Evidence map›Paper›PMID 25784955›Full record

ArticleInternational breastfeeding journal2014

Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors.

Ingunn Marie S Engebretsen, Victoria Nankabirwa, Tanya Doherty, Abdoulaye Hama Diallo, Jolly Nankunda, Lars Thore Fadnes, Eva-Charlotte Ekström, Vundli Ramokolo, Nicolas Meda, Halvor Sommerfelt and 4 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International breastfeeding journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00397150 (PROMISE EBF), which is not on this map. Cited by 38 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 8 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT00397150 nacompletednot on this map

PROMISE EBF: Promoting Infant Health and Nutrition in Sub-Saharan Africa: Safety and Efficacy of Exclusive Breastfeeding Promotion in the Era of HIV

TypeinterventionalSponsorCentre For International HealthRan2006 to 2011Enrolled2,579ConditionsDiarrheaArmsPeer-support for exclusive breastfeeding
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 8 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
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  7. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017
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  8. Interventions for promoting the initiation of breastfeeding.The Cochrane database of systematic reviews · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 5 countries.

Ingunn Marie S EngebretsenCentre for International Health, Department of Global Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
Victoria NankabirwaSchool of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Tanya DohertyHealth Systems Research Unit, Medical Research Council, Cape Town, South Africa ; School of Public Health, University of the Western Cape, Cape Town, South Africa.
Abdoulaye Hama DialloCentre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso.
Jolly NankundaDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Lars Thore FadnesCentre for International Health, Department of Global Public Health and Primary Health Care, University of Bergen, Bergen, Norway ; Department of Clinical Dentistry, University of Bergen, Bergen, Norway.
Eva-Charlotte EkströmDepartment Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Vundli RamokoloHealth Systems Research Unit, Medical Research Council, Cape Town, South Africa.
Nicolas MedaCentre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso.
Halvor SommerfeltCentre for International Health, Department of Global Public Health and Primary Health Care, University of Bergen, Bergen, Norway ; Department of Global Public Health, Norwegian Institute of Public Health, Kragujevac, Norway.
Debra JacksonSchool of Public Health, University of the Western Cape, Cape Town, South Africa ; UNICEF, New York, USA.
Thorkild TylleskärCentre for International Health, Department of Global Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
James K TumwineDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda.
PROMISE-EBF study group
University of Bergen · NOMakerere University · UGCentre Muraz · BFSouth African Medical Research Council · ZAUniversity of the Western Cape · ZAUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmediate and exclusive initiation of breastfeeding after delivery has been associated with better neonatal survival and child health and are recommended by the WHO. We report its impact on early infant feeding practices from the PROMISE-EBF trial.

methodsPROMISE-EBF was a cluster randomised behaviour change intervention trial of exclusive breastfeeding (EBF) promotion by peer counsellors in Burkina Faso, Uganda and South Africa implemented during 2006-2008 among 2579 mother-infant pairs. Counselling started in the last pregnancy trimester and mothers were offered at least five postnatal visits. Early infant feeding practices: use of prelacteal feeds (any foods or drinks other than breast milk given within the first 3 days), expressing and discarding colostrum, and timing of initiation of breastfeeding are presented by trial arm in each country. Prevalence ratios (PR) with 95% confidence intervals (95%CI) are given.

resultsThe proportion of women who gave prelacteal feeds in the intervention and control arms were, respectively: 11% and 36%, PR 0.3 (95% CI 0.2, 0.6) in Burkina Faso, 13% and 44%, PR 0.3 (95% CI 0.2, 0.5) in Uganda and 30% and 33%, PR 0.9 (95% CI 0.6, 1.3) in South Africa. While the majority gave colostrum, the proportion of those who expressed and discarded it in the intervention and control arms were: 8% and 12%, PR 0.7 (95% CI 0.3, 1.6) in Burkina Faso, 3% and 10%, PR 0.3 (95% CI 0.1, 0.6) in Uganda and 17% and 16%, PR 1.1 (95% CI 0.6, 2.1) in South Africa. Only a minority in Burkina Faso (<4%) and roughly half in South Africa initiated breastfeeding within the first hour with no large or statistically significant differences between the trial arms, whilst in Uganda the proportion of early initiation of breastfeeding in the intervention and control arms were: 55% and 41%, PR 0.8 (95% CI 0.7, 0.9).

conclusionsThe PROMISE-EBF trial showed that the intervention led to less prelacteal feeding in Burkina Faso and Uganda. More children received colostrum and started breastfeeding early in the intervention arm in Uganda. Late breastfeeding initiation continues to be a challenge. No clear behaviour change was seen in South Africa.

trial registrationNCT00397150.

Indexed as

ColostrumExclusive breastfeedingPeer-counsellingPrelacteal feedingTrial

Identifiers

PMID25784955
PMCPMC4362641
OpenAlexW2114766720

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.