Determinants of breastfeeding practice in Pujehun district, southern Sierra Leone: a mixed-method study

Breevoort, Dorothee van; Tognon, Francesca; Béguin, Arne; Ngegbai, Amara S.; Putoto, Giovanni; Broek, A. van den

doi:10.1186/s13006-021-00390-4

Cited by 6 publications

(1 citation statement)

References 9 publications

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“…We included possible determinants of child feeding practices based on the review of existing literature [28][29][30][31][32][33]. These included individual (mother and child), household, and community-level factors.…”

Section: Independent Variablesmentioning

confidence: 99%

Determinants of Infant and Young Child Feeding Practices and their association with childhood illnesses among 0-23 months old in Rwanda: A nationwide study

Kawuki

Nuwabaine²,

Amwiine

et al. 2023

Preprint

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Introduction: Optimal Infant and young child feeding (IYCF) practices such as exclusive breastfeeding and complementary feeding are essential for childhood development, and prevention of nutritional deficiency disorders and infectious diseases. Therefore, this study aimed to assess the association of IYCF practices with common childhood illnesses like diarrhea, cough, and fever, and the determinants of IYCF practices. Methods: Secondary data from the Rwanda Demographic and Health Survey, 2020 of 3,142 participants was used. Multistage stratified sampling was used to select the participants. Multivariable logistic regression was conducted to explore the determinants of Infant and young child feeding practices and their association with common childhood illnesses, using SPSS (version 25). Results: Of the 3,142 women with children below 24 months, 781 and 2,360 had children below 6 months and 6-23 months respectively. Among the 781 children below 6 months, 80.9% (95%CI: 78.2-83.7) were exclusively breastfed, and 7%, 24%, and 14% had suffered from diarrhea, cough, and fever in the last two weeks, respectively. Of the 2,360 children aged 6-23 months, 97.9% (95%CI: 97.3-98.5) were on complementary feeding, and 24%, 35%, and 26% had suffered from diarrhea, cough, and fever, in the last two weeks respectively. Compared to exclusively breastfed children, those not on exclusive breastfeeding had higher odds of suffering from diarrhea (AOR=4.19, 95%CI: 3.01-5.83), cough (AOR=1.63, 95%CI: 1.33-2.00) and fever (AOR=2.00, 95%CI: 1.55-2.58). However, children not on complementary feeding had less odds of suffering from diarrhea (AOR=0.24, 95%CI: 0.17-0.33), cough (AOR=0.61, 95%CI: 0.50-0.74), and fever (AOR=0.50, 95%CI: 0.39-0.64). Women with no health insurance, no media access, residing in the western, and southern regions of Rwanda had higher odds of practicing exclusive breastfeeding compared to their respective counterparts. Older age, primary education, and being in the richest wealth quintile were associated with higher odds of practicing complementary breastfeeding. Conclusion: The study highlighted a significant association between IYCF practices and childhood illnesses. More efforts are needed to improve and promote IYCF practices, as this could also be a vital strategy in the prevention of childhood illnesses. IYCF promotion strategies should focus on the younger, less educated, and poor women residing in urban areas.

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Section: Independent Variablesmentioning

confidence: 99%

Determinants of Infant and Young Child Feeding Practices and their association with childhood illnesses among 0-23 months old in Rwanda: A nationwide study

Kawuki

Nuwabaine²,

Amwiine

et al. 2023

Preprint

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What factors are associated with paediatric admissions and their outcomes in a rural hospital in northern Sierra Leone? Insights from a pilot observational study

Afolabi,

Ayieko,

Njie

et al. 2023

bmjph

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IntroductionData on the pattern of admissions and causes of child death are crucial in informing priorities for improving child survival. In many health facilities in sub-Saharan Africa, understanding the pattern of paediatric admissions and their outcomes is constrained by poor documentation of these important features.MethodsWe developed and piloted a simple paper-based tool for documentation of basic, standardised patient-level information on causes of admissions, diagnoses, treatments and outcomes in children admitted to a rural hospital in Sierra Leone. The tool contained sections covering basic sociodemographic information about a patient, chief medical complaints, findings from clinical examinations and tests conducted at admission, results from subsequent clinical and laboratory investigations, working/definitive diagnoses, management and treatment outcomes.ResultsFrom 1 August 2019 to 31 July 2021, we used this tool to document the admissions, treatments and clinical outcomes of 1663 children admitted to Kambia district hospital in northern Sierra Leone. The majority of the children (1015, 62%) were aged 12–59 months, were boys (942, 57%), were wasted (516, 31%), stunted (238, 14%) or underweight (537, 32%). Above a half of the children lived more than 1 km distance from the hospital (876/1410, 62%). The highest number of admissions occurred in November 2019 and the lowest in April 2020. Severe malaria was the leading cause of admission. More than 80% of the children were successfully treated and discharged home (1356/1663, 81.5%) while 122/1663 (7.3%) died. Children aged under 5 years who were underweight, and those who presented with danger signs (eg, signs of breathing difficulty, dehydration, head injury or severe infections) had a higher risk of death than children without these features (p<0.01; p=0.03; p=0.011 and p=0.009, respectively).ConclusionLack of systematic documentation of medical histories and poor record keeping of hospital admissions and outcomes can be overcome by using a simple tool. Continuous use of the tool with regular audits could improve delivery of paediatric care in resource-limited settings.

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The Effect of Breastfeeding Practices of Undernourished Mothers in Rural Sierra Leone on Infant Growth and Mortality

Koroma,

Stephenson,

Iversen

et al. 2024

Children

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Breastfeeding provides optimal infant nutrition; however, <50% of infants are exclusively breastfed (EBF) for 6 months. We aimed to describe breastfeeding practices and their effects on growth and mortality among a high-risk mother-infant cohort in rural Sierra Leone. This was a secondary analysis of data from a randomized nutrition intervention trial among undernourished pregnant women. The study’s primary outcomes were infant weight and length gains at 6 weeks of age. We included 1270 singleton infants in the analysis, with 1092 (85.6%) having 24-week outcome data. At 6 weeks, 88% were EBF, but the rate of EBF decreased to 17% at 24 weeks. The EBF infants at 6 weeks had improved length (difference of 0.9 mm/week; 95% CI 0.4 to 1.3; p < 0.001) and weight (difference of 40 g/week; 95% CI 24 to 53; p < 0.001) gains compared to the non-EBF infants. At 12 weeks, the EBF infants had improved weight (difference of 12 g/week; 95% CI 2 to 22; p = 0.024) gain. The EBF infants had lower mortality than the infants who were not EBF (hazard ratio of 0.39; 95% CI 0.18 to 0.84; p = 0.017). In summary, the infants who were EBF had greater weight and length gain and reduced mortality than those who were not EBF. Efforts to improve breastfeeding should thus be prioritized to improve infant health.

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Determinants of breastfeeding practice in Pujehun district, southern Sierra Leone: a mixed-method study

Cited by 6 publications

References 9 publications

Determinants of Infant and Young Child Feeding Practices and their association with childhood illnesses among 0-23 months old in Rwanda: A nationwide study

Determinants of Infant and Young Child Feeding Practices and their association with childhood illnesses among 0-23 months old in Rwanda: A nationwide study

What factors are associated with paediatric admissions and their outcomes in a rural hospital in northern Sierra Leone? Insights from a pilot observational study

The Effect of Breastfeeding Practices of Undernourished Mothers in Rural Sierra Leone on Infant Growth and Mortality

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