Evidence map›Paper›PMID 30229308›Full record

SynthesisEuropean journal of nutrition2019

Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years.

Tesfa Dejenie Habtewold, Shimels Hussien Mohammed, Aklilu Endalamaw, Mohammed Akibu, Nigussie Tadesse Sharew, Yihun Mulugeta Alemu, Misrak Getnet Beyene, Tesfamichael Awoke Sisay, Mulugeta Molla Birhanu, Md Atiqul Islam and 1 more

Abstract readMeta-AnalysisSystematic Review
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In one paragraph

Synthesis in European journal of nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Tesfa Dejenie HabtewoldDepartment of Nursing, College of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia. tesfadej2003@gmail.com.
Shimels Hussien MohammedDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences-International Campus (TUMS-IC), Tehran, Islamic Republic of Iran.
Aklilu EndalamawDepartment of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Mohammed AkibuDepartment of Nursing, College of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Nigussie Tadesse SharewDepartment of Nursing, College of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Yihun Mulugeta AlemuDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Misrak Getnet BeyeneEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Tesfamichael Awoke SisayDepartment of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Mulugeta Molla BirhanuDepartment of Adult Health Nursing, School of Nursing, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Md Atiqul IslamDepartment of Statistics, Shahjalal University of Science and Technology, Sylhet, Bangladesh.
Balewgizie Sileshi TegegneDepartment of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia.

methodsPubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case-control and cohort studies were included. Newcastle-Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran's Q χ

resultsIn total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF.

conclusionsBased on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.

Indexed as

Infant Nutritional Physiological PhenomenaBreast FeedingDeveloping CountriesEthiopiaFemaleHumansInfantInfant, NewbornBreastfeedingComplementary feedingEthiopiaInfant nutritional physiological phenomenaMeta-analysis

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Registered trials

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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.