Adherence to Exclusive Breastfeeding and its Associated Factors among HIV-Positive Mothers in Referral Hospitals of Amhara Regional State, Northwest Ethiopia, 2018

Document Type : Original Article

Authors

1 Department of midwifery, College of Medicine and Health Sciences, Wollo University, Wollo, Ethiopia

2 School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

Abstract

Background: Exclusive breastfeeding is defined as feeding only breast milk without any other liquids or solids, except for medicine. For mothers with positive human immunodeficiency virus (HIV), adherence to exclusive breastfeeding added with antiretroviral therapy extremely reduces the risk of transmitting the virus to their exposed neonates. Therefore, the World Health Organization has recommended exclusive breastfeeding for exposed infants within the first 6 months of life. This study was performed to identify factors associated with adherence to exclusive breastfeeding among HIV-positive mothers.
Methods: The required data in this facility based cross-sectional study was collected using a structured questionnaire through a face-to-face interview. Descriptive statistics were used to show the frequency distributions of factors associated with the dependent variable. Logistic regression was applied to identify factors associated with the outcome variable. The odds ratio was used for the measure of association, and statistical tests with p-values of less than 0.05 were considered significant.
Results: The proportion of adherence to exclusive breastfeeding among HIV-positive mothers was found to be 80.8% (95% CI: 77.2-84.6). It was revealed that having good knowledge (adjusted odds ratio [AOR]=7.363, CI=3.37-12.98), receiving exclusive breastfeeding counseling during the postnatal period (AOR=4.88, CI=2.68-8.916), timely initiation of exclusive breastfeeding (AOR=4.429, CI=2.378-8.25), and making 4 or more antenatal care visits (AOR=2.557, CI=1.413-4.629) were identified to be the significant factors.
Conclusion: The proportion of adherence to exclusive breastfeeding among HIV-positive mothers was found to be low. Interventions that seek to increase exclusive breastfeeding should focus on ensuring four antepartum care visits and postpartum counseling.
 

Keywords

References

  1. World Health Organization. Guideline: updates on HIV and infant feeding: the duration of breastfeeding, and support from health services to improve feeding practices among mothers living with HIV. Geneva: World Health Organization; 2016.
  2. Kavle JA, LaCroix E, Dau H, Engmann C. Addressing barriers to exclusive breast-feeding in low-and middle-income countries: a systematic review and programmatic implications. Public Health Nutr. 2017; 20(17):3120-34.
  3. Tang Q, Liu M, Lu H. Prevention of mother-to-child transmission (PMTCT) continues to play a vital role in the response to HIV/AIDS: current status and future perspectives. Biosci Trends. 2019; 13(1):107-9.
  4. Rasheed MH, Philemon R, Kinabo GD, Maxym M, Shayo AM, Mmbagaa BT. Adherence to exclusive breastfeeding and associated factors in mothers of HIV-exposed infants receiving care at Kilimanjaro christian medical centre, Tanzania. EA Health Res J. 2017; 2(1):33-42.
  5. Lawani LO, Onyebuchi AK, Iyoke CA, Onoh RC, Nkwo PO. The challenges of adherence to infant
    feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria. Patient Prefer Adherence. 2014; 8:377-81.
  6. Koima W, Kimani H, Mwaniki P. Adherence to exclusive breastfeeding among HIV-positive women in Nairobi, Kenya. Afr J Midwifery Womens Health. 2014; 8(2):66-72.
  7. Jepkogei KW. Determinants of adherence to exclusive breast feeding among HIV positive mothers attending child welfare clinic at Pumwani maternity hospital, Nairobi County, Kenya. Nairobi: Kenyatta University; 2013.
  8. Mukerem M, Haidar J. Assessment of the prevalence and factors influencing adherence to exclusive breast feeding among HIV positive mothers in selected health institution of Addis Ababa, Ethiopia. Ethiopian J Health Dev. 2012; 26(3):169-75.
  9. UNAIDS W. Fact sheet: world AIDS day 2017. Geneva: Global HIV Statistics; 2017. P. 365.

10. Sendo EG, Mequanint FT, Sebsibie GT. Infant feeding practice and associated factors among HIV positive mothers attending ART clinic in governmental health institutions of Bahir Dar Town, Amhara Regional State, Ethiopia, 2017. J AIDS Clin Res.
2017; 9:1.

11. Demissie DB, Tadesse FI, Bezabih BE, Chala A, Kebede Y, Obsa G, et al. Infant feeding practice and associated factors of hiv positive mothers attending prevention of mother to child transmission and antiretroviral therapy clinics in shashemene referal hospital. J Health Med Nurs. 2016; 30:32-43.

12. PMTCT: Scaling up mother-baby pair cohort follow-up and implementation of continuous quality improvement. Federal Ministry of Health [Ethiopia]. Available at: URL: http://www.moh.gov.et; 2018.

13. Okanda JO, Borkowf CB, Girde S, Thomas TK, Lecher SL. Exclusive breastfeeding among women taking HAART for PMTCT of HIV-1 in the
Kisumu Breastfeeding Study. BMC Pediatr. 2014; 14(1):280.

14. Onubogu CU, Ugochukwu EF, Egbuonu I, Onyeka IN. Adherence to infant-feeding choices by HIV-infected mothers at a Nigerian tertiary hospital: the pre-“rapid advice” experience. South Afr J Clin Nutr. 2015; 28(4):180-6.

15. Population Census Commission. Summary and statistical report of the 2007 population and housing census. Population size by age and sex. Geneva: Population Census Commission; 2008.

16. Muluye D, Woldeyohannes D, Gizachew M, Tiruneh M. Infant feeding practice and associated factors of HIV positive mothers attending prevention of mother to child transmission and antiretroviral therapy clinics in Gondar Town health institutions, Northwest Ethiopia. BMC Public Health. 2012; 12(1):240.

17. Gejo NG, Weldearegay HG, Mekango DE, Woldemichael ES, Buda AS, Dinsa LH, et al. Exclusive breastfeeding and associated factors among HIV positive mothers in Northern Ethiopia. PloS One. 2019; 14(1):e0210782.

18. Ejara D, Mulualem D, Gebremedhin S. Inappropriate infant feeding practices of HIV-positive mothers attending PMTCT services in Oromia regional state, Ethiopia: a cross-sectional study. Int Breastfeed J. 2018; 13(1):37.

19. Modjo KE, Amanta NW. Attitude and practice towards exclusive breast feeding and its associated factors among HIV positive mothers in Southern Ethiopia. Am J Health Res. 2015; 3(2):105-15.

20. Aishat U, David D, Olufunmilayo F. Exclusive breastfeeding and HIV/AIDS: a crossectional survey of mothers attending prevention of mother-to-child transmission of HIV clinics in southwestern Nigeria. Pan Afr Med J. 2015; 22(1):309.

21. Ladzani R, Peltzer K, Mlambo MG, Phaweni K. Infant‐feeding practices and associated factors of HIV‐positive mothers at Gert Sibande, South Africa. Acta Paediatr. 2011; 100(4):538-42.

22. Mengistu Y, Kedir M. Assessment of infant feeding practice among HIV positive mothers and HIV status of their infants in Adama hospital, Oromia regional state, Ethiopia, 2016. J Pregnancy Child Health. 2017; 4(346):2.

23. Matovu S, Kirunda B, Rugamba-Kabagambe G, Tumwesigye N, Nuwaha F. Factors influencing adherence to exclusive breast feeding among HIV positive mothers in Kabarole district, Uganda. East Afr Med J. 2008; 85(4):162-70.

24. Hunegnaw MT, Gezie LD, Teferra AS. Exclusive breastfeeding and associated factors among mothers in Gozamin district, northwest Ethiopia: a community based cross-sectional study. Int Breastfeed J. 2017; 12(1):30.

 

 


 

Iranian Journal of Neonatology
Volume 12, Issue 2
April 2021
Pages 56-62

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