ArticleHeliyon2022
Prelacteal feeding practice and associated factors among mothers of children less than two years of age in Ethiopia: A multilevel analysis.
Article in Heliyon, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- Pre-lacteal feeding practices, determinants, and early health outcomes among children under 2 years of age in Nogob Zone, Somali Region, Ethiopia: a facility-based cross-sectional study.Global health action · 2026Article
- Prelacteal feeding practice and its associated factors in Afghanistan: insights from the 2022-2023 multiple indicator cluster survey.BMC nutrition · 2026Article
- Pre-lacteal feeding practices and associated factors among mothers of children under 24 months age in Ethiopia: A geo-additive model approach.BMC public health · 2025Article
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1 author at 1 institution in 1 country.
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Abstract
Background: Prelacteal feeding is the main obstacle for exclusive breastfeeding and the major causes of neonatal morbidity and mortality. The practice is one of a deep-rooted public health problem of Ethiopia that needs further investigation. Therefore, this study aimed to assess the prevalence and independent predictors of prelacteal feeding practice in Ethiopia. Methods: This study used data from the 2019 Ethiopia Mini Demographic and Health Survey. A two-stage multilevel mixed-effects logistic regression model was conducted to identify individual and community-level predictors of prelacteal feeding practice of mothers. In the multivariable analysis, variables with a p-value less than 5% and an adjusted odds ratio with a 95% confidence interval were reported as statistically significant variables with prelacteal feeding practice. Result: The prevalence of prelacteal feeding practice among mothers of children less than 2 years old in Ethiopia was 16.31% (95% CI: 14.7%, 17.9%). Women who had multiple births [AOR = 4.62; 95%CI: 1.63, 13.08], delivered through cesarean section [AOR = 2.66; 95%CI: 1.63, 4.33], initiated breastfeeding after 1 hour of delivery [AOR = 3.16; 95%CI: 2.25, 4.47] and mothers who were from pastoralist region [AOR = 2.12; 95%CI: 1.22, 3.68] were more likely to practice prelacteal feeding than their counterparts. Conclusion: This study revealed that the prevalence of prelacteal feeding practice remained a great public health concern of the country. Type of birth, mode of delivery, initiation of breastfeeding and geographic region where the mothers reside were factors that were positively associated with prelacteal feeding practice. Therefore, behavior change communication need to be applied using a variety of communication channels to halt this harmful traditional practice. In addition, promotion of institutional delivery and early initiation of breastfeeding practice using the existing strategies need to be strengthened with special emphasis given to marginalized women in order to diminish the practice in Ethiopia.
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