Affiliation:
1. Institute of Policy Studies and School of Graduate Studies Lingnan University Tuen Mun Hong Kong
2. L & E Research Consult Ltd Upper West Region Ghana
3. Department of Population and Health University of Cape Coast Cape Coast Ghana
4. Department of Economics Howard University Washington DC USA
5. Department of Public Health Walter Sisulu University Mthatha Eastern Cape South Africa
6. School of International Development and Global Studies University of Ottawa Ottawa Ontario Canada
7. The George Institute for Global Health Imperial College London London UK
Abstract
AbstractBackground and AimsEarly initiation of breastfeeding (EIB) remains one of the promising interventions for preventing neonatal and child deaths. EIB is positively associated with healthcare delivery or childbirth. Meanwhile, no study in sub‐Saharan Africa (SSA) appears to have investigated the relationship between health facility delivery and EIB; thus, we assessed the correlation between health facility delivery and EIB.MethodsWe used data from the Demographic and Health Survey (DHS) of 64,506 women from 11 SSA countries. The outcome variable was whether the respondent had early breastfeeding or not. Two logistic regression models were used in the inferential analysis. With a 95% confidence interval (CI), the adjusted odds ratios (aORs) for each variable were calculated. The data set was stored, managed, and analyzed using Stata version 13.ResultsThe overall percentage of women who initiated early breastfeeding was 59.22%. Rwanda recorded the highest percentage of early initiation of breastfeeding (86.34%), while Gambia recorded the lowest (39.44%). The adjusted model revealed a significant association between health facility delivery and EIB (aOR = 1.80, CI = 1.73–1.87). Compared with urban women, rural women had higher likelihood of initiating early breastfeeding (aOR = 1.22, CI = 1.16–1.27). Women with a primary education (aOR = 1.26, CI = 1.20–1.32), secondary education (aOR = 1.12, CI = 1.06–1.17), and higher (aOR = 1.13, CI = 1.02–1.25), all had higher odds of initiating early breastfeeding. Women with the richest wealth status had the highest odds of initiating early breastfeeding as compared to the poorest women (aOR = 1.33, CI = 1.23–1.43).ConclusionBased on our findings, we strongly advocate for the integration of EIB policies and initiatives with healthcare delivery advocacy. Integration of these efforts can result in drastic reduction in infant and child mortality. Essentially, Gambia and other countries with a lower proclivity for EIB must reconsider their current breastfeeding interventions and conduct the necessary reviews and modifications that can lead to an increase in EIB.
Reference55 articles.
1. WHO & UNICEF. Capture the Moment – Early initiation of breastfeeding: The best start for every newborn. New York;2018.
2. World Health Organization (WHO) Geneva (Switzerland): WHO; Breastfeeding [Internet] [cited 2022 November 12] 2022. Retrieved fromhttps://www.who.int/health-topics/breastfeeding#tab=tab_2
3. Timing of initiation, patterns of breastfeeding, and infant survival: prospective analysis of pooled data from three randomised trials
4. WHO. Newborn Mortality 2022. Accessed November 17 2022. Retrieved fromhttps://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021#:%7E:text=There%20are%20approximately%206700%20newborn up%20from%2040%25%20in%201990
5. Addis Continental Institute of Public Health. Community‐Based Sub‐Component of Ethiopian National Nutrition Program Baseline Survey Report 2009.
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