Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study

Beminet Moges Gebremariam; Ermias Abera Tiruse; Biruk Assefa Kebede; Million Mohammed Asfaw

doi:doi:10.11648/j.sjph.20210905.13

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Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study

Beminet Moges Gebremariam, Ermias Abera Tiruse, Biruk Assefa Kebede, Million Mohammed Asfaw

Published in Science Journal of Public Health (Volume 9, Issue 5)

Received: 23 May 2021 Accepted: 8 July 2021 Published: 14 September 2021

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Abstract

Background and aim: Infant feeding practices recommended to mothers known to be living with HIV should support the greatest likelihood of the HIV-free survival of their children and not harm the health of mothers. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. The determinant of infant mixed feeding practice among HIV positive mothers is not well studied in Ethiopia. The aim of the study is to assess the determinants of mixed infant feeding practice among HIV Positive Mothers in Southern Ethiopia. Methods: Unmatched case-control study was conducted among HIV positive mothers at selected ART centers of Southern Ethiopia. A total of 276 mothers children pair; 92 cases and 184 controls, were enrolled in the study. An interviewer-administered questionnaire was used to collect data and EPI info version 3.5.3 statistical software used to enter data and analysis was done using SPSS version 20software. Bivariate and multivariate logistic regression was carried out to identify the determinants of mixed feeding practice of HIV positive mothers. Result: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). Conclusion: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. There is a positive relationship between HIV test results of infants and mixed feeding practice of HIV positive mothers. An integrated infant feeding counseling with a practical demonstration is needed to foster HIV positive mother’s practice on infant feeding options. Moreover, enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children.

Published in	Science Journal of Public Health (Volume 9, Issue 5)
DOI	10.11648/j.sjph.20210905.13
Page(s)	154-161
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), 2021. Published by Science Publishing Group

Keywords

HIV Exposed Infants, HIV Positive Mothers, PMTCT, ART, Mixed Infant Feeding Practice

References

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[10]	Nlend AEN, Ekani BB. Trends of early infant feedings practices after counseling in infant born to HIV positive women in Yaoundé, Cameroon. The Pan African Medical Journal. 2014; 17.
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[16]	Berhan Z, Abebe F, Gedefaw M, Tesfa M, Assefa M, Tafere Y. Risk of HIV and associated factors among infants born to HIV positive women in Amhara region, Ethiopia: a facility based retrospective study. BMC research notes. 2014; 7 (1): 876.
[17]	Muluye D, Woldeyohannes D, Gizachew M, Tiruneh M. Infant feeding practice and associated factors of HIV positive mothers attending prevention of mother to child transmission and antiretroviral therapy clinics in Gondar Town health institutions, Northwest Ethiopia. BMC public health. 2012; 12 (1): 240.
[18]	Ladzani R, Peltzer K, Mlambo MG, Phaweni K. Infant-feeding practices and associated factors of HIV-positive mothers at Gert Sibande, South Africa. Acta Paediatrica. 2011; 100 (4): 538-542.
[19]	Wakwoya EB, Zewudie TA, Gebresilasie KZ. Infant feeding practice and associated factors among HIV positive mothers in Debre Markos Referral Hospital East Gojam zone, North West Ethiopia. The Pan African medical journal. 2016; 24.
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Beminet Moges Gebremariam, Ermias Abera Tiruse, Biruk Assefa Kebede, Million Mohammed Asfaw. (2021). Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study. Science Journal of Public Health, 9(5), 154-161. https://doi.org/10.11648/j.sjph.20210905.13

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ACS Style

Beminet Moges Gebremariam; Ermias Abera Tiruse; Biruk Assefa Kebede; Million Mohammed Asfaw. Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study. Sci. J. Public Health 2021, 9(5), 154-161. doi: 10.11648/j.sjph.20210905.13

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AMA Style

Beminet Moges Gebremariam, Ermias Abera Tiruse, Biruk Assefa Kebede, Million Mohammed Asfaw. Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study. Sci J Public Health. 2021;9(5):154-161. doi: 10.11648/j.sjph.20210905.13

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@article{10.11648/j.sjph.20210905.13,
  author = {Beminet Moges Gebremariam and Ermias Abera Tiruse and Biruk Assefa Kebede and Million Mohammed Asfaw},
  title = {Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study},
  journal = {Science Journal of Public Health},
  volume = {9},
  number = {5},
  pages = {154-161},
  doi = {10.11648/j.sjph.20210905.13},
  url = {https://doi.org/10.11648/j.sjph.20210905.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20210905.13},
  abstract = {Background and aim: Infant feeding practices recommended to mothers known to be living with HIV should support the greatest likelihood of the HIV-free survival of their children and not harm the health of mothers. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. The determinant of infant mixed feeding practice among HIV positive mothers is not well studied in Ethiopia. The aim of the study is to assess the determinants of mixed infant feeding practice among HIV Positive Mothers in Southern Ethiopia. Methods: Unmatched case-control study was conducted among HIV positive mothers at selected ART centers of Southern Ethiopia. A total of 276 mothers children pair; 92 cases and 184 controls, were enrolled in the study. An interviewer-administered questionnaire was used to collect data and EPI info version 3.5.3 statistical software used to enter data and analysis was done using SPSS version 20software. Bivariate and multivariate logistic regression was carried out to identify the determinants of mixed feeding practice of HIV positive mothers. Result: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). Conclusion: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. There is a positive relationship between HIV test results of infants and mixed feeding practice of HIV positive mothers. An integrated infant feeding counseling with a practical demonstration is needed to foster HIV positive mother’s practice on infant feeding options. Moreover, enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children.},
 year = {2021}
}

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TY  - JOUR
T1  - Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study
AU  - Beminet Moges Gebremariam
AU  - Ermias Abera Tiruse
AU  - Biruk Assefa Kebede
AU  - Million Mohammed Asfaw
Y1  - 2021/09/14
PY  - 2021
N1  - https://doi.org/10.11648/j.sjph.20210905.13
DO  - 10.11648/j.sjph.20210905.13
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 154
EP  - 161
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20210905.13
AB  - Background and aim: Infant feeding practices recommended to mothers known to be living with HIV should support the greatest likelihood of the HIV-free survival of their children and not harm the health of mothers. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. The determinant of infant mixed feeding practice among HIV positive mothers is not well studied in Ethiopia. The aim of the study is to assess the determinants of mixed infant feeding practice among HIV Positive Mothers in Southern Ethiopia. Methods: Unmatched case-control study was conducted among HIV positive mothers at selected ART centers of Southern Ethiopia. A total of 276 mothers children pair; 92 cases and 184 controls, were enrolled in the study. An interviewer-administered questionnaire was used to collect data and EPI info version 3.5.3 statistical software used to enter data and analysis was done using SPSS version 20software. Bivariate and multivariate logistic regression was carried out to identify the determinants of mixed feeding practice of HIV positive mothers. Result: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). Conclusion: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. There is a positive relationship between HIV test results of infants and mixed feeding practice of HIV positive mothers. An integrated infant feeding counseling with a practical demonstration is needed to foster HIV positive mother’s practice on infant feeding options. Moreover, enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children.
VL  - 9
IS  - 5
ER  -

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Author Information

Beminet Moges Gebremariam

Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
Ermias Abera Tiruse

Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia
Biruk Assefa Kebede

Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
Million Mohammed Asfaw

Department of Surgery, School of Medicine, College of Medicine and Health Sciences, Wachemo University, Hosanna, Ethiopia

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APA Style

Beminet Moges Gebremariam, Ermias Abera Tiruse, Biruk Assefa Kebede, Million Mohammed Asfaw. (2021). Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study. Science Journal of Public Health, 9(5), 154-161. https://doi.org/10.11648/j.sjph.20210905.13

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ACS Style

Beminet Moges Gebremariam; Ermias Abera Tiruse; Biruk Assefa Kebede; Million Mohammed Asfaw. Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study. Sci. J. Public Health 2021, 9(5), 154-161. doi: 10.11648/j.sjph.20210905.13

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AMA Style

Beminet Moges Gebremariam, Ermias Abera Tiruse, Biruk Assefa Kebede, Million Mohammed Asfaw. Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study. Sci J Public Health. 2021;9(5):154-161. doi: 10.11648/j.sjph.20210905.13

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@article{10.11648/j.sjph.20210905.13,
  author = {Beminet Moges Gebremariam and Ermias Abera Tiruse and Biruk Assefa Kebede and Million Mohammed Asfaw},
  title = {Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study},
  journal = {Science Journal of Public Health},
  volume = {9},
  number = {5},
  pages = {154-161},
  doi = {10.11648/j.sjph.20210905.13},
  url = {https://doi.org/10.11648/j.sjph.20210905.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20210905.13},
  abstract = {Background and aim: Infant feeding practices recommended to mothers known to be living with HIV should support the greatest likelihood of the HIV-free survival of their children and not harm the health of mothers. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. The determinant of infant mixed feeding practice among HIV positive mothers is not well studied in Ethiopia. The aim of the study is to assess the determinants of mixed infant feeding practice among HIV Positive Mothers in Southern Ethiopia. Methods: Unmatched case-control study was conducted among HIV positive mothers at selected ART centers of Southern Ethiopia. A total of 276 mothers children pair; 92 cases and 184 controls, were enrolled in the study. An interviewer-administered questionnaire was used to collect data and EPI info version 3.5.3 statistical software used to enter data and analysis was done using SPSS version 20software. Bivariate and multivariate logistic regression was carried out to identify the determinants of mixed feeding practice of HIV positive mothers. Result: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). Conclusion: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. There is a positive relationship between HIV test results of infants and mixed feeding practice of HIV positive mothers. An integrated infant feeding counseling with a practical demonstration is needed to foster HIV positive mother’s practice on infant feeding options. Moreover, enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Determinants of Mixed Infant Feeding Practice Among HIV Positive Mothers Attending PMTCT and ART Services in Southern Ethiopia: A Case-control Study
AU  - Beminet Moges Gebremariam
AU  - Ermias Abera Tiruse
AU  - Biruk Assefa Kebede
AU  - Million Mohammed Asfaw
Y1  - 2021/09/14
PY  - 2021
N1  - https://doi.org/10.11648/j.sjph.20210905.13
DO  - 10.11648/j.sjph.20210905.13
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 154
EP  - 161
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20210905.13
AB  - Background and aim: Infant feeding practices recommended to mothers known to be living with HIV should support the greatest likelihood of the HIV-free survival of their children and not harm the health of mothers. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. The determinant of infant mixed feeding practice among HIV positive mothers is not well studied in Ethiopia. The aim of the study is to assess the determinants of mixed infant feeding practice among HIV Positive Mothers in Southern Ethiopia. Methods: Unmatched case-control study was conducted among HIV positive mothers at selected ART centers of Southern Ethiopia. A total of 276 mothers children pair; 92 cases and 184 controls, were enrolled in the study. An interviewer-administered questionnaire was used to collect data and EPI info version 3.5.3 statistical software used to enter data and analysis was done using SPSS version 20software. Bivariate and multivariate logistic regression was carried out to identify the determinants of mixed feeding practice of HIV positive mothers. Result: Determinants which are significantly associated with mixed infant feeding practice of HIV positive mothers were: Age group 15-35years (AOR=3.90; 95% CI: 1.59-9.56); Home delivered mothers (AOR=8.79; 95% CI: 3.08, 25.10); HIV diagnosed five and above years ago (AOR=1.85; 95% CI: 1.02-3.39) and WHO Clinical stage I (AOR=2.47; 95% CI: 1.23, 4.94). Conclusion: The study concludes that, age of the mother, place of delivery, duration since mother HIV diagnosed, and WHO clinical stage of the mother was identified as determining factors of mixed infant feeding practice. There is a positive relationship between HIV test results of infants and mixed feeding practice of HIV positive mothers. An integrated infant feeding counseling with a practical demonstration is needed to foster HIV positive mother’s practice on infant feeding options. Moreover, enhancement of health facility delivery, HIV care service through the implementation of new WHO Infant feeding global guidelines was critically mandatory for the HIV free survival of children.
VL  - 9
IS  - 5
ER  -

Copy | Download