Background

It is estimated that sub-optimal feeding, especially non-exclusive breastfeeding in the first 6months of life, results in 1.4million deaths and 10% of disease burden in children younger than five years. Worldwide, it is estimated that only 34.8% of infants are exclusively breastfed for the first 6months of life, the majority receiving some other food or fluid in the early months. Besides, the Ethiopian demographic and health survey (2016) stated that the median duration of exclusive breastfeeding in Tigray region was 3.8 months which is shorter than the recommended duration. The main purpose of this study was to determine the magnitude of exclusive breastfeeding practice and associated factors among HIV positive mothers in public hospitals of Tigray region, Northern Ethiopia.

Methods

A facility based cross-sectional study was conducted from July 9 to October 11, 2016, in public hospitals of Tigray region. Data was collected by using structured questionnaire using face-to-face interview among 304 eligible women through a systematic sampling technique. Data was analyzed using SPSS version 20.0. Binary and multiple variable logistic regressions (“odds ratio”) analyses were calculated with 95% CI and p value ≤ 0.05 as significance were used.

Result

Two hundred seventy (88.8%) of mothers practiced exclusive breastfeeding for the first six months of life. Infant feeding counseling during antenatal care of last pregnancy [AOR = 6.9, 95% CI; 2.63, 17.99], knowledge on exclusive breastfeeding (AOR = 5.5, 95% CI; (2.12, 14.02] and attitude towards exclusive breastfeeding [AOR = 7.9; 95% CI; 2.96, 21.21] had significant association with exclusive breastfeeding practice.

Conclusions

A high proportion of mothers practiced exclusive breastfeeding for the first six months of life. Infant feeding counseling, knowledge and attitude towards exclusive breastfeeding practice were the predictors of exclusive breastfeeding among HIV positive mothers. Strengthening infant feeding counseling during antenatal care and improving mothers’ knowledge and attitude on exclusive breastfeeding is essential.

中文翻译：

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埃塞俄比亚北部艾滋病毒呈阳性的母亲中的纯母乳喂养及相关因素

背景

据估计，最不理想的喂养方式，尤其是生命头六个月的非排他性母乳喂养，会导致140万例死亡，五岁以下儿童的疾病负担占10％。据估计，在全球范围内，只有34.8％的婴儿在出生后的前6个月内完全采用母乳喂养，其中大多数在月初时接受其他食物或液体。此外，埃塞俄比亚人口与健康调查（2016年）指出，提格雷地区纯母乳喂养的中位时间为3.8个月，比建议的持续时间短。这项研究的主要目的是确定埃塞俄比亚北部提格雷地区公立医院中HIV阳性母亲纯母乳喂养的规模及其相关因素。

方法

基于设施的横断面研究于2016年7月9日至10月11日在提格雷地区的公立医院进行。使用结构化问卷，通过系统抽样技术，对304名合格女性进行了面对面的访谈，收集了数据。使用SPSS 20.0版分析数据。使用95％CI和p值≤0.05计算二元和多元变量Logistic回归（“比值比”）分析。

结果

二百七十（88.8％）的母亲在出生后的头六个月进行纯母乳喂养。上次妊娠产前护理期间的婴儿喂养咨询[AOR = 6.9，95％CI；[2.63，17.99]，关于纯母乳喂养的知识（AOR = 5.5，95％CI；（2.12，14.02]）和对纯母乳喂养的态度[AOR = 7.9; 95％CI; 2.96，21.21]与纯母乳喂养实践有显着关联。

结论

很大一部分母亲在出生后的头六个月进行纯母乳喂养。婴儿喂养咨询，对纯母乳喂养习惯的了解和态度是艾滋病毒阳性母亲纯母乳喂养的预测因素。必须加强产前护理期间的婴儿喂养咨询，并提高母亲对纯母乳喂养的知识和态度。