SynthesisPloS one2012
Peer support and exclusive breastfeeding duration in low and middle-income countries: a systematic review and meta-analysis.
Synthesis in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Interventions to support the re-establishment of breastfeeding and their application in humanitarian settings: A systematic review.Maternal & child nutrition · 2023Pooled it
- Effectiveness of Breastfeeding Support Packages in Low- and Middle-Income Countries for Infants under Six Months: A Systematic Review.Nutrients · 2021Pooled it
- Pooled it
- Pooled it
- Trial
- Effectiveness of weekly cell phone counselling calls and daily text messages to improve breastfeeding indicators.BMC pediatrics · 2018Trial
- Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi: a cluster randomized controlled trial.Globalization and health · 2017Trial
- Effect of a randomised exclusive breastfeeding counselling intervention nested into the MINIMat prenatal nutrition trial in Bangladesh.Acta paediatrica (Oslo, Norway : 1992) · 2017Trial
- Trial
- Experiences of peer counsellors in supporting exclusive breastfeeding in southern India: An exploratory qualitative study.BJOG : an international journal of obstetrics and gynaecology · 2023Article
- Peer support interventions in maternal and child healthcare delivery in sub-Saharan Africa: protocol for a realist review.Systematic reviews · 2023Article
- Peer counselling as an approach to improve complementary feeding practices: a narrative review.Journal of health, population, and nutrition · 2023Review
- Design and implementation of a community-based mother-to-mother peer support programme for the follow-up of low birthweight infants in rural western Kenya.Frontiers in pediatrics · 2023Article
- Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania.PLOS global public health · 2023Article
- Behaviour change interventions improve maternal and child nutrition in sub-Saharan Africa: A systematic review.PLOS global public health · 2023Article
- Design, Development, and Testing of BEST4Baby, an mHealth Technology to Support Exclusive Breastfeeding in India: Pilot Study.JMIR formative research · 2022Article
- Determinants of exclusive breastfeeding among Haitian children under 6 months of age.Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- An integrative review on mothers' experiences of online breastfeeding peer support: Motivations, attributes and effects.Maternal & child nutrition · 2021Review
- Mega-map of systematic reviews and evidence and gap maps on the interventions to improve child well-being in low- and middle-income countries.Campbell systematic reviews · 2020Article
- Breastfeeding peer counselling for mothers of preterm neonates: protocol of a stepped-wedge cluster randomised controlled trial.BMJ open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine the effect of peer support on duration of exclusive breastfeeding (EBF) in low and middle-income countries (LMICs). DATA SOURCES: Medline, EMBASE, and Cochrane Central Register for Controlled Trials were searched from inception to April 2012.
methodsTwo authors independently searched, reviewed, and assessed the quality of randomized controlled trials utilizing peer support in LMICs. Meta-analysis and metaregression techniques were used to produce pooled relative risks and investigate sources of heterogeneity in the estimates.
resultsEleven randomized controlled trials conducted at 13 study sites met the inclusion criteria for systematic review. We noted significant differences in study populations, peer counselor training methods, peer visit schedule, and outcome ascertainment methods. Peer support significantly decreased the risk of discontinuing EBF as compared to control (RR: 0.71; 95% CI: 0.61-0.82; I(2) =92%). The effect of peer support was significantly reduced in settings with >10% community prevalence of formula feeding as compared to settings with <10% prevalence (p=0.048). There was no evidence of effect modification by inclusion of low birth weight infants (p=0.367) and no difference in the effect of peer support on EBF at 4 versus 6 months postpartum (p=0.398).
conclusionsPeer support increases the duration of EBF in LMICs; however, the effect appears to be reduced in formula feeding cultures. Future studies are needed to determine the optimal timing of peer visits, how to best integrate peer support into packaged intervention strategies, and the effectiveness of supplemental interventions to peer support in formula feeding cultures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.