Evidence map›Paper›PMID 31871507›Full record

ArticleCurrent therapeutic research, clinical and experimental2019

Factors Associated with Compliance with World Health Organization-Recommended Infant-Feeding Practices by Mothers with HIV Infection in Northwest Ethiopia.

Amare Belachew Dagnew, Tilahun Tewabe, Asmamaw Birhie, Mastewal Birehanu, Tirualem Alehegn, Abigiya Simachew, Agereselam Tsegaw

Open access · goldAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% of its field
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

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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 at 1 institution in 1 country.

Amare Belachew DagnewCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Tilahun TewabeCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Asmamaw BirhieCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Mastewal BirehanuCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Tirualem AlehegnCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Abigiya SimachewCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Agereselam TsegawCollege of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Bahir Dar University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization has recommended either exclusive replacement feeding or exclusive breastfeeding options for HIV-exposed infants for the first 6 months of life.

objectiveThe purpose of this study was to assess the factors associated with noncompliance with these recommendations among a population of HIV-infected mothers of young infants in Bahir Dar City, Amhara Regional State, Ethiopia.

methodsAn institutional based cross-sectional study was conducted from March 1 to May 15, 2018. A structured interview was conducted with 213 HIV-positive mothers. Descriptive statistics were used to show the frequency distributions of factors associated with noncompliance with World Health Organization-recommended infant-feeding practices. Both bivariate and multivariate logistic regression analyses were performed to identify the variables predictive of infant-feeding practices.

resultsAll mothers were undergoing antiretroviral therapy. Only 83.5% claimed to be following World Health Organization-recommended infant-feeding practices. Bivariate analysis showed that high school or greater educational status [Adjusted odds ratio (AOR) = 3.6 (95% CI = 4.2, 9.5)], having attended antenatal visits [AOR = 6.7 (95% CI = 5.6, 10.9)] and postnatal follow-up visits [AOR = 6.9 (95% CI = 4.2, 9.3)], and disclosure of HIV status to their spouse [AOR = 8.2 (95% CI = 6.2, 10.7)] were associated with adherence to recommended infant-feeding practices.

conclusionsThe prevalence of recommended infant feeding practices among HIV-exposed infants in the study area was suboptimal compared with the ≥90% recommended by the World Health Organization. Higher educational status of the mother, antenatal and postnatal follow-ups, and disclosure of HIV status to spouses were predictors of adherence to the recommended infant-feeding practices. Although not yet proven in a prospective clinical trial, providing more education for women, improving attendance at antenatal and postnatal follow-up visits, encouraging the disclosure of HIV status to spouses, and educating mothers about proper infant-feeding options during follow-up visits may all be useful to increase compliance.

Indexed as

Bahir DarEthiopiaHIV-positive motherinfantinfant feeding

Identifiers

PMID31871507
PMCPMC6911861
OpenAlexW2980855789

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.