scholarly journals Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns

Nutrients ◽  
2017 ◽  
Vol 9 (10) ◽  
pp. 1140 ◽  
Author(s):  
Alessandra N. Bazzano ◽  
Aiko Kaji ◽  
Erica Felker-Kantor ◽  
Lydia A. Bazzano ◽  
Kaitlin S. Potts
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Dietary Patterns ◽  
Qualitative Studies ◽  
Lower Income ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Lower Income Countries

scholarly journals Interventions to improve infant and young child feeding practices in Ethiopia: a systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048700
Author(s):  
Kedir Y. Ahmed ◽  
Kingsley Emwinyore Agho ◽  
Andrew Page ◽  
Amit Arora ◽  
Felix Akpojene Ogbo
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Health Facility ◽  
Breast Feeding ◽  
Experimental Studies ◽  
Risk Of Bias ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Quasi Experimental

ObjectiveIn Ethiopia, despite the implementation of several interventions to improve infant and young child feeding (IYCF) practices, no published studies have highlighted the most effective IYCF interventions in the country. This systematic review investigated the impacts of various interventions on IYCF in Ethiopia.Source of informationA systematic search was conducted on seven computerised bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) to locate experimental or quasi-experimental studies published between the year 2000 and May 2021.Study eligibility criteriaInterventional studies that measured IYCF indicators (early initiation of breast feeding (EIBF), exclusive breast feeding (EBF), the introduction of complementary foods, minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet) as outcome variables were included.Study appraisal and synthesisAll included studies were examined for biases related to interventional studies (ie, selection bias, performance bias, attrition bias, detection bias and reporting bias). Author reports of effect size measures were used to narratively report the findings of each study.ResultsOf the 23 eligible studies, 14 studies were quasi-experimental and 9 studies were cluster randomised trials (CRTs). Eight quasi-experimental studies had a serious risk of bias, while two CRTs had a high risk of bias. Four studies for EBF and six studies for EIBF showed significant impacts of policy advocacy, health service strengthening, interpersonal communication, community mobilisation and mass media campaigns. Six studies for MDD and three studies for MMF indicated significant effects of community-level and health facility complementary feeding promotions on infants and young children. Interventions that delivered in combination increased the impacts in improving EIBF, MDD and MMF compared with a single intervention.ConclusionOur review showed that 12 out of 21 eligible studies that implemented in the form of community-level and health facility interventions improved EIBF, EBF, and/or MDD in Ethiopia.Protocol registration numberPROSPERO, CRD42020155519.

scholarly journals Systematic review of infant and young child feeding practices in conflict areas: what the evidence advocates

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036757
Author(s):  
Amna Rabbani ◽  
Zahra A Padhani ◽  
Faareha A Siddiqui ◽  
Jai K Das ◽  
Zulfiqar Bhutta
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Breast Feeding ◽  
Grey Literature ◽  
Bottle Feeding ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Conflict Settings ◽  
Infant And Young Child ◽  
Increased Risk

BackgroundBreast feeding in conflict settings is known to be the safest way to protect infant and young children from malnourishment and increased risk of infections. This systematic review assesses the evidence on infant and young child feeding (IYCF) practices in conflict settings.MethodologyWe conducted a search in PubMed and CENTRAL and also searched for grey literature from the year 1980 to August 2019. We included studies conducted in settings inflicted with armed conflict; which comprised settings undergoing conflict, as well as, those within 5 years of its cessation. Studies were included if they discussed IYCF practices, barriers, programmes and guidelines to promote and improve IYCF practices. Two review authors independently evaluated and screened studies for eligibility and extracted data; followed by a descriptive and thematic analysis.ResultsWe included 56 studies in our review including 11 published articles and 45 reports from grey literature and broadly classified into four predetermined sections: epidemiology (n=24), barriers/enablers (n=18), programmes/interventions (n=15) and implementation guidelines (n=30). Epidemiological evidence shows that IYCF practices were generally poor in conflict settings with median prevalence of exclusive breast feeding at 25%, continued breast feeding at 29%, bottle feeding at 58.3%, introduction to solid, semisolid or soft foods at 71.1% and minimum dietary diversity at 60.3%.IYCF practices were affected by displacement, stress, maternal malnutrition and mental health, family casualties and free distribution of breast milk substitutes. To improve IYCF, several interventions were implemented; including, training of health workers, educating mothers, community networking and mobilisation, lactation-support service, baby friendly hospital initiative, mother–baby friendly spaces and support groups.ConclusionThe evidence suggests that IYCF practices are generally poor in conflict inflicted settings. However, there is potential for improvement by designing effective interventions, responsibly disseminating, monitoring and implementing IYCF guidelines as prescribed by WHO development partners, government and non-government organisations with dedicated funds and investing in capacity development.

scholarly journals SystEmatic review and meta-aNAlysis of infanT and young child feeding Practices (ENAT-P) in Ethiopia: protocol

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017437 ◽  
Author(s):  
Tesfa Dejenie Habtewold ◽  
Md. Atiqul Islam ◽  
Nigussie Tadesse Sharew ◽  
Shimels Hussien Mohammed ◽  
Mulugeta Molla Birhanu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Breast Feeding ◽  
Meta Analysis ◽  
National Development ◽  
Child Feeding ◽  
Timely Initiation ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Substantial Heterogeneity

IntroductionInfant and young child feeding (IYCF) is the cornerstone of infant and child survival, healthy growth and development, healthy future generations and national development. In spite of the importance of optimal nutrition in low- and middle-income countries, there has been no review conducted in Ethiopia. Thus, the aim of this systematic review and meta-analysis is to estimate the national coverage and identify the associated factors of IYCF practices in Ethiopia.MethodsPubMed, Scopus, EMBASE, CINHAL, EBSCO, Web of Science and WHO Global Health Library databases will be searched for all available publications from 1 January 2000 to 30 September 2017. All published studies on the timely initiation of breast feeding, exclusive breast feeding and timely initiation of complementary feeding practice in Ethiopia will be screened, selected and reviewed. Bibliographies of identified articles and grey literature will be hand-searched as well. Heterogeneity of studies will be quantified using Higgins's method where I2statistic >80% indicates substantial heterogeneity. Funnel plots and Egger's regression test will be used to assess potential publication bias. The Newcastle–Ottawa Scale (NOS) will be used to assess the quality of evidence and risk of bias. Meta-analysis and meta-regression will be carried out to estimate the pooled national prevalence rate and an OR of each associated factor of IYCF practices. Narrative synthesis will be performed if meta-analysis is not feasible due to the substantial heterogeneity of studies.Ethics and disseminationEthical clearance is not required for this study because primary data will not be collected. The results of this systematic review and meta-analysis will be published in a peer-reviewed journal and presented at an (inter)national research symposium.Systematic review registrationThis systematic review and meta-analysis has been registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42017056768.

scholarly journals Interventions to Improve Infant and Young Child Feeding Practices in Ethiopia: A Systematic Review  

2020 ◽  
Author(s):  
Kedir Yimam Ahmed ◽  
Kingsley E. Agho ◽  
Andrew Page ◽  
Amit Arora ◽  
Felix Ogbo
Keyword(s):  
Systematic Review ◽  
Young Child ◽  
Interpersonal Communication ◽  
Policy Advocacy ◽  
Community Mobilisation ◽  
Child Feeding ◽  
Media Campaigns ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Quasi Experimental

Abstract Background: Detailed understanding of the specific types of interventions that can be implemented to increase infant and young child feeding (IYCF) is essential to improve child health and development. In Ethiopia, despite the implementation of several interventions to improve IYCF practices, no published studies have highlighted the most effective IYCF interventions in the country. This systematic review investigated the impacts of various interventions on IYCF in Ethiopia.Methods: A systematic search was conducted on seven computerized bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) to locate experimental or quasi-experimental studies. Interventional studies that measured IYCF indicators (early initiation of breastfeeding [EIBF], exclusive breastfeeding [EBF], the introduction of complementary foods, minimum dietary diversity [MDD], minimum meal frequency [MMF] and minimum acceptable diet [MAD]) as outcome variables were included.Results: Of the thirteen eligible studies, ten studies were quasi-experimental and three studies were cluster randomised trials. Five studies showed that interventions in the form of policy advocacy, health service strengthening, interpersonal communication, community mobilisation, and mass media campaigns improved EBF. Four studies indicated that community-level and health facility breastfeeding promotions increased EIBF. Three studies for MDD and two studies for MMF indicated significant effects of policy advocacy, interpersonal communication, community mobilisation, and mass media campaigns on infants and young children. Interventions that were delivered in combination increased the impacts in improving EIBF, MDD and MMF compared to single intervention.Conclusion: Our review showed that a combination of community-level interventions improved EIBF, EBF, MDD, and MMF in Ethiopia. The improvement in IYCF in Ethiopia would require multi-prong approaches at the household and community levels along the continuum of care from conception until a child’s second birthday.

scholarly journals Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen
Keyword(s):  
Social Support ◽  
Young Child ◽  
Coping Strategies ◽  
Low Income ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Personal Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.

scholarly journals Mothers’ perceptions on and learning from infant and young child feeding videos displayed in Mother and Child Health Centers in Kenya - a qualitative and quantitative approach

2021 ◽  
pp. 1-38
Author(s):  
Lauriina Schneider ◽  
Mikko Kosola ◽  
Kerttu Uusimäki ◽  
Sari Ollila ◽  
Crippina Lubeka ◽  
...  
Keyword(s):  
Young Child ◽  
Complementary Feeding ◽  
Health Centers ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health ◽  
Child Health Centers

Abstract Objective The objective was to explore mothers’ perceptions of educational videos on infant and young child feeding practices, and to assess whether viewing frequencies would influence maternal knowledge, attitudes and feeding practices (KAPs). Design A set of 47 videos were displayed in health centers for 6 months. At three months, we conducted focus group discussions (FGDs) with mothers and at six months, administered KAP-questionnaire-based interviews to mothers. Using a quasi-experimental design we compared groups according to video viewing frequencies. Setting The study was conducted in a slum in Nairobi and a rural area in Machakos, Kenya. We installed TV screens in waiting rooms of six Mother and Child Health Centers, where mothers could choose to watch them. Participants Forty-three mothers with children aged 0 to 48 months participated in six FGDs and 547 mothers of children aged 0 to 23 months in KAP interviews. Results The mothers from the FGDs found the videos acceptable and beneficial. Videos enhanced mothers’ learning and empowered them to support others in learning. The KAP data showed that after adjustments, breastfeeding (p=0.06) and complementary feeding knowledge (p=0.01), complementary feeding attitudes (p=0.08), as well as hygiene knowledge and practices (p=0.003) were better among mothers who had seen videos three to four times, or five or more times, compared to mothers who had seen the videos once or twice. Conclusions Videos were an accepted form of education and were beneficial when watched repeatedly. The videos could be a good addition to current IYCF education efforts in Kenya.

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