Evidence map›Paper›PMID 41834714›Full record

ArticleGlobal health action2026

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.

Addisu Assfaw Ayen, Wali Ahmed Nur, Musse Ahmed Ibrahim, Mohamed Ayanle Hassan, Tsion Gurju Awgichew, Mohamed Mahdi Hussen, Aidrose Ahmed Mohamud, Mulugeta Ashagrie Bekahagn, Habtamu Muluken Mekonen, Kalid Fuad Sheikmusse and 5 more

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Article in Global health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

15 authors.

Addisu Assfaw AyenDepartment of Internal Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Wali Ahmed NurDepartment of Public Health, Garbo Primary Hospital, Somali Region, Ethiopia.
Musse Ahmed IbrahimDepartment of General Surgery, Jigjiga University, Jigjiga, Ethiopia.
Mohamed Ayanle HassanDepartment of Planning and Management, Somali Regional Health Bureau, Jigjiga, Ethiopia.
Tsion Gurju AwgichewDepartment of General Medicine, Bahir Dar University, Bahir Dar, Ethiopia.
Mohamed Mahdi HussenDepartment of Nursing, Garbo Primary Hospital, Somali Region, Ethiopia.
Aidrose Ahmed MohamudDepartment of Public Health, Somali Regional Health Bureau, Jigjiga, Ethiopia.
Mulugeta Ashagrie BekahagnDepartment of Pediatrics and Childhood Health, Debre Tabor University, Debre Tabor, Ethiopia.
Habtamu Muluken MekonenDepartment of Pediatrics and Childhood Health, Debre Tabor University, Debre Tabor, Ethiopia.
Kalid Fuad SheikmusseDepartment of Public Health, Jigjiga University, Jigjiga, Ethiopia.
Abdihalim Abdulahi MohamedDepartment of Nursing, Jigjiga University, Jigjiga, Ethiopia.
Getachew Worku MeleseDepartment of Internal Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Ahmednur Iman GamadidDepartment of Medicine, Garbo Primary Hospital, Garbo, Ethiopia.
Fisseha Nigussie DagnewClinical Pharmacy Unit, Department of Pharmacy, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Getachew Yitayew TarekegnClinical Pharmacy Unit, Department of Pharmacy, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.ORCID 0000-0002-8678-6723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-lacteal feeding, the provision of foods or liquids other than breast milk before breastfeeding, undermines optimal infant feeding and increases neonatal morbidity. Evidence from pastoralist settings in Ethiopia is limited.

objectiveThis study aimed to assess the prevalence, determinants, and early health outcomes of pre-lacteal feeding among children aged 2 years in the Nogob Zone, Somali Region, Ethiopia.

methodsA facility-based cross-sectional study was conducted from June to December 2025 among 609 mother - infant pairs attending seven health centers and one primary hospital. Stratified and systematic sampling were applied. Data were collected via structured questionnaires and analyzed using multivariate logistic regression. Adjusted odds ratios with 95% confidence intervals identified determinants and associated neonatal outcomes.

resultsPre-lacteal feeding prevalence was 40.1% (95% CI: 36.2%-44.0%), with plain water, sugar water, and animal milk being the most common. Determinants included rural residence (AOR = 2.05; 95% CI: 1.30-3.22), no antenatal care (AOR = 2.10; 95% CI: 1.28-3.45), birth order ≥5 (AOR = 2.05; 95% CI: 1.25-3.35), maternal illiteracy (AOR = 2.90; 95% CI: 1.65-5.10), and cesarean delivery (AOR = 4.55; 95% CI: 1.72-12.10). Pre-lacteal feeding increased the odds of neonatal complications (AOR = 2.30; 95% CI: 1.35-3.95).

conclusionsPre-lacteal feeding is common in the Nogob zone and is linked to adverse neonatal outcomes. Maternal education, antenatal care promotion, early breastfeeding initiation, and culturally sensitive community interventions are essential to reduce pre-lacteal feeding and improve neonatal health in pastoralist settings.

Indexed as

Bottle FeedingBreast FeedingAdultCross-Sectional StudiesEthiopiaFemaleHumansInfantInfant, NewbornMalePrevalenceYoung Adultbreastfeeding initiationdeterminantsneonatal healthpastoralist communitiesPre-lacteal feeding

Identifiers

PMID41834714
PMCPMC12997361

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.