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HIV Exposed Infants Feeding Practices and Associated Factors Among Mothers Attending PMTCT Clinics at Ambo Town Public Health Facilities

Received: 9 September 2019     Accepted: 6 November 2019     Published: 29 April 2020
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Abstract

About thirty seven million people worldwide were living with human immunodeficiency virus in the year 2017, of these, 1.8 million were children (<15 years old). Most of these children live in sub-Saharan Africa and were infected by their human immunodeficiency virus from positive mothers during pregnancy, childbirth or breastfeeding. The study aimed to assess human immune deficiency virus exposed infants feeding practices and associated factors among mothers on prevention of mother to child transmission clinics at Ambo town public health institution. Facility based cross-sectional study was conducted from May to August 2019, at Ambo town public health institution. Systematic random sampling method was utilized to select study respondents. Data were collected through an exit interview by using pre-tested structured questionnaire. The returned questionnaires were checked for completeness, cleaned manually and entered to epidata version 3.1 and then exported SPSS version 20.0 for further analysis. Univariate and multivariate logistic regression analyses were carried out and finally descriptive finding was presented using frequency distribution tables and graphs. From total of 106 respondents 44 (42%) were greater than or equal to 30 years old and majority (75.5%) were from urban and more than half (56.8%) had good knowledge towards infant feeding practice. About 53.8% of the children were exclusively breast fed, whereas 28.3%) and 17.9%had practiced mixed feeding and exclusive replacement feeding respectively. This study result identified that the main reason reported for Exclusive Breast Feeding were advised by health professionals, easily availability of breast milk and nutritional importance among the study population. Thus Health professionals working at prevention of mother to child transmission clinic should work on infant feeding practice options by using mass media, community mobilization and health education in more comprehensive.

Published in Journal of Health and Environmental Research (Volume 6, Issue 2)
DOI 10.11648/j.jher.20200602.11
Page(s) 31-36
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Ambo Ethiopia, HIV-positive Mothers, Infant Feeding Practice

References
[1] Wang L. Overview of the HIV/AIDS epidemic, scientific research and government responses in China Aids. 2007 Dec 1; 21: S3-7.
[2] Newell, M. L., 2004. HIV transmission through breastfeeding: a review of available evidence.
[3] UNAIDS, W., 2017. Fact sheet: world AIDS day 2017. Global HIV statistics.
[4] Berhe, A., Tesfahun, H., Joshi, S. and Bayray, A., Assessment of Infant feeding experience of HIV Positive mothers utilizing PMTCT services: The case of TikurAnbassa Hospital, Addis Ababa, Ethiopia. Int J Pharm Sci Res 2013; 4 (5); 1000, 1018.
[5] Haile, D., Belachew, T., Berhanu, G., Setegn, T. and Biadgilign, S., 2015. Complementary feeding practices and associated factors among HIV positive mothers in Southern Ethiopia. Journal of Health, Population and Nutrition, 34 (1), p. 5.
[6] Legesse, H, Degefie, T., Hiluf, M. Sime, K., Tesfaye, C., Abebe, H., Kebede, H, Pearson, L., Kassaye, A. and Taylor, M., 2014. National scale-up of integrated community case management in rural Ethiopia: implementation and early lessons learned. Ethiop Med J, 52 (Suppl 3), pp. 15 26.
[7] WHO, U., 2016. 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.
[8] World Health Organization, 2010. Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations for Infant Feeding in the Context of HIV and a Summary of Evidence. Geneva: World Health Organization.
[9] UNICEF. Division of Communication, 2009. Tracking progress on child and maternal nutrition: a survival and development priority. Unicef.
[10] Joint United Nations Programme on HIV/AIDS., UNICEF. and World Health Organization, 2008. Children and AIDS: Third Stocktaking Report, 2008. UNICEF.
[11] Fletcher, F. E., Ndebele, P. and Kelley, M. C., 2008. Infant feeding and HIV in Sub-Saharan Africa: what lies beneath the dilemma?. Theoretical medicine and bioethics, 29 (5), p. 307.
[12] Demographic, E. (2016). "Health Survey Central Statistical Agency." Addis Ababa, Ethiopia.
[13] Fadnes, L. T., Engebretsen, I. M. S., Moland, K. M., Nankunda, J., Tumwine, J. K. and Tylleskär, T., 2010. Infant feeding counselling in Uganda in a changing environment with focus on the general population and HIV-positive mothers-a mixed method approach. BMC health services research, 10 (1), p. 260.
[14] Ndubuka, J., Ndubuka, N., Li, Y., Marshall, C. M. and Ehiri, J., 2013. Knowledge, attitudes and practices regarding infant feeding among HIV-infected pregnant women in Gaborone, Botswana: a cross-sectional survey. BMJ open, 3 (11), p. e003749.
[15] Bekere, A., Garoma, W. and Beyene, F., 2014. Exclusive Breastfeeding Knowledge of HIV Positive mothers and Associated Factors in Selected Health Institution of West Oromia, Ethiopia. Universal Journal of Food and Nutrition Science, 2 (3), pp. 37-44.
[16] FHAPCO, F., 2007. Guideline for prevention of mother to child transmission of HIV in Ethiopia: Federal HIV. AIDS Prevention and Control office, Federal Ministry of Health.
[17] Fanta, W. and Worku, A., 2012. Determinants for refusal of HIV testing among women attending for antenatal care in Gambella Region, Ethiopia. Reproductive health, 9 (1), p. 8.
[18] Kalipeni, E., Iwelunmor, J., Grigsby-Toussaint, D. S. and Moise, I. K. eds., 2018. Public Health, Disease and Development in Africa. Routledge.
[19] Alemayehu, T., Haidar, J. and Habte, D., 2009. Determinants of exclusive breastfeeding practices in Ethiopia. Ethiopian Journal of Health Development, 23 (1).
[20] Maru, Y. and Haidar, J., 2009. Infant feeding practice of HIV positive mothers and its determinants in selected health institutions of Addis Ababa, Ethiopia. Ethiopian Journal of Health Development, 23 (2).
[21] Ladzani, R., Peltzer, K., Mlambo, M. G. and Phaweni, K., 2011. Infant-feeding practices and associated factors of HIV-positive mothers at GertSibande, South Africa. ActaPaediatrica, 100 (4), pp. 538-542.
[22] Saka, F. J., 2012. Factors influencing exclusive breastfeeding among HIV positive mothers at Ilala Municipality Dar es Salaam (Doctoral dissertation, Muhimbili University of Health and Allied Sciences).
[23] Maclaine, A., 2006. Infant Feeding Practices in Binga and Nyaminyami, Zimbabwe, in relation to HIV.
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  • APA Style

    Kefyalew Taye Belete. (2020). HIV Exposed Infants Feeding Practices and Associated Factors Among Mothers Attending PMTCT Clinics at Ambo Town Public Health Facilities. Journal of Health and Environmental Research, 6(2), 31-36. https://doi.org/10.11648/j.jher.20200602.11

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    ACS Style

    Kefyalew Taye Belete. HIV Exposed Infants Feeding Practices and Associated Factors Among Mothers Attending PMTCT Clinics at Ambo Town Public Health Facilities. J. Health Environ. Res. 2020, 6(2), 31-36. doi: 10.11648/j.jher.20200602.11

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    AMA Style

    Kefyalew Taye Belete. HIV Exposed Infants Feeding Practices and Associated Factors Among Mothers Attending PMTCT Clinics at Ambo Town Public Health Facilities. J Health Environ Res. 2020;6(2):31-36. doi: 10.11648/j.jher.20200602.11

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  • @article{10.11648/j.jher.20200602.11,
      author = {Kefyalew Taye Belete},
      title = {HIV Exposed Infants Feeding Practices and Associated Factors Among Mothers Attending PMTCT Clinics at Ambo Town Public Health Facilities},
      journal = {Journal of Health and Environmental Research},
      volume = {6},
      number = {2},
      pages = {31-36},
      doi = {10.11648/j.jher.20200602.11},
      url = {https://doi.org/10.11648/j.jher.20200602.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20200602.11},
      abstract = {About thirty seven million people worldwide were living with human immunodeficiency virus in the year 2017, of these, 1.8 million were children (<15 years old). Most of these children live in sub-Saharan Africa and were infected by their human immunodeficiency virus from positive mothers during pregnancy, childbirth or breastfeeding. The study aimed to assess human immune deficiency virus exposed infants feeding practices and associated factors among mothers on prevention of mother to child transmission clinics at Ambo town public health institution. Facility based cross-sectional study was conducted from May to August 2019, at Ambo town public health institution. Systematic random sampling method was utilized to select study respondents. Data were collected through an exit interview by using pre-tested structured questionnaire. The returned questionnaires were checked for completeness, cleaned manually and entered to epidata version 3.1 and then exported SPSS version 20.0 for further analysis. Univariate and multivariate logistic regression analyses were carried out and finally descriptive finding was presented using frequency distribution tables and graphs. From total of 106 respondents 44 (42%) were greater than or equal to 30 years old and majority (75.5%) were from urban and more than half (56.8%) had good knowledge towards infant feeding practice. About 53.8% of the children were exclusively breast fed, whereas 28.3%) and 17.9%had practiced mixed feeding and exclusive replacement feeding respectively. This study result identified that the main reason reported for Exclusive Breast Feeding were advised by health professionals, easily availability of breast milk and nutritional importance among the study population. Thus Health professionals working at prevention of mother to child transmission clinic should work on infant feeding practice options by using mass media, community mobilization and health education in more comprehensive.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - HIV Exposed Infants Feeding Practices and Associated Factors Among Mothers Attending PMTCT Clinics at Ambo Town Public Health Facilities
    AU  - Kefyalew Taye Belete
    Y1  - 2020/04/29
    PY  - 2020
    N1  - https://doi.org/10.11648/j.jher.20200602.11
    DO  - 10.11648/j.jher.20200602.11
    T2  - Journal of Health and Environmental Research
    JF  - Journal of Health and Environmental Research
    JO  - Journal of Health and Environmental Research
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    UR  - https://doi.org/10.11648/j.jher.20200602.11
    AB  - About thirty seven million people worldwide were living with human immunodeficiency virus in the year 2017, of these, 1.8 million were children (<15 years old). Most of these children live in sub-Saharan Africa and were infected by their human immunodeficiency virus from positive mothers during pregnancy, childbirth or breastfeeding. The study aimed to assess human immune deficiency virus exposed infants feeding practices and associated factors among mothers on prevention of mother to child transmission clinics at Ambo town public health institution. Facility based cross-sectional study was conducted from May to August 2019, at Ambo town public health institution. Systematic random sampling method was utilized to select study respondents. Data were collected through an exit interview by using pre-tested structured questionnaire. The returned questionnaires were checked for completeness, cleaned manually and entered to epidata version 3.1 and then exported SPSS version 20.0 for further analysis. Univariate and multivariate logistic regression analyses were carried out and finally descriptive finding was presented using frequency distribution tables and graphs. From total of 106 respondents 44 (42%) were greater than or equal to 30 years old and majority (75.5%) were from urban and more than half (56.8%) had good knowledge towards infant feeding practice. About 53.8% of the children were exclusively breast fed, whereas 28.3%) and 17.9%had practiced mixed feeding and exclusive replacement feeding respectively. This study result identified that the main reason reported for Exclusive Breast Feeding were advised by health professionals, easily availability of breast milk and nutritional importance among the study population. Thus Health professionals working at prevention of mother to child transmission clinic should work on infant feeding practice options by using mass media, community mobilization and health education in more comprehensive.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Public Health, College of Medicine and Health Science, Ambo University, Ambo, Ethiopia

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