Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis

Shakya, Prakash; Kunieda, Mika; Koyama, Momoko; Sing, Sarju; Miyaguchi, Moe; Dhakal, Sumi; Sandy, Su; Sunguya, Bruno F.; Jimba, Masamine

doi:10.1371/journal.pone.0177434

Cited by 121 publications

(111 citation statements)

References 49 publications

(105 reference statements)

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“…This context is different from that observed in underdeveloped and developing countries where socioeconomic aspects may justify the higher prevalence of children with low Birth Weight, such as when comparing South America with Europe [21]. Breastfeeding patterns are also different in distinct countries and cultures and depend on socio-cultural support for their success [30], which may justify controversial results found among different studies. Therefore, considering the various factors involved in VO 2max , in Birth Weight and in breastfeeding patterns of children, it is concluded that the present cross-sectional study, performed in individuals with adequate Birth Weight and gestational age, contributes to the current body of scientific knowledge about population and to assist in the planning of public health actions and in the clinical practice of professionals dealing with children and adolescents.…”

Section: Discussionmentioning

confidence: 85%

Relationship between aerobic capacity with Birth Weight and breastfeeding patterns in children: A cross-sectional study

et al. 2018

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Objective To analyze if aerobic capacity is related to Birth Weight and breastfeeding patterns in boys and girls, products of a term pregnancy and normal weight. Methods A representative sample of 230 Brazilian children (6-10 years old), born at term (after 37-weeks’ gestation) with normal weight (between 2.5 and 4.0kg). These children performed a Yo-Yo Test to estimate their aerobic capacity and mothers reported their children’s Birth Weight and breastfeeding patterns. The Pearson correlation coefficient was used to measure the association between aerobic capacity with Birth Weight and breastfeeding patterns. Results We did not observe any significant associations between aerobic capacity with Birth Weight and breastfeeding time in either sexes (p>0.05). Conclusion These results indicate that aerobic capacity is not related with Birth Weight or breastfeeding time in children born with normal weight and gestational age, suggesting that this complex physiological parameter does not appear to be determined by intrauterine factors that dictate the Birth Weight and breastfeeding patterns in the beginning of life.

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Section: Discussionmentioning

confidence: 85%

Relationship between aerobic capacity with Birth Weight and breastfeeding patterns in children: A cross-sectional study

et al. 2018

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“…Thus, this study demonstrates one-to-one peer counselling may be an effective strategy to improve EIBF and EBF practices in urban slum communities, where a high rate of malnutrition exists and inappropriate breastfeeding practices are prominent (Shakya et al, 2017 group counselling may be effective to increase the rates of EIBF and EBF (Haider et al, 2000). Governments and NGOs could even consider training community health volunteers to provide group or peer support on infant and young child feeding practices to the mothers and caregivers.…”

Section: Discussionmentioning

confidence: 86%

“…Thus, this study demonstrates one‐to‐one peer counselling may be an effective strategy to improve EIBF and EBF practices in urban slum communities, where a high rate of malnutrition exists and inappropriate breastfeeding practices are prominent (Shakya et al, ). Our peer counsellors delivered a regular service on a part‐time (half‐day) basis and received a monthly honorarium of approximately US $43.…”

Section: Discussionmentioning

confidence: 88%

Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh

Ara

Khanam

Papri

et al. 2018

Maternal & Child Nutrition

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This study aimed to evaluate the impact of peer counselling on early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) rates for mother–infant pairs living in urban slums, Dhaka, Bangladesh. This randomized controlled trial enrolled 350 mother–infant pairs from selected slums between September 2014 and July 2016. The women assigned to intervention group received peer counselling from locally recruited, trained community female volunteers starting in third trimester of pregnancy until 6 months after delivery; control group received no intervention. EIBF, any liquids given after birth, and EBF were compared between groups. Follow‐up was scheduled at enrolment, following childbirth, and every 2 months up to 6 months after delivery. Multiple logistic regressions were used to assess the effect peer counselling and other associated factors on EIBF and EBF practices. EIBF rate was higher in the intervention group than in the control group (89.1% vs. 77.4%, p = .005). More mothers in intervention group were exclusively breastfeeding at 5 months than mothers in the control group (73% vs. 27%, p < .005). Control mothers were twice as likely to not practice EIBF compared with intervention mothers (adjusted odds risk [aOR]: 2.53, CI [1.29, 4.97], p = .007). Overall, caesarean section was associated with an 8.9‐fold higher risk of not achieving EIBF (aOR: 8.90, CI [4.05, 19.55], p < .001). Intervention mothers were 5.10‐fold more likely to practice EBF compared with control mothers (aOR: 5.10, CI [2.89, 9.01], p < .001) at 5 months. This study demonstrates peer counselling can positively influence both EIBF and EBF among mothers living in urban area.

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“…In most countries, a variety of intervention delivery platforms, or channels, are used to reduce access barriers to essential services. Notable examples are trained community health workers (CHWs) and mother/peer groups for health and nutrition promotion [7][8][9]. Though evidence supports CHW home visits and women's groups for improving maternal and newborn health in low and middle-income countries (LMICs) [10][11][12], evidence from high-quality studies involving such community platforms for delivering nutrition-specific interventions is limited across diverse populations [5].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Community Home Visit and Peer Group Nutrition Intervention Delivery Platforms on Nutrition Outcomes in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis

et al. 2020

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Weak delivery systems reduce the potential of evidence-supported interventions to improve nutrition. We synthesized the evidence for the effectiveness of nutrition-specific intervention delivery platforms for improving nutrition outcomes in low and middle-income countries (LMIC). A systematic literature search for studies published from 1997 to June 2018 resulted in the inclusion of 83 randomized controlled trials (RCTs), quasi-randomized, and controlled before-after studies across a variety of delivery platforms. In this paper, we report on meta-analysed outcomes for community health worker (CHW) home visits and mother/peer group delivery platforms. Compared to care as usual, CHW home visits increased early initiation of breastfeeding (EIBF) (OR: 1.50; 95% CI: 1.12, 1.99; n = 10 RCTs) and exclusive breastfeeding (EBF) (OR: 4.42; 95% CI: 2.28, 8.56; n = 9 RCTs) and mother/peer groups were effective for improving children's minimum dietary diversity (OR: 2.34; 95% CI: 1.17, 4.70; n = 4) and minimum meal frequency (OR: 2.31; 95% CI: 1.61, 3.31; n = 3). Pooled estimates from studies using both home visit and group platforms showed positive results for EIBF (OR: 2.13; 95% CI: 1.12, 4.05; n = 9), EBF (OR: 2.43; 95% CI: 1.70, 3.46; n = 12), and < 5 wasting (OR: 0.77; 95% CI: 0.67, 0.89; n = 4). Our findings underscore the importance of interpersonal community platforms for improving infant and young child feeding practices and children's nutritional status in LMICs.Nutrients 2020, 12, 440 2 of 16 due to limited knowledge surrounding how best to integrate nutrition-focused interventions into these routine activities at the country level [13].Emerging evidence indicates that advancements in nutrition require nutrition-sensitive programmes that enhance the coverage and effectiveness of direct nutrition interventions [14]. Cash transfers requiring compliance with specific health/nutrition behaviours are commonly used in social protection/safety net programmes in LMICs [15,16]. Though evidence suggests they are effective for poverty reduction [14,17,18], there is limited high-quality evidence on the effectiveness of conditional cash transfers (CCTs) for improving nutrition-specific outcomes among women and children [19]. Mobile health (mHealth) technologies (e.g., SMS messaging) are increasingly being used in global nutrition programming, yielding potentially cross-cutting benefits through linkages with community and financial platforms [20]. However, knowledge gaps remain surrounding the effectiveness of mHealth platforms for delivering nutrition-specific interventions [21,22].We reviewed the available evidence to assess the effects of community-, financial-and technology-based nutrition intervention delivery platforms for improving nutrition outcomes in LMICs. In this paper, we report on meta-analysed outcomes for community health worker (CHW)/lay counselor home visits and mother/peer groups, which emerged as the most widely used community-based platforms for delivering nutrition-specific interventions in our review. Whil...

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Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis

Cited by 121 publications

References 49 publications

Relationship between aerobic capacity with Birth Weight and breastfeeding patterns in children: A cross-sectional study

Relationship between aerobic capacity with Birth Weight and breastfeeding patterns in children: A cross-sectional study

Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh

The Effects of Community Home Visit and Peer Group Nutrition Intervention Delivery Platforms on Nutrition Outcomes in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis

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