Determinants of pre-lacteal feeding practices in urban and rural Nigeria; a population-based cross-sectional study using the 2013 Nigeria demographic and health survey data

Berde, Anselm S; Yalçin, Sıddıka Songül; Özcebe, Hilal; Üner, Sarp; Çaman, Özge Karadağ

doi:10.4314/ahs.v17i3.11

Cited by 25 publications

(40 citation statements)

References 22 publications

(28 reference statements)

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“…Living in an rural residence is 53% times more likely feed prelacteal foods than urban residences in Ethiopia. This is in line with the study done in Nigeria [ 54 , 55 ]. This might be due to rural residences are relatively having low awareness about the risk of prelacteal feeding and also cultural practices are more common in rural communities.…”

Section: Discussionsupporting

confidence: 92%

“…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%

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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%

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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“…PLF has, also, been associated with a fourfold increased risk in infant deaths from infectious diseases [10]. Several studies have found that socio-economic conditions, lack of knowledge and cultural beliefs may contribute to PLF [11–13]. …”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of pre-lacteal feeding in South Sudan: a community-based survey

Tongun

Sebit

Ndeezi

et al. 2018

Global Health Action

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Background: Pre-lacteal feeding (PLF) is a barrier to optimal breastfeeding and increases the risk of diarrhoea and acute respiratory tract infections in infants.The prevalence and predictors of PLF are not well studied in South Sudan. Understanding the predictors of PLF is crucial in designing interventions to increase exclusive breastfeeding (EBF) rates. Objective: To assess the prevalence and factors associated with PLF in Jubek State, South Sudan. Method: This was a community based cross-sectional study of 810 mothers of children under two years of age in Jubek State, South Sudan. Mothers were interviewed in their homes using a semi-structured questionnaire to collect data on PLF, socio-demographic and birth characteristics. Multivariable analysis was used to identify factors independently associated with PLF. Results: A total of 426/810 (53 %), 95% confidence interval (CI) [48 %, 59 %] mothers had given pre-lacteal feeds to their infants. The commonest pre-lacteal feeds included glucose solution (54%), water (26%), and infant formula (14%). Having received antenatal breastfeeding counselling decreased the odds of PLF [adjusted odds ratio (AOR) 0.60; 95% CI (0.43, 0.82)]; while discarding of colostrum increased the use of pre-lacteal feeds [AOR 1.57; 95% CI (1.17, 2.11)]. Conclusion: The prevalence of PLF in South Sudan is high. Predictors of PLF included lack of breastfeeding counselling and discarding of colostrum. Infant feeding counselling should be given to all pregnant women in the health facilities and communities. The counselling should emphasize the health benefits of colostrum and discourage the practice of discarding it.

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“…In this study, the prevalence of pre-lacteal feeding (20.2%) was lower as compared to Ethiopian studies at Afar (42.9%) [ 20 ] and Harari regions (45.4%) [ 21 ], and this variation might be due to differences in study period, setting and sample size. Moreover, the prevalence was lower than studies in India (88%) [ 10 ], Vietnam (73.3%) [ 11 ], Nigeria (60.5%) [ 14 ], western Uganda (31.3%) [ 13 ] and Egypt (58%) [ 15 ], and the variation may be attributed to sample size and cultural differences among the study populations of the respective studies. The prevalence of prelactal feeding in the current study also revealed about 5 % decline in less than 5 years compared to the EDHS report of 2016 (26.5%) [ 17 ].…”

Section: Discussionmentioning

confidence: 65%

Prevalence and associated factors of prelacteal feeding among neonates admitted to neonatal intensive care units, North central Ethiopia, 2019

2020

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Background Prelacteal feeding compromises the benefits of exclusive breastfeeding, thereby increasing neonatal malnutrition, infection and mortality. About 26% of the Ethiopian neonates are given prelacteal feeds and nearly 48% of whom are attributed to Amhara region. Besides, prior Ethiopian studies have shown significance of the problem at different community settings in the country. However, the prevalence and associated factors of prelacteal feeding among neonatal admissions has been overlooked in the country in general and in the study area in particular. Therefore, this study was aimed to assess the prevalence and associated factors of prelacteal feeding among neonatal admissions in the study setting. Methods A cross-sectional study was conducted among 321 mother-neonate pairs admitted to Neonatal Intensive Care Unit (NICU) of Debre Tabor General Hospital between September 2018 and February 2019. Every fourth mother neonate pair was included to the study. Multivariable logistic regressions were fitted to find out adjusted odds ratios (AORs) of factors associated with pre-lacteal feeding. Results The prevalence of prelacteal feeding was 20.2% [95% CI: 15.31–26.75%]. Plain water was the most common prelacteal food (32.3%). Factors associated with prelacteal feeding include rural residence (AOR = 4.07, 95% CI: 1.30, 12.81), primiparity (AOR = 4.50, 95% CI: 1.30–12.81), less than four ANC visits (AOR = 4.71, 95% CI: 1.23–17.84), spousal accompany to ANC (AOR = 0.20, 95% CI: 0.05–0.75), home delivery (AOR = 5.94, 95% CI: 1.80–19.67), having twin newborns (AOR = 6.69, 95% CI: 1.25, 35.91) and maternal belief on the purported advantages of prelacteal feeding (AOR = 2.74, 95% CI: 2.09–25.39). Conclusion and recommendation One out of five sick neonates was given prelacteal feeds. Twin neonates, home delivered neonates, rural neonates, neonates born to primiparous mothers, neonates delivered from mothers who had less than four ANC visits, neonates born to mothers who weren’t accompanied by their spouse during ANC and those born to mothers who believe on the purported advantages of prelacteal feeding had higher odds of receiving prelacteal feeds. Therefore, mothers of these vulnerable neonates should be provided with more emphasis about counseling of infant and young child feeding practice during their stay at NICU.

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Determinants of pre-lacteal feeding practices in urban and rural Nigeria; a population-based cross-sectional study using the 2013 Nigeria demographic and health survey data

Cited by 25 publications

References 22 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

Prevalence and determinants of pre-lacteal feeding in South Sudan: a community-based survey

Prevalence and associated factors of prelacteal feeding among neonates admitted to neonatal intensive care units, North central Ethiopia, 2019

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