IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0241428.html
   My bibliography  Save this article

Individual and community-level factors influencing optimal breastfeeding: A multilevel analysis from a national survey study of Ethiopia

Author

Listed:
  • Amanuel Hagos
  • Mache Tsadik
  • Abate Bekele Belachew
  • Afewerki Tesfahunegn

Abstract

Background: Optimal breastfeeding is critical for healthy growth of the child. Globally, 820,000 children and 20,000 women lost due to in appropriate breastfeeding each year. In Ethiopia, 50,000 children lost related to malnutrition with 18% were due to poor breastfeeding habit. Little is known on the determinants of breastfeeding with hierarchical level. Therefore, this study aimed to identify factors influencing optimal breastfeeding among children under six month in Ethiopia using a multilevel analysis. Methods: The data of this study were obtained from Ethiopian Demographic and health survey conducted from January to June 2016. A total 1,087 children aged 0–5 months were selected using two stage stratified sampling technique. Multilevel logistic regression analysis was done to identify significant explanatory variables. Akaike information criteria were used to select the best model fit. Fixed effect was done to estimate the association between the outcome and explanatory variable and also random effect to measure the variation explained by the higher level. Result: Among the total of 1,087 children, 45.4% were optimally breastfeed. Children from the richest wealth index (AOR = 2.87; 95% CI: 1.53–5.43) was positively associated with optimal breastfeeding but, children aged 4–5 months (AOR = 0.19; 95%CI: 0.12–0.27), children born through cesarean section (AOR = 0.18; 955 CI: 0.07–0.51) and residing in Afar region (AOR = 0.13; 95%CI: 0.02–0.92) were found inversely associated with optimal breastfeeding. The random-effects showed that the variation between communities was statistically significant. Conclusion: Individual and community level factors play a significant role in shaping optimal breastfeeding. Future strategies and health interventions should be strengthen to target individual and community level factors that enhance optimal breastfeeding.

Suggested Citation

  • Amanuel Hagos & Mache Tsadik & Abate Bekele Belachew & Afewerki Tesfahunegn, 2021. "Individual and community-level factors influencing optimal breastfeeding: A multilevel analysis from a national survey study of Ethiopia," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-12, April.
  • Handle: RePEc:plo:pone00:0241428
    DOI: 10.1371/journal.pone.0241428
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241428
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0241428&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0241428?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. International Food Policy Research Institute, 2016. "Global Food Policy Report 2016," Working Papers id:10538, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Monica Ewomazino Akokuwebe & Erhabor Sunday Idemudia, 2021. "Multilevel Analysis of Urban–Rural Variations of Body Weights and Individual-Level Factors among Women of Childbearing Age in Nigeria and South Africa: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(1), pages 1-30, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tendai Polite Chibarabada & Albert Thembinkosi Modi & Tafadzwanashe Mabhaudhi, 2017. "Nutrient Content and Nutritional Water Productivity of Selected Grain Legumes in Response to Production Environment," IJERPH, MDPI, vol. 14(11), pages 1-17, October.
    2. Berber Kramer, 2017. "Cooking Contests for Healthier Recipes: Impacts on Nutrition Knowledge and Behaviors in Bangladesh," Working Papers id:11943, eSocialSciences.
    3. Liesel Carlsson & Edith Callaghan & Adrian Morley & Göran Broman, 2017. "Food System Sustainability across Scales: A Proposed Local-To-Global Approach to Community Planning and Assessment," Sustainability, MDPI, vol. 9(6), pages 1-14, June.
    4. Kukom Edoh Ognakossan & Christopher M. Mutungi & Tobias O. Otieno & Hippolyte D. Affognon & Daniel N. Sila & Willis O. Owino, 2018. "Quantitative and quality losses caused by rodents in on-farm stored maize: a case study in the low land tropical zone of Kenya," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(6), pages 1525-1537, December.
    5. Debela, B.L. & Demmler, K.M. & Klasen, S. & Qaim, M., 2018. "Supermarket purchase and child nutritional outcomes in urban Kenya," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277078, International Association of Agricultural Economists.
    6. Carly Nichols, 2017. "Millets, milk and maggi: contested processes of the nutrition transition in rural India," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 34(4), pages 871-885, December.
    7. Demmler, Kathrin M. & Ecker, Olivier & Qaim, Matin, 2018. "Supermarket Shopping and Nutritional Outcomes: A Panel Data Analysis for Urban Kenya," World Development, Elsevier, vol. 102(C), pages 292-303.
    8. Laviolette, Luc & Gopalan, Sudararajan & Elder, Leslie & Wouters, Olivier J., 2016. "Incentivizing nutrition: incentive mechanisms to accelerate improved nutrition outcomes," LSE Research Online Documents on Economics 68710, London School of Economics and Political Science, LSE Library.
    9. Perego, Viviana M.E., 2019. "Crop prices and the demand for titled land: Evidence from Uganda," Journal of Development Economics, Elsevier, vol. 137(C), pages 93-109.
    10. Haroon JAMAL*, 2018. "EXPLORING THE RELATIONSHIP BETWEEN MOTHER'S EMPOWERMENT AND CHILD NUTRITIONAL STATUS: An Evidence from Pakistan," Pakistan Journal of Applied Economics, Applied Economics Research Centre, vol. 28(2), pages 189-211.
    11. Nyathi, M.K. & van Halsema, G.E. & Annandale, J.G. & Struik, P.C., 2018. "Calibration and validation of the AquaCrop model for repeatedly harvested leafy vegetables grown under different irrigation regimes," Agricultural Water Management, Elsevier, vol. 208(C), pages 107-119.
    12. Jalini Kaushalya Galabada, 2022. "Towards the Sustainable Development Goal of Zero Hunger: What Role Do Institutions Play?," Sustainability, MDPI, vol. 14(8), pages 1-25, April.
    13. Stefania Moramarco & Giulia Amerio & Jean Kasengele Chipoma & Karin Nielsen-Saines & Leonardo Palombi & Ersilia Buonomo, 2018. "Filling the Gaps for Enhancing the Effectiveness of Community-Based Programs Combining Treatment and Prevention of Child Malnutrition: Results from the Rainbow Project 2015–17 in Zambia," IJERPH, MDPI, vol. 15(9), pages 1-17, August.
    14. Jamal, Haroon, 2018. "Mother‘s Empowerment and Child Malnutrition: Evidence from Pakistan," MPRA Paper 87949, University Library of Munich, Germany.
    15. Palanisamy, Venkatesh & Vellaichamy, Sangeetha & Sendhil, R & Jha, Girish Kumar, 2021. "Does Food Security Influence the Nutritional Status in India? Empirical Evidences from State-Level Cross Sectional Study," 2021 Conference, August 17-31, 2021, Virtual 315230, International Association of Agricultural Economists.
    16. Cut Novianti Rachmi & Kingsley Emwinyore Agho & Mu Li & Louise Alison Baur, 2017. "Are stunted young Indonesian children more likely to be overweight, thin, or have high blood pressure in adolescence?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 153-162, January.
    17. Ambler, Kate & Brauw, Alan de & Godlonton, Susan, 2018. "Measuring postharvest losses at the farm level in Malawi," Australian Journal of Agricultural and Resource Economics, Australian Agricultural and Resource Economics Society, vol. 62(1), January.
    18. Genova, Christian A. & Umberger, Wendy J. & Newman, Suzie & Peralta, Alexandra, 2017. "To Market, to Market: Does Smallholder Vegetable Production Lead to Increased Children's Diet Diversity and Improved Diet Quality? Empirical Evidence from Northwest Vietnam," 2017 Annual Meeting, July 30-August 1, Chicago, Illinois 258366, Agricultural and Applied Economics Association.
    19. Haruna Sekabira & Shamim Nalunga, 2020. "Farm Production Diversity: Is it Important for Food Security, Dietary Diversity and Nutrition? Panel Data Evidence from Uganda," Working Papers 396, African Economic Research Consortium, Research Department.
    20. Kotykova, Olena & Babych, Mykola & Pohorielova, Olena, 2020. "Втрати Продовольства Та Харчові Відходи В Ланцюзі Створення Вартості Продовольства В Україні," Agricultural and Resource Economics: International Scientific E-Journal, Agricultural and Resource Economics: International Scientific E-Journal, vol. 6(3), September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0241428. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.