Justine A Kavle1, Elizabeth LaCroix2, Hallie Dau2, Cyril Engmann3. 1. 1Maternal and Child Survival Program (MCSP),1776 Massachusetts Avenue NW,Suite 300,Washington,DC 20036,USA. 2. 2PATH, Maternal,Newborn, and Child Health and Nutrition,Washington,DC,USA. 3. 4PATH,Maternal,Newborn, and Child Health and Nutrition,Seattle,WA,USA.
Abstract
OBJECTIVE: Despite numerous global initiatives on breast-feeding, trend data show exclusive breast-feeding (EBF) rates have stagnated over the last two decades. The purpose of the present systematic review was to determine barriers to exclusive breast-feeding in twenty-five low- and middle-income countries and discuss implications for programmes. DESIGN: A search of Scopus, MEDLINE, CINAHL and PsychINFO was conducted to retrieve studies from January 2000 to October 2015. Using inclusion criteria, we selected both qualitative and quantitative studies that described barriers to EBF. SETTING: Low- and middle-income countries. SUBJECTS: Following application of systematic review criteria, forty-eight articles from fourteen countries were included in the review. RESULTS: Sixteen barriers to EBF were identified in the review. There is moderate evidence of a negative association between maternal employment and EBF practices. Studies that examined EBF barriers at childbirth and the initial 24 h post-delivery found strong evidence that caesarean section can impede EBF. There is moderate evidence for early initiation of breast-feeding and likelihood of practising EBF. Breast-feeding problems were commonly reported from cross-sectional or observational studies. Counselling on EBF and the presence of family and/or community support have demonstrated improvements in EBF. CONCLUSIONS: Improving the counselling skills of health workers to address breast-feeding problems and increasing community support for breast-feeding are critical components of infant and young child feeding programming, which will aid in attaining the 2025 World Health Assembly EBF targets. Legislation and regulations on marketing of breast-milk substitutes, paid maternity leave and breast-feeding breaks for working mothers require attention in low- and middle-income countries.
OBJECTIVE: Despite numerous global initiatives on breast-feeding, trend data show exclusive breast-feeding (EBF) rates have stagnated over the last two decades. The purpose of the present systematic review was to determine barriers to exclusive breast-feeding in twenty-five low- and middle-income countries and discuss implications for programmes. DESIGN: A search of Scopus, MEDLINE, CINAHL and PsychINFO was conducted to retrieve studies from January 2000 to October 2015. Using inclusion criteria, we selected both qualitative and quantitative studies that described barriers to EBF. SETTING: Low- and middle-income countries. SUBJECTS: Following application of systematic review criteria, forty-eight articles from fourteen countries were included in the review. RESULTS: Sixteen barriers to EBF were identified in the review. There is moderate evidence of a negative association between maternal employment and EBF practices. Studies that examined EBF barriers at childbirth and the initial 24 h post-delivery found strong evidence that caesarean section can impede EBF. There is moderate evidence for early initiation of breast-feeding and likelihood of practising EBF. Breast-feeding problems were commonly reported from cross-sectional or observational studies. Counselling on EBF and the presence of family and/or community support have demonstrated improvements in EBF. CONCLUSIONS: Improving the counselling skills of health workers to address breast-feeding problems and increasing community support for breast-feeding are critical components of infant and young child feeding programming, which will aid in attaining the 2025 World Health Assembly EBF targets. Legislation and regulations on marketing of breast-milk substitutes, paid maternity leave and breast-feeding breaks for working mothers require attention in low- and middle-income countries.
Entities:
Keywords:
Barriers; Breast-feeding; Exclusive breast-feeding; Infant and young child feeding programmes; Infant and young child nutrition
Authors: S B Ickes; V M Oddo; H K Sanders; R Nduati; D M Denno; J A Myhre; J Kinyua; L L Iannotti; B Singa; C Farquhar; J L Walson Journal: Am J Clin Nutr Date: 2021-03-11 Impact factor: 7.045
Authors: Justine A Kavle; Michel Pacqué; Sarah Dalglish; Evariste Mbombeshayi; Jimmy Anzolo; Janvier Mirindi; Maphie Tosha; Octave Safari; Lacey Gibson; Sarah Straubinger; Richard Bachunguye Journal: Matern Child Nutr Date: 2019-01 Impact factor: 3.092
Authors: Jill Landsbaugh Kaar; Katherine A Sauder; Allison Lb Shapiro; Anne P Starling; Brandy M Ringham; Susan L Johnson; Dana Dabelea Journal: Clin Med Insights Pediatr Date: 2019-01-20