Infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality

Ogbo, Felix Akpojene; Agho, Kingsley; Ogeleka, Pascal; Woolfenden, Susan; Page, Andrew; Eastwood, John

doi:10.1371/journal.pone.0171792

Cited by 108 publications

(111 citation statements)

References 55 publications

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“…We pooled data across time to increase sample size and statistical power, consistent with previous studies [14–16]. The BDHS data were collected by the National Institute of Population Research and Training (NIPORT), with technical support from Measure DHS through the Inner City Fund (ICF) International.…”

Section: Methodsmentioning

confidence: 99%

Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys

Abir

Agho

Ogbo

et al. 2017

Global Health Action

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Background: Globally, stillbirth remains a significant public health issue, particularly in developing countries such as Bangladesh. Objective: This study aimed to investigate the potential predictors of stillbirths in Bangladesh over a ten-year period. Methods: The Bangladesh Demographic and Health Surveys data for the years 2004, 2007, 2011 and 2014 (n = 29,094) were used for the study to investigate the predictors of stillbirths. Stillbirth was examined against a set of community, socio-economic and child characteristics, using a multivariable logistic regression model that adjusted for cluster and sampling variability. Results: The pooled rate of stillbirth in Bangladesh was 28 in 1000 births (95% CI: 22, 34). Stillbirth rates were higher in rural compared to urban areas in Bangladesh. Mothers who had a secondary or higher level of education (OR = 0.59, 95%CI: 0.43–0.82, P = 0.002) and those with primary education (OR = 0.66, 95%CI: 0.55–0.80, P < 0.001) were less likely to experience stillbirths compared to mothers with no education. Mothers with more than two children were significantly less likely to have stillbirths compared to mothers with one child. Those from poor households reported increased odds of stillbirth compared to those from rich households. Conclusion: Our analysis indicated that no maternal education, primiparity and poor household were predictors of stillbirths in Bangladesh. A collaborative effort is needed to reduce stillbirth rates among these high-risk groups in Bangladesh, with the socio-economic and health-related Sustainable Development Goals providing a critical vehicle for the co-ordination of this work.

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Section: Methodsmentioning

confidence: 99%

Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys

Abir

Agho

Ogbo

et al. 2017

Global Health Action

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“…In contrast, inappropriate complementary feeding (such as introducing complementary foods too early or too late, or providing a less diverse diet and/or infrequent feeding) in the early years can result in short-and long-term adverse health outcomes (Abeshu, Lelisa, & Geleta, 2016;WHO, 2009). The short-term adverse health outcomes may include stunted growth (Lassi, Das, Zahid, Imdad, & Bhutta, 2013), increased risk of diarrhoeal diseases (Ogbo et al, 2017;Ogbo, Page, Idoko, Claudio, & Agho, 2016), micronutrient deficiencies, and increased risk of mortality (Ahmed, Prendiville, & Narayan, 2016;Black et al, 2013). In the long-term, inappropriate complementary feeding can negatively affect cognitive development (Dewey & Adu-Afarwuah, 2008;Woldehanna, Behrman, & Araya, 2017), work capacity (Martins et al, 2011), childbirth outcomes (Victora et al, 2008), and social-emotional interactions (Metwally et al, 2016) The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) recommend the introduction of adequate, safe, and appropriate complementary foods for infants aged 6-8 months to meet nutritional and developmental needs (WHO, 2009;WHO & UNICEF, 2003).…”

Section: Introductionmentioning

confidence: 99%

Trends and factors associated with complementary feeding practices in Ethiopia from 2005 to 2016

Ahmed

Page

Arora

et al. 2019

Maternal & Child Nutrition

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Introducing appropriate complementary feeding at 6 months of age is crucial for the optimal growth and development of an infant. In Ethiopia, however, no previous national‐level studies have examined the trends and associated factors of complementary feeding practices. The aim of this study is to investigate the trends and determinants of complementary feeding practices in Ethiopia from 2005 to 2016. The study was conducted using the Ethiopia Demographic and Health Survey (EDHS) data for 2005 (N = 2,520), 2011 (N = 2,850), and 2016 (N = 2,864). Percentage point changes in complementary feeding indicators were estimated to examine the trends over the EDHS years. Multivariate logistic regression was used to examine the association between socioeconomic, demographic, health service, and community‐level factors and (a) the introduction of complementary foods, (b) minimum dietary diversity (MDD), (c) minimum meal frequency (MMF), and (d) minimum acceptable diet (MAD). The proportion of mothers who met MDD increased from 6.3% to 13.5% (p < .001), and MAD increased from 4.1% to 7.1% (p = .003) from 2005 to 2016. Improvements in the introduction of complementary foods (from 50.3% to 59.5%, p = .051) and MMF (from 41.3% to 43.6%, p = .288) were not statistically significant. Maternal education and occupation were associated with the introduction of complementary foods, MDD, MMF, and MAD. Higher partner education and frequent antenatal visits were associated with MDD and MAD. Children whose mothers listened to the radio had higher odds of MDD, MMF, and MAD. Our analysis of the EDHS suggests that the proportion of MDD and MAD were unacceptably low. Interventions aiming to improve complementary feeding practices in Ethiopia should also target mothers with low education, antenatal service usage, and media exposure.

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“…Human breast milk contains probiotics and bioactive molecules proven to provide protection, promote maturation of the neonatal intestinal mucosa, and support systemic immunity (Plaza-Díaz, Fontana, & Gil, 2018). Exclusive breastfeeding (EBF) is one of the most effective interventions to protect against diarrhea in infants (Ogbo et al, 2017). EBF during the first 6 months of life is estimated to prevent 2.5 million cases of gastrointestinal infections (GI) worldwide (Bartick & Reinhold, 2010) .…”

Section: Backg Rou N Dmentioning

confidence: 99%

Feeding modes, duration, and diarrhea in infancy: Continued evidence of the protective effects of breastfeeding

Diallo

McGlothen-Bell

Lucas

et al. 2019

Public Health Nursing

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Objectives To evaluate the effect of early breastfeeding cessation on incidence of diarrhea in a cohort of U.S. infants. Design, Sample, and Measurements A secondary data analysis was conducted using data from 2,340 mother–infant dyads participating in the Infant Feeding Practices Study II. We examined associations between duration of feeding type (e.g., exclusive breastfeeding [EBF], any breastfeeding [BF], formula feeding) and incidence of diarrhea before one year. Results The sample included mother–infant dyads that were 86.2% White, 3% Black, and 5% Hispanic. Interruption of EBF before 3 months was significantly associated with higher odds of having diarrhea at 6 months (OR = 1.80, p value ≤ 0.01) and between 6 and 12 months (OR = 1.45, p ≤ .01). Breastfeeding interruption before 6 months was associated with higher odds of having diarrhea at 6 months (OR = 3.19, p ≤ .01). Formula feeding for ≥3 months was associated with higher odds of diarrhea between 6 and 12 months. Conclusions Exclusive breastfeeding for 3 months accompanied by any breastfeeding for 6 months provided the most protective effect against diarrhea. Public health interventions should address disparities in breastfeeding practices and provide support across clinical, workplace and community settings. Research should include more diverse population groups.

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Infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality

Cited by 108 publications

References 55 publications

Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys

Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys

Trends and factors associated with complementary feeding practices in Ethiopia from 2005 to 2016

Feeding modes, duration, and diarrhea in infancy: Continued evidence of the protective effects of breastfeeding

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