SynthesisMaternal & child nutrition2019
Improving exclusive breastfeeding in low and middle-income countries: A systematic review.
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.
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.
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.
Who cites it
41 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- The efficacy and the safety of antenatal breastmilk expression on breastfeeding outcomes: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Mobile applications for promoting and supporting breastfeeding: Systematic review and meta-analysis.Maternal & child nutrition · 2025Pooled it
- Impact of mHealth interventions on maternal, newborn, and child health from conception to 24 months postpartum in low- and middle-income countries: a systematic review.BMC medicine · 2024Pooled it
- Slow progress towards pneumonia control for children in low-and-middle income countries as measured by pneumonia indicators: A systematic review of the literature.Journal of global health · 2022Pooled it
- Barriers and facilitators for early and exclusive breastfeeding in health facilities in Sub-Saharan Africa: a systematic review.Global health research and policy · 2021Pooled it
- Impact and Effectiveness of Group Strategies for Supporting Breastfeeding after Birth: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Improving exclusive breastfeeding in low and middle-income countries: A systematic review.Maternal & child nutrition · 2019Pooled it
- Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis.International breastfeeding journal · 2019Pooled it
- 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
- Impact of an intervention for perinatal anxiety on breastfeeding: findings from the Happy Mother-Healthy Baby randomized controlled trial in Pakistan.International breastfeeding journal · 2024Trial
- Breastfeeding counseling based on formative research at primary healthcare Services in Mexico.International journal for equity in health · 2021Trial
- Another voice in the crowd: the challenge of changing family planning and child feeding practices through mHealth messaging in rural central India.BMJ global health · 2021Trial
- Trial
- Breastfeeding cessation decisions, practices, and Support-seeking Among mothers in Tehran, Iran: a cross-sectional study.International breastfeeding journal · 2026Article
- Breast milk cytokines and infant growth trajectories in a low-income community in Bangladesh.Pediatric research · 2026Article
- Mapping the evidence landscape on lactation: a scoping review protocol applying a Bio-Psycho-Social-Ecological framework.BMJ open · 2026Article
- Article
- Development and Psychometric Testing of the Breastfeeding Knowledge Scale (BKS) in Brazilian Healthcare Students.Journal of evaluation in clinical practice · 2026Article
- The Determinants of Exclusive Breastfeeding in Rwanda: A Secondary Data Analysis of the RDHS 2019/2020.Rwanda journal of medicine and health sciences · 2025Article
- An overview of reviews of breastfeeding barriers and facilitators: Analyzing global research trends and hotspots.Global epidemiology · 2025Review
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.
Funding
No grant is acknowledged in the PubMed record.
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
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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.