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The effect of antenatal care on colostrum avoidance in pastoralists: The case of Afar, Northeast Ethiopia

Authors
  • Legesse Liben, Misgan1
  • Adem, Reem2
  • Yimer, Nigus Bililign1
  • 1 Woldia University, Amhara, Ethiopia
  • 2 Afar Regional Health Bureau, Afar, Ethiopia
Type
Published Article
Journal
Global Pediatric Health
Publisher
SAGE Publications
Publication Date
Apr 29, 2021
Volume
8
Identifiers
DOI: 10.1177/2333794X211013764
PMID: 34017907
PMCID: PMC8114240
Source
PubMed Central
Keywords
Disciplines
  • Section: Infant Feeding and Nutrition
  • Original Research Article
License
Unknown

Abstract

Breastfeeding is sufficient for infants in the first 6 months of life and is important to maintain maternal health. Evidences revealed that neonatal mortality is higher among children who received colostrum as compared to those who are deprived of colostrum. Therefore, this study aimed to assess the factors associated with colostrum avoidance practice among pastoralists in Afar Regional State, Northeast Ethiopia. A community-based cross-sectional study was conducted on 1188 mother-child pairs in Afar Regional State in June 2016. Univariable and multivariable logistic regression analyses were carried out to identify the predictors of colostrum avoidance. Statistical significance was declared at P -value <.05. About 40% of children deprived of colostrum. Mothers aged 20 to 34 years (AOR: 1.79; 95% CI: 1.18, 2.73), not attending antenatal checkup (AOR: 1.82; 95% CI: 1.64, 2.85), receiving prelacteal feeding (AOR: 2.21; CI: 1.88, 3.93) and late initiation of breastfeeding (AOR: 2.71; 95% CI: 2.02, 3.65) were positively associated with colostrum avoidance. Nearly 4 in 10 children deprived of colostrum. Therefore, promoting antenatal care and strengthening service-based counseling on proper newborn feeding practices will be important to improve colostrum feeding.

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