Research Article

Timely initiation of breastfeeding and associated factors among mothers who have infants less than six months of age in Gunchire Town, Southern Ethiopia 2019

Ephrem Yohannes* and Tsegaye Tesfaye

Published: 09 April, 2020 | Volume 3 - Issue 1 | Pages: 026-032

Background: Timely starting of breastfeeding is defined as the starting of breastfeeding within one hour after childbirth. Globally mothers who practiced breastfeeding within one hour were less than half in percent. In least developed countries like Eastern and Southern Africa including Ethiopia infant breastfeeding practice within one hour were low. The aim of this study was to assess timely initiation of breastfeeding and associated factors among mothers who have an infant less than six months of age in Gunchire town, Southern Ethiopia.

Methods: The study was conducted from May 1 to 28, 2019 in Gunchire town. Data were collected by using a structured face to face interview questionnaire. The community based cross-sectional study was employed on 333 women. The study participants were selected by Simple random sampling techniques. The data were coded, entered, cleaned and analyzed by SPSS with windows version 21.0. Binary and multivariable logistic regression statistical model was used. Adjusted odds ratio with 95% CI was computed to see the strength of association.

Results: In this study the magnitude of timely initiation of breastfeeding was 80.5%. Governmental employed mothers (AOR=2.914, 95% CI: 1.139, 7.46), Antenatal care follow up (AOR=5.99, 95% CI: 1.29, 27.81), Baby skin to skin contact (AOR=2.4, 95% CI: 1.092, 5.34), Vaginal delivery (AOR=5.82 95% CI: 1.68, 20.14) Institutional delivery (AOR=5.5, 95 CI%: 1.66, 18.3), Good knowledge of breastfeeding (AOR=4.02, 95% CI: 1.04, 15.59) and Breast disease (AOR=0.24, 95% CI: 0.08, 0.73) were significantly associated with timely starting of breastfeeding.

Conclusion: More than two third of the mothers timely initiated breastfeeding within one hour after birth. Being governmentally employed, having Antenatal care follows up, skin to skin contact, mode of delivery, knowledge of mothers about breastfeeding and place of delivery were positively and significantly associated with timely initiation of breast feeding, whereas, breast disease was protective against timely starting of breastfeeding. Therefore, we would like to recommend Enamore woreda health office and Gunchire primary Hospital staffs work at MCH clinic to provide appropriate services and stimulate the mothers to initiate breastfeeding, skin to skin contact enhancing within the first hour of birth.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001045 Cite this Article Read Full Article PDF


Timely; Initiation; Breastfeeding; Ethiopia


  1. Global Strategy for Infant and Young Child Feeding. 2010; 1: 11-16.
  2. Gupta A. Initiating breastfeeding within one hour of birth. 2013; 1: 1–6.
  3. UNICEF, WHO. UNICEF and the Global Strategy on Infant and Young Child Feeding (GSIYCF) Understanding the Past – Planning the Future. 2014; 1-72.
  4. Alliance W. World Breastfeeding Trends Initiative (WBTI) countries. 2014.
  5. Report M. Implementing The Global Strategy For Infant And Young Child Feeding. 2014; 3–5.
  6. Iqbal M, Jamal M, Khan N. Effect of Mother-Infant Early Skin-to-Skin Contact on Breastfeeding Status: A Randomized Controlled Trial. 2012; 21: 601–605. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22015120
  7. Early Starting of Breastfeeding: the Key to Survival and Beyond. 2014.
  8. Oot L, Sethuraman K, Ross J, Sommerfelt AE. Food and Nutrition Technical Assistance III Project The Effect of Late Breastfeeding Starting on Neonatal Mortality: A Model in PROFILES for Country-Level Advocacy. 2018.
  9. Smith Emily R, Lisa Hurt, Ranadip Chowdhury, Bireshwar Sinha, Wafaie Fawzi KME. Delayed breastfeeding, starting and infant survival: A systematic review and meta- analysis. 2017; 1-16.
  10. Comprehensive Implementation Plan On Maternal, Infant And Young Child Nutrition. 2014.
  11. Health Sector Development Program IV. 2014.
  12. Health sector development program IV Woreda based annual core plan. 2010.
  13. Ethiopian Demographic Health Survey. 2016.
  14. Mekonen L, Seifu W, Shiferaw Z. Timely starting of breastfeeding and associated factors among mothers of infants under 12 months in a South Gondar zone, Amhara regional state, Ethiopia; 2013. Int Breastfeed J. 2018; 2:13–17. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/29743932
  15. El-Gilany AH, Sarraf B, Al-Wehady A. Factors associated with timely starting with breastfeeding in Al-Hassa province, Saudi Arabia. East Mediterr Health J. 2014; 18: 250–254. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22574479
  16. Tadele N, Habta F, Akmel D, Deges E. Knowledge, Attitude and Practice of Exclusive Breast Feeding Among Lactating Mothers in Bedelle Town, Southwestern Ethiopia: Descriptive Cross Sectional Study. Int Breastfeed J. 2016; 11: 3. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26925156
  17. Beyene MG, Geda NR, Habtewold TD, Assen ZM. Earliest starting of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia. Int Breastfeed J. 2017.
  18. Sandor M, Dalal K. Influencing factors on time of breastfeeding, starting among a national representative sample of women in India. 2013; 5.
  19. Setegn T, Gerbaba M, Belachew T. Determinants of timely starting of breastfeeding among mothers in Goba Woreda , South East Ethiopia : A cross sectional study. BMC Public Health. 2011; 11: 217. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21473791
  20. Deressa Y, Tadese G, Amentie M. Assessment of Early Starting of Breastfeeding and Associated Factors Among Mothers in Benishangul Gumuz regional State, North West, Ethiopia: Community Based Cross-Sectional Study. 2016. 2017; 7: 134–142.
  21. Adugna DT. Women’s perception and risk factors for delayed starting of breastfeeding in Arba Minch Zuria. 2014; 1–8.
  22. Alemayehu M, Abreha K, Yebyo H, Zemichael K, Gebremichael H. Factors associated with timely starting and exclusive breastfeeding among mothers of Axum town, Northern Ethiopia. 2014; 2: 394–401.
  23. Egwuda L, Akpan EE, Igbudu TJ. Socio-demographic factors affecting the practice of exclusive breastfeeding in South-South, Nigeria. 2015; 2: 94–101.
  24. Bimerew A, Teshome M, Kassa GM. Prevalence of timely breastfeeding, starting and associated factors in Dembecha district, North West Ethiopia: a cross-sectional study.
  25. Majra JP, Silan VK. Barriers to Early Starting and Continuation of Breastfeeding in a Tertiary care Institute of Haryana: A Qualitative Study in Nursing Care Providers. 2016; 10: 16–20.
  26. Misgan Legesse L. Determinants of Early Starting of Breastfeeding Among Mothers: The Case of Raya Kobo District, Northeast Ethiopia: A Cross-Sectional Study. 2015; 4: 289–294.
  27. Ncfcdpah P. Breastfeeding Report Card. 2014.
  28. The State of Breastfeeding in 33 Countries The State of Breastfeeding in 33 Countries. 2010.
  29. Barriers to timely starting of breastfeeding among healthy full-term babies who deliver at the University of Port Harcourt Teaching Hospital. 2006; 57–64.
  30. Clinical Q, Queensland G. Maternity and Neonatal Clinical Guideline Establishing breastfeeding. 2014.
  31. Anil C, Mathew, Philip DM, Benny JK, Dhanya C, et al. Factors Associated with Timely Starting of Breast Feeding: a Hospital Based Study. 2018; 5: 318–324.
  32. Gunchire Town Enamore woreda population data and town municipality. 2011.

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