Inequalities in the prevalence of stunting, anemia and exclusive breastfeeding among African children

BMC Pediatrics, Journal Year: 2022, Volume and Issue: 22(1)

Published: June 9, 2022

Abstract Background Childhood stunting and anemia are on the increase in many resource-constrained settings, without a counter proper feeding practices such as exclusive breastfeeding. The objective of this study was to explore prevalence stunting, breastfeeding across African countries. Methods Demographic Health Survey (DHS) data from 39 countries analyzed. Data under 5 children were Forest plot used determine inequalities outcome variables. Results highest Burundi (56%), Madagascar (50%) Niger (44%). In addition, Burkina Faso (88%), Mali (82%), Cote d’Ivoire Guinea (75% each) (73%) had anemia. Furthermore, (83%), Rwanda (81%) Zambia (70%) We found statistical significant difference ( p < 0.001). Higher estimated among male, rural residents, those having mothers with low education poor household wealth. Conclusion Concerted efforts required improve childhood health, survival practice. Reduced could be achieved through sustained socioeconomic improvement that is shared equity equality population. Interventions aimed at increasing food availability can also aid reduction hunger, particularly impoverished communities.

Language: Английский

---

Evaluation of infant and young child feeding practices in low-income areas of Dhaka, Bangladesh: insights from a cross-sectional study using the 2021 WHO/UNICEF guideline

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e093064 - e093064

Published: March 1, 2025

This study aimed to assess the status of infant and young child feeding (IYCF) practices associated factors among children aged 0-23 months in low-income regions Dhaka City, Bangladesh. A community-based cross-sectional study. Low-income 530 their mothers. Prevailing IYCF were assessed against 17 indicators recommended by WHO/UNICEF 2021. Modified Poisson regression models built explore relation between socio-demographic variables each selected (early initiation breastfeeding (EIBF), exclusive (EBF), minimum dietary diversity (MDD), meal frequency (MMF) acceptable diet (MAD)). More than two-thirds reported follow appropriate (EIBF, 70.4% EBF, 60.9%). Among complementary indicators, almost half (48.8%) meet MMF; however, only about 26% reportedly met MDD with a consequent low prevalence (22.9%) composite indicator MAD. (55%) consume egg and/or flesh food consumption; still, inappropriate observed 60% had unhealthy consumption, 56% zero vegetable or fruit consumption). Child age was significant determinant practices. The mothers no pregnancy complications exhibited greater chance having EIBF (estimate: 1.21, 95% CI: 1.04, 1.42, p=0.02), (Estimate: 1.67, 1.09, 2.55, MAD 1.70, 2.77, p=0.03) compared complications. mother secondary higher education 1.93, 1.35, 2.76, p=0.003) MMF 1.27, 1.03, 1.56, p=0.02) primary education. Similarly, from higher-income households getting 1.57, 1.07, 2.03, 1.73, 1.14, 2.64, p=0.01) lower-income households. considerable proportion City found be suboptimal predicted children's age, maternal complications, household income.

Language: Английский

---

Determinants of early initiation of breastfeeding in The Gambia: a population-based study using the 2019–2020 demographic and health survey data

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: June 22, 2023

Abstract Background Early initiation of breastfeeding within the first hour life prevents neonatal and infant mortality. Sustainable Development Goals (SDGs) Target 3.2 aims to reduce mortality under 5 globally. The decline in early Gambia coincides with deviations from SDGs, due poor indicators child survival. Our work studied determinants Gambia. Methods We used 2019–2020 Demographic Health Survey (GDHS) conducted across all regions country. Since our population interest was children born two years preceding study, we only included less than 24 months age, living an eligible respondent. Thus, a weighted sample 5691 mother-child pairs applied analysis. reported summary statistics individuals’ sociodemographic, obstetrics antenatal, household, community-level factors. A logistic regression model determine associations between covariates. Results prevalence 64.3% ( n = 3659). Mothers who had secondary education or higher educational level odds (AOR 1.22; 95% CI 1.07, 1.40). Regions rural notably Lower Central Upper River Region lower [Mansakonko 0.37; 0.26, 0.15), Kerewan 0.26; 0.19, 0.36), Kuntaur 0.39; 0.28, 0.54), Janjanbureh 0.48; 0.35, 0.66) Basse 0.64; 95%CI 0.49, 0.85)]. Also, women high quintile wealth index were more likely initiate 1.29; 1.06, 1.57). Four antenatal care visits did not increase breastfeeding. Conclusions results analyses demand affirmative action improve maternal education, poverty inequality empower communities IYCF component needs be strengthened. Programs policies on must resonate address timely chart progress towards SDG.

Language: Английский

---

Prevalence of early initiation of breastfeeding and its associated factors among women in Mauritania: evidence from a national survey

International Breastfeeding Journal, Journal Year: 2024, Volume and Issue: 19(1)

Published: Oct. 2, 2024

Language: Английский

---

Association between socio-economic factors and HIV self-testing knowledge amongst South African women

Southern African Journal of HIV Medicine, Journal Year: 2022, Volume and Issue: 23(1)

Published: March 21, 2022

Self-testing for HIV is an effective and alternative method of increasing testing rates a strategy reaching populations that are underserved by services. Nonetheless, many resource-constrained settings yet to adopt self-testing (HIVST) into their national programmes.This study aimed examine the association between socio-economic factors HIVST knowledge amongst South African women.We used nationally representative data from 2016 Demographic Health Survey. A sample 8182 women reproductive age was analysed. The outcome variable knowledge. This measured dichotomously; know versus do not about HIVST. multivariable logistic model measures association, with level significance set at P < 0.05.The prevalence rate found be approximately 24.5% (95% confidence interval [CI]: 22.9-26.1) women. Women tertiary education were 3.93 times more likely have knowledge, when compared those no formal (odds ratio [OR]: 3.93; 95% CI: 1.37-11.26). Rural residents had 33% reduction in residing urban areas (OR: 0.67; 0.51-0.89). odds interaction richer richest who good infection 1.88 2.24 respectively, poorest wealth household infection.Based on low findings emphasise importance developing educational campaigns. Moreover, programmes should designed address unique needs socio-economically disadvantaged

Language: Английский

---

Trends of Inequalities in Early Initiation of Breastfeeding in Ethiopia: Evidence from Ethiopian Demographic and Health Surveys, 2000-2016

BioMed Research International, Journal Year: 2022, Volume and Issue: 2022, P. 1 - 8

Published: Feb. 27, 2022

Early initiation of breastfeeding (EIBF) is a costless practice with numerous neonates' survival benefits. Thus, any disparity results in an unacceptably high neonatal death rate but socioeconomic disparities on EIBF have not been well explored Ethiopia. Therefore, this study aimed at assessing the inequalities Ethiopia from 2000 to 2016.The Ethiopian demographic and health survey data World Health Organization's Equity Assessment Toolkit were used investigate across wealth quintile, education, residence, subnational region. Difference, ratio, slope index inequality (SII), relative (RII), population attributable risk (PAR) as equity summary measures.In Ethiopia, was 47.4% 2000, 66.2% 2005, 51.5% 2011, 73.3% 2016. Wealth-related observed 2011 years SII -7.1%, -8.8%, 8.7%, respectively, whereas educational-related 2005 -11.7% 6.5%, respectively. However, significant change wealth-, education-, residence-related detected 2011. Regional all difference 35.7%, 38.0%, 29.1%, 48.5% 2016 years, But regional noted PAR 17.2%.In residence-, increased significantly between persistently Overall, one-sixth national level decreased due The northern regions (Tigray, Afar, Amhara) poorly performed compared peer regions. interventions targeting them would improve EIBF.

Language: Английский

---

Early initiation of breast feeding and associated factors among mother-baby dyads with immediate skin-to-skin contact: cross-sectional study based on the 2016 Ethiopian Demographic and Health Survey data

BMJ Open, Journal Year: 2023, Volume and Issue: 13(3), P. e063258 - e063258

Published: March 1, 2023

The study aimed to assess the practice of early initiation breast feeding (EIBF) and associated factors among mother-baby dyads who practiced immediate skin-to-skin contact in Ethiopia.Cross-sectional study.The was conducted nationally nine regional states two city administrations.In study, 1420 with last-born children (children born 2 years preceding survey, <24 months old) put on mother's bare skin. data participants were extracted from Ethiopian Demographic Health Survey 2016.The outcome measure proportion EIBF associations.EIBF mothers newborns 88.8% (95% CI 87.2 90.4). more likely wealthy families (adjusted OR (AOR)=2.37, 95% 1.38 4.08), attended secondary above education (AOR=1.67, 1.12 2.57), living Oromia (AOR=2.87, 1.11 7.46), Harari (AOR=11.60, 2.48 24.34) Dire Dawa (AOR=2.93, 1.04 8.23) regions, gave birth by non-caesarean section (AOR=3.34, 1.33 8.39), at hospital (AOR=2.02, 1.02 4.00), health centre (AOR=2.19, 1.21 3.98), midwifery assistance (AOR=1.62, 1.06 2.49).Nine ten initiate feeding. affected educational status, wealth index, region, mode delivery, place delivery assisted midwifery. Improving healthcare service, institutional competency maternal providers may aid Ethiopia.

Language: Английский

---

Inequalities in early initiation of breastfeeding in Bangladesh: an estimation of relative and absolute measures of inequality

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: Aug. 28, 2023

Evidence suggested that inequalities based on education, wealth status, place of residence, and geographical regions significantly influence the key breastfeeding indicators including early initiation breastfeeding. This study aimed to estimate trends magnitude in practice Bangladesh from 2004 2017 applying both absolute relative measures inequality.We used data last five Demographic Health Survey (BDHS) measure using WHO's Equity Assessment Toolkit (HEAT) software. Following summary were estimated inequalities: Population Attributable Risk (PAR), Fraction (PAF), Difference (D), Ratio (R) where equity dimensions education level, sex child, subnational (divisions). For each measure, point estimates along with a 95% confidence interval (CI) reported.An uprising pattern prevalence was found, increased 24.9% 59.0% 2017. We found significant wealth-driven every wave survey favoring poorest quintile (in 2017, D -10.5; CI -16.6 -4.3). also identified disparities PAF 11.1; 2.2 19.9) Rangpur (65.5%), Sylhet (65.3%) divisions. Education-related observed only, but not later years, which due much lower level adherence among those secondary or higher education. There no urban vs. rural residence child.The highest attention should be placed attain 100% recommendation timely emphasizes addressing existing socioeconomic geographic inequalities. Awareness-raising outreach programs focusing mothers wealthier sub-groups divisions planned implemented by joint effort government non-government organizations.

Language: Английский

---

Skin-to-skin contact and early initiation of breast feeding in Bangladesh: a cross-sectional study using MICS6, Bangladesh (2019) data

BMJ Paediatrics Open, Journal Year: 2023, Volume and Issue: 7(1), P. e002163 - e002163

Published: Nov. 1, 2023

Background To curb neonatal deaths, practices such as skin-to-skin contact (SSC) and early initiation of breast feeding (EIBF) can play an important role. Despite being effective, globally only 48% newborns receive EIBF, SSC is practised at varying prevalence (1%–74%) among low-income middle-income countries. Objectives The objective the current study was to estimate level EIBF practice in Bangladesh examine factors associated with EIBF. Methods cross-sectional used data from Multiple Indicator Cluster Survey, (2019). Women reproductive age live birth during last 2 years were included analysis (n=8854). A p<0.05 considered statistically significant (significance α=0.05). Results 16.4% 70.4%, respectively. Higher secondary or more education (AOR 1.43; 95% CI 1. 07 1.90; p=0.016), skilled attendant’s (SBA) assistance 2.04, 1.60 2.61; p<0.001) receiving antenatal care 1.40; 1.15 1.70; had higher odds practising SSC. Having institutional delivery 0.35; 0.28 0.43; belonging richest category 0.78; 0.65 0.94; p=0.008) lower did not have a association study. Conclusion quite low. However, be ‘good’. Targeted interventions care, by SBA help promoting promote practice, should focus on institutes providing support richer strata society.

Language: Английский

---

Poor access to breastfeeding counseling services and associated factors among lactating mothers who had optimal antenatal care follow-up in Sub-saharan Africa: a multilevel analysis of the recent Demographic and Health Survey

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 18, 2024

Inadequate access to services for breastfeeding counseling results in poor practices and adverse health consequences. Although is a major challenge, its magnitude determinantes are not well studied developing countries. Therefore, this study assessed the determinants of among lactating mothers who had optimal antenatal care follow-up Sub-Saharan Africa. Data from recent Demographic Health Surveys, involving total 289,929 women, were used analysis. The examined using multilevel mixed-effects logistic regression model. Significant factors associated with declared significant at p-values < 0.05. adjusted odds ratio confidence interval interpret results. A model lowest deviance highest log likelihood was selected as best-fit In Africa, nearly one two women services. Maternal age (AOR = 1.18, 95% CI: 1.02, 1.38), maternal education 1.128, 1.22, 1.35), distance facility 1.17, 1.13, 1.21), media exposure 1.12, 1.08, 1.17), wealth index 1.05, 1.00, 1.10), place delivery 4.31, 4.11, 4.52), PNC 3.92, 3.78, 4.07), mode 1.88, 1.76, 2.02), birth 1.07, residence 1.14, 1.09, 1.18), community poverty 1.03, 1.15), institutional 1.06, 1.01, 1.12), country category 2.23, 2.10, 2.37), higher Poor found be high. Both individual community-level Ministry Africa should give attention those have postnatal check-up home while designing policies strategies.

Language: Английский

---