Acta Scientific PAEDIATRICS (ISSN: 2581-883X)

Research Article Volume 5 Issue 10

Time to Cessation of Breastfeeding and Its Determinants among Mothers Who Have Children Birth to Three Years of Age in Mekelle Town, North Ethiopia: Retrospective Study

Tesfaye Techane Kelali1* and Aklilu Bezu Dinkesa2

1Saint Paul’s Hospital Millennium Medical College, Oncology Nursing, Addis Ababa, Ethiopia
2Northern Command Referral Hospital, Maternal and Child Health department, Mekelle, Ethiopia

*Corresponding Author: Tesfaye Techane Kelali, Saint Paul’s Hospital Millennium Medical College, Oncology Nursing, Addis Ababa, Ethiopia.

Received: February 21, 2022; Published: September 28, 2022


Background: Data on time to cessation of breast feeding and its associated factors are scarce in Ethiopia. Hence, the present study aimed to assess the time to cessation of breast feeding and its determinants among mothers with children from birth to three years of age at Mekele town, Tigray.

Methods: Community-based cross-sectional retrospective study was conducted on 554 women, who have children from birth to three years of age in the in Mekelle town from March to July 2019. Participants were selected using systematic random sampling technique. Data was collected using interview administered questionnaire. The collected data were entered into Epi Info version 7.2 and exported to statistical package for the social science version 20.0 and analyzed using descriptive statistics, Bivariate and Multivariate Cox regressions.

Results: The overall incidence rate of cessation of breast feeding before 2 years of age was 3.017 per 100 person-months (95% CI: .027- .033). Number of children [AHR 1.4; 95%, CI: 1.005, 2.04], intended breast feeding duration [AHR 0.72; 95%, CI: 0.77, 0.91], type of first feeding [AHR 3.93; 95%, CI: 2.09, 7. 39] and timing of complementary feeding started [AHR 0.44; 95%, CI: 0.40, 0.75] were factors significantly associated with time to cessation of breast feeding before two years of age at p < 0.05.

Conclusion: The incidence rate of cessation of breast feeding before 2 years of age was relatively better when compared with previous study. However several factors affecting time to cessation of breast feeding were identified. These factors should be targeted to achieve appropriate duration of breast feeding.

Keywords: Cessation of Breastfeeding; Mothers-Child Pairs; Ethiopia


  1. Victora CG., et al. “Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect”. The Lancet 10017 (2016): 475-490.
  2. Berkat S and Sutan R. “The effect of early initiation of breastfeeding on neonatal mortality among low birth weight in Aceh Province, Indonesia: an unmatched case control study”. Advances in Epidemiology (2014).
  3. Anatolitou F. “Human milk benefits and breastfeeding”. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM)1 (2012): 11-18.
  4. Organization WH. “Nutrition”. Promoting Proper Feeding for Infants and Young Children (2017).
  5. Organization WH. “Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services”. World Health Organization (2017).
  6. Bai Y., et al. “Predicting intentions to continue exclusive breastfeeding for 6 months: A comparison among racial/ethnic groups”. Maternal and Child Health Journal8 (2011): 1257-1264.
  7. Godfrey JRa and Lawrence RA. “Toward optimal health: the maternal benefits of breastfeeding”. Journal of Women's Health 9 (2010): 1597-1602.
  8. Al-Binali AM. “Breastfeeding knowledge, attitude and practice among school teachers in Abha female educational district, southwestern Saudi Arabia”. International Breastfeeding Journal1 (2012): 10.
  9. Gill SL. “Breastfeeding by Hispanic women”. Journal of Obstetric, Gynecologic and Neonatal Nursing 2 (2009): 244-252.
  10. Rempel L and Moore KC. “Peer-led prenatal breast-feeding education: A viable alternative to nurse-led education”. Midwifery1 (2012): 73-79.
  11. Kramer MS and Kakuma R. “Optimal duration of exclusive breastfeeding”. Cochrane Database of Systematic Reviews 8 (2012).
  12. Brand E., et al. “Factors related to breastfeeding discontinuation between hospital discharge and 2 weeks postpartum”. The Journal of Perinatal Education1 (2011): 36-44.
  13. Attahiru A and Awosan KJ. “Utilization of maternity services and breastfeeding practices of working mothers in Sokoto, Nigeria” (2019).
  14. Odom EC., et al. “Reasons for earlier than desired cessation of breastfeeding”. Pediatrics 3 (2013): e726-e32.
  15. Olang B., et al. “Reasons given by mothers for discontinuing breastfeeding in Iran”. International Breastfeeding Journal1 (2012): 1-7.
  16. Saeed MA. “Discontinuation of breast feeding in infants”. Journal of Rawalpindi Medical College2 (2013): 281-283.
  17. Radwan H. “Patterns and determinants of breastfeeding and complementary feeding practices of Emirati Mothers in the United Arab Emirates”. BMC Public Health1 (2013): 171.
  18. Guo S., et al. “Breastfeeding rates in central and western China in 2010: implications for child and population health”. Bulletin of the World Health Organization 91 (2013): 322-331.
  19. Doherty T., et al. “Early cessation of breastfeeding amongst women in South Africa: an area needing urgent attention to improve child health”. BMC Pediatrics1 (2012): 105.
  20. Horwood C., et al. “Are we doing enough? Improved breastfeeding practices at 14 weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa”. BMC Public Health 20 (2020): 1-12.
  21. Hunegnaw MT., et al. “Factors associated with the time to cessation of breastfeeding among mothers who have index children aged two to three years in Debre Markos, northwest Ethiopia: a retrospective follow up study”. BMC Pediatrics1 (2018): 77.
  22. Victor R., et al. “Determinants of breastfeeding indicators among children less than 24 months of age in Tanzania: a secondary analysis of the 2010 Tanzania Demographic and Health Survey”. BMJ Open1 (2013).
  23. Babaee E., et al. “Early Cessation of Breastfeeding and Determinants: Time to Event Analysis”. Journal of Nutrition and Metabolism (2020).
  24. Lamberti LM., et al. “Breastfeeding for reducing the risk of pneumonia morbidity and mortality in children under two: a systematic literature review and meta-analysis”. BMC Public Health3 (2013): S18.
  25. Afrose L., et al. “Factors associated with knowledge about breastfeeding among female garment workers in Dhaka city”. WHO South-East Asia Journal of Public Health249 (2012): 255.
  26. Bai DL., et al. “Factors associated with breastfeeding duration and exclusivity in mothers returning to paid employment postpartum”. Maternal and Child Health Journal5 (2015): 990-999.
  27. Dashti M., et al. “Predictors of breastfeeding duration among women in Kuwait: results of a prospective cohort study”. Nutrients2 (2014): 711-728.
  28. Haile D., et al. “Predictors of breastfeeding cessation among HIV infected mothers in southern Ethiopia: a survival analysis”. PloS One3 (2014): e90067.
  29. Hazir T., et al. “Determinants of suboptimal breast-feeding practices in Pakistan”. Public Health Nutrition4 (2013): 659-672.
  30. Mbada CE., et al. “Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community”. BMC Research Notes1 (2013): 552.
  31. USAID S., et al. “Ethiopia Demographic and Health Survey 2011”. Central Statistical Agency Addis Ababa, Ethiopia ICF International Calverton, Maryland, USA (2012).
  32. Akter S and Rahman MM. “Duration of breastfeeding and its correlates in Bangladesh”. Journal of Health, Population, and Nutrition6 (2010): 595.


Citation: Tesfaye Techane Kelali and Aklilu Bezu Dinkesa. “Time to Cessation of Breastfeeding and Its Determinants among Mothers Who Have Children Birth to Three Years of Age in Mekelle Town, North Ethiopia: Retrospective Study". Acta Scientific Paediatrics 5.10 (2022): 04-12.


Copyright: © 2022 Tesfaye Techane Kelali and Aklilu Bezu Dinkesa. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is April 30th, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue".
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US