Trends and predictors of optimal breastfeeding among children 0–23 months, South Asia: Analysis of national survey data

Benedict, Rukundo K.; Craig, Hope; Torlesse, Harriet; Stoltzfus, Rebecca J.

doi:10.1111/mcn.12698

Cited by 38 publications

(73 citation statements)

References 21 publications

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“…Also, lack of or infrequent ANC (0-3) visits was inversely associated with EIBF. The importance of ANC visits for EIBF is mixed in the literature, with positive effects found in studies based in South Asia, Nigeria and Nepal [23,25,29], and negative effects documented in a study based in Namibia [22]. The positive impact of ANC visits on EIBF observed here may be explained by the fact that, through ANC visits and interactions with health care professionals, mothers may learn to better appreciate the benefits of optimal breastfeeding practices and therefore adopt EIBF.…”

Section: Discussionmentioning

confidence: 57%

Determinants of breastfeeding practices in Myanmar: Results from the latest nationally representative survey

Yadanar¹,

Mya²,

Witvorapong³

2020

PLoS ONE

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Optimal breastfeeding practices can ensure healthy growth and development of infants, which in the long term can impact the country's economic development. Nevertheless, Myanmar has yet to achieve the WHO's target of 70% for early initiation of breastfeeding, and the country's target of 90% for exclusive breastfeeding. The purpose of this study was to assess the associations between early initiation of breastfeeding and exclusive breastfeeding and bio-demographic, socioeconomic and behavioral factors in Myanmar. Using the 2015-2016 Myanmar Demographic and Health Survey, the analysis of early initiation of breastfeeding was based on a sample of 1,506 under-2 children and the analysis of exclusive breastfeeding was based on a sample of 376 children aged 0-5 months. Multiple logistic modeling, with heteroskedasticityadjusted standard errors, was used. The prevalence rates of early initiation of breastfeeding and exclusive breastfeeding in the study were 67.9% and 52.2% respectively. Having a vaginal delivery (AOR = 2.5; 95% CI = 1.7-3.7) and having frequent (� 4) antenatal visits (AOR = 2.4; 95% CI = 1.5-3.8) were associated with higher odds of early initiation of breastfeeding. Having a postnatal checkup (AOR = 0.5; 95% CI = 0.3-0.9) and having an infant that was perceived to be small at birth (AOR = 2.5; 95% CI = 1.1-5.7, for infants perceived to be large at birth) were significantly associated with decreased odds of exclusive breastfeeding. In order to promote optimal breastfeeding practices, this study suggested that delivery and quality of health services during pregnancy need to be strengthened in Myanmar.

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Section: Discussionmentioning

confidence: 57%

Determinants of breastfeeding practices in Myanmar: Results from the latest nationally representative survey

Yadanar¹,

Mya²,

Witvorapong³

2020

PLoS ONE

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“…Several key knowledge gaps were identified in this review. The lack of evidence from Afghanistan is noteworthy as recent trends in Afghanistan show declining proportions in optimal breastfeeding practices (Benedict et al, ). There were also few studies conducted in Nepal and Pakistan, and limited evidence on APF and CBF outcomes across the South Asia region.…”

Section: Discussionmentioning

confidence: 99%

“…Existing evidence suggests that these interventions should be delivered concurrently and in multiple settings, including households, communities, workplaces, and health systems (Haroon, Das, Salam, Imdad, & Bhutta, ; Sinha et al, ). Despite this, there is substantial heterogeneity in breastfeeding practices within and across countries in South Asia (Benedict, Craig, Torlesse, & Stoltzfus, ; UNICEF, ), reflecting the varying impact of policy and programme action to protect, promote and support breastfeeding in the region.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Benedict

Craig

Torlesse³

et al. 2018

Maternal & Child Nutrition

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Most children in South Asia are breastfed at some point in their lives; however, many are not breastfed optimally, including the early initiation of breastfeeding (EIBF) within 1 hr of birth, avoidance of prelacteal feeds (APF), exclusive breastfeeding (EBF) for 6 months, and continued breastfeeding (CBF) up to 2 years of age or beyond. This review identifies and collates evidence on the effectiveness of interventions to support optimal breastfeeding in five countries in South Asia: Afghanistan, Bangladesh, India, Nepal, and Pakistan. A scoping review was conducted of peer‐reviewed and grey literature. The 31 eligible studies included randomized trials and quasi‐experimental designs that were conducted between 1990 and 2015. Data were collated regarding intervention design, characteristics, and effectiveness to support EIBF, APF, EBF, and CBF. Most studies reported a positive impact on breastfeeding outcomes, including 21/25 studies that examined EIBF, 15/19 studies that examined EBF, and 10/10 studies that examined APF. The only study that examined CBF reported no effect. Education, counselling, and maternal, newborn, and child health initiatives were common intervention types with positive effects on breastfeeding outcomes. Interventions were delivered in health facility, community, and home/family environments. Programmes and interventions that reached women and their families with repeated exposure and beginning during pregnancy were more likely to improve EIBF and EBF outcomes. Interventions with no impact on breastfeeding were characterized by short duration, irregular frequency, inappropriate timing, poor coverage, and targeting.

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“…An understanding of what predicts suboptimal feeding and what works to improve breastfeeding practices can help to better target advocacy, policy, programme, and research efforts in the region. Two papers by Benedict et al () and Benedict, Craig, Torlesse, and Stoltzfus () examine these issues. Multivariate analysis of national survey datasets from South Asia's five largest countries (Afghanistan, Bangladesh, India, Nepal, and Pakistan) reveal that the initiation of breastfeeding is more likely to be delayed in infants who were born by caesarean section (Benedict et al, ).…”

Section: Breastfeedingmentioning

confidence: 99%

“…Two papers by Benedict et al () and Benedict, Craig, Torlesse, and Stoltzfus () examine these issues. Multivariate analysis of national survey datasets from South Asia's five largest countries (Afghanistan, Bangladesh, India, Nepal, and Pakistan) reveal that the initiation of breastfeeding is more likely to be delayed in infants who were born by caesarean section (Benedict et al, ). Common predictors of delayed initiation of breastfeeding, prelacteal feeding, and not being exclusively breastfed include a small size a birth, home delivery, and low women's empowerment.…”

Section: Breastfeedingmentioning

confidence: 99%

Aiming higher for maternal and child nutrition in South Asia

Torlesse¹,

Aguayo

2018

Maternal & Child Nutrition

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The sustainable development of nations relies on children developing to their full potential and leading healthy, productive, and prosperous lives. Poor nutrition in early life threatens the growth and development of children, especially so in South Asia, which has the highest burdens of stunting, wasting, and anaemia in the world. Targeted actions to reduce stunting and other forms of child malnutrition in South Asia should be informed by an understanding of what drives poor nutrition in children, who is most affected, and effective programme approaches. To this end, the UNICEF Regional Office for South Asia commissioned a series of papers in 2016–2017 to fill knowledge gaps in the current body of evidence on maternal and child nutrition in South Asia, including analyses of: (a) the links between anthropometric failure in children and child development; (b) the time trends, current distribution, disparities and inequities of child stunting, wasting and anaemia, and their direct and underlying causes, including maternal anaemia, low birth weight, breastfeeding, and complementary feeding; (c) policy and programme actions to increase the coverage of nutrition interventions during pregnancy, improve breastfeeding practices, and care for severely wasted children. This overview paper summarizes the evidence from these analyses and examines the implications for the direction of future advocacy, policy, and programme actions to improve maternal and child nutrition in South Asia.

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Trends and predictors of optimal breastfeeding among children 0–23 months, South Asia: Analysis of national survey data

Cited by 38 publications

References 21 publications

Determinants of breastfeeding practices in Myanmar: Results from the latest nationally representative survey

Determinants of breastfeeding practices in Myanmar: Results from the latest nationally representative survey

Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review

Aiming higher for maternal and child nutrition in South Asia

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