Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.

<h4>Background</h4>Exclusive Breastfeeding (EBF) can prevent up to 13% of under-five mortality in developing countries. In Sub-Saharan Africa the rate of EBF at six months remains very low at 36%. Different types of factors such as maternal, family and work-related factors are responsibl...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kahsu Gebrekidan, Helen Hall, Virginia Plummer, Ensieh Fooladi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bb07f9a429a84a22b425bd984076f7e8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bb07f9a429a84a22b425bd984076f7e8
record_format	dspace
spelling	oai:doaj.org-article:bb07f9a429a84a22b425bd984076f7e82021-12-02T20:04:47ZExclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.1932-620310.1371/journal.pone.0252445https://doaj.org/article/bb07f9a429a84a22b425bd984076f7e82021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252445https://doaj.org/toc/1932-6203<h4>Background</h4>Exclusive Breastfeeding (EBF) can prevent up to 13% of under-five mortality in developing countries. In Sub-Saharan Africa the rate of EBF at six months remains very low at 36%. Different types of factors such as maternal, family and work-related factors are responsible for the low rate of EBF among employed women. This study aimed to assess the prevalence of EBF continuation and associated factors among employed women in North Ethiopia.<h4>Materials and methods</h4>A community-based, cross-sectional study was conducted in two towns of Tigray region, North Ethiopia. Employed women who had children between six months and two years were surveyed using multistage, convenience sampling. Women filled in a paper based validated questionnaire adopted from the Breastfeeding and Employment Study toolkit (BESt). The questions were grouped into four parts of sociodemographic characteristics, maternal characteristics, family support and work-related factors. Factors associated with EBF continuation as a binary outcome (yes/no) were determined using multivariable logistic regression.<h4>Results</h4>Four-hundred and forty-nine women participated in this study with a mean (SD) age 30.4 (4.2) years. Two hundred and fifty-four (56.4%) participants exclusively breastfed their children for six months or more. The main reason for discontinuation of EBF was the requirement of women to return to paid employment (31.5%). Four-hundred and forty (98.2%) participants believed that breastfeeding has benefits either to the infant or to the mother. Three hundred and seventy-one (82.8%) of the participants received support from their family at home to assist with EBF, most commonly from their husbands and mothers. Having family support (adjusted odds ratio [AOR] = 2.1, 95%, CI 1.2-3.6; P = 0.005), having frequent breaks at work (AOR = 2.6, 95% CI, 1.4-4.8; P = 0.002) and the possibility of buying or borrowing required equipment for expressing breast milk (AOR = 1.7, 95% CI, 1.0-3.0; P = 0.033) were statistically associated with an increased chance of EBF.<h4>Conclusion</h4>Although returning to work was reported by the study participants as the main reason for discontinuation of EBF, families and managers' support play significant roles in EBF continuation, which in the absence of six-month's maternity leave for employed women in Ethiopia would be of benefit to both mothers and children.Kahsu GebrekidanHelen HallVirginia PlummerEnsieh FooladiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0252445 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kahsu Gebrekidan Helen Hall Virginia Plummer Ensieh Fooladi Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.
description	<h4>Background</h4>Exclusive Breastfeeding (EBF) can prevent up to 13% of under-five mortality in developing countries. In Sub-Saharan Africa the rate of EBF at six months remains very low at 36%. Different types of factors such as maternal, family and work-related factors are responsible for the low rate of EBF among employed women. This study aimed to assess the prevalence of EBF continuation and associated factors among employed women in North Ethiopia.<h4>Materials and methods</h4>A community-based, cross-sectional study was conducted in two towns of Tigray region, North Ethiopia. Employed women who had children between six months and two years were surveyed using multistage, convenience sampling. Women filled in a paper based validated questionnaire adopted from the Breastfeeding and Employment Study toolkit (BESt). The questions were grouped into four parts of sociodemographic characteristics, maternal characteristics, family support and work-related factors. Factors associated with EBF continuation as a binary outcome (yes/no) were determined using multivariable logistic regression.<h4>Results</h4>Four-hundred and forty-nine women participated in this study with a mean (SD) age 30.4 (4.2) years. Two hundred and fifty-four (56.4%) participants exclusively breastfed their children for six months or more. The main reason for discontinuation of EBF was the requirement of women to return to paid employment (31.5%). Four-hundred and forty (98.2%) participants believed that breastfeeding has benefits either to the infant or to the mother. Three hundred and seventy-one (82.8%) of the participants received support from their family at home to assist with EBF, most commonly from their husbands and mothers. Having family support (adjusted odds ratio [AOR] = 2.1, 95%, CI 1.2-3.6; P = 0.005), having frequent breaks at work (AOR = 2.6, 95% CI, 1.4-4.8; P = 0.002) and the possibility of buying or borrowing required equipment for expressing breast milk (AOR = 1.7, 95% CI, 1.0-3.0; P = 0.033) were statistically associated with an increased chance of EBF.<h4>Conclusion</h4>Although returning to work was reported by the study participants as the main reason for discontinuation of EBF, families and managers' support play significant roles in EBF continuation, which in the absence of six-month's maternity leave for employed women in Ethiopia would be of benefit to both mothers and children.
format	article
author	Kahsu Gebrekidan Helen Hall Virginia Plummer Ensieh Fooladi
author_facet	Kahsu Gebrekidan Helen Hall Virginia Plummer Ensieh Fooladi
author_sort	Kahsu Gebrekidan
title	Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.
title_short	Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.
title_full	Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.
title_fullStr	Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.
title_full_unstemmed	Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.
title_sort	exclusive breastfeeding continuation and associated factors among employed women in north ethiopia: a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bb07f9a429a84a22b425bd984076f7e8
work_keys_str_mv	AT kahsugebrekidan exclusivebreastfeedingcontinuationandassociatedfactorsamongemployedwomeninnorthethiopiaacrosssectionalstudy AT helenhall exclusivebreastfeedingcontinuationandassociatedfactorsamongemployedwomeninnorthethiopiaacrosssectionalstudy AT virginiaplummer exclusivebreastfeedingcontinuationandassociatedfactorsamongemployedwomeninnorthethiopiaacrosssectionalstudy AT ensiehfooladi exclusivebreastfeedingcontinuationandassociatedfactorsamongemployedwomeninnorthethiopiaacrosssectionalstudy
_version_	1718375564836864000

Exclusive breastfeeding continuation and associated factors among employed women in North Ethiopia: A cross-sectional study.

Ejemplares similares