Risk factors for prelacteal feeding in sub-Saharan Africa: a multilevel analysis of population data from twenty-two countries

Berde, Anselm S; Özcebe, Hilal

doi:10.1017/s1368980017000659

Cited by 33 publications

(62 citation statements)

References 26 publications

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“…Women who gave birth at their home is 3.93 times more likely to practice prelacteal feeding than who gave birth at health institutions. This finding is consistent with the study done in Sub-Saharan Africa [ 15 ], Nigeria trained study [ 54 ] , Nigeria population based demographic and health survey [ 55 ], in Burkina Faso and South Africa [ 53 ]. This may be due to the fact that home delivery is attended by traditional birth attendants who do not have the knowledge of exclusive breastfeeding and the harms of prelacteal feeding practice.…”

Section: Discussionsupporting

confidence: 92%

“…Those mothers who had been antenatal care during pregnancy 25% times less likely to practice prelacteal feeding. This study is in line with the study conducted in Sub-Saharan Africa [ 15 ] and in Burkina Faso [ 53 ]. The possible reason may be during the period antenatal visit, there is counseling on infant feeding practices since an infant and young child feeding (IYCF) strategy is also the component of the national nutrition strategy in Ethiopia which includes those pregnant women.…”

Section: Discussionsupporting

confidence: 92%

“…The prevalence of the prelacteal feeding practice in the current systematic review and meta-analysis is in line with the study conducted in Nepal [ 3 ], which it is lower than the study conducted in Nigeria (66.4 and 49.8%) [ 52 ], Sub-Saharan African (32.2%) [ 15 ] and Vietnam (73.3%) [ 10 ]. This disparity may be due to variation of socio-cultural, demographic, and methodological and time of the study across those countries.…”

Section: Discussionsupporting

confidence: 87%

“…Prelacteal feeding practice in Vietnam and India was 73.3 and 40.1% respectively [ 10 , 14 ]. A study in Africa revealed that about 32·2% in Sub-Saharan [ 15 ], 60% in Egypt [ 16 ], 31.3% in Uganda [ 17 ] of mothers practiced prelacteal feeding. Data from the Ethiopian Demographic Health Survey (EDHS) of 2011 report showed that 27% of infants were given prelacteal feedings within the first 3 days of life [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis

Temesgen¹,

Negesse²,

Woyraw³

et al. 2018

Int Breastfeed J

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BackgroundPrelacteal feeding can be defined as giving any solid or liquid foods other than breast milk during the first three days after birth. It affects timely initiation of breastfeeding and exclusive breastfeeding practices. Even though the issue was investigated in Ethiopia, fragmented and inconsistent findings were reported. Therefore, the main objective of this meta-analysis was to estimate the pooled prevalence of prelacteal feeding and associated factors in Ethiopia.MethodsThe preferred reporting items for systematic reviews and meta-analyses guideline was followed. Articles were systematically searched through different searching mechanisms. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument adapted for cross-sectional study design was used for quality assessment of each individual study. The total of 28 studies were included and analyzed. The random effect model was used to estimate the pooled prevalence; subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity. Both Egger’s, and Begg’s test were used to check publication bias. The effects between associated factor variables, and prelacteal feeding practices were tested.ResultsA total of 492 studies were retrieved and 28 studies were included in the meta-analysis. The pooled prevalence of prelacteal feeding practice in Ethiopia was 25.29% (95% Confidence Interval [CI] 17.43, 33.15) with severe heterogeneity (I2 = 99.7, p < 0.001) and no publication bias. Antenatal care (Odds Ratio [OR] 0.25, 95% CI 0.09, 0.69), counselling on infant feeding (OR 0.37, 95% CI 0.22, 0.63), timely initiation of breastfeeding (OR 0.28, 95% CI 0.21, 0.38) and an urban residence (OR 0.47, 95% CI 0.26, 0.86) had lower odds, while home birth had higher odds (OR 3.93, 95% CI 2.17, 7.10) of prelacteal feeding in Ethiopia.ConclusionsIn Ethiopia, one in four children were given prelacteal foods. Mothers who gave birth at home are more prone to give prelacteal foods. Whereas, antenatal care, timely initiation of breastfeeding, counseling on infant feeding and an urban residence decreases prelacteal feeding practices in Ethiopia. Therefore, the government and health institutions should focus to increase maternal health service utilization and promote infant and young child feeding practices according to the guideline.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis

Temesgen¹,

Negesse²,

Woyraw³

et al. 2018

Int Breastfeed J

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“…Usually driven by belief and traditions [12,13], prelacteal feeding is common in many low-and middle-income countries. A recent study found that 32% percent of infants in 22 sub-Saharan African countries received prelacteal feeding; with country estimates ranging from 3% (Malawi) to 67% (Côte d'Ivoire) [14].…”

Section: Introductionmentioning

confidence: 99%

Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey

et al. 2020

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Background: In efforts to reduce neonatal mortality, the World Health Organization (WHO) has included breastfeeding among its recommended packages of interventions. Early initiation of breastfeeding and avoidance of prelacteal feeding are key contributors to optimal feeding practices. This study aims to assess the prevalence and associated factors of early breastfeeding practices in Sudan. Methods: This study utilises the cross-sectional nationally-representative Sudan Multiple Indicator Cluster Survey (MICS) conducted in 2014. The sample includes women who had a live birth in the two years before the survey and their self-report on early breastfeeding practices, namely early initiation and prelacteal feeding. Percentages of these early breastfeeding practices indicators were estimated accounting for the complex survey design. Multivariable logistic regression analyses were used to examine the factors associated with these outcomes. Results: Of 5622 mothers, 69% initiated breastfeeding within one hour of birth, 72% avoided prelacteal feeding in the first three days after birth, and 51% met the criteria for both (i.e. practised optimal early feeding practice). Optimal early feeding varied across regions of Sudan. Birth by caesarean section (Adjusted Odds Ratio [AOR] 0.34; 95% CI 0.25, 0.47) and at a health facility (AOR 0.75; 95% CI 0.60, 0.94) were negatively associated with optimal early feeding practice. Mothers with secondary education (AOR 1.62; 95% CI 1.30, 2.02), those who desired their pregnancy at the time (AOR 1.31; 95% CI 1.08, 1.60), those who were assisted by a skilled birth attendant at birth (AOR 1.48; 95% CI 1.19, 1.83), and those who gave birth to female infants (AOR 1.16; 95% CI 1.02, 1.33) had higher odds of use optimal early feeding practice. Similarly, the odds of optimal early feeding increased with parity and maternal age. Conclusions: Only half of Sudanese mothers practised optimal early feeding practice, with important differences between regions in the country. Early feeding practices in Sudan are associated with various maternal, child and community level factors. The findings suggest the need to develop breastfeeding promotion programs with consideration of regional variations and healthcare system interventions.

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Exploring infant and young child‐feeding practices among mothers of well‐nourished children in northern Ghana: An INPreP substudy

Dambayi,

Nakua,

Aborigo

et al. 2023

Food Science & Nutrition

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This study investigated infant and young child‐feeding (IYCF) practices among mothers of well‐nourished children in northern Ghana. This was a qualitative study where in‐depth individual interviews were conducted with participants. The interviews were audio recorded, transcribed, and QSR Nvivo software version 11 was used to organize the data before thematic analysis. It was observed that mothers of well‐nourished children were likely to adhere to breastfeeding guidelines and also practice appropriate complementary feeding. Furthermore, these mothers mostly had some form of support from their husbands and mother‐in‐laws in feeding their infants. While adoption and adherence to appropriate IYCF practices contribute to improved nutrition outcomes in children, social support systems are needed to sustain the practice.

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Risk factors for prelacteal feeding in sub-Saharan Africa: a multilevel analysis of population data from twenty-two countries

Abstract: To achieve optimal breast-feeding, there is a need to discourage breast-feeding practices such as PLF. Breast-feeding promotion programmes should target the at-risk sub-population groups discovered in our study.

Cited by 33 publications

References 26 publications

Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis

Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis

Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey

Exploring infant and young child‐feeding practices among mothers of well‐nourished children in northern Ghana: An INPreP substudy

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