 17
                Issue: 9
                Electronic Location Identifier: e0273793
                Affiliations
                [1 ] Department of Health Informatics, College of Medicine and Health Science, School of Public Health, Arba Minch University, Arba Minch, Ethiopia
                [2 ] School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
                [3 ] Department of Health Informatics, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
                [4 ] Department of Health Informatics, Institute of Public Health, Mettu University, Mettu, Ethiopia
                [5 ] School of Medicine, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
                [6 ] Health System Directorate, Ministry of Health, Addis Ababa, Ethiopia
                [7 ] University of South-Eastern Norway, Kongsberg, Norway
                PLOS: Public Library of Science, UNITED KINGDOM
                Author notes

                Competing Interests: The authors declare that they have no competing interests.

                Author information
                https://orcid.org/0000-0003-0887-7803
                https://orcid.org/0000-0002-8309-5986
                Article
                Publisher ID: PONE-D-22-01403
                DOI: 10.1371/journal.pone.0273793
                PMC ID: 9477376
                PubMed ID: 36107834
                SO-VID: 91d749d5-73f3-4f8f-8682-bb3229a42b0c
                Copyright © © 2022 Hailegebreal et al
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                Date received : 15 January 2022
                Date accepted : 15 August 2022
                Page count
                Figures: 10, Tables: 3, Pages: 17
                Funding
                Award Recipient :
                ORCID: https://orcid.org/0000-0003-0887-7803
                The authors received no specific funding for this work.
                Categories
                Subject: Research Article
                Subject: Medicine and Health Sciences
                Subject: Women's Health
                Subject: Maternal Health
                Subject: Breast Feeding
                Subject: Medicine and Health Sciences
                Subject: Pediatrics
                Subject: Neonatology
                Subject: Breast Feeding
                Subject: People and Places
                Subject: Geographical Locations
                Subject: Africa
                Subject: Ethiopia
                Subject: Earth Sciences
                Subject: Geography
                Subject: People and Places
                Subject: Population Groupings
                Subject: Ethnicities
                Subject: African People
                Subject: Amhara People
                Subject: Social Sciences
                Subject: Anthropology
                Subject: Cultural Anthropology
                Subject: Religion
                Subject: Social Sciences
                Subject: Sociology
                Subject: Religion
                Subject: Biology and Life Sciences
                Subject: Physiology
                Subject: Physiological Parameters
                Subject: Body Weight
                Subject: Birth Weight
                Subject: People and Places
                Subject: Population Groupings
                Subject: Ethnicities
                Subject: African People
                Subject: Somalian People
                Subject: Computer and Information Sciences
                Subject: Geoinformatics
                Subject: Spatial Analysis
                Subject: Earth Sciences
                Subject: Geography
                Subject: Geoinformatics
                Subject: Spatial Analysis
                Custom metadata
                Data Availability The data we used for this study is available in the DHS program. A letter of approval for the use of the data was secured from the Measure DHS program and the data set was downloaded from the website www.measuredhs.com ( https://dhsprogram.com/data/available-datasets.cfm). We used EDHS 2016 Kids data set (KR file) and extracted the outcome variable (Breast feeding initiation) and explanatory variables. The location data (latitude and longitude coordinates) was also taken from selected enumeration areas (clusters).

                ScienceOpen disciplines: Uncategorized
                Data availability:
                ScienceOpen disciplines: Uncategorized

                Comments

                Comment on this article

                scite_

                Similar content159

                See all similar

                Cited by4

                See all cited by

                Most referenced authors1,897

                See all reference authors