Abstract:
Background: Breastfeeding contributes to infant nutrition and health through a number of
important mechanisms. It provides a complete source of nutrients for the first six months
of life, half of all requirements in the second six months of life, and one third of
requirements in the second year of life.
Objective: To evaluate the implementation level of the program in Metekel zone Bullen
woreda.
Methods and material: community based cross-sectional study was conducted quantitative
and qualitative data were collected from April 04 to 15/2016. A total of 312 randomly
selected mothers were interviewed. Key informants interview was conducted with health
office head, health center head, HEW supervisor, key for nutrition program, women
association leaders, health development army and salt supplier and health extension workers
(total 11). Moreover, resource inventory and document review were conducted (total of 6
health facilities). Quantitative results were entered using Epidata version 3.1for data entry
and SPSS version 20 for analysis. Univariate analysis was done for descriptive results.
Binary and multiple logistic regressions were done to see the association among variables
and determinant factor of adherence of mothers. Qualitative data was categorized and
analyzed thematically.
Result: Overall, the required resources were available in 74% of the health facilities
studied. Service providers were complying with the guideline in 67% of the time. And
adherence of mothers with the recommended practice was 72.4%. Rural mothers AOR,
0.378 CI95 % 0.215, 0.665 and community participation AOR 2.184 CI95% 1.184,
4.029 were predictors of mothers’ adherence.
Conclusion and Recommendations: Overall, three dimensions was (72%) and Judged
according to presented criteria as V.good achievement. Intervention recommended to
focus on resource availability, compliance and continues community participation mainly
women to ensure ownership and practicality.
