COLOSTRUM AVOIDANCE AND ASSOCIATED FACTORS AMONG MOTHERS OF CHILDREN AGED LESS THAN 12 MONTHS IN KOMBOLCHA TOWN, SOUTH WOLLO ZONE, ETHIOPIA
Abstract
Background: Despite the importance of early initiation of breastfeeding and exclusive breastfeeding, colostrum avoidance is practiced in Ethiopia. In Ethiopia, the problem of malnutrition begins early in life, primarily during the first 12 months due to sub-optimal breastfeeding practice including colostrum avoidance. However, there is a paucity of information on social and environmental factors associated with colostrum’s avoidance.
Objective: To assess Colostrum avoidance and associated factors among mothers of children aged less than 12 months in Kombolcha town South Wollo Zone, Ethiopia, 2017.
Methods: A community-based cross-sectional study was employed. 414 mothers of children aged less than 12 months were selected by systematic sampling technique. The data were collected by using interview-based structured questionnaire. Descriptive statistics, binary and multiple logistic regression analysis were employed to identify the factors associated with colostrum avoidance practices. Variables with a p-value < 0.0 5 with 95% confidence interval were identified as statistically significant factors. Result: The prevalence of colostrum avoidance was (11.4%) in Kombolcha town. The reasons for colostrum avoidance were; yellow color (4%), its dirtiness (14%), due to causing illness for neonates (74%) and thickness (8%). The most common type of prenatal foods given was water (30%); Honey (4%), animal milk (51%), tea (4%) and others (like butter, formula foods) (9%). Regarding behavioral factors of colostrum avoidance; of the total respondents 30.3% had good knowledge about colostrum feeding and 60.1% had a positive attitude towards colostrum feeding. Illness of index child, the area of residence, counseling on timely initiation of breastfeeding, participation in pregnant women forum, husband employment and cultural beliefs were positive predictors of colostrum avoidance practice.
Conclusion & Recommendation: Colostrum avoidance is practiced in Kombolcha town. Illness of index child, counseling on timely initiation of breastfeeding, the area of residence, participation in pregnant women forum and cultural beliefs were important positive predictors ofDownloaded from Medico Research Chronicles “Colostrum avoidance and associated factors among mothers of children aged less than 12 months in Kombolcha town, South Wollo zone, Ethiopia.” Gebreyesus H., Med. Res. Chron., 2017, 4 (5), 545-559 Medico Research Chronicles, 2017 546 colostrum avoidance practice. Promotion of behavioral and tradition change, intensive nutrition education program by giving special emphasis to mothers and children, promotion of counseling on timely initiation of colostrum feeding, important nutrition education for rural, should be implemented strongly in the health care system.
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