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Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis

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  • Gossa Fetene Abebe
  • Menen Tilahun
  • Hana Tadesse
  • Abdu Seid
  • Tariku Yigremachew
  • Anteneh Messele Birhanu
  • Desalegn Girma

Abstract

Background: Despite the well-established benefits of early initiation of breastfeeding and exclusive breastfeeding for the first six months to promote optimal neonatal and child health, evidence indicates that in Ethiopia, a significant number of newborns initiate breastfeeding late, do not adhere to exclusive breastfeeding (EBF) for the recommended duration, and instead are fed with bottles. Objective: To determine the proportion of delayed initiation of breast milk, exclusive breastfeeding, and its individual and community-level predictors among mothers in Ethiopia. Methods: A secondary data analysis was done using the 2019 Ethiopian Mini Demographic Health Survey data. We examined a weighted sample of 2,012 children born within the past 24 months and 623 children aged 0–5 months at the time of the survey. The data analysis was done using STATA version 15. To understand the variation in delayed initiation and exclusive breastfeeding, statistical measures such as the Intraclass correlation coefficient, median odds ratio, and proportional change in variance were calculated. We employed a multilevel mixed-effects logistic regression model to identify predictors for each outcome variable. Statistical significance was determined with a p-value

Suggested Citation

  • Gossa Fetene Abebe & Menen Tilahun & Hana Tadesse & Abdu Seid & Tariku Yigremachew & Anteneh Messele Birhanu & Desalegn Girma, 2024. "Predictors of delayed initiation of breast milk and exclusive breastfeeding in Ethiopia: A multi-level mixed-effect analysis," PLOS ONE, Public Library of Science, vol. 19(4), pages 1-18, April.
    • Handle: RePEc:plo:pone00:0301042
    DOI: 10.1371/journal.pone.0301042
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