Early initiation of breastfeeding: Better practiced in primary healthcare facilities? Analysis of the 2019 National Demographic and Family Health Survey in Peru

PLOS Global Public Health, Journal Year: 2025, Volume and Issue: 5(5), P. e0004486 - e0004486

Published: May 9, 2025

Early initiation of breastfeeding (EIBF) within the first hour life is advocated by World Health Organization for its numerous benefits, including emotional bonding and immunological protection newborn. Despite global efforts, EIBF prevalence varies significantly, with reports in Peru falling below recommended 80%. This study investigates association between healthcare facility level Peru, addressing a gap research on influence health characteristics rates. A cross-sectional analytical was conducted using data from 2019 Demographic Survey. We included women who had uncomplicated singleton vaginal deliveries facilities previous 24 months. Poisson regression adjusted complex sampling design used to assess interest, adjusting socio-demographic maternal-neonatal variables. The analysis made only complete cases (no missing data). Therefore, 3,389 births met inclusion criteria, but 3,104 were analysis. It revealed that primary (PHC) 10% higher compared secondary tertiary facilities. Covariates associated increased rural residency, living highlands or jungle, having newborn normal larger size, midwife as highest-ranking professional present during delivery. Conversely, maternal education wealth, well delivery public hospitals financed payroll deductions (EsSalud), lower suggests facility-level may impact practices. Recommendations include strengthening service policies protocols, training personnel across all levels support EIBF, exploring stakeholder perspectives through future research.

Language: Английский

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Socioeconomic inequalities in early initiation and exclusive breastfeeding practices in Bangladesh: findings from the 2018 demographic and health survey

International Breastfeeding Journal, Journal Year: 2021, Volume and Issue: 16(1)

Published: Sept. 26, 2021

Optimal breastfeeding practices including early initiation of and exclusive (EBF) are associated with positive health outcomes. Socioeconomic inequalities in key indicators may play a role the prevalence practices. The objective this study was to examine socioeconomic EBF Bangladesh based on 2018 Demographic Health Survey (BDHS).This secondary data analysis nationally representative BDHS. Data 4950 women reproductive age who had ever given birth 924 children aged 0-5 months were extracted, for EBF. Early determined from put breast within first hour birth. Exclusive estimated exclusively breastfed.The weighted 60.8% (95% CI; 59.0, 62.6%) 66.8% 63.1, 70.3%), respectively. among poorest, poorer, middle, richer richest households 67.8, 66.3, 58.4, 56.3 54.4%, Similarly, 64.4, 65.0, 61.1 52.3% no formal education, primary, higher 63.0, 65.2, 67.7, 66.7 69.9%, 62.5, 66.0, 66.3 68.9% lower household wealth (Conc. Index = - 0.049; SE 0.006) educational attainment groups 0.035; 0.006).Improving optimal should be utmost priority. A need address also identified.

Language: Английский

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Multilevel multivariate analysis on the anthropometric indicators of under-five children in Ethiopia: EMDHS 2019

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

Published: March 30, 2022

Undernutrition is the main cause of morbidity and mortality children aged under five it an important indicator countries' economic health status. Limited attention given to research papers conducted in Ethiopia that identified estimates determinants under-five anthropometric indicators by considering their association clustering effect. Therefore, this study aimed identify estimate effects taking into account cluster effects. In study, a cross-sectional design was implemented based on data obtained from 2019 Mini Demographic Health Survey (EMDHS) consists total 5027 children. A multilevel multivariate logistic regression model employed effect Among considered 36.0, 23.3, 9.1% them were stunted, underweight, wasted, respectively. Whereas number undernourished (stunting, underweight and/or wasting) 42.9%. More than half (51.2%) males 77.0% lived rural area. The estimated odds households with secondary above education levels being stunted 0.496 (OR = 0.496) times no education. richest less likely be as compared poorest 0.485). urban areas wasting lower 24.9 33.7% prevalence stunting, increased. has significant dependency both stunting wasting. sex child, wealth index, level household are common status more alike within region differences between regions.

Language: Английский

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Prevalence and factors associated with skin-to-skin contact (SSC) practice: findings from a population-based cross-sectional survey in 10 selected districts of Bangladesh

BMC Pregnancy and Childbirth, Journal Year: 2021, Volume and Issue: 21(1)

Published: Oct. 22, 2021

Skin-to-skin contact (SSC) practice improves newborn survival and child development through preventing hypothermia in newborns, improving early initiation of breastfeeding practice, strengthening mother-child bonding. Despite having numerous benefits, it is one the least practiced interventions low middle-income countries (1 to 74%). In Bangladesh, prevalence SSC was 26% 2014. this study, we aimed estimate study districts identify factors that facilitate or inhibit so context-specific recommendations can be made advance use intervention.

Language: Английский

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The trend in exclusive breastfeeding practice and its association with maternal employment in Bangladesh: A multilevel analysis

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Nov. 25, 2022

Exclusive breastfeeding (EBF) is essential for infant and child health. This study aimed to explore the trend in EBF over last decade Bangladesh investigated if there was a significant association with maternal employment by analyzing data extracted from three consecutive nationally representative surveys: Demographic Health Surveys (BDHS) of 2011, 2014, 2017-2018. Prevalence (95% confidence interval) Cochran-Armitage test reported see EBF. A chi-square (χ2) applied find potential factors associated Finally, three-level logistic regression utilized between while adjusting other covariates. We observed no increase practice (P = 0.632). The prevalence 64.9% CI: 61.41, 68.18) followed 60.1% 56.25, 64) 61.82, 67.91) 2017. Regression results showed that employed mothers had 24% (p < 0.05) lower odds than unemployed mothers. Early initiation also found be significantly [Adjusted ratio (AOR): 1.22, P 0.05] Government policymakers must come forward new interventions EBF, providing basic education campaigns on topic Maternity leave should extended up 6 months child's age achieve an optimal level

Language: Английский

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Prevalence of and factors associated with early initiation of breastfeeding among women with children aged < 24 months in Kilimanjaro region, northern Tanzania: a community-based cross-sectional study

International Breastfeeding Journal, Journal Year: 2020, Volume and Issue: 15(1)

Published: Sept. 10, 2020

Abstract Background Early initiation of breastfeeding offers nutritional and immunological benefits to the newborn, which is critical for health survival. Understanding factors associated with timely crucial healthcare providers policy-makers. This study aimed assess prevalence early among mothers children < 24 months age in Kilimanjaro region, Northern Tanzania. Methods utilized secondary data from a cross-sectional survey conducted April 2016 2017 region. A multistage sampling technique was used select participants interviewed using questionnaire. total 1644 women aged were analyzed. Modified Poisson regression models determine independently breastfeeding, within first hour life. Results The region 70%, ranging 64% Same 80% Siha districts. lower who initiated prelacteal feeding compared their counterparts (prevalence ratio [PR] 0.42; 95% Confidence Interval [CI] 0.34, 0.53). Likewise, living Hai district had Rombo (PR 0.8; CI 0.76, 0.93) 0.89, 0.80, 0.98) respectively. Higher found primary education those 1.09; 1.003, 1.18), two one child 1.14, 1.03, 1.26). Conclusions practice suboptimal this study. To improve at reproductive clinics labour wards should discourage feeding, give more support level above. Furthermore, qualitative understand reasons low

Language: Английский

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Prevalence of Infant and Young Child Feeding Practices and Differences in Estimates of Minimum Dietary Diversity Using 2008 and 2021 Definitions: Evidence from Bangladesh

Current Developments in Nutrition, Journal Year: 2022, Volume and Issue: 6(4), P. nzac026 - nzac026

Published: Feb. 28, 2022

Infant and young child feeding (IYCF) practices directly impact the health of <2-y-old children. Minimum dietary diversity (MDD) is an IYCF indicator to assess children aged 6–23 mo. The definition MDD has recently been updated by WHO UNICEF, substituting "≥4 out 7 food groups" (MDD-7FG) with "≥5 8 (MDD-8FG). goals this study were estimate prevalence indicators identify implications change in at national regional levels Bangladesh. This used data from National Food Security Nutrition Surveillance 2018–2019 round. A total 1992 0–23 mo included analysis. calculated according WHO-UNICEF guidelines. difference between MDD-7FG MDD-8FG presented as percentage points. early initiation breastfeeding was 43.8%, exclusive 56.2%. Approximately 55% maintained (MDD-7FG), 48% received minimum meal frequency, 28% a acceptable diet. Compared MDD-7FG, lower among 6–23-mo-old (MDD-8FG vs. MDD-7FG) high for boys (44.0% 53.2%), 12–23 (53.4% 63.4%), urban areas (30.2% 42.4%), Dhaka administrative division (42.0% 56.3%), uneducated mothers (37.1% 47.1%), households ≤4 members (44.3% 55%), middle-class (40.3% 57.6%). new method led decrease As country prepares implement indicator, it critical disseminate knowledge its positive implication improved nutrition.

Language: Английский

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Prevalence and predictors of delayed initiation of breastfeeding among postnatal women at a tertiary hospital in Eastern Uganda: a cross-sectional study

Archives of Public Health, Journal Year: 2023, Volume and Issue: 81(1)

Published: April 14, 2023

The rates for the delayed initiation of breastfeeding in Uganda remain unacceptably high between 30% and 80%. reasons this are not well understood. We aimed to determine prevalence predictors Eastern Uganda.This study employed a cross-sectional design. A total 404 mother-infant pairs were enrolled onto July November, 2020 at Mbale regional referral hospital (MRRH). They interviewed on socio-demographic related, infant-related, labour delivery characteristics using structured questionnaire. estimated adjusted odds ratios multivariable logistic regression models. All variables with p < 0.25 bivariate level included initial model multivariate analysis. 0.1 those biological or epidemiologic plausibility (from previous studies) second model. greater than 1 considered as risk factors; otherwise they protective against breastfeeding.The rate was 70% (n = 283/404, 95% CI: 65.3 - 74.4%). factors that associated maternal charateristics including: being single (AOR 0.37; 95%CI: 0.19-0.74), receiving antenatal care less 3 times 1.85, 1.07-3.19) undergoing caesarean section 2.07; 1.3-3.19) having difficult 2.05; 1.25-3.35). Infant included: health issue birth 9.8; 2.94-32.98).The proportion infants do achieve early setting remains high. Women delaying include who: deliver by section, receive have difficulties. Infants achieving birth. recommend increased support women who undergo breastfeeding. Breastfeeding can be initiated recovery room after operating theatre. importance attendance should emphasized during education classes. any form particularly given attention ensure is early.

Language: Английский

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Determinants of early initiation of breastfeeding in Peru: analysis of the 2018 Demographic and Family Health Survey

Epidemiology and Health, Journal Year: 2019, Volume and Issue: 41, P. e2019051 - e2019051

Published: Dec. 25, 2019

OBJECTIVES: Early initiation of breastfeeding (EIBF) is one the most cost-effective strategies to reduce neonatal mortality. We sought determine prevalence and determinants EIBF in Peru.METHODS: performed a cross-sectional analytical study 2018 Peruvian Demographic Family Health Survey as secondary data source. In total, 19,595 children born during 5 years prior survey were included study. The dependent variable (EIBF status), socio-demographic variables, pregnancy-related variables analyzed using multivariate logistic regression model identify EIBF.RESULTS: population was 49.7%. Cesarean deliveries associated with lower likelihood (adjusted odds ratio [aOR], 0.06; 95% confidence interval [CI], 0.05 0.07) than vaginal deliveries. Newborns at public health centers (aOR, 1.37; CI, 1.15 1.65) had higher rate those not or private centers. Women from jungle region 2.51; 2.17 2.89) providing coast. Mothers more education 0.65; 0.55 0.76) less likely breastfeed first hour newborn’s life women primary no education.CONCLUSIONS: More half do after birth. major status delivery mode maternal residence. Strategies are needed promote early practices.

Language: Английский

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Prevalence and predictors of timely initiation of breastfeeding in Ghana: an analysis of 2017–2018 multiple indicator cluster survey

International Breastfeeding Journal, Journal Year: 2021, Volume and Issue: 16(1)

Published: April 17, 2021

Timely initiation of breastfeeding is putting the newborn baby to breast within 1 h birth. Its practice can prevent neonatal and under-5 mortality. This study aims assess prevalence factors associated with timely among mothers in Ghana.We used data from 2017-2018 Ghana multiple indicator cluster survey our analysis was restricted 3466 who had a live birth 2 years. Multivariable logistic regression estimate whilst adjusting for potential confounders, accounted clustering, stratification, sample weights.The 52.3% (95% CI 49.7%, 54.9%). Mothers were assisted by skilled attendant at 65% higher odds compared not (adjusted ratio [aPOR] 1.65; 95% 1.28, 2.13). delivered Caesarean section 74% lower vaginal delivery (aPOR 0.26; 0.18, 0.36). planned their pregnancy 31% an unplanned 1.31; 1.05, 1.63). There also 51% perceived large 1.74; 1.34, 2.26), average size 1.51, 1.16, 1.97) respectively, small.Interventions increase should provide support have section, small sized babies pregnancies, promote birthing attendants.

Language: Английский

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