Have policy responses in Nigeria resulted in improvements in infant and young child feeding practices in Nigeria?

Ogbo, Felix Akpojene; Page, Andrew; Idoko, John; Claudio, Fernanda; Agho, Kingsley

doi:10.1186/s13006-017-0101-5

Cited by 21 publications

(31 citation statements)

References 30 publications

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“…In Nigeria, for instance about 65% of newly born babies had to wait for more than an hour before they were put to breastmilk. Our findings on patterns of breastfeeding are in line with Ogbo. et al (2017) who observed that many babies born in Nigeria were denied breastmilk more than an hour after they were born.…”

Section: Discussionsupporting

confidence: 91%

“…More so, there are also no multilevel studies addressing optimal breastfeeding practices within the West African region rather contemporary studies on breastfeeding practices have mainly analysed individual factors (Genetue et al, 2017;Horii et al, 2017;Mogre et al, 2016;Ogbo. et al, 2017) as correlates of exclusive breastfeeding practice or timing of initiation of breastfeeding practices.…”

Section: Introductionmentioning

confidence: 99%

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Contextual Influences on Breastfeeding Practices in Selected West African Countries

Bankole

Solanke

Bisiriyu

2020

International Journal of Social Sciences Perspectives

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Studies have examined the predictors of breastfeeding practices across countries in West Africa. However, these studies neither employed multilevel methodological approach nor conceptualized breastfeeding practices beyond the conventional categorisation. This study addresses this limitation by investigating contextual influence on breastfeeding practices in three selected West African countries. The study analysed data extracted from the Demographic Health Surveys in Sierra Leone SLDHS), Nigeria (2013 and Guinea (2012 GDHS. Information was extracted from a weighted sample size of 5,008 (SLDHS), 12,180 (NDHS) and 3,082 (GDHS) for fecund mothers aged 20-49 years who have had at least a child preceding the surveys. The outcome variable was breastfeeding and which was dichotomised into optimal and suboptimal breastfeeding. Optimal breastfeeding was coded into "1" if adhered to and "0" if otherwise. The explanatory variables were the contextual factors measured as the individual, household, and community levels. The multilevel mixed-effect logistic regression was applied using Stata 14. The fixed effect results showed that breastfeeding practice was significantly associated with contextual factors (p<0.05). Results of the random effects showed that community factors accounted for 38. 2%, 18.3% and 17.3% variation in adherence to optimal breastfeeding for mothers in Guinea, Nigeria and Sierra Leone respectively. Contextual factors are key predictors of optimal breastfeeding among women of reproductive age in Guinea, Nigeria and Sierra Leone.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Contextual Influences on Breastfeeding Practices in Selected West African Countries

Bankole

Solanke

Bisiriyu

2020

International Journal of Social Sciences Perspectives

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“…This can, in turn, allow unlimited time for nonworking rural women to breastfed their babies exclusively. Most working nursing mothers reside in urban areas, and labour law concerning maternity leave duration in most ECOWAS countries remains a serious challenge for promotion, protection, and support of EBF practice [13,39]. Fewer than six months of maternity leave are granted to nursing mothers in many ECOWAS countries; for example, in Ghana (12 weeks) [40], Nigeria (16 weeks) [39], and Senegal (14 weeks) [41].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the numerous evidence showing the benefits of EBF for the mother-infant pair [1,4,11], EBF has remained low across ECOWAS countries and varies widely between and within countries [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Exclusive Breastfeeding Rates and Associated Factors in 13 “Economic Community of West African States” (ECOWAS) Countries

et al. 2019

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Exclusive breastfeeding (EBF) has important protective effects on child survival and also increases the growth and development of infants. This paper examined EBF rates and associated factors in 13 “Economic Community of West African States” (ECOWAS) countries. A weighted sample of 19,735 infants from the recent Demographic and Health Survey dataset in ECOWAS countries for the period of 2010–2018 was used. Survey logistic regression analyses that adjusted for clustering and sampling weights were used to determine the factors associated with EBF. In ECOWAS countries, EBF rates for infants 6 months or younger ranged from 13.0% in Côte d’Ivoire to 58.0% in Togo. EBF decreased significantly by 33% as the infant age (in months) increased. Multivariate analyses revealed that mothers with at least primary education, older mothers (35–49 years), and those who lived in rural areas were significantly more likely to engage in EBF. Mothers who made four or more antenatal visits (ANC) were significantly more likely to exclusively breastfeed their babies compared to those who had no ANC visits. Our study shows that EBF rates are still suboptimal in most ECOWAS countries. EBF policy interventions in ECOWAS countries should target mothers with no schooling and those who do not attend ANC. Higher rates of EBF are likely to decrease the burden of infant morbidity and mortality in ECOWAS countries due to non-exposure to contaminated water or other liquids.

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“…However, Lambert and Van der Stuyft argued that the failed health care system should be blamed and not the patient because there is limited evidence to indicate that health education about TB could reduce treatment delays [49]. Improving timely diagnosis and treatment of TB in Nigeria will require improved human resources, better coordination and decentralisation of TB control programmes [6], as well as increased and monitoring of public health financing [50]. …”

Section: Discussionmentioning

confidence: 99%

Tuberculosis disease burden and attributable risk factors in Nigeria, 1990–2016

et al. 2018

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BackgroundAccording to the World Health Organization, Nigeria is one of the countries with a high burden of tuberculosis (TB) worldwide. Improving the burden of TB among HIV-negative people would require comprehensive and up-to-date data to inform targeted policy actions in Nigeria. The study aimed to describe the incidence, prevalence, mortality, disability-adjusted life years (DALYs) and risk factors of tuberculosis in Nigeria between 1990 and 2016.MethodsThis study used the most recent data from the global burden of disease study 2016. TB deaths were estimated using the Cause of Death Ensemble model, while TB incidence, prevalence and DALYs, as well as years of life lost and years of life lived with disability were calculated in the DisMod-MR 2.1, a Bayesian meta-regression tool. Using a comparative risk assessment approach, TB burden attributable to risk factors was estimated in a spatial-temporal Gaussian Process Regression tool.ResultsIn 2016, the prevalence of TB among HIV-negative people was 27% (95% uncertainty interval [95% UI] 23–31%) in Nigeria. TB incidence rate (new and relapse cases) was 158 per 100,000 people (95% UI; 128-193), while the total number of TB mortality was 39,933 deaths (95% UI; 30,488-55,039) in 2016. Between 2000 and 2016, the age-standardised prevalence and incidence rates of TB-HIV negative decreased by 20.0 and 87.6%, respectively. The age-standardised mortality rate also dropped by 191.6% over the same period. DALYs due to TB among HIV-negative Nigerians was high but varied across the age groups. Of the risk factors studied, alcohol use accounted for the highest number of TB deaths and DALYs, followed by diabetes and smoking in 2016.ConclusionThe study shows an improving trend in TB disease burden among HIV-negative individuals in Nigeria from 1990 to 2016. Despite this progress, this study suggests that additional efforts are still needed to ensure that Nigeria is not left behind in the current global strategy to end TB disease. Reducing TB disease burden in the country will require a multipronged approach that includes increased funding, health system strengthening and improved TB surveillance, as well as preventive efforts for alcohol use, smoking and diabetes.Electronic supplementary materialThe online version of this article (10.1186/s41182-018-0114-9) contains supplementary material, which is available to authorized users.

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Have policy responses in Nigeria resulted in improvements in infant and young child feeding practices in Nigeria?

Cited by 21 publications

References 30 publications

Contextual Influences on Breastfeeding Practices in Selected West African Countries

Contextual Influences on Breastfeeding Practices in Selected West African Countries

Exclusive Breastfeeding Rates and Associated Factors in 13 “Economic Community of West African States” (ECOWAS) Countries

Tuberculosis disease burden and attributable risk factors in Nigeria, 1990–2016

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