ArticlePloS one2017
Infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 3 of them syntheses that pooled it.
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Who cites it
94 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- The Association Between Exclusive Breastfeeding and Diarrhoea Morbidity in Infants Aged 0-6 Months: A Rapid Review and Meta-Analysis.Maternal & child nutrition · 2025Pooled it
- Interventions to improve infant and young child feeding practices in Ethiopia: a systematic review.BMJ open · 2021Pooled it
- Breastfeeding in the Community-How Can Partners/Fathers Help? A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Safety and drug quantification of the dapivirine vaginal ring and oral pre-exposure prophylaxis in breastfeeding mother-infant pairs (MTN-043): a phase 3B, open-label, randomised trial.The lancet. HIV · 2025Trial
- Effect of Group Antenatal Care on Breastfeeding Knowledge and Practices Among Pregnant Women in Ghana: Findings from a Cluster-Randomized Controlled Trial.International journal of environmental research and public health · 2024Trial
- Gastrointestinal and respiratory morbidity when introducing eggs as complementary food: a randomised controlled trial in South African infants.Scientific reports · 2024Trial
- Breastfeeding knowledge, attitude, and self-efficacy among mothers with infant and young child in rural Ethiopia.PloS one · 2022Trial
- Breastfeeding as a protective factor of maternal depression: a multi-country analysis from Africa and South Asia.Discover mental health · 2026Article
- Do children's feeding practices affect growth outcomes in sub-Saharan Africa? A multi-country study.Journal of health, population, and nutrition · 2026Article
- Effectiveness of Couple-Based Optimal Breastfeeding Promotion and Support Interventions on Child Morbidity in Central Ethiopia: A Cluster-Randomized Controlled Trial.Health science reports · 2026Article
- Diet diversity during complementary feeding and childhood acute respiratory infection and diarrhoea in rural China.BMJ nutrition, prevention & health · 2026Article
- Viral diarrhea in Ghana: a scoping review of disease burden, epidemiology, and control strategies.Frontiers in public health · 2026Article
- Prevalence of acute diarrhea and its risk factors among under five children in flood affected Dasenech District, Southern Ethiopia: a cross-sectional study.Scientific reports · 2025Article
- Trends in preventive practices against diarrhoeal disease among under-five children: experience from the largest diarrhoeal disease hospital in Bangladesh.BMJ paediatrics open · 2025Article
- Breast milk delivery of an engineered dimeric IgA protects neonates against rotavirus.Mucosal immunology · 2025Article
- Perinatal intimate partner violence and breastfeeding practices: A systematic review and meta-analysis protocol.PloS one · 2025Article
- Predictors of inadequate minimum acceptable diet among infants and young children in Ethiopia: a multilevel logistic regression analysis.Frontiers in public health · 2025Article
- A microbial symphony: a literature review of the factors that orchestrate the colonization dynamics of the human colonic microbiome during infancy and implications for future health.Microbiome research reports · 2025Review
- The effect of the implementation of the international code of marketing of breast-milk substitutes on child mortality in Ghana and Tanzania.Public health nutrition · 2024Article
- Statistical Analysis of Factors Associated with Diarrhea in Yemeni Children under Five: Insights from the 2022-2023 Multiple Indicator Cluster Survey.Journal of epidemiology and global health · 2024Article
34 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impacts of optimal infant feeding practices on diarrhoea have been documented in some developing countries, but not in countries with high diarrhoea mortality as reported by the World Health Organisation/United Nations Children's Fund. We aimed to investigate the association between infant feeding practices and diarrhoea in sub-Saharan African countries with high diarrhoea mortality.
methodThe study used the most recent Demographic and Health Survey datasets collected in nine sub-Saharan African countries with high diarrhoea mortality, namely: Burkina Faso (2010, N = 9,733); Demographic Republic of Congo (2013; N = 10,458); Ethiopia (2013, N = 7,251); Kenya (2014, N = 14,034); Mali (2013, N = 6,365); Niger (2013, N = 7,235); Nigeria (2013, N = 18,539); Tanzania (2010, N = 5,013); and Uganda (2010, N = 4,472). Multilevel logistic regression models that adjusted for cluster and sampling weights were used to investigate the association between infant feeding practices and diarrhoea in these nine African countries.
resultsDiarrhoea prevalence was lower among children whose mothers practiced early initiation of breastfeeding, exclusive and predominant breastfeeding. Early initiation of breastfeeding and exclusive breastfeeding were significantly associated with lower risk of diarrhoea (OR = 0.81; 95% confidence interval (CI): 0.77-0.85, P<0.001 and OR = 0.50; 95%CI: 0.43-0.57, respectively). In contrast, introduction of complementary foods (OR = 1.31; 95%CI: 1.14-1.50) and continued breastfeeding at one year (OR = 1.27; 95%CI: 1.05-1.55) were significantly associated with a higher risk of diarrhoea.
conclusionEarly initiation of breastfeeding and exclusive breastfeeding are protective of diarrhoea in sub-Saharan African countries with high diarrhoea mortality. To reduce diarrhoea mortality and also achieve the health-related sustainable development goals in sub-Saharan African, an integrated, multi-agency strategic partnership within each country is needed to improve optimal infant feeding practices.
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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.