Factors associated with bottle feeding in Namibia: findings from Namibia 2013 Demographic and Health Survey

Aim The aim of this study is to examine the prevalence of bottle feeding (BF) among children aged 0–23 months and factors associated with BF in Namibia. Methods Data from Namibia 2013 Demographic Health Survey were used for the study. The study covered last-born alive children aged 0–23 months, making up 1926 mother–baby pairs. Chi-square tests and binary logistic regression were used to test for association between BF and related factors. Results Prevalence of BF in Namibia was 35.7%. In the multivariate analysis, the following factors were significantly associated with increased risk of BF: working mothers, hospital delivery, increasing child age, higher mother’s educational status, higher wealth quintile and urban residence. Conclusion To achieve a substantial decrease in bottle usage rate in Namibia, breastfeeding promotion programmes should target all mothers but especially those at risk of BF highlighted in the stud

Risk Factors For Prelacteal Feeding In Sub-Saharan Africa: A Multilevel Analysis of Population Data From Twenty-Two Countries

Objective To examine the risk factors of prelacteal feeding (PLF) among mothers in sub-Saharan Africa (SSA). Design We pooled data from Demographic and Health Surveys in twenty-two SSA countries. The key outcome variable was PLF. A multilevel logistic regression model was used to explore factors associated with PLF. Setting Demographic and Health Surveys in twenty-two SSA countries. Subjects Mother-baby pairs (n 95348). Results Prevalence of PLF in SSA was 322 %. Plain water (221 %), milk other than breast milk (50 %) and sugar or glucose water (41 %) were the predominant prelacteal feeds. In the multivariable analysis, mothers who had caesarean section delivery had 225 times the odds of giving prelacteal feeds compared with mothers who had spontaneous vaginal delivery (adjusted OR=225; 95 % CI 206, 246). Other factors that were significantly associated with increased likelihood of PLF were mother's lower educational status, first birth rank, fourth or above birth rank with preceding birth interval less than or equal to 24 months, lower number of antenatal care visits, home delivery, multiple birth, male infant, as well as having an average or small sized baby at birth. Mothers aged 20-34 years were less likely to give prelacteal feeds compared with mothers aged 19 years. Belonging to the second, middle or fourth wealth quintile was associated with lower likelihood of PLF compared with the highest quintile. Conclusions To achieve optimal breast-feeding, there is a need to discourage breast-feeding practices such as PLF. Breast-feeding promotion programmes should target the at-risk sub-population groups discovered in our study.WoSScopu

Determinants Of Early Initiation Of Breastfeeding In Nigeria: A Population-Based Study Using The 2013 Demograhic And Health Survey Data

Background Provision of mother’s breast milk to infants within one hour of birth is referred to as Early Initiation of Breast Feeding (EIBF) which is an important strategy to reduce perinatal and infant morbidities and mortality. This study aimed to use recent nationally representative survey data to identify individual, household and community level factors associated with EIBF and to update on previous knowlegde with regards to EIBF in Nigeria. Methods We used cross-sectional data from the 2013 Nigerian Demographic and Health Survey (NDHS). Chi-square tests and binary logistic regression were used to test for association between EIBF and individual, household and community level factors. Result The proportion of infants who initiated breastfeeding within 1 h of birth was 34.7 % (95 % Confidence Interval (CI): 33.9–35.6). In the multivariate analysis, mothers who delivered in a health facility were more likely to initiate breastfeeding early as compared to mothers who delivered at home (Adjusted Odds Ratio (AOR) =1.40, 95 % CI = 1.22–1.60). The odds of EIBF was three times higher for mothers who had vaginal delivery as compared to mothers who had caesarean section (AOR = 3.08, 95 % CI = 2.14–4.46). Other factors that were significantly associated with increased likelihood of EIBF were; multiparity, large sized infant at birth, not working mothers as compared to mothers working in sales and other sectors, wealthier household index and urban residence. Mothers in the South West were less likely to inititiate breastfeeding within 1 h of birth as compared to the North West, however, the following geopolitical zones; North East, North Central, and South South had higher likelihood of EIBF when compared to the North West geopolitical zone. Conclusion EIBF in Nigeria is not optimal with just about 34.7 % of children initiating breastfeeding within one hour of birth, the results suggest that breastfeeding programmes and policies should give special attention to “rural mothers, working mothers, primiparous mothers, mothers with ceasarean deliveries, home deliveries and poor mothers” and this intervention should cut across geopolitical zones with more emphasis to zones with lower rates of EIBF.WoSScopusPubMe