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Exclusive Breast-Feeding Practice and Associated Factors among HIV-Positive Mothers in Governmental Health Facilities, Southern Ethiopia

机译:埃塞俄比亚南部政府卫生设施中艾滋病毒阳性母亲的独家母乳喂养实践和相关因素

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Introduction. Globally, over 90% of HIV infections among children are due to mother-to-child transmission and breastfeeding accounts for 5–20% of the burden. Avoidance of inappropriate feeding practices and practicing exclusive breastfeeding is recommended to reduce mother-to-child HIV transmission, but it is hardly practiced. The aim of this study was to determine the prevalence of exclusive breastfeeding practice and associated factors among HIV-positive mothers attending governmental PMTCT clinics in Southern Ethiopia. Methods. An institution-based cross-sectional study was conducted from April to May 2019. The participants of the study were 209 HIV-positive mothers at the selected PMTCT sites. The study subjects were drawn from 10 health institutions located at 6 towns in Southern Ethiopia which constituted six hospitals and four health centers. Quantitative data were collected using the pretested structured questionnaire. Logistic regression analysis was used to determine the association between the predictors and outcome variable. Results. Among the 209 participants, 81.6% (95% CI: 75.8–86.5) practiced exclusive breastfeeding and 18.4% (95% CI: 13.5–23.7) practiced mixed feeding. Mothers who had attended the recommended four antenatal visits [AOR: 3.01, 95% CI (1.1–8.28)], who had disclosed their serostatus [AOR: 3.17, 95% CI (1.12–8.99)], who had sufficient knowledge about infant feeding practice [AOR: 3.32, 95% CI (1.15–9.55)], and favorable attitude towards infant feeding practice [AOR: 5.39, 95% CI (1.65–17.6)] were more likely to practice exclusive breastfeeding. Conclusion. Exclusive breastfeeding was predominantly practiced. But mixed feeding was also being practice considerably. Improving maternal knowledge and attitude towards appropriate infant feeding practice through appropriate counseling on ANC visits could significantly improve EBF practice. It was also evident that promoting disclose of serostatus could empower the mothers to make an informed decision on how to appropriately feed their newborn.
机译:介绍。在全球范围内,超过90%的儿童艾滋病毒感染是由于母婴传播和母乳喂养占负担的5-20%。建议避免不合适的饲养措施和练习独家母乳喂养,以减少母婴艾滋病毒艾滋病毒传播,但它几乎没有实践。本研究的目的是确定出席埃塞俄比亚南部政府PMTCT诊所的艾滋病毒阳性母亲之间的独家母乳喂养实践和相关因素的普遍性。方法。从4月到2019年4月进行了一项基于机构的横截面研究。该研究的参与者在选定的PMTCT网站上是209名艾滋病毒阳性母亲。研究科目来自位于埃塞俄比亚南部6个城镇的10个卫生机构,该卫生机构构成了六名医院和四个卫生中心。使用预先测试的结构问卷收集定量数据。 Logistic回归分析用于确定预测器和结果变量之间的关联。结果。在209名参与者中,81.6%(95%CI:75.8-86.5)实践了独家母乳喂养和18.4%(95%CI:13.5-23.7)练习混合喂养。已经参加了推荐的四个抗天询访问的母亲[AOR:3.01,95%CI(1.1-8.28)],他披露了他们的SEROSTATUS [AOR:3.17,95%CI(1.12-8.99)],他对婴儿有足够的了解喂养实践[AOR:3.32,95%CI(1.15-9.55)]和对婴儿饲养实践的有利态度[AOR:5.39,95%CI(1.65-17.6)更有可能实行独家母乳喂养。结论。专属母乳喂养主要练习。但混合喂养也是大大实践。通过对ANC访问的适当咨询,通过适当的咨询提高母亲知识和态度可以显着提高EBF实践。还有明显的是,促进Serostatus披露可以赋予母亲的宣传,对如何适当地喂养新生儿进行明智的决定。

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