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Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study

BACKGROUND: Exclusive breastfeeding (EBF) up to six months is sub-optimal globally. Tanzania has surpassed the World Health Assembly (WHA) target of increasing the rate of exclusive breastfeeding among children below six months to at least 50% by the year 2025 the median age of cessation of EBF is o...

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Autores principales: Ali, Farida, Msuya, Sia E., Mamseri, Redempta, Mgongo, Melina, Mboya, Innocent B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553062/
https://www.ncbi.nlm.nih.gov/pubmed/34710150
http://dx.doi.org/10.1371/journal.pone.0259041
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author Ali, Farida
Msuya, Sia E.
Mamseri, Redempta
Mgongo, Melina
Mboya, Innocent B.
author_facet Ali, Farida
Msuya, Sia E.
Mamseri, Redempta
Mgongo, Melina
Mboya, Innocent B.
author_sort Ali, Farida
collection PubMed
description BACKGROUND: Exclusive breastfeeding (EBF) up to six months is sub-optimal globally. Tanzania has surpassed the World Health Assembly (WHA) target of increasing the rate of exclusive breastfeeding among children below six months to at least 50% by the year 2025 the median age of cessation of EBF is only three months. OBJECTIVE: To determine the time to cessation of exclusive breastfeeding and its associated factors among women with children aged 6–24 months in Kilimanjaro region, Northern Tanzania. METHODS: This was a secondary analysis of data from a community-based cross-sectional study conducted between April 2016 and April 2017 in Kilimanjaro region, northern Tanzania. In the parent study, a multistage sampling technique was used to select study participants and interviewed using a questionnaire. Data for 1291 mother-child pairs were analyzed using STATA version 15. Kaplan-Meier method with the log-rank test estimated and compared the survivor functions across covariate levels. Cox regression proportional hazards models estimated the hazard ratios (HR) and their 95% confidence intervals (CI) for factors associated with time to cessation of exclusive breastfeeding. RESULTS: The prevalence of cessation of exclusive breastfeeding before six months was 68.7%, with a median age of cessation of four months (95% CI: 3, 4). In comparison to women living in Siha district, women living in Moshi Municipal (HR = 1.61; 95% CI = 1.24, 2.09), Same (HR = 1.32; 95% CI = 1.06, 1.65) and Mwanga (HR = 1.53; 95% CI = 1.20, 1.96) districts, had higher hazards of cessation of exclusive breastfeeding before six months. Women who received breastfeeding counselling at antenatal care had a lower hazard to cease EBF (HR = 0.76, 95% CI 0.65, 087) compared to those who did not receive breastfeeding counselling. CONCLUSION: The median age of cessation of EBF is unsatisfactory but at least higher (four months) than the national level estimate of three months. District specific interventions and breastfeeding counselling at antenatal care are essential for improving time to cessation of exclusive breastfeeding. Promotion of adequate ANC visits remains one of the critical interventions to improve BF practices and other reproductive health outcomes.
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spelling pubmed-85530622021-10-29 Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study Ali, Farida Msuya, Sia E. Mamseri, Redempta Mgongo, Melina Mboya, Innocent B. PLoS One Research Article BACKGROUND: Exclusive breastfeeding (EBF) up to six months is sub-optimal globally. Tanzania has surpassed the World Health Assembly (WHA) target of increasing the rate of exclusive breastfeeding among children below six months to at least 50% by the year 2025 the median age of cessation of EBF is only three months. OBJECTIVE: To determine the time to cessation of exclusive breastfeeding and its associated factors among women with children aged 6–24 months in Kilimanjaro region, Northern Tanzania. METHODS: This was a secondary analysis of data from a community-based cross-sectional study conducted between April 2016 and April 2017 in Kilimanjaro region, northern Tanzania. In the parent study, a multistage sampling technique was used to select study participants and interviewed using a questionnaire. Data for 1291 mother-child pairs were analyzed using STATA version 15. Kaplan-Meier method with the log-rank test estimated and compared the survivor functions across covariate levels. Cox regression proportional hazards models estimated the hazard ratios (HR) and their 95% confidence intervals (CI) for factors associated with time to cessation of exclusive breastfeeding. RESULTS: The prevalence of cessation of exclusive breastfeeding before six months was 68.7%, with a median age of cessation of four months (95% CI: 3, 4). In comparison to women living in Siha district, women living in Moshi Municipal (HR = 1.61; 95% CI = 1.24, 2.09), Same (HR = 1.32; 95% CI = 1.06, 1.65) and Mwanga (HR = 1.53; 95% CI = 1.20, 1.96) districts, had higher hazards of cessation of exclusive breastfeeding before six months. Women who received breastfeeding counselling at antenatal care had a lower hazard to cease EBF (HR = 0.76, 95% CI 0.65, 087) compared to those who did not receive breastfeeding counselling. CONCLUSION: The median age of cessation of EBF is unsatisfactory but at least higher (four months) than the national level estimate of three months. District specific interventions and breastfeeding counselling at antenatal care are essential for improving time to cessation of exclusive breastfeeding. Promotion of adequate ANC visits remains one of the critical interventions to improve BF practices and other reproductive health outcomes. Public Library of Science 2021-10-28 /pmc/articles/PMC8553062/ /pubmed/34710150 http://dx.doi.org/10.1371/journal.pone.0259041 Text en © 2021 Ali et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ali, Farida
Msuya, Sia E.
Mamseri, Redempta
Mgongo, Melina
Mboya, Innocent B.
Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study
title Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study
title_full Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study
title_fullStr Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study
title_full_unstemmed Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study
title_short Time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in Kilimanjaro region, northern Tanzania: A community-based cross-sectional study
title_sort time to cessation of exclusive breastfeeding and associated factors among women with children aged 6–24 months in kilimanjaro region, northern tanzania: a community-based cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553062/
https://www.ncbi.nlm.nih.gov/pubmed/34710150
http://dx.doi.org/10.1371/journal.pone.0259041
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