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Peer-reviewedCC BYPreventive medicine reports

Determinants of early initiation of breastfeeding among mothers of children aged 0-24 months in Mogadishu, Somalia: a community-based cross-sectional study.

  • Ahmed Saed Hussein1
  • Farhiya Abduqadir Ahmed1
  • Samiro Osman Yusuf1
  • Siham Mohamed Dahir1
  • Safa Hashi Adani1
  • Asli Ibrahim Abdrashid1
  • Suad Abdullahi Abdule1
  • Naimo Hirsi Abdi Jimale1
  1. 1Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu, Somalia.
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Abstract

To determine the prevalence of early initiation of breastfeeding (EIBF) and its associated factors among mothers of children aged 0-24 months in Mogadishu, Somalia. A community-based cross-sectional study was conducted in six selected districts of Mogadishu from March to June 2026. Structured interviews were completed with 638 mothers. Analysis included 561 mothers who had ever breastfed. Multivariable logistic regression identified factors associated with EIBF. EIBF prevalence was 82.7%. Lower odds were observed among mothers without formal education (adjusted odds ratio [AOR] 0.30, 95% confidence interval [CI] 0.16, 0.53), those attending 2-3 antenatal care visits (AOR 0.17, 95% CI 0.06, 0.46) or four or more visits (AOR 0.09, 95% CI 0.03, 0.27), those without breastfeeding counselling (AOR 0.28, 95% CI 0.15, 0.53), and those delivering by caesarean section (AOR 0.13, 95% CI 0.07, 0.25). Household size of eight or more members and absence of prelacteal feeding were associated with higher odds. Although EIBF was common, 17.3% initiated breastfeeding after one hour. Strengthening breastfeeding counselling, post-caesarean support and efforts to prevent prelacteal feeding may improve timely initiation.

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Cite

BibTeXRIS
BibTeX
@article{hussein2026determinants,
  title = {{Determinants of early initiation of breastfeeding among mothers of children aged 0-24 months in Mogadishu, Somalia: a community-based cross-sectional study.}},
  author = {Ahmed Saed Hussein and Farhiya Abduqadir Ahmed and Samiro Osman Yusuf and Siham Mohamed Dahir and Safa Hashi Adani and Asli Ibrahim Abdrashid and Suad Abdullahi Abdule and Naimo Hirsi Abdi Jimale},
  journal = {Preventive medicine reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.pmedr.2026.103686},
  url = {https://europepmc.org/article/MED/42997003},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Determinants of early initiation of breastfeeding among mothers of children aged 0-24 months in Mogadishu, Somalia: a community-based cross-sectional study.
AU  - Ahmed Saed Hussein
AU  - Farhiya Abduqadir Ahmed
AU  - Samiro Osman Yusuf
AU  - Siham Mohamed Dahir
AU  - Safa Hashi Adani
AU  - Asli Ibrahim Abdrashid
AU  - Suad Abdullahi Abdule
AU  - Naimo Hirsi Abdi Jimale
PY  - 2026
DA  - 2026/10/27
JO  - Preventive medicine reports
DO  - 10.1016/j.pmedr.2026.103686
UR  - https://europepmc.org/article/MED/42997003
AB  - To determine the prevalence of early initiation of breastfeeding (EIBF) and its associated factors among mothers of children aged 0-24 months in Mogadishu, Somalia. A community-based cross-sectional study was conducted in six selected districts of Mogadishu from March to June 2026. Structured interviews were completed with 638 mothers. Analysis included 561 mothers who had ever breastfed. Multivariable logistic regression identified factors associated with EIBF. EIBF prevalence was 82.7%. Lower odds were observed among mothers without formal education (adjusted odds ratio [AOR] 0.30, 95% confidence interval [CI] 0.16, 0.53), those attending 2-3 antenatal care visits (AOR 0.17, 95% CI 0.06, 0.46) or four or more visits (AOR 0.09, 95% CI 0.03, 0.27), those without breastfeeding counselling (AOR 0.28, 95% CI 0.15, 0.53), and those delivering by caesarean section (AOR 0.13, 95% CI 0.07, 0.25). Household size of eight or more members and absence of prelacteal feeding were associated with higher odds. Although EIBF was common, 17.3% initiated breastfeeding after one hour. Strengthening breastfeeding counselling, post-caesarean support and efforts to prevent prelacteal feeding may improve timely initiation.
SN  - 2211-3355
ER  -