Department of Public Health
URI for this collectionhttps://rps.wku.edu.et/handle/123456789/45815
Department of Public Health
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Item ASSESSMENT OF COLOSTRUM FEEDING PRACTICE & ASSOCIATED FACTORS AMONG LACTATING MOTHERS IN SODO WOREDA, GURAGE ZONE SNNPR REGION, ETHIOPIA 2023.(Wolkite University, 2024-01-30) TESFAYE BIRHANU G/MARIAMBackground: Colostrum is yellow to orange colored milk produced during the first few days ofdelivery and rich in nutrients and antibodies that have great role in health of the newborn baby.Despite the World Health Organization recommends that every newborn baby has to feed breastmilk with colostrum soon after delivery, poor colostrum feeding practice is still a common problem in Ethiopia. The main purpose of this study was to assess colostrum feeding practicesand associated factors among mothers having less than 12 months age in Sodo Woreda, Gurage Zone, SNNPR Region, Ethiopia. Methods: A community-based cross-sectional study designsupplemented by qualitative study was conducted from June 2023 to July 2023 among 352mothers of infants selected by systematic random sampling technique. The data were collecte dusing structured questionnaire, FGD & KII by semi structured guiding questionnaire. Descriptive analysis like frequency, percentage, & mean were performed. Binary and multiple logistic regression analysis were employed to identify associated factors. Variables with p-value <0.05with 95% confidence interval identified statistically significant. Data was entered in Epi-dataversion 3.1 and exported to SPSS version 24.0 for further analysis. Bivariable and multivari ablebinary logistic regression analyses were conducted to determine the pertinent variables. Adjustedodds ratio with 95% confidence intervals and P-value <0.05 were considered to indicate asignificant statistical association. Results: Two hundred eighty three, 80.1%, with (95%, CI:0.758, 0.841) of lactating mothers good practiced of colostrum feeding, with among those respondents with good knowledge (88.1%) ((AOR=2.98 times [95% CI: 1.49, 5.94]) more likelyhad good colostrum feeding practice & mothers with good attitude (84.4%) ((AOR=7.16 times[95% CI: 3.834, 13.39]) more likely had good practice of colostrum. Mothers of infantscounseled on timely initiation of colostrum feeding during ANC (AOR =3.01[(95% CI: 1.20-7.53])) & postnatal care within the first 2-3 days (AOR = 8[(95% CI: 2.61-26.07])) were positively associated with good colostrum practice. Mothers living in urban have (AOR= 5[(95%CI: 2.4-10.41])) have better practice of colostrum. Mothers having history of multiparty (AOR=2[(95% CI: 1.18-4.34])) had good colostrum feeding practice. Mothers having frequent history ofANC visit had more likely to practice colostrum feeding (AOR=2.64 [(95% CI: 1.15-6.08])). Institutional delivery (AOR=5[(95% CI: 1.77-14.502]) had significantly associated.Conclusion: My study shows that two hundred eighty three, 80.1% of lactating mothers had good practice of colostrum feeding and which shows about 20% of mothers still did not feedxcolostrum to their newborn. Counseling on timely initiation colostrum feeding during ANC visits, residency, partner educational status, having information about colostrum, having goodknowledge & favorable attitude towards colostrum feeding practice were significantly associated with practice of colostrum feeding. However, lack of counseling on the importance colostrumfeeding to the neonate, home delivery to their neonate, and lack of information about colostrumfeeding were the factors negatively affecting the practices of colostrum feeding. Strengtheningeducation on timely initiation of breastfeeding during antenatal care, Sustaining awarenesscreation strategies and approaches were suggested for the improvement of the nutritional valueof colostrum and its health welfare for new born babies