Abstract:
Background:Globally, exclusive breastfeeding prevents 1.3 million child deaths and has an added benefit for
people living with the Human Immune Deficiency Virus (HIV) by preventing mother-to-child transmission of HIV.
However, literature is scarce in Ethiopia; therefore this study aimed to assess the rate of continuous exclusive
breastfeeding from the end of the first week to 6 months of age, among HIV exposed infants (aged 7–20 months)
who were followed up in government hospitals of North Gondar Zone, Ethiopia, and associated factors.
Methods:An institutional based cross-sectional study was conducted from February 21 to March 30, 2016. All
mother-child pairs (367) attending the chronic HIV care clinic in government hospitals of North Gondar Zone were
included in the study. Exclusive breastfeeding was defined as the practice of feeding only breast milk (including
expressed breast milk) during the first 6 months and no other liquids and solid foods except medications. However
since prelacteal feeding is a deep rooted norm in the study setting, we report continuous exclusive breastfeeding
from the end of first week to 6 months of age of infants, ignoring all prelacteal feeding offered at birth. A binary
multivariable logistic regression analysis was employed to identify factors associated with exclusive breastfeeding.
Results:The overall prevalence of continuous exclusive breastfeeding among HIV exposed infants was 86.4%.
According to the multivariable analysis; breastfeeding counseling (Adjusted Odds Ratio [AOR] = 5.1, 95% Confidence
Interval [CI] 1.4, 18.2), breastfeeding support (AOR = 3.7, 95% CI 1.3, 10.5), and not experiencing obstetric problems
(AOR = 3.4, 95% CI: 1.3, 8.8) were associated with higher odds of continuous breastfeeding.
Conclusions:In this study, most HIV exposed infants were continuously breastfed from the end of first week to
6 months of age. Breastfeeding counseling, breastfeeding support and experiencing obstetric problems were identified
as significant determinants of continuous breastfeeding. Therefore, breastfeeding counseling and support should be
strengthened to improve the coverage of optimal exclusive breastfeeding practice. Moreover, prompt diagnosis and
treatment of obstetric problems should be initiated.
