Factors Associated with the Early Initiation of Breastfeeding in Economic Community of West African States (ECOWAS).
ECOWAS
antenatal care
breastfeeding
infant mortality
infants
pregnancy
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
14 Nov 2019
14 Nov 2019
Historique:
received:
30
09
2019
revised:
03
11
2019
accepted:
08
11
2019
entrez:
20
11
2019
pubmed:
20
11
2019
medline:
28
4
2020
Statut:
epublish
Résumé
The early initiation of breastfeeding (EIBF) within one hour after birth enhanced mother-newborn bonding and protection against infectious diseases. This paper aimed to examine factors associated with EIBF in 13 Economic Community of West African States (ECOWAS). A weighted sample of 76,934 children aged 0-23 months from the recent Demographic and Health Survey dataset in the ECOWAS for the period 2010 to 2018 was pooled. Survey logistic regression analyses, adjusting for country-specific cluster and population-level weights, were used to determine the factors associated with EIBF. The overall combined rate of EIBF in ECOWAS was 43%. After adjusting for potential confounding factors, EIBF was significantly lower in Burkina Faso, Cote d'Ivoire, Guinea, Niger, Nigeria, and Senegal. Mothers who perceived their babies to be average and large at birth were significantly more likely to initiate breastfeeding within one hour of birth than those mothers who perceived their babies to be small at birth. Mothers who had a caesarean delivery (AOR = 0.28, 95%CI = 0.22-0.36), who did not attend antenatal visits (ANC) during pregnancy, and delivered by non-health professionals were more likely to delay initiation of breastfeeding beyond one hour after birth. Male children and mothers from poorer households were more likely to delay introduction of breastfeeding. Infant and young child feeding nutrition programs aimed at improving EIBF in ECOWAS need to target mothers who underutilize healthcare services, especially mothers from lower socioeconomic groups.
Identifiants
pubmed: 31739498
pii: nu11112765
doi: 10.3390/nu11112765
pmc: PMC6893771
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
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