ArticleInternational journal of environmental research and public health2019
The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan: A Hospital-based before and after Study.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation of essential newborn care in settings of high-intensity armed conflict: a systematic review.BMJ global health · 2026Pooled it
- Pooled it
- Impact of nurse-focused Baby-Friendly Hospital Initiative training program on mothers' breastfeeding practices at hospital discharge: a quasi-experimental study.BMC pregnancy and childbirth · 2026Article
- Knowledge, attitude, and practice toward delayed onset of lactogenesis among postpartum women experiencing mother-infant separation: a multi-center cross-sectional study.International breastfeeding journal · 2025Article
- Exploring Determinants of Exclusive Breastfeeding among Mothers in Jiangsu, China.Maternal and child health journal · 2025Article
- Changing maternal, infant and young child nutrition practices through social and behaviour change interventions implemented at scale: Lessons learned from Alive & Thrive.Maternal & child nutrition · 2025Article
- Exclusive breastfeeding: an exploratory thematic analysis of the perspectives of breastfeeding mothers and significant others in the Tamale metropolis of Northern Ghana.BMC nutrition · 2024Article
- Correlates of non-institutional delivery to delayed initiation of breastfeeding in Nigeria: logit-decomposition and subnational analysis of population-based survey.Journal of health, population, and nutrition · 2023Article
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Authors and funding
7 authors.
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Abstract
Globally, suboptimal breastfeeding contributes to more than 800,000 child deaths annually. In South Sudan, few women breastfeed early. We assessed the effect of a Baby-Friendly Hospital Initiative training on early initiation of breastfeeding at Juba Teaching Hospital in South Sudan. We carried out the training for health workers after a baseline survey. We recruited 806 mothers both before and four to six months after training. We used a modified Poisson model to assess the effect of training. The prevalence of early initiation of breastfeeding increased from 48% (388/806) before to 91% (732/806) after training. Similarly, early initiation of breastfeeding increased from 3% (3/97) before to 60% (12/20) after training among women who delivered by caesarean section. About 8% (67/806) of mothers discarded colostrum before compared to 3% (24/806) after training. Further, 17% (134/806) of mothers used pre-lacteal feeds before compared to only 2% (15/806) after training. Regardless of the mode of birth, the intervention was effective in increasing early initiation of breastfeeding [adjusted prevalence ratio (APR) 1.69, 95% confidence interval CI (1.57-1.82)]. These findings suggest an urgent need to roll out the training to other hospitals in South Sudan. This will result in improved breastfeeding practices, maternal, and infant health.
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