Breastfeeding in Nigeria: a systematic review

Adewuyi, Emmanuel O; Adefemi, Kazeem

doi:10.18203/2394-6040.ijcmph20160421

Cited by 32 publications

(36 citation statements)

References 32 publications

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“…34,35 As found in our study, breastfeeding modulated the effects of some of the variables on neonatal mortality. For instance, the risk of neonatal mortality associated with maternal illiteracy, maternal obesity, caesarean delivery, divorce/separation from spouse/partner (Model IIIA) all disappeared after making an adjustment for "breastfeeding status" (Model IIIB).…”

supporting

confidence: 64%

Socioeconomic, bio-demographic and health/behavioral determinants of neonatal mortality in Nigeria: a multilevel analysis of 2013 demographic and health survey

Adewuyi

Zhao

Lamichhane

2016

Int J Contemp Pediatr

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INTRODUCTIONNigeria ranks second in the world for the highest number of neonatal mortality.1 On a daily basis, an estimated seven hundred neonates die, translating to over two hundred and fifty thousand annual mortalities in neonates in the country.2 Available interventions so far have failed to yield the desirable results; hence, a recent study concluded, "there was no much improvement in neonatal survival" in Nigeria since 1990. 3 (p10) Similarly, the report on "Newborn Health" in Nigeria showed "there has been no measurable progress in reducing neonatal deaths over the past decade." 4 (p15) Compared to some developing countries such as Tanzania, Uganda, Malawi, Niger, Ethiopia, Liberia, and so on, Nigeria could not meet the targets of millennium development goal (MDG) 4 by 2015. Now that the sustainable development goals (SDGs) has commenced, the need to speed up the rate of reduction of ABSTRACT Background: Nigeria ranks as one of the countries in the world with considerable burden of neonatal mortality. This study aims to investigate the association of socioeconomic, bio-demographic and health/behavioural factors with neonatal mortality in the country using the most current available evidence. Methods:The 2013 Nigeria demographic and health survey (NDHS) dataset was analyzed. Multiple logistic regression analysis was applied to identify determinants associated with neonatal mortality. The role of breastfeeding was examined by conducting analyses with and without adjustment for "breastfeeding status". Complex sample analysis was used to control for the complex sampling design used in NDHS. Results: Neonatal mortality rate (NMR) stood at 33 deaths per 1000 live births. With or without adjustment for "breastfeeding status", bio-demographic factors -maternal marital status, rural-urban residence, birth size, gender of child, birth interval and maternal body mass index (BMI) -were predictive of neonatal mortality. Maternal age and ethnicity became additional bio-demographic predictors after adjusting for "breastfeeding status". Maternal literacy (socioeconomic factor) and mode of delivery (health/behavioral factor) were significant predictors only when breastfeeding status was not adjusted for. Conclusions: Bio-demographic factors formed the bulk of predictors of neonatal mortality in Nigeria. The effect of socioeconomic and health/behavioural factors disappeared when breastfeeding status was adjusted for. Intervention programs would need to prioritize the identified predictors for an accelerated reduction of neonatal mortality in Nigeria.

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confidence: 64%

Socioeconomic, bio-demographic and health/behavioral determinants of neonatal mortality in Nigeria: a multilevel analysis of 2013 demographic and health survey

Adewuyi

Zhao

Lamichhane

2016

Int J Contemp Pediatr

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“…Although early breast‐feeding initiation is important to neonatal survival, in this study, the variable did not attain statistical significance in any of the analyses (univariate, bivariate and multivariable) or areas (rural and urban) (Tables 2 – 4).…”

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confidence: 56%

Determinants of neonatal mortality in rural and urban Nigeria: Evidence from a population‐based national survey

Adewuyi

Zhao

2016

Pediatrics International

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“…Furthermore, a systematic review of breastfeeding in Nigeria over a 35 year period, reported an increasing trend in the mean duration of breastfeeding from 10 months in 1979 to 13 months in 2014 with varying periods of duration across and within the regions [21]. In spite of this, it appears that, the mean duration of breastfeeding practice in Nigeria is relatively stable and less than optimum; and as such, does not conform with the WHO's recommendation of continued breastfeeding up to 2 years of age or beyond [1] [3].…”

Section: Discussionmentioning

confidence: 99%

The Practice of Exclusive Breastfeeding and Its Sociodemographic Determinants amongst Nursing Mothers at a Tertiary Health Care Institution in South East, Nigeria

Chineke¹,

Iwu²,

Diwe³

et al. 2017

OJPM

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Background: Breastfeeding is a natural and critical act that provides nutrients and energy for the infant and young child; and through a public health intervention such as exclusive breastfeeding, it improves the survival rates of the infant. Objective: To determine the breastfeeding practices and the sociodemographic determinants of exclusive breastfeeding amongst nursing mothers present at the Imo state university teaching hospital Orlu. Methods: A cross sectional analytical study design was used that included all nursing mothers present within a 4 week study period. Data was collected using a structured questionnaire. Descriptive analyses were done with frequencies and summary statistics. Chi square statistics were computed to determine significant associations and binary logistic regression was used to determine sociodemographic predictors of exclusive breastfeeding practice. P value was set at 0.05 significant level. Results: While most of the respondents were aware of exclusive breastfeeding (92.5%), only 24% of the respondents were practicing exclusive breastfeeding. Work and school activities, and the feeling that breast milk was insufficient for the needs of the baby were the reasons for not practicing exclusive breastfeeding for a majority of the respondents (56.6%). Furthermore, 61% of those that were practicing non-exclusive breast feeding gave a cereal or infant formula in addition to the breast milk for 3 to 6 months. It was further revealed that there were statistically significant relationships between breastfeeding practice and maternal age (p = 0.003), level of maternal education (p = How to cite this paper: Chineke, H.N., Iwu, A.C., Diwe, K.C., Duru, C.B., Uwakwe, K.A., Emmanuel, E.E., Oluoha, U.R., Madubueze, U.C., Ndukwu, E.U. and Ohale, I. 0.005) and maternal occupation (p = 0.006). Conclusion: Understanding and taking into cognizance the sociodemographic characteristics will enable the design, and adequate delivery of appropriate and effective strategies that improve exclusive breastfeeding practice.

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Breastfeeding in Nigeria: a systematic review

Cited by 32 publications

References 32 publications

Socioeconomic, bio-demographic and health/behavioral determinants of neonatal mortality in Nigeria: a multilevel analysis of 2013 demographic and health survey

Socioeconomic, bio-demographic and health/behavioral determinants of neonatal mortality in Nigeria: a multilevel analysis of 2013 demographic and health survey

Determinants of neonatal mortality in rural and urban Nigeria: Evidence from a population‐based national survey

The Practice of Exclusive Breastfeeding and Its Sociodemographic Determinants amongst Nursing Mothers at a Tertiary Health Care Institution in South East, Nigeria

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