{"paper_id":"1afb09d3-6f41-45ca-8149-b03c15d86103","body_text":"Three-fourth of children is received early initiation of Breastfeeding in West Belessa District | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Three-fourth of children is received early initiation of Breastfeeding in West Belessa District Desalew Degu Ayalew, Belayneh Ayanaw Kassie, Melkamu Tamir Hunegnaw, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-18399/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background : The world is now suffering from malnutrition and remains one of the major causes of under-five mortality. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Hence, the study aims were to assess early initiation of breastfeeding among children aged less than two years, months in West Belessa district, North West Ethiopia, 2019. Methods: A community-based cross-sectional study was conducted from January to February 2019 in the West Belessa district. A total of 569 Children was selected by a simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable logistic regression analysis was used to check predictor variables associated with the dependent variable. Variables having a p-value of less than 0.20 in the bi-variable analysis were fitted into the multivariable model. Multivariable binary logistic regression with a 95% confidence interval and Odds Ratio (OR) were computed. Variables having p-value < 0.05 were taken as significantly associated with the dependent variables. Result : The prevalence of EIBF was 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR= 2.76, 95%CI (1.21, 6.27)), postnatal Visit (AOR= 1.85, 95%CI (1.03, 3.85)), and Antenatal care (AOR= 2.58, 95%CI (1.18, 9.94)) was significantly associated with EIBF. Conclusion and Recommendation: We observed, the prevalence of early initiation of Breastfeeding was low in West Belessa District. Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time. Keywords: early initiation of breastfeeding, Children, West Belessa Maternal & Fetal Medicine early initiation of breastfeeding Children West Belessa Background Optimal breastfeeding is significant to the-sustain healthiness and well-being of women and children. It contributes to a world that is made healthier, better educated, and more environmentally sustainable(1, 2). Has long and short effects like help with birth spacing, reduces the risk of breast and ovarian cancers, and lowers the danger of hypertension for mother and combats infectious diseases, reduces frequency and harshness of diarrhea, lowers respiratory infections and acute otitis media, prevents dental caries and malocclusion, and increases intelligence(3–6). Globally, Optimal breastfeeding practice prevents 12–13% of all under-5 deaths (7), off this 87% were under the age of months(6). Practicing of early initiation of breastfeeding first hour can avert 19.1% and 22% of all neonatal deaths in Asia and Africa, respectively(2, 8). Improving breastfeeding rates around the world could save the lives of over 820,000 children under-age five every year(6). Improving breastfeeding practice could prevent about 20,000 maternal deaths from breast cancer(3, 6). Most of the world neonates will wait too long to start on breastfeeding. Globally; not over 20% of neonates are received timely initiation of breastfeeding in the first hour of life after birth; they find off these majorities in low-income countries(6), as the result more than 20 million neonates are not still received early initiation of breastfeeding(9). The prevalence of early initiation reports differs across regions. About, 35% and 65% are found in North Africa Eastern, and Southern Africa, respectively(10). Besides, according to the World Breastfeeding Trends Initiative among 84 counties showed to only 42% of women being put on their neonates within an hour of birth, and 41% where practice exclusive breastfeeding(11). Whereas, reports done among 29 sub-Saharan African counties are from 37.4 to 69.31%(12). In Ethiopia, 47.3–78.8% of neonates are received Early Initiation of Breastfeeding (EIBF) practice(13, 14). Reports showed that residence(15, 16), place of delivery(15), Postnatal care(17), maternal educational status(16–19), maternal age (17), wealth index(18, 20), age of the infants(18), gender and birth order of the infant(18, 20), delivery mode(16, 19) were significantly associated with early initiation of breastfeeding. Especially, emphasis including implementing the National Nutrition Program (NNP), Community Integrated Management of Childhood Illness (CIMCI), and Infant and Young Child Feeding (IYCF) guidelines have been developed by the government of Ethiopia to considerably decrease neonates, infants and child mortality, morbidity, and undernutrition(21–23). But, EIBF is still low as per the standard recommendation in Ethiopia, maybe due to the lack of a culturally oriented approach(14). Also, factors of early initiation Breastfeeding are not previously studied in the district, and this finding will address this gap. Hence, the study aims were to assess the factors affecting EIBF among under two children living in Belessa District. Method Study Design and Period A community-based cross-sectional study was conducted from January to February 2019 to assess early initiation of breastfeeding among under two years children in West Belessa District, North West, Ethiopia. West Belessa District is found in North Gondar Zone, Amhara Regional State, and North West Ethiopia and is located 84 km from central Gondar Zone town- Gondar and 748 km from the capital city of Ethiopia, Addis Ababa. The district has 30 Kebeles (27 rural and 3 urban) with 8 health centers, 27 rural health posts, and 3 urban health posts. According to the 2011E.C Ethiopian population projection the district has the total population 198,967. Among these 99,881 were male and 99,086 were females. Of this, 26,940 are under-five children (24). Source Population and Study Population All children aged 24 months old with mothers/caregivers who lived in West Belessa district used as the source population. All children aged 24 months living in the selected Kebeles from West Belessa district with mothers/caregivers were the study population. Sampling techniques and procedures All children aged 24 months old residing in West Belessa District was entitled to this study. The sample size was determined to apply a single proportion formula by considering the following assumption; the prevalence of early initiation of Breastfeeding 66% for EDHS 2016 in the Amhara region(14), 95% confidence level and 5% of a margin of error. Finally, by considering 10% of non-response rate and 1.5 of design effect 569 final sample size was obtained. Primarily, District Kebeles were stratified in urban and rural. Among the total of 30 kebeles, eight (one in urban and 7 in rural) were selected by using the lottery method. Afterward, children living in each Kebeles were drawn from the list of registration in the health posts in the Kebeles. Finally, 569 children were selected using a simple random sampling technique. Data Collection tool and Procedures Data was collected through face to face interview based structured questionnaire. The tool was taken from EDHS (2016), and the previous similar published literature with some modifications. The questionnaire was prepared originally for English and translated into Amharic back to English to keep reliability. A total of six and two data collectors were participated in the data collection process and supervisors, respectively. Two days of training were provided for data collectors and supervisors on how to extract information by using interviewer structured questionnaires. Five percent of pre-tested was done out of the study site. Close supervision was done by the supervisors and the investigator during data collection. Daily data correction was made before the next data collection took place. Data Processing and Analysis All returned questionnaires were checked for completeness and consistency of responses manually. The cleaned data were entered and analyzed by using EPI info version 7 and SPSS version 20, respectively. Early initiation of breastfeeding is dichotomous variables which can be calcified as 1 and 0 as early initiations of Breastfeeding and none- early initiation of breastfeeding, respectively. Descriptive and summary statistics were carried out. Logistic regression analysis was used to check variables associated with each dependant variable. Hosmer-Lemeshow goodness of fit test used to test the adequacy of the model. A P-value ≤ 0.20 was considered statistically significant in the bivariate and a P-value in the multivariate regression less than 0.05 was taken as statistically significant with EIBF. Variable Measurnemts Early initiation of breastfeeding: the ration of neonates born in the past 24 months who have been put on the breast within 1 hour of birth(25). The household wealth index was determined by using the Principal Component Analysis (PCA) considering the household properties, for instance the amount of cereal products, house, livestock and agricultural land ownership. Initial, variables were dichotomized as 0 and 1. Then after, the coded variables entered and analyzed using PCA, and those variables having a communality value of greater than 0.5 were used to produce factor scores. Finally, the factor scores were summed and ranked into Poor, medium and rich. Regarding Dietary Diversity (DDS) was calculated according to world food organization 2008 seven food groups possible to take in the preceding 24 hours recall period. After collecting the food group, the number of different food groups consume by the children within 24 hours. Then, it was classified as adequate if ≥ four food groups were consumed, and inadequate if < four food groups were consumed during the specified period(25). Result Socio demographic characteristics of the participants A total of 569 participants have participated in this study. Nearly, two-thirds (60.8%) of the caregivers were in the age range of 20–34 years old. Almost all (91%) of the participants were Orthodox by religion and employed. The majority (84.7%) of the mothers were married and unable to read and write. More than three-fourth (78.9%) of the participants were living in a rural residence. More than one-third (32.2%) of the caregivers had to live in poor house quintiles and received adequate dietary diversity, respectively (Table 1 ). Table 1 Socio demographic characteristics of respondents, west Belessa District, Northwest Ethiopia, 2019(n=569). variable Frequency(n) Percentage (%) Age of the mother <20 113 19.9 20-34 346 60.8 >=35 110 19.3 Religion of the mother Orthodox 518 91 Muslim 51 9 Marital status Married 482 84.7 Others 87 15.3 Educational level of the mother Unable to read and write 454 84.7 Able to read and write (Informal education) 48 8.4 Primary education 44 7.0 Secondary education and above 23 4.0 Head of the household Mother 195 34.3 Father 374 65.7 Occupation of the mother Un employed 51 9.0 Employee 518 91 Residence Rural 449 78.9 Urban 120 21.1 Family Size 1-4 286 50.3 5-7 211 37.1 >=8 72 12.7 Numbers of under five children 1 438 77 >=2 131 23 Wealth index Poor 183 32.2 Middle 203 35.7 Rich 183 32.2 Dietary Diversity In adequate 377 66.3 Adequate 192 33.7 More than half (53%) of the children were male. Nearly, two-thirds (65.73%) of the children are in the age range of 12–24 months. Three-fourth, (73.1%) of the children was received exclusive breastfeeding. Nearly two –thirds (64.1%) and (64.5%) of children have started their complementary feeding in the recommended time and birth weight in the age range of 2.5 -4.0 kg. Three-fourth (77.2%) of the mother has had all types of ANC visits during their last pregnancy and more than half (57.5%) of the mother was give birth at health institution (Table 2 ). Table 2 Infant, children socio demographic characteristics and health seeking behavior of the caregivers, West Belessa, Northwest Ethiopia, 2019(n=569) Variable Frequency(n) Percentage (%) Child characteristics Sex of the child Male 334 53.0 Female 296 47.0 Age of the child 6-11Months 195 34.27 12-24 months 374 65.73 Type of birth Single 554 97.4 Twin 15 2.6 Birth weight of the child <2.5 kg 84 14.8 2.5-4.0kg 367 64.5 >4.0kg 118 20.7 ANC Visit No 130 22.8 Yes 439 77.2 No. of ANC visit during last pregnancy None 130 22.8 1-3 times 207 36.4 4 and above 232 40.8 Place of delivery Home 242 42.5 Health institution 327 57.5 PNC Visits No 244 42.9 Yes 325 457.1 Gestational Age <36 weeks 26 4.6 37-41 weeks 509 89.5 >=41 weeks 34 6.0 Prevalence of early initiation of Breastfeeding According to this study, the prevalence of early initiation of Breastfeeding in the West Belessa district was 77.7% (95%CI, 74.3–81.0). Factors affecting early initiation of Breastfeeding As showed in Table 3 , after adjusting the confounder variables in the multivariate age of the mother, ANC visits and numbers of ANC visits were had significantly associated with the outcome variable. Mothers having age thrifty-five and above was 2.76 times more initiate breastfeeding within one hour [AOR: 2.76; 95% CI (1.21, 6.27)] as compared with mothers having less than twenty years old. Mothers having ANC visits during pregnancy period was 5 times more initiate breastfeeding within one hour [AOR: 2.58; 95%CI (1.18, 9.94)] as the contrast with mother without ANC visit and ANC visits having one up to three were 1.85 times more initiate breastfeed within one hour [AOR: 1.85; 95%CI (1.03, 3.35) as compared with mothers haven’t any ANC contact (Table 3 ). Table 3 Bivariate and multivariable logistic regression output showing that factors associated with initiation of Breast feeding among under two children, West Belessa District, northwest Ethiopia, 2019. Variables EIBF Crude Odds Ratio with 95% C) Adjusted Odds Ratio with 95% CI Within 1 hr(early) After 1 hr Marital status Married 367(76.1%) 75(23.9%) 1.96(1.03,3.73) 1.31(0.51,3.39) Not married 115(86.2%) 12(13.8%) 1 1 Place of Delivery Home 172(71.1%) 70(28.9%) 1 1 Health facility 270(82.6%) 57(17.4%) 1.93(1.29, 2.87) 1.28(0.73, 2.26) Numbers of ANC visits None 73(56.2%) 57(43.8%) 1 1 1-3 times 165(79.7%) 42(20.3%) 0.34(0.20, 0.57) 1.85(1.03, 3.35)* >=4 times 204(87.9%) 28(12.1%) 0.18(0.10, 0.33) 1.34(0.77, 2.37) Age of the mother <20 years 98(86.7%) 15(13.3%) 1 1 20-34 years 273(78.9%) 73(21.1%) 1.75(0.96, 3.19) 1.78(0.91, 3.50) >=35 years 71(64.5%) 39(35.5%) 3.59(1.84, 7.01) 2.76(1.21,6.27)* Household Wealth status Poor 146(79.8%) 37(20.2%) 1 1 Middle 151(74.4%) 52(25.6%) 1.63(0.84,2.19) 0.99(0.55, 1.78) Rich 145(79.2%) 38(20.8%) 1.03(0.62, 1.72) 1.25(0.67, 2.33) Head of the Household Mother 177(90.8%) 18(9.2%) 0.25(0.15, 0.42) 0.45(0.22,0.90) Father 265(70.9%) 109(29.1%) 1 1 Residence Urban 113(94.2%) 7(5.8%) 0.04(0.01, 0.18) 0.25(0.45,1.28) Rural 234(72.2%) 125(27.8%) 1 1 ANC Visits No 73(56.2%) 57(43.8%) 1 1 Yes 369(84.1%) 70(15.9%) 4.12(2.68, 6.33) 5.06(2.58,9.94)* PNC Visits No 176(72.1%) 68(27.9%) 1 1 Yes 266(81.8%) 59(18.2%) 0.57(0.39, 0.85) 0.65(0.40, 1.07) Discussion Putting newborns to the breast within the first hour after birth gives them the best chance to survive, grow and develop to their full potential, but efforts to improve breastfeeding practice has not made significantly, especially early initiation of breastfeeding, because of poorly integrated action including government, private, community, and households. Hence, the aim of this study was to assess the prevalence and factors affecting the early initiation of breastfeeding practice among children aged 24 months old in the West Belessa District. The current study finding revealed that early initiation of breastfeeding in West Belessa district was 77.7% (95%CI, 74.3–81.0). This finding is similar to the study Debre Tabor which is 76.8%(26), Motta 78.8%(27), Dembecha District 73.1%(28), and EDHS 2016 74.3%(18). The possible correspondence might be most of the previous and current studies might similar study settings and target populations. However, the current finding is lower than Ghana (46%) and Gambia (48%) but higher than in Pakistan (29%), India (24.5%) and China (23.2%)(29), Gurage zone,47.3%(13), Bangladesh 66.7%(30) the study done in Bangladesh observation and partially trial, Ghana, India, and Tanzania, 57.2%(31). The difference might be attributed to cultural differences, beliefs and myths on colostrums, and EIBF among these countries. Mothers having age thrifty-five and above was 2.76 times more initiate breastfeeding within one hour as compared with mothers having less than twenty years old. This report is consistent that of Nigeria. The possible explanation might be when age increase there is the chance of women having more than one child is reported to begin breastfeeding earlier than women having a first child(32). In addition, at an early age, there may be unwanted pregnancy which hinders early initiation of breastfeeding(33, 34). Furthermore, the mother with age may increase have the chance to gain experience of starting the early initiation of breastfeeding. ANC and PNC follow up had more likely to early initiation of breastfeeding their infants than their counterparts. This finding is similar to the report of India(35), Nigeria(36), Uganda(37), pocket area study of Ethiopia(13, 38, 39). The possible explanation might be due to a mother having attended in critical time might be obtained counseling and support service about recommended feeding practices for neonatal and Infants by the health development army, health extension workers, health professionals from health posts, maternal and child health clinic might be the possible explanation for this. In addition, ANC and PNC are also recommended improving mothers’ awareness and benefits of early initiation of breastfeeding and improve behavioral change to conquered cultural barriers of infant and child feeding practices(40). However, the study has some limitation for instance; recall bias was one the limitation of this since we were included mothers having children less 24 months. In addition, social desirability was another to count dietary diversity score among children. Conclusion the prevalence of early initiation of Breastfeeding was low in West Belessa District. Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time. Abbreviations ANC Antenatal care, AOR = Adjusted Odds Ratio, CI = Confidence Interval, CIMCI = Community Integrated Management of Childhood Illness, COR = Crud Odds Ratio, DDS = Dietary Diversity Score, EDHS = Ethiopian Demographic and Health Survey, EIBF = Early Initiation of Breastfeeding, IYCF = Infant and young Child Feeding, PCA = Principal Component Analysis, PNC = Postnatal Care, NNP = National Nutrition Program, SPSS = Statistical Package for Social Sciences, SRS = Systematic Random Sampling. Declarations Ethical Consideration Before the beginning of the study, ethical clearance was obtained from the Institutional Ethical Review Board University of Gondar. Permission letter was asked and given from the Central Gondar zone health department and West Belessa District health office. Informed consent was obtained from each mother/ caregivers who are targets after informing them all the purpose, benefits, risk, the confidentiality of the information and the voluntary nature of participants in the study. The respondents were notified that they had the right to refuse or stop at any point of the interview. Consent for publication Not applicable. Availability of data and materials' Data will be available upon request from the corresponding authors. Competing interests The Authors declare that they have no conflict of interest. Funding No fund was obtained for this study Authors' contribution DD conceived the study, developed the tool, coordinated the data collection activity, and carried out the statistical analysis. AK, BA and MT participated in the design of the study, tool development, and drafting of the manuscript. KA, and AK participated in the design of the study and tool development, performed the statistical, and drafted the manuscript. Acknowledgments The authors would like to thank all respondents for their willingness to participate in the study. They are also grateful to Central Gondar Zone Health department, West Belessa District health office, data collectors, and the University of Gondar for material support. References 1. 2017 Organization WH. facts on breastfeeding. WHO. Updated August 2017. 2. Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117(3):e380-e6. 3. World Alliance for. Breastfeeding Action. Breastfeeding week. 2018. 4. Kramer MS, Chalmers B, Hodnett ED, Sevkovskaya Z, Dzikovich I, Shapiro S, et al. Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in the Republic of Belarus. Jama. 2001;285(4):413–20. 5. 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Timely initiation of breastfeeding and associated factors among mothers of infants age 0–6 months old in Bahir Dar City, Northwest, Ethiopia, 2017: a community based cross-sectional study. International breastfeeding journal. 2019;14(1):5. 40. Mrisho M, Obrist B, Schellenberg JA, Haws RA, Mushi AK, Mshinda H, et al. The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC pregnancy and childbirth. 2009;9(1):10. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {\"props\":{\"pageProps\":{\"initialData\":{\"identity\":\"rs-18399\",\"acceptedTermsAndConditions\":true,\"allowDirectSubmit\":true,\"archivedVersions\":[],\"articleType\":\"Research\",\"associatedPublications\":[],\"authors\":[{\"id\":428341,\"identity\":\"380330ef-c1b2-41da-9d59-c31c1cd09cf9\",\"order_by\":1,\"name\":\"Desalew Degu Ayalew\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Gondar\",\"correspondingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Desalew\",\"middleName\":\"Degu\",\"lastName\":\"Ayalew\",\"suffix\":\"\"},{\"id\":428342,\"identity\":\"448ce549-f74f-4059-b336-30771afe5388\",\"order_by\":2,\"name\":\"Belayneh Ayanaw Kassie\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Gondar\",\"correspondingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Belayneh\",\"middleName\":\"Ayanaw\",\"lastName\":\"Kassie\",\"suffix\":\"\"},{\"id\":428343,\"identity\":\"0bea4dd5-f3d0-450a-89d3-e0eb4ff9ac1a\",\"order_by\":3,\"name\":\"Melkamu Tamir Hunegnaw\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Gondar\",\"correspondingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Melkamu\",\"middleName\":\"Tamir\",\"lastName\":\"Hunegnaw\",\"suffix\":\"\"},{\"id\":428344,\"identity\":\"3587b085-1a45-49f0-bbae-8d61a1dd60df\",\"order_by\":4,\"name\":\"Kassahun Alemu\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Gondar\",\"correspondingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Kassahun\",\"middleName\":\"\",\"lastName\":\"Alemu\",\"suffix\":\"\"},{\"id\":428345,\"identity\":\"80335d12-4cd7-4fa1-aaa8-dd2680d14dbb\",\"order_by\":5,\"name\":\"Aysheshim Kassahun Belew\",\"email\":\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA+klEQVRIiWNgGAWjYHACNiA+wMPAzHzgwAcQl51oLexsiQdngLjMRGphYODnMT7MA+IT0sI/I/3Zgw9/7sjoNjMYHLb5tU2ej5mB8cPHHNxaJG7kmBvObHvGY3aYIeFwbt9twzZmBmbJmdvwWHMjh02at+EwSMuBw7k9txmBWtiYefFokb+R/kz6zx+QFsaGw5Y9t+0JajG4kWAmzcAG0sLMcJjhx+1EgloMz7wxk+xtA2lhYzjY23A7uY2ZsRmvX+SOpz+T+PHnsL3Z+fOfP/z4c9t2fnvzwQ8f8XlfIAGJw9gGJhvwqAcC/gPIvD/4FY+CUTAKRsHIBABaAFdEkwsOUwAAAABJRU5ErkJggg==\",\"orcid\":\"\",\"institution\":\"University of Gondar College of Medicine and Health Sciences\",\"correspondingAuthor\":true,\"prefix\":\"\",\"firstName\":\"Aysheshim\",\"middleName\":\"Kassahun\",\"lastName\":\"Belew\",\"suffix\":\"\"}],\"badges\":[],\"createdAt\":\"2020-03-20 11:01:00\",\"currentVersionCode\":1,\"declarations\":\"\",\"doi\":\"10.21203/rs.3.rs-18399/v1\",\"doiUrl\":\"https://doi.org/10.21203/rs.3.rs-18399/v1\",\"draftVersion\":[],\"editorialEvents\":[],\"editorialNote\":\"\",\"failedWorkflow\":false,\"files\":[{\"id\":13495600,\"identity\":\"5625f7cd-5d4e-49e4-847d-592d15904cb9\",\"added_by\":\"auto\",\"created_at\":\"2021-09-16 22:45:55\",\"extension\":\"pdf\",\"order_by\":0,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"manuscript-pdf\",\"size\":418231,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"manuscript.pdf\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-18399/v1/4f395e11-ef05-410d-a687-d01898e0364d.pdf\"}],\"financialInterests\":\"\",\"formattedTitle\":\"Three-fourth of children is received early initiation of Breastfeeding in West Belessa District\",\"fulltext\":[{\"header\":\"Background\",\"content\":\" \\u003cp\\u003eOptimal breastfeeding is significant to the-sustain healthiness and well-being of women and children. It contributes to a world that is made healthier, better educated, and more environmentally sustainable(1, 2). Has long and short effects like help with birth spacing, reduces the risk of breast and ovarian cancers, and lowers the danger of hypertension for mother and combats infectious diseases, reduces frequency and harshness of diarrhea, lowers respiratory infections and acute otitis media, prevents dental caries and malocclusion, and increases intelligence(3\\u0026ndash;6).\\u003c/p\\u003e \\u003cp\\u003eGlobally, Optimal breastfeeding practice prevents 12\\u0026ndash;13% of all under-5 deaths (7), off this 87% were under the age of months(6). Practicing of early initiation of breastfeeding first hour can avert 19.1% and 22% of all neonatal deaths in Asia and Africa, respectively(2, 8). Improving breastfeeding rates around the world could save the lives of over 820,000 children under-age five every year(6). Improving breastfeeding practice could prevent about 20,000 maternal deaths from breast cancer(3, 6).\\u003c/p\\u003e \\u003cp\\u003eMost of the world neonates will wait too long to start on breastfeeding. Globally; not over 20% of neonates are received timely initiation of breastfeeding in the first hour of life after birth; they find off these majorities in low-income countries(6), as the result more than 20\\u0026nbsp;million neonates are not still received early initiation of breastfeeding(9). The prevalence of early initiation reports differs across regions. About, 35% and 65% are found in North Africa Eastern, and Southern Africa, respectively(10). Besides, according to the World Breastfeeding Trends Initiative among 84 counties showed to only 42% of women being put on their neonates within an hour of birth, and 41% where practice exclusive breastfeeding(11). Whereas, reports done among 29 sub-Saharan African counties are from 37.4 to 69.31%(12). In Ethiopia, 47.3\\u0026ndash;78.8% of neonates are received Early Initiation of Breastfeeding (EIBF) practice(13, 14).\\u003c/p\\u003e \\u003cp\\u003eReports showed that residence(15, 16), place of delivery(15), Postnatal care(17), maternal educational status(16\\u0026ndash;19), maternal age (17), wealth index(18, 20), age of the infants(18), gender and birth order of the infant(18, 20), delivery mode(16, 19) were significantly associated with early initiation of breastfeeding.\\u003c/p\\u003e \\u003cp\\u003eEspecially, emphasis including implementing the National Nutrition Program (NNP), Community Integrated Management of Childhood Illness (CIMCI), and Infant and Young Child Feeding (IYCF) guidelines have been developed by the government of Ethiopia to considerably decrease neonates, infants and child mortality, morbidity, and undernutrition(21\\u0026ndash;23). But, EIBF is still low as per the standard recommendation in Ethiopia, maybe due to the lack of a culturally oriented approach(14). Also, factors of early initiation Breastfeeding are not previously studied in the district, and this finding will address this gap. Hence, the study aims were to assess the factors affecting EIBF among under two children living in Belessa District.\\u003c/p\\u003e \"},{\"header\":\"Method\",\"content\":\"\\u003cdiv id=\\\"Sec3\\\" class=\\\"Section2\\\"\\u003e\\n\\u003ch2\\u003eStudy Design and Period\\u003c/h2\\u003e\\n\\u003cp\\u003eA community-based cross-sectional study was conducted from January to February 2019 to assess early initiation of breastfeeding among under two years children in West Belessa District, North West, Ethiopia. West Belessa District is found in North Gondar Zone, Amhara Regional State, and North West Ethiopia and is located 84\\u0026nbsp;km from central Gondar Zone town- Gondar and 748\\u0026nbsp;km from the capital city of Ethiopia, Addis Ababa. The district has 30 Kebeles (27 rural and 3 urban) with 8 health centers, 27 rural health posts, and 3 urban health posts. According to the 2011E.C Ethiopian population projection the district has the total population 198,967. Among these 99,881 were male and 99,086 were females. Of this, 26,940 are under-five children (24).\\u003c/p\\u003e\\n\\u003cdiv id=\\\"Sec4\\\" class=\\\"Section3\\\"\\u003e\\n\\u003ch2\\u003eSource Population and Study Population\\u003c/h2\\u003e\\n\\u003cp\\u003eAll children aged 24 months old with mothers/caregivers who lived in West Belessa district used as the source population. All children aged 24 months living in the selected Kebeles from West Belessa district with mothers/caregivers were the study population.\\u003c/p\\u003e\\n\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv id=\\\"Sec5\\\" class=\\\"Section2\\\"\\u003e\\n\\u003ch2\\u003eSampling techniques and procedures\\u003c/h2\\u003e\\n\\u003cp\\u003eAll children aged 24 months old residing in West Belessa District was entitled to this study. The sample size was determined to apply a single proportion formula by considering the following assumption; the prevalence of early initiation of Breastfeeding 66% for EDHS 2016 in the Amhara region(14), 95% confidence level and 5% of a margin of error. Finally, by considering 10% of non-response rate and 1.5 of design effect 569 final sample size was obtained. Primarily, District Kebeles were stratified in urban and rural. Among the total of 30 kebeles, eight (one in urban and 7 in rural) were selected by using the lottery method. Afterward, children living in each Kebeles were drawn from the list of registration in the health posts in the Kebeles. Finally, 569 children were selected using a simple random sampling technique.\\u003c/p\\u003e\\n\\u003cdiv id=\\\"Sec6\\\" class=\\\"Section3\\\"\\u003e\\n\\u003ch2\\u003eData Collection tool and Procedures\\u003c/h2\\u003e\\n\\u003cp\\u003eData was collected through face to face interview based structured questionnaire. The tool was taken from EDHS (2016), and the previous similar published literature with some modifications. The questionnaire was prepared originally for English and translated into Amharic back to English to keep reliability. A total of six and two data collectors were participated in the data collection process and supervisors, respectively. Two days of training were provided for data collectors and supervisors on how to extract information by using interviewer structured questionnaires. Five percent of pre-tested was done out of the study site. Close supervision was done by the supervisors and the investigator during data collection. Daily data correction was made before the next data collection took place.\\u003c/p\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv id=\\\"Sec7\\\" class=\\\"Section3\\\"\\u003e\\n\\u003ch2\\u003eData Processing and Analysis\\u003c/h2\\u003e\\n\\u003cp\\u003eAll returned questionnaires were checked for completeness and consistency of responses manually. The cleaned data were entered and analyzed by using EPI info version 7 and SPSS version 20, respectively. Early initiation of breastfeeding is dichotomous variables which can be calcified as 1 and 0 as early initiations of Breastfeeding and none- early initiation of breastfeeding, respectively. Descriptive and summary statistics were carried out. Logistic regression analysis was used to check variables associated with each dependant variable. Hosmer-Lemeshow goodness of fit test used to test the adequacy of the model. A P-value\\u0026thinsp;\\u0026le;\\u0026thinsp;0.20 was considered statistically significant in the bivariate and a P-value in the multivariate regression less than 0.05 was taken as statistically significant with EIBF.\\u003c/p\\u003e\\n\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003ch2\\u003eVariable Measurnemts\\u003c/h2\\u003e\\n\\u003cp\\u003eEarly initiation of breastfeeding: the ration of neonates born in the past 24 months who have been put on the breast within 1 hour of birth(25).\\u003c/p\\u003e\\n\\u003cp\\u003eThe household wealth index was determined by using the Principal Component Analysis (PCA) considering the household properties, for instance the amount of cereal products, house, livestock and agricultural land ownership. Initial, variables were dichotomized as 0 and 1. Then after, the coded variables entered and analyzed using PCA, and those variables having a communality value of greater than 0.5 were used to produce factor scores. Finally, the factor scores were summed and ranked into Poor, medium and rich.\\u003c/p\\u003e\\n\\u003cp\\u003eRegarding Dietary Diversity (DDS) was calculated according to world food organization 2008 seven food groups possible to take in the preceding 24 hours recall period. After collecting the food group, the number of different food groups consume by the children within 24 hours. Then, it was classified as adequate if\\u0026thinsp;\\u0026ge;\\u0026thinsp;four food groups were consumed, and inadequate if\\u0026thinsp;\\u0026lt;\\u0026thinsp;four food groups were consumed during the specified period(25).\\u003c/p\\u003e\"},{\"header\":\"Result\",\"content\":\" \\u003cdiv id=\\\"Sec10\\\" class=\\\"Section2\\\"\\u003e\\n\\u003ch2\\u003eSocio demographic characteristics of the participants\\u003c/h2\\u003e\\n\\u003cp\\u003eA total of 569 participants have participated in this study. Nearly, two-thirds (60.8%) of the caregivers were in the age range of 20\\u0026ndash;34\\u0026nbsp;years old. Almost all (91%) of the participants were Orthodox by religion and employed. The majority (84.7%) of the mothers were married and unable to read and write. More than three-fourth (78.9%) of the participants were living in a rural residence. More than one-third (32.2%) of the caregivers had to live in poor house quintiles and received adequate dietary diversity, respectively (Table\\u0026nbsp;\\u003cspan refid=\\\"Tab1\\\" class=\\\"InternalRef\\\"\\u003e1\\u003c/span\\u003e).\\u003c/p\\u003e\\n\\u003cdiv class=\\\"gridtable\\\"\\u003e\\n\\u003ctable float=\\\"Yes\\\" id=\\\"Tab1\\\" border=\\\"1\\\"\\u003e\\n\\u003ccaption language=\\\"En\\\"\\u003e\\n\\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 1\\u003c/div\\u003e\\n\\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\n\\u003cdiv class=\\\"SimplePara\\\"\\u003eSocio demographic characteristics of respondents, west Belessa District, Northwest Ethiopia, 2019(n=569).\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003c/caption\\u003e\\n\\u003ctbody\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003evariable\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eFrequency(n)\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003ePercentage (%)\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eAge of the mother\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u0026lt;20\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e113\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e19.9\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e20-34\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e346\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e60.8\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u0026gt;=35\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e110\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e19.3\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eReligion of the mother\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eOrthodox\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e518\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e91\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eMuslim\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e51\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e9\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eMarital status\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eMarried\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e482\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e84.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eOthers\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e87\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e15.3\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eEducational level of the mother\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eUnable to read and write\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e454\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e84.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eAble to read and write (Informal education)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e48\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e8.4\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003ePrimary education\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e44\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e7.0\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eSecondary education and above\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e23\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e4.0\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eHead of the household\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eMother\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e195\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e34.3\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eFather\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e374\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e65.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eOccupation of the 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width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e211\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e37.1\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u0026gt;=8\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e72\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e12.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eNumbers of under\\u003c/strong\\u003e \\u003cstrong\\u003efive\\u003c/strong\\u003e \\u003cstrong\\u003echildren\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e1\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e438\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e77\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u0026gt;=2\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e131\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e23\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eWealth index\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003ePoor\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e183\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e32.2\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eMiddle\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e203\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e35.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eRich\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e183\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e32.2\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eDietary Diversity \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eIn adequate\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e377\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e66.3\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"301\\\"\\u003e\\n\\u003cp\\u003eAdequate\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"138\\\"\\u003e\\n\\u003cp\\u003e192\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"186\\\"\\u003e\\n\\u003cp\\u003e33.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003c/tbody\\u003e\\n\\u003c/table\\u003e\\n\\u003cp\\u003eMore than half (53%) of the children were male. Nearly, two-thirds (65.73%) of the children are in the age range of 12\\u0026ndash;24 months. Three-fourth, (73.1%) of the children was received exclusive breastfeeding. Nearly two \\u0026ndash;thirds (64.1%) and (64.5%) of children have started their complementary feeding in the recommended time and birth weight in the age range of 2.5 -4.0\\u0026nbsp;kg. Three-fourth (77.2%) of the mother has had all types of ANC visits during their last pregnancy and more than half (57.5%) of the mother was give birth at health institution (Table\\u0026nbsp;\\u003cspan refid=\\\"Tab2\\\" class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e).\\u003c/p\\u003e\\n\\u003cdiv class=\\\"gridtable\\\"\\u003e\\n\\u003ctable float=\\\"Yes\\\" id=\\\"Tab2\\\" border=\\\"1\\\"\\u003e\\n\\u003ccaption language=\\\"En\\\"\\u003e\\n\\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 2\\u003c/div\\u003e\\n\\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\n\\u003cdiv class=\\\"SimplePara\\\"\\u003eInfant, children socio demographic characteristics and health seeking behavior of the caregivers, West Belessa, Northwest Ethiopia, 2019(n=569)\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003c/caption\\u003e\\n\\u003ctbody\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eVariable\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003eFrequency(n)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003ePercentage (%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eChild characteristics\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eSex of the child\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eMale\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e334\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e53.0\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eFemale\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e296\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e47.0\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eAge of the child\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e6-11Months\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e195\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e34.27\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e12-24 months\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e374\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e65.73\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eType of birth \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eSingle\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e554\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e97.4\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eTwin\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e15\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e2.6\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eBirth weight of the child \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u0026lt;2.5 kg\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e84\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e14.8\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e2.5-4.0kg\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e367\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e64.5\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u0026gt;4.0kg\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e118\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e20.7\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eANC Visit\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eNo \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e130\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e22.8\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eYes \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e439\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e77.2\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eNo. of ANC visit during last pregnancy\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eNone\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e130\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e22.8\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e1-3 times\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e207\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e36.4\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e4 and above\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e232\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e40.8\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003ePlace of delivery \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eHome\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e242\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e42.5\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eHealth institution\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e327\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e57.5\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003ePNC\\u0026nbsp; Visits\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eNo\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e244\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e42.9\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003eYes\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e325\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e457.1\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eGestational Age\\u0026nbsp; \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u0026lt;36 weeks\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e26\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e4.6\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e37-41 weeks\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e509\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e89.5\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"349\\\"\\u003e\\n\\u003cp\\u003e\\u0026gt;=41 weeks\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e34\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"145\\\"\\u003e\\n\\u003cp\\u003e6.0\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003c/tbody\\u003e\\n\\u003c/table\\u003e\\n\\u003cdiv id=\\\"Sec11\\\" class=\\\"Section3\\\"\\u003e\\n\\u003ch2\\u003ePrevalence of early initiation of Breastfeeding\\u003c/h2\\u003e\\n\\u003cp\\u003eAccording to this study, the prevalence of early initiation of Breastfeeding in the West Belessa district was 77.7% (95%CI, 74.3\\u0026ndash;81.0).\\u003c/p\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv id=\\\"Sec12\\\" class=\\\"Section3\\\"\\u003e\\n\\u003ch2\\u003eFactors affecting early initiation of Breastfeeding\\u003c/h2\\u003e\\n\\u003cp\\u003eAs showed in Table \\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e, after adjusting the confounder variables in the multivariate age of the mother, ANC visits and numbers of ANC visits were had significantly associated with the outcome variable.\\u003c/p\\u003e\\n\\u003cp\\u003eMothers having age thrifty-five and above was 2.76 times more initiate breastfeeding within one hour [AOR: 2.76; 95% CI (1.21, 6.27)] as compared with mothers having less than twenty years old.\\u003c/p\\u003e\\n\\u003cp\\u003eMothers having ANC visits during pregnancy period was 5 times more initiate breastfeeding within one hour [AOR: 2.58; 95%CI (1.18, 9.94)] as the contrast with mother without ANC visit and ANC visits having one up to three were 1.85 times more initiate breastfeed within one hour [AOR: 1.85; 95%CI (1.03, 3.35) as compared with mothers haven\\u0026rsquo;t any ANC contact (Table\\u0026nbsp;\\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e).\\u003c/p\\u003e\\n\\u003cdiv class=\\\"gridtable\\\"\\u003e\\n\\u003ctable float=\\\"Yes\\\" id=\\\"Tab3\\\" border=\\\"1\\\"\\u003e\\n\\u003ccaption language=\\\"En\\\"\\u003e\\n\\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 3\\u003c/div\\u003e\\n\\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\n\\u003cdiv class=\\\"SimplePara\\\"\\u003eBivariate and multivariable logistic regression output showing that factors associated with initiation of Breast feeding among under two children, West Belessa District, northwest Ethiopia, 2019.\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003c/caption\\u003e\\n\\u003ctbody\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"174\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eVariables \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd colspan=\\\"2\\\" width=\\\"210\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp;\\u0026nbsp; EIBF\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"114\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eCrude Odds Ratio with 95% C)\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eAdjusted Odds Ratio with 95% CI\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"174\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"108\\\"\\u003e\\n\\u003cp\\u003eWithin 1 hr(early)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"102\\\"\\u003e\\n\\u003cp\\u003eAfter 1 hr\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"114\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"174\\\"\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eMarital status\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"108\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"102\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"114\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e\\u0026nbsp;\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"174\\\"\\u003e\\n\\u003cp\\u003eMarried\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"108\\\"\\u003e\\n\\u003cp\\u003e367(76.1%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"102\\\"\\u003e\\n\\u003cp\\u003e75(23.9%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"114\\\"\\u003e\\n\\u003cp\\u003e1.96(1.03,3.73)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e1.31(0.51,3.39)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003ctr\\u003e\\n\\u003ctd width=\\\"174\\\"\\u003e\\n\\u003cp\\u003eNot married\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"108\\\"\\u003e\\n\\u003cp\\u003e115(86.2%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"102\\\"\\u003e\\n\\u003cp\\u003e12(13.8%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd 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width=\\\"174\\\"\\u003e\\n\\u003cp\\u003eYes\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"108\\\"\\u003e\\n\\u003cp\\u003e266(81.8%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"102\\\"\\u003e\\n\\u003cp\\u003e59(18.2%)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"114\\\"\\u003e\\n\\u003cp\\u003e0.57(0.39, 0.85)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003ctd width=\\\"132\\\"\\u003e\\n\\u003cp\\u003e0.65(0.40, 1.07)\\u003c/p\\u003e\\n\\u003c/td\\u003e\\n\\u003c/tr\\u003e\\n\\u003c/tbody\\u003e\\n\\u003c/table\\u003e\\n\\u003c/div\\u003e\"},{\"header\":\"Discussion\",\"content\":\" \\u003cp\\u003ePutting newborns to the breast within the first hour after birth gives them the best chance to survive, grow and develop to their full potential, but efforts to improve breastfeeding practice has not made significantly, especially early initiation of breastfeeding, because of poorly integrated action including government, private, community, and households. Hence, the aim of this study was to assess the prevalence and factors affecting the early initiation of breastfeeding practice among children aged 24 months old in the West Belessa District.\\u003c/p\\u003e \\u003cp\\u003eThe current study finding revealed that early initiation of breastfeeding in West Belessa district was 77.7% (95%CI, 74.3\\u0026ndash;81.0). This finding is similar to the study Debre Tabor which is 76.8%(26), Motta 78.8%(27), Dembecha District 73.1%(28), and EDHS 2016 74.3%(18). The possible correspondence might be most of the previous and current studies might similar study settings and target populations. However, the current finding is lower than Ghana (46%) and Gambia (48%) but higher than in Pakistan (29%), India (24.5%) and China (23.2%)(29), Gurage zone,47.3%(13), Bangladesh 66.7%(30) the study done in Bangladesh observation and partially trial, Ghana, India, and Tanzania, 57.2%(31). The difference might be attributed to cultural differences, beliefs and myths on colostrums, and EIBF among these countries.\\u003c/p\\u003e \\u003cp\\u003eMothers having age thrifty-five and above was 2.76 times more initiate breastfeeding within one hour as compared with mothers having less than twenty years old. This report is consistent that of Nigeria. The possible explanation might be when age increase there is the chance of women having more than one child is reported to begin breastfeeding earlier than women having a first child(32). In addition, at an early age, there may be unwanted pregnancy which hinders early initiation of breastfeeding(33, 34). Furthermore, the mother with age may increase have the chance to gain experience of starting the early initiation of breastfeeding.\\u003c/p\\u003e \\u003cp\\u003eANC and PNC follow up had more likely to early initiation of breastfeeding their infants than their counterparts. This finding is similar to the report of India(35), Nigeria(36), Uganda(37), pocket area study of Ethiopia(13, 38, 39). The possible explanation might be due to a mother having attended in critical time might be obtained counseling and support service about recommended feeding practices for neonatal and Infants by the health development army, health extension workers, health professionals from health posts, maternal and child health clinic might be the possible explanation for this. In addition, ANC and PNC are also recommended improving mothers\\u0026rsquo; awareness and benefits of early initiation of breastfeeding and improve behavioral change to conquered cultural barriers of infant and child feeding practices(40). However, the study has some limitation for instance; recall bias was one the limitation of this since we were included mothers having children less 24 months. In addition, social desirability was another to count dietary diversity score among children.\\u003c/p\\u003e \\u003cdiv id=\\\"FPar1\\\" renderingstyle=\\\"Style1\\\" class=\\\"FormalPara\\\"\\u003e \\u003cdiv class=\\\"Heading\\\"\\u003eConclusion\\u003c/div\\u003e \\u003cp\\u003ethe prevalence of early initiation of Breastfeeding was low in West Belessa District. Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time.\\u003c/p\\u003e \\u003c/div\\u003e \"},{\"header\":\"Abbreviations\",\"content\":\" \\u003cdiv class=\\\"DefinitionList\\\"\\u003e \\u003cdiv class=\\\"DefinitionListEntry\\\"\\u003e \\u003cdiv class=\\\"Term\\\"\\u003eANC\\u003c/div\\u003e \\u003cdiv class=\\\"Description\\\"\\u003e \\u003cp\\u003eAntenatal care, AOR\\u0026thinsp;=\\u0026thinsp;Adjusted Odds Ratio, CI\\u0026thinsp;=\\u0026thinsp;Confidence Interval, CIMCI\\u0026thinsp;=\\u0026thinsp;Community Integrated Management of Childhood Illness, COR\\u0026thinsp;=\\u0026thinsp;Crud Odds Ratio, DDS\\u0026thinsp;=\\u0026thinsp;Dietary Diversity Score, EDHS\\u0026thinsp;=\\u0026thinsp;Ethiopian Demographic and Health Survey, EIBF\\u0026thinsp;=\\u0026thinsp;Early Initiation of Breastfeeding, IYCF\\u0026thinsp;=\\u0026thinsp;Infant and young Child Feeding, PCA\\u0026thinsp;=\\u0026thinsp;Principal Component Analysis, PNC\\u0026thinsp;=\\u0026thinsp;Postnatal Care, NNP\\u0026thinsp;=\\u0026thinsp;National Nutrition Program, SPSS\\u0026thinsp;=\\u0026thinsp;Statistical Package for Social Sciences, SRS\\u0026thinsp;=\\u0026thinsp;Systematic Random Sampling.\\u003c/p\\u003e \\u003c/div\\u003e \\u003c/div\\u003e \\u003c/div\\u003e \"},{\"header\":\"Declarations\",\"content\":\"\\u003cp\\u003eEthical Consideration\\u003c/p\\u003e\\n\\u003cp\\u003eBefore the beginning of the study, ethical clearance was obtained from the Institutional Ethical Review Board University of Gondar. Permission letter was asked and given from the Central Gondar zone health department and West Belessa District health office. Informed consent was obtained from each mother/ caregivers who are targets after informing them all the purpose, benefits, risk, the confidentiality of the information and the voluntary nature of participants in the study. The respondents were notified that they had the right to refuse or stop at any point of the interview.\\u003c/p\\u003e \\n\\u003cp\\u003eConsent for publication\\u003c/p\\u003e\\n\\u003cp\\u003eNot applicable.\\u003c/p\\u003e\\n\\u003cp\\u003eAvailability of data and materials'\\u003c/p\\u003e \\n\\u003cp\\u003eData will be available upon request from the corresponding authors.\\u003c/p\\u003e\\n\\u003cdiv id=\\\"FPar2\\\" renderingstyle=\\\"Style1\\\" class=\\\"FormalPara\\\"\\u003e\\n\\u003cdiv class=\\\"Heading\\\"\\u003eCompeting interests\\u003c/div\\u003e\\n\\u003cp\\u003eThe Authors declare that they have no conflict of interest.\\u003c/p\\u003e\\n\\u003c/div\\u003e \\u003cdiv class=\\\"Heading\\\"\\u003eFunding\\u003c/div\\u003e\\n\\u003cdiv class=\\\"SimplePara\\\"\\u003eNo fund was obtained for this study\\u003c/div\\u003e \\u003cdiv class=\\\"Heading\\\"\\u003eAuthors' contribution\\u003c/div\\u003e\\n\\u003cdiv class=\\\"SimplePara\\\"\\u003eDD conceived the study, developed the tool, coordinated the data collection activity, and carried out the statistical analysis. AK, BA and MT participated in the design of the study, tool development, and drafting of the manuscript. KA, and AK participated in the design of the study and tool development, performed the statistical, and drafted the manuscript.\\u003c/div\\u003e \\u003cdiv class=\\\"Heading\\\"\\u003eAcknowledgments\\u003c/div\\u003e\\n\\u003cdiv class=\\\"SimplePara\\\"\\u003eThe authors would like to thank all respondents for their willingness to participate in the study. They are also grateful to Central Gondar Zone Health department, West Belessa District health office, data collectors, and the University of Gondar for material support.\\u003c/div\\u003e \"},{\"header\":\"References\",\"content\":\"\\u003cdiv id=\\\"CR1\\\" class=\\\"Citation\\\"\\u003e\\n\\u003cspan class=\\\"EditNotAllowed\\\" name=\\\"CitationNumber\\\"\\u003e1.\\u003c/span\\u003e\\n\\u003cdiv class=\\\"Year\\\"\\u003e2017\\u003c/div\\u003e\\n\\u003cdiv class=\\\"BibUnstructured\\\"\\u003eOrganization WH. facts on breastfeeding. WHO. Updated August 2017.\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv id=\\\"CR2\\\" class=\\\"Citation\\\"\\u003e\\n\\u003cspan class=\\\"EditNotAllowed\\\" name=\\\"CitationNumber\\\"\\u003e2.\\u003c/span\\u003e\\n\\u003cdiv class=\\\"BibUnstructured\\\"\\u003eEdmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. 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ASSESSMENT OF TIMELY STARTING OF BREASTFEEDING AND ASSOCIATED FACTORS AMONG MOTHERS WHO HAVE INFANTS LESS THAN SIX MONTHS OF AGE IN GUNCHIRE TOWN, SNNPR, ETHIOPIA 2019.\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv id=\\\"CR40\\\" class=\\\"Citation\\\"\\u003e\\n\\u003cdiv class=\\\"BibUnstructured\\\"\\u003e39. Belachew A. Timely initiation of breastfeeding and associated factors among mothers of infants age 0\\u0026ndash;6 months old in Bahir Dar City, Northwest, Ethiopia, 2017: a community based cross-sectional study. International breastfeeding journal. 2019;14(1):5.\\u003c/div\\u003e\\n\\u003c/div\\u003e\\n\\u003cdiv id=\\\"CR41\\\" class=\\\"Citation\\\"\\u003e\\n\\u003cdiv class=\\\"BibUnstructured\\\"\\u003e40. Mrisho M, Obrist B, Schellenberg JA, Haws RA, Mushi AK, Mshinda H, et al. The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania. BMC pregnancy and childbirth. 2009;9(1):10.\\u003c/div\\u003e\\n\\u003c/div\\u003e\"}],\"fulltextSource\":\"\",\"fullText\":\"\",\"funders\":[],\"hasAdminPriorityOnWorkflow\":false,\"hasManuscriptDocX\":true,\"hasOptedInToPreprint\":true,\"hasPassedJournalQc\":\"\",\"hasAnyPriority\":false,\"hideJournal\":true,\"highlight\":\"\",\"institution\":\"\",\"isAcceptedByJournal\":false,\"isAuthorSuppliedPdf\":false,\"isDeskRejected\":\"\",\"isHiddenFromSearch\":false,\"isInQc\":false,\"isInWorkflow\":false,\"isPdf\":false,\"isPdfUpToDate\":true,\"isWithdrawnOrRetracted\":false,\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"researchsquare\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":true,\"externalIdentity\":\"\",\"sideBox\":\"\",\"snPcode\":\"\",\"submissionUrl\":\"/submission\",\"title\":\"Research Square\",\"twitterHandle\":\"researchsquare\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"\",\"reportingPortfolio\":\"\",\"inReviewEnabled\":false,\"inReviewRevisionsEnabled\":true},\"keywords\":\"early initiation of breastfeeding, Children, West Belessa\",\"lastPublishedDoi\":\"10.21203/rs.3.rs-18399/v1\",\"lastPublishedDoiUrl\":\"https://doi.org/10.21203/rs.3.rs-18399/v1\",\"license\":{\"name\":\"CC BY 4.0\",\"url\":\"https://creativecommons.org/licenses/by/4.0/\"},\"manuscriptAbstract\":\"\\u003cp\\u003eBackground : The world is now suffering from malnutrition and remains one of the major causes of under-five mortality. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Hence, the study aims were to assess early initiation of breastfeeding among children aged less than two years, months in West Belessa district, North West Ethiopia, 2019. \\u003c/p\\u003e\\u003cp\\u003eMethods: A community-based cross-sectional study was conducted from January to February 2019 in the West Belessa district. A total of 569 Children was selected by a simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable logistic regression analysis was used to check predictor variables associated with the dependent variable. Variables having a p-value of less than 0.20 in the bi-variable analysis were fitted into the multivariable model. Multivariable binary logistic regression with a 95% confidence interval and Odds Ratio (OR) were computed. Variables having p-value \\u0026lt; 0.05 were taken as significantly associated with the dependent variables. \\u003c/p\\u003e\\u003cp\\u003eResult : The prevalence of EIBF was 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR= 2.76, 95%CI (1.21, 6.27)), postnatal Visit (AOR= 1.85, 95%CI (1.03, 3.85)), and Antenatal care (AOR= 2.58, 95%CI (1.18, 9.94)) was significantly associated with EIBF. \\u003c/p\\u003e\\u003cp\\u003eConclusion and Recommendation: We observed, the prevalence of early initiation of Breastfeeding was low in West Belessa District.\\u0026nbsp;Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time. Keywords: early initiation of breastfeeding, Children, West Belessa\\u003c/p\\u003e\",\"manuscriptTitle\":\"Three-fourth of children is received early initiation of Breastfeeding in West Belessa District\",\"msid\":\"\",\"msnumber\":\"\",\"nonDraftVersions\":[{\"code\":1,\"date\":\"2020-03-24 13:13:39\",\"doi\":\"10.21203/rs.3.rs-18399/v1\",\"editorialEvents\":[{\"type\":\"communityComments\",\"content\":0}],\"status\":\"published\",\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"researchsquare\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":true,\"externalIdentity\":\"\",\"sideBox\":\"\",\"snPcode\":\"\",\"submissionUrl\":\"/submission\",\"title\":\"Research Square\",\"twitterHandle\":\"researchsquare\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"\",\"reportingPortfolio\":\"\",\"inReviewEnabled\":false,\"inReviewRevisionsEnabled\":true}}],\"origin\":\"\",\"ownerIdentity\":\"62b5a013-ca41-488b-896a-1a4b7540263b\",\"owner\":[],\"postedDate\":\"March 24th, 2020\",\"published\":true,\"recentEditorialEvents\":[],\"rejectedJournal\":[],\"revision\":\"\",\"amendment\":\"\",\"status\":\"posted\",\"subjectAreas\":[{\"id\":73978,\"name\":\"Maternal \\u0026 Fetal Medicine\"}],\"tags\":[],\"updatedAt\":\"2020-05-29T03:00:56+00:00\",\"versionOfRecord\":[],\"versionCreatedAt\":\"2020-03-24 13:13:39\",\"video\":\"\",\"vorDoi\":\"\",\"vorDoiUrl\":\"\",\"workflowStages\":[]},\"version\":\"v1\",\"identity\":\"rs-18399\",\"journalConfig\":\"researchsquare\"},\"__N_SSP\":true},\"page\":\"/article/[identity]/[[...version]]\",\"query\":{\"redirect\":\"/article/rs-18399\",\"identity\":\"rs-18399\",\"version\":[\"v1\"]},\"buildId\":\"_2-kVJe1T_tPrBINL-cwx\",\"isFallback\":false,\"isExperimentalCompile\":false,\"dynamicIds\":[84888],\"gssp\":true,\"scriptLoader\":[]}","source_license":"CC-BY-4.0","license_restricted":false}