@article { author = {Desalew, Assefa and Sema, Alekaw and Belay, Yalelet}, title = {Exclusive Breastfeeding Practice and its Associated Factors among Mothers with Children Aged 6-23 Months in Dire Dawa, Eastern Ethiopia: A Community-based Cross-sectional Study}, journal = {Journal of Midwifery and Reproductive Health}, volume = {8}, number = {4}, pages = {2419-2428}, year = {2020}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4792}, eissn = {2345-4792}, doi = {10.22038/jmrh.2020.44011.1524}, abstract = {Background & aim: Exclusive breastfeeding (EBF) is an essential need for the development and survival of the neonates, particularly in low-income countries. Therefore, the purpose of this survey was to determine the prevalence of EBF practice and its associated factors among mothers with children of 6-23 months in Dire Dawa Administration, eastern Ethiopia. Methods: This community-based cross-sectional survey was conducted on 704 participants in 15 kebeles in the Dire Dawa Administration using multistage sampling in 2018. The data were collected using a pretested interviewer-administered questionnaire. Binary logistic regression was used to identify the factors associated with EBF. Results: The magnitude of EBF practice was 81.1% (95% CI: 78.0-83.8). In the multivariate logistic analysis, the odds of EBF practice were significantly higher among unemployed mothers (AOR: 1.93; 95% CI: 1.17-3.20), antenatal care (ANC) users (AOR: 1.69; 95% CI: 1.05-2.72), as well as the young mothers within the age ranges of 15-25 (AOR: 4.41; 95% CI: 1.90-10.20) and 26-35 (AOR: 2.16; 95% CI: 1.12-4.18) years. However, the subjects with bottle-feeding practice had lower odds (AOR: 0.55; 95% CI: 0.35-0.87), compared to those reported with EBF practice. Conclusion: The magnitude of EBF practice was almost as high as the recommended level. The unemployment status, ANC visit, maternal age, and bottle-feeding practice were the factors associated with EBF. Therefore, employed mothers should be provided with a special room in their workplace to breastfeed their children, daycare facilities, and/or six-month maternity leave. Also, healthcare workers should give attention to the encouragement of mothers to receive ANC. }, keywords = {Exclusive breastfeeding,neonate,Ethiopia}, url = {https://jmrh.mums.ac.ir/article_16009.html}, eprint = {https://jmrh.mums.ac.ir/article_16009_3054a5b842ba8bb7b3334dbd4018cdf5.pdf} }