scholarly journals Factors Associated with the Early Initiation of Breastfeeding in Economic Community of West African States (ECOWAS)

Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2765 ◽  
Author(s):  
Osita Ezeh ◽  
Felix Ogbo ◽  
Garry Stevens ◽  
Wadad Tannous ◽  
Osuagwu Uchechukwu ◽  
...  
Keyword(s):  
Population Level ◽  
Healthcare Services ◽  
West African ◽  
Early Initiation ◽  
Economic Community ◽  
Child Feeding ◽  
Factors Associated ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

The early initiation of breastfeeding (EIBF) within one hour after birth enhanced mother–newborn bonding and protection against infectious diseases. This paper aimed to examine factors associated with EIBF in 13 Economic Community of West African States (ECOWAS). A weighted sample of 76,934 children aged 0–23 months from the recent Demographic and Health Survey dataset in the ECOWAS for the period 2010 to 2018 was pooled. Survey logistic regression analyses, adjusting for country-specific cluster and population-level weights, were used to determine the factors associated with EIBF. The overall combined rate of EIBF in ECOWAS was 43%. After adjusting for potential confounding factors, EIBF was significantly lower in Burkina Faso, Cote d’Ivoire, Guinea, Niger, Nigeria, and Senegal. Mothers who perceived their babies to be average and large at birth were significantly more likely to initiate breastfeeding within one hour of birth than those mothers who perceived their babies to be small at birth. Mothers who had a caesarean delivery (AOR = 0.28, 95%CI = 0.22–0.36), who did not attend antenatal visits (ANC) during pregnancy, and delivered by non-health professionals were more likely to delay initiation of breastfeeding beyond one hour after birth. Male children and mothers from poorer households were more likely to delay introduction of breastfeeding. Infant and young child feeding nutrition programs aimed at improving EIBF in ECOWAS need to target mothers who underutilize healthcare services, especially mothers from lower socioeconomic groups.

scholarly journals 151Infant and young child feeding practices and ARI and diarrhoea in Ethiopia: A PSM approach

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kedir Yimam Ahmed
Keyword(s):  
Young Child ◽  
Lower Risk ◽  
Early Initiation ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Logistic Regression Models ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
Infant And Young Child ◽  
Initiation Of Breastfeeding

Abstract Background Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. Methods This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. Results Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of ARI (OR: 1.36; 95% CI: 1.10, 1.68). Early initiation of breastfeeding and EBF were associated with a lower odds of diarrhoea (OR: 0.88; 95% CI: 0.79, 0.94 for Early initiation of breastfeeding and OR: 0.51; 95% CI: 0.39, 0.65 for EBF). Infants who were predominantly breastfed were less likely to experience diarrhoea (OR: 0.69; 95% CI: 0.53, 0.89). Conclusions Early initiation of breastfeeding and EBF were associated with a lower risk of ARI and diarrhoea. Bottle feeding was associated with a higher risk of ARI. Key messages Interventions targeting improved early initiation of breastfeeding, EBF, and avoidance of bottle feeding should be prioritised and scaled-up.

Associations between infant and young child feeding practices and diarrhoea in Indian children: a regional analysis

2020 ◽  
Author(s):  
Mansi Vijaybhai Dhami ◽  
Felix Akpojene Ogbo ◽  
Thierno Diallo ◽  
Kingsley Agho
Keyword(s):  
Central India ◽  
Early Initiation ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
North East ◽  
Infant And Young Child ◽  
Semi Solid ◽  
Initiation Of Breastfeeding

Abstract Background: There are limited data on the association between infant and young child feeding (IYCF) practices and diarrhoea across regional India, to inform policy initiatives and advocacy. The present study examined the association between IYCF practices and diarrhoea in regional India. Method: The study used a weighted sample of 90,596 maternal responses from the 2015-16 National Family Health Survey in India. Prevalence estimates of diarrhoea by IYCF indicators were estimated for each administrative region, namely: North (n=11,200), South (n=16,469), East (n=23,317), West (n=11,512), Central (n=24,870) and North-East (n=3,228). Multivariate logistic regressions that adjust for clustering and sampling weights were used to investigate the association between IYCF and diarrhoea in regional India. The IYCF indicators include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, bottle feeding, continued breastfeeding at one year, continued breastfeeding at two years, children ever breastfed and the introduction of solid, semi-solid or soft foods. Results: The prevalence of diarrhoea was lower among infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed. Children whose mothers continued breastfeeding at one and two years, and infants who were introduced to complementary foods had a higher prevalence of diarrhoea. Early initiation of breastfeeding and EBF were protective against diarrhoea in the North, East and Central regions of India. However, predominant breastfeeding, bottle-feeding and introduction of complementary foods were risk factors for diarrhoea in Central India. Continued breastfeeding at two years was a risk factor for diarrhoea in Western India. Conclusion: Our study suggests that early initiation of breastfeeding and EBF were protective against diarrhoea in Northern, Eastern and Central India, while predominant breastfeeding, bottle feeding, continued breastfeeding at two years and introduction of solid, semi–solid or soft foods were risk factors for diarrhoea in various India regions. Improvements in IYCF practices are likely to reduce the burden of diarrhoea-related morbidity and mortality across India regions.

Early initiation of breastfeeding and its association with peer counseling and membership in breastfeeding support groups in the Philippines

2020 ◽  
Author(s):  
Ofelia P Saniel ◽  
Veincent Christian F Pepito ◽  
Arianna Maever L Amit
Keyword(s):  
Support Groups ◽  
The Philippines ◽  
Early Initiation ◽  
Peer Counseling ◽  
Breastfeeding Support ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Early Initiation Of Breastfeeding ◽  
Peer Counselor ◽  
Initiation Of Breastfeeding

Abstract Background: Early initiation of breastfeeding (EIBF), defined as initiation of breastfeeding within one hour after giving birth, is one of the recommended optimal breastfeeding practices. We aimed to determine whether being visited by a peer counselor during pregnancy and if mother’s membership in a breastfeeding support group are associated with EIBF. We also aimed to examine the interaction between the two main exposure variables to assess their joint effects on EIBF.Methods: We used data from the endline survey of a program implemented in the Philippines, which contained socioeconomic data from the household of the mother-newborn dyads, demographic characteristics of the mothers, and their infant and young child feeding practices. We used logistic regression methods for survey data to study these associations.Results: Out of the 2,343 newborns, only 1,500 (63.1%) had EIBF. Upon controlling for confounders, those who were visited by a peer counselor during the prenatal period had 1.18 times greater odds of EIBF (95%CI: 0.88-1.57; p=0.26) compared to those who were not visited. On the other hand, members of breastfeeding support groups had 1.33 times higher odds of EIBF (95% CI: 0.99-1.79; p=0.06) compared to those who were not members of breastfeeding support groups. There is no interaction between the two exposure variables on their effect on EIBF. Conclusions: The lack of association between a visit by a peer counselor during pregnancy or mother’s membership in breastfeeding support groups and EIBF highlights the need for new strategies to enhance the role of peer counselors and breastfeeding support groups in promoting breastfeeding.

scholarly journals Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ofelia P. Saniel ◽  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit
Keyword(s):  
Support Groups ◽  
The Philippines ◽  
Early Initiation ◽  
Peer Counseling ◽  
Breastfeeding Support ◽  
Child Feeding ◽  
Peer Counselors ◽  
Early Initiation Of Breastfeeding ◽  
Peer Counselor ◽  
Initiation Of Breastfeeding

Abstract Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.

scholarly journals Prevalence and factors associated with early initiation of breastfeeding among women in Moshi municipal, northern Tanzania

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hadija Y. Lyellu ◽  
Tamara H. Hussein ◽  
Margareta Wandel ◽  
Babill Stray-Pedersen ◽  
Melina Mgongo ◽  
...  
Keyword(s):  
Early Initiation ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Northern Tanzania ◽  
Initiation Of Breastfeeding

scholarly journals Maternal and child factors associated with early initiation of breastfeeding in Chad: evidence from nationally representative cross-sectional data

2021 ◽  
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Aliu Mohammed ◽  
Collins Adu ◽  
...  
Keyword(s):  
Health Workers ◽  
Working Women ◽  
Wealth Quintile ◽  
Early Initiation ◽  
Outcome Variable ◽  
Related Factors ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Child Factors ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding (EIB) is an inexpensive practice but has a substantial potential to reduce neonatal morbidity. Therefore, this study investigated the maternal and child-related factors associated with EIB and makes recommendations that could help improve the practice in Chad. Methods We used data from the children's recode file of the 2014–2015 Chad Demographic and Health Survey. A total of 3991 women ages 15–49 y who had last-born children in the 2 y preceding the survey were included in our study. The outcome variable for the study was EIB. Both descriptive (frequencies and percentages) and inferential (binary logistic regression) analyses were carried out. All results of the binary logistic analyses are presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results We found the prevalence of EIB in Chad to be 23.8%. In terms of maternal factors, the likelihood of EIB was high among non-working women (aOR 1.37 [95% CI 1.18 to 1.59]), the richest wealth quintile women (aOR 1.37 [95% CI 1.04 to 1.79]) and non-media-exposed women (aOR 1.58 [95% CI 1.24 to 2.02]) compared with working women, the poorest wealth quintile women and media-exposed women, respectively. EIB was lower among children whose mothers had one to three antenatal care visits (ANC; aOR 0.73 [95% CI 0.61 to 0.87]) and four or more ANC visits (aOR 0.80 [95% CI 0.66 to 0.97]) compared with those who had no ANC visits. With the child factors, EIB was higher among mothers of children who were smaller than average size at birth compared with those of larger than average birth size (aOR 1.47 [95% CI 1.24 to 1.74]). Mothers of children of fifth-order or more births compared with those of first-order births (aOR 1.51 [95% CI 1.07 to 2.12]) and those who were delivered through vaginal birth compared with those delivered through caesarean section (aOR 4.71 [95% CI 1.36 to 16.24]) were more likely to practice EIB. Conclusions Maternal and child-related factors play roles in EIB in Chad. Hence, it is important to consider these factors in maternal and neonatal health interventions. Such initiatives, including training of outreach health workers, health education, counselling sessions and awareness-raising activities on breastfeeding geared towards EIB should be undertaken. These should take into consideration the employment status, wealth quintile, exposure to mass media, size of the baby at birth, ANC visits, parity and delivery method.

scholarly journals Determinants of Early Initiation of Breastfeeding among Mothers of Children Aged Less Than 24 Months in Northwestern Romania

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2988 ◽  
Author(s):  
Anamaria Cozma-Petruţ ◽  
Ioana Badiu-Tişa ◽  
Oana Stanciu ◽  
Lorena Filip ◽  
Roxana Banc ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Early Initiation ◽  
Cross Sectional ◽  
Face To Face ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Modifiable Factors ◽  
Northwestern Region ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding (EIBF), defined as putting newborns to the breast within 1 h of birth, may have important benefits for both infant and mother. The aim of this study was to assess EIBF practices and its determinants in northwestern Romania. This cross-sectional study was conducted from March to June 2019, based on a sample of 1399 mothers of children aged less than 24 months. The sample was recruited from the community, from 29 cities and 41 communes distributed across the six counties of the northwestern region of Romania. Mothers responded by face-to-face interviews to a structured questionnaire. Multivariate logistic regression was used to identify factors independently associated with EIBF. Only 24.3% of the mothers initiated breastfeeding within 1 h of birth. Delivering at a private hospital (adjusted odds ratio (AOR): 5.17, 95% confidence interval (CI) 3.87, 6.91), vaginal delivery (AOR: 4.39, 95% CI 3.29, 5.88), mother–newborn skin-to-skin contact for 1 h or more (AOR: 55.6, 95% CI 23.0, 134.2), and breastfeeding counseling during antenatal visits (AOR: 1.48, 95% CI 1.12, 1.97) were factors associated with increased likelihood of EIBF. Overall, the practice of EIBF was poor. Targeting modifiable factors associated with EIBF may be used to improve early initiation practice.

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