ArticleChildren (Basel, Switzerland)2018
Assessment of the Baby Friendly Hospital Initiative Implementation in the Eastern Mediterranean Region.
Article in Children (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Effectiveness of Community Nutrition-Specific Interventions on Improving Malnutrition of Children under 5 Years of Age in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Cost-benefit analysis of a multicomponent breastfeeding promotion and support intervention in a developing country.PloS one · 2024Trial
- Prevalence and predictors of breastfeeding practices in Saudi Arabia: a national cross-sectional study based on the 2021 WHO breastfeeding indicators.International breastfeeding journal · 2025Article
- Baby-friendly workplace initiatives in child feeding practice as predictors of infant and young child anthropometric indices in public health facilities of Southern Ethiopia.BMC nutrition · 2024Article
- Breastfeeding Practice in Tunisia: Combined Results of Multiple Indicator Cluster Surveys (2000-2018).Global pediatric health · 2024Review
- Cost-benefit analysis of a multicomponent breastfeeding promotion and support intervention in a developing country.medRxiv : the preprint server for health sciences · 2023Article
- Child malnutrition in Afghanistan amid a deepening humanitarian crisis.International health · 2023Article
- Interventions and Programs to Promote Breastfeeding in Arabic-Speaking Countries: A Scoping Review.Maternal and child health journal · 2023Article
- Exclusive Breastfeeding: Barrier analysis amongst Omani mothers.Sultan Qaboos University medical journal · 2023Article
- Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review.International breastfeeding journal · 2023Article
- Nutrition Situation Analysis in the UAE: A Review Study.Nutrients · 2023Review
- Analysis of the nutritional status in the Palestinian territory: a review study.Frontiers in nutrition · 2023Review
- Review
- Review
- Breastfeeding Supportive Services in Baby-Friendly Hospitals Positively Influenced Exclusive Breastfeeding Practice at Hospitalization Discharge and Six Months Postpartum.International journal of environmental research and public health · 2021Article
- Rates and time trends in the consumption of breastmilk, formula, and animal milk by children younger than 2 years from 2000 to 2019: analysis of 113 countries.The Lancet. Child & adolescent health · 2021Article
- Knowledge and attitudes of Lebanese women towards Baby Friendly Hospital Initiative practices.PloS one · 2020Article
- Determinants of the early initiation of breastfeeding in the Kingdom of Saudi Arabia.International breastfeeding journal · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Baby-Friendly Hospital Initiative (BFHI) is a global program for promoting support and protection for breastfeeding. However, its impact on malnutrition, especially in countries of the Eastern Mediterranean region (EMR) that are facing the turmoil of conflict and emergencies, deserves further investigation. Having said that, this paper aims to discuss the status and challenges to BFHI implementation in the EMR countries. Data on BFHI implementation, breastfeeding practices, and nutritional status were collected from countries through structured questionnaires, personal interviews, and databases. The 22 countries of the EMR were categorized as follows: 8 countries in advanced nutrition transition stage (group I), 5 countries in early nutrition transition stage (group II), 4 countries with significant undernutrition (group III), and 5 countries in complex emergency (group IV). The challenges to BFHI implementation were discussed in relation to malnutrition. BFHI was not implemented in 22.7% of EMR countries. Designated Baby-Friendly hospitals totaled 829 (group I: 78.4%, group II: 9.05%; group III: 7.36%; group: IV5.19%). Countries with advanced nutrition transition had the highest implementation of BFHI but the lowest breastfeeding continuity rates. On the other hand, poor nutritional status and emergency states were linked with low BFHI implementation and low exclusive breastfeeding rates but high continuity rates. Early initiation and longer duration of breastfeeding correlated negatively with overweight and obesity (
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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.