Consistency of the determinants of early initiation of breastfeeding in Ghana: Insights from four Demographic and Health Survey datasets

Duodu, Precious A., Duah, Henry O., Dzomeku, Veronica M., Boamah Mensah, Adwoa B., Aboagye Mensah, Josephine, Darkwah, Ernest, and Agbadi, Pascal (2021) Consistency of the determinants of early initiation of breastfeeding in Ghana: Insights from four Demographic and Health Survey datasets. International Health, 13 (1). pp. 39-48.

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Abstract

Background: Early initiation of breastfeeding (EIBF) is a key strategy in averting neonatal deaths. However, studies on the facilitators and risk factors for EIBF are rare in Ghana. We examined trends in EIBF and its major facilitators and risk factors in Ghana using data from Demographic and Health Surveys from 1998 to 2014.

Methods: We used complete weighted data of 3194, 3639, 2909 and 5695 pairs of mothers ages 15–49 y and their children ages 0–5 y in the 1998, 2003, 2008 and 2014 surveys, respectively. We accounted for the complex sampling used in the surveys for both descriptive statistics and multiple variable risk ratio analysis.

Results: The proportion of children who achieved EIBF increased by about 2.5 times from 1998 to 2003 and there was a marginal increase in the proportion of children who achieved EIBF between 2003 and 2014. Children born by caesarean section were at higher risk of being breastfed later than 1 h across all four surveys. Being born in the Upper East Region (compared with the Western Region) of Ghana facilitated EIBF in 2003 and 2008.

Conclusions: The study revealed that the current estimate of the proportion of children achieving EIBF in Ghana was 55.1%, and delivery by caesarean section and region of residence consistently predicted the practice of EIBF in Ghana.

Item ID: 88965
Item Type: Article (Research - C1)
ISSN: 1876-3405
Keywords: Demographic and Health Survey data, Early initiation of breastfeeding, Ghana, Sub-Saharan Africa
Copyright Information: ©TheAuthor(s) 2020. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Date Deposited: 17 Oct 2025 00:03
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 50%
44 HUMAN SOCIETY > 4409 Social work > 440902 Counselling, wellbeing and community services @ 50%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health @ 100%
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