Evidence map›Paper›PMID 30665273›Full record

SynthesisMaternal & child nutrition2019

Improving exclusive breastfeeding in low and middle-income countries: A systematic review.

Tolulope Florence Olufunlayo, Alero Ann Roberts, Christine MacArthur, Neil Thomas, Kofoworola Abimbola Odeyemi, Malcolm Price, Kate Jolly

Abstract readSystematic Review
In one paragraph

Synthesis in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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

41 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  6. Impact and Effectiveness of Group Strategies for Supporting Breastfeeding after Birth: A Systematic Review.International journal of environmental research and public health · 2021
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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

7 authors.

Tolulope Florence OlufunlayoDepartment of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID 0000-0002-8938-6151
Alero Ann RobertsDepartment of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria.
Christine MacArthurInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-0434-2158
Neil ThomasInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Kofoworola Abimbola OdeyemiDepartment of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria.
Malcolm PriceInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Kate JollyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-6224-2115

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exclusive breastfeeding (EBF) rates until 6 months in most low and middle income countries (LMICs) are well below the 90% World Health Organization benchmark. This systematic review sought to provide evidence on effectiveness of various interventions on EBF until 6 months in LMICs, compared with standard care. Experimental and observational studies with concurrent comparator promoting EBF, conducted in LMICs with high country rates of breastfeeding initiation, were included. Studies were identified from a systematic review and PUBMED, Cochrane, and CABI databases. Study selection, data abstraction, and quality assessment were carried out independently and in duplicate. Relative risks (RRs) with 95% confidence intervals (CIs) were calculated for individual studies and pooled. High heterogeneity was explored through prespecified subgroup analyses for the primary outcome (EBF until 6 months) by context and by intervention for the randomized controlled trials. Prediction intervals were calculated for each effect estimate. Sixty-seven studies with 79 comparisons from 30 LMICs were included. At 6 months, intervention group infants were more likely to be exclusively breastfed than controls (RR = 2.19, 95% CI [1.73, 2.77]; I

Indexed as

Developing CountriesHealth Knowledge, Attitudes, PracticeBreast FeedingDelivery of Health CareFemaleHealth EducationHealth PromotionHumansInfantInfant, NewbornMeta-Analysis as TopicObservational Studies as TopicPregnancyRandomized Controlled Trials as Topicbreastfeedingdeveloping countriesexclusive breastfeedingintervention effectivenessmeta-analysissystematic review

Identifiers

PMID30665273
PMCPMC7199027

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.